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Home My WebLink About32671-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32884 Date: 02/13/08 THIS CERTIFIES that the building NEW DWELLING Location of Property: 3945 (HOUSE NO.) County Tax Map No. 473889 Section 123 CAMP MINEOLA RD (STREET) Block 5 MATTITUCK (HAMLET) Lot 30 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 26, 2007 pursuant to which Building Permit No. 32671-Z dated JANUARY 26, 2007 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 ONE FAMILY DWELLING WITH COVERED FRONT AND REAR PORCHES AND SECOND STORY DECK AS APPLIED FOR. The certificate is issued to PAUL E LONG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-05-0191 08/09/07 ELECTRICAL CERTIFICATE NO. 112095C 02/01/08 PLUMBERS CERTIFICATION DATED 02/11/08 PAUL E LONG ~~ Authorized Signature Rev. 1/81 Forin No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATlON FOR CERTlFICATE 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 Dep!. 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 I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning 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, Cormnercial $15.00 Date. cJ-/3 Og- New Constmction: --... J Old or Pre-existing BUlldmg: House N? ~ '-I S C~Jyte~ i (\CJ: (h PCi\AL~ rd.?, ( check one) e& rf\~ck , Hamlet Location of Property: Sufj(,lk County Tax Map No 1000, Section LOr:3 Block Owner or Owners of Property: s Lot 30 Suhdivision ._ Filcd Map. ____ Lot: Permit No. 3~~ 71 Health Dcpt. Approval: Date of permit./- d6-() 7 Applicanl:_ __ Underwriters Approval: ___ Plmming Board Approval: Rcquest for: Temporary Certificate Final Certificate: ~ (check one) Fcc Submitted: $ ~5 -aD La -2 3')~'6 ~ (f(.J.C .7 3 7?t J X ~ Signature ',," ~ APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman hup:/ /southoldtown.northfork.net 21 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809' Fax (631) 765-9064 MaHin&! Address: Southold Town Hall 53095 Main Road. P.O. Box 1179 Southold, NY 11 971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 FINDINGS, DELIBERATIONS, AND DETERMINATION MEETING HELD MARCH 9, 2006 ZBA File No. 5841 - Paul Long Property Location: 3945 Camp Mineola Road (Howell Avenue), Mattituck Parcel CTM 123-5-30 PROPERTY LOCATION: The applicant's property contains 8,997 square feet with 60 feet along Camp Mineola Road (a/k/a Howell Avenue). The property is currently improved with a 580+/- square foot single-family dwelling (to be demolished). BASIS OF APPLICATION: Request for Variances under Sections 100-239.4B and 100- 244, based on the Building Inspector's December 5, 2005 Notice of Disapproval, amended January 17, 2006 concerning a proposed new dwelling, after demolition of the existing dwelling. The reasons for disapproving the building permit application are that the new dwelling will be: (1) less than a total side yard (both sides) of 25 feet, (2) less than 75 feet from the bulkhead, and (3) the lot coverage will exceed the code limitation of 20 percent for all building area. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on March 2, 2006 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The building proposed will replace a dwelling to be demolished. The percentage of coverage of the property will be reduced from the current 22.3% to 21 +/-% (excluding concrete pads, walks and aprons) for the new construction. The proposed dwelling will be centered with 10ft. side yards and is smaller in width than the existing dwelling. The setback from the bulkhead will not be reduced, and will remain at 28.3 feet and 35 feet to the rear lot line. For these reasons, the new construction is not out of character with the buildings in the area and is ...... Page 2 - March 9, 2006 ZBA File No. 5841 - Paul Long elM 123-5-30 no more intrusive to adjacent properties or the beach front areas than any of the surrounding dwelling construction that exist. 2. The amount of relief requested is not substantial, inasmuch as the increase in lot coverage, to 21 +/- percent will be less than that of the existing dwelling. 3. The proposed dwelling will be located further landward than the existing dwelling. There will be no reduction in the setback from the bulkhead, and no increase of lot coverage by building area. l 4. The side setbacks, ten (10) feet on each side, will result in the building being . centered on the lot and an increase from the existing nonconforming side yards. 5. Grant of the requested variance is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a replacement dwelling, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. BOARD RESOLUTION: On motion by Member Simon, seconded by Chairwoman Oliva, it was RESOLVED, to GRANT the variances as applied for, as shown on the May 17, 2005 survey, amended January 12, 2006 by Joseph A. Ingegno, and construction diagrams prepared by Mark K. Schwartz, A.I.A. 12/16/05 (A1, A2, A3), SUBJECT TO THE FOllOWING CONDITION: '>'~C'~"h,.. 'b>'~,\""",,,, "". ,.0,..,..",....... _....,_~ .,..,....'_~ . ..._~_.._",....~_ .'...,.,'.'._.....__''."'.._______,._ That the 1 O-foot passages on the sides of the house remain fr~~cl\ any structure. ...... ........ .." . .--,---_.._,.~".,.. 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, Simon, and Weisman. (Member Dinizio was absent.) This Resolution was duly adopted (4-0). (]~O w_lSJ, CO -011 ~ , Ruth D. Oliva, Chairwoman 3/24/06 Approved for Filing James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Telephone (631) 765-1892 Fax,1~tcr5-6641 ,1J ,: OEG 3 L_ i'~1 , CERTIFICATE OF COMPLIANCE # 0275C Date November 27, 2007 THIS CERTIFIES that the single-family dwelling, porch, sanitary system, drvwells & wood tie walls along east and west boundary property lines At 3945 Camp Mineola Rd.. Mattituck Suffolk County Tax Map # 123-5-30 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 917/05 pursuant to which Trustees Permit #6229 Dated 10/19/05 and Amended on 11/14/07 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 a single-familv dwelling, porch, sanitary system, drvwells & wood tie walls along the east and west boundary property lines. The certificate is issued to PAUL LONG owner of the aforesaid property. rc7~ Authorized Signature Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1197]-0959 Fax (631) 765-9502 Telephone (631) 765-1802 1 .1 BUILDING DEPARTMENT TOWN OF SOUTHOLD , Jl. FEB J I L_ ---". ~---_..._-_.- ') CERTIFICATION Date: 1-- II..;' oJJ 3~ 67/ p frvL-- 6. J U '1 (f (Please print) Plumber -_hll L-. E. 101'1 v: (Please print) Building Pennit No. Owner: lead. I celiify that the solder used in the water supply system contains less than 2/1 0 of 1% Sworn (0 before me this --.lJ__ _ day of ~~ ' 20 D"?: --~~,-~-- NotarYP\lblic,_~ _County --~lr-wn c:..LlA1I~~MIrch~lL \. Electrical Inspection Certificate Issue Date 2/1/2008 Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631) 286-6642 Issued To: Street: Village: Section: Application Number 112095C Mr. Paul Long 3945 Reeve Avenue / Camp Mineola Boulevard Mattituck Zip: 11952 Town: Southold Block: Lot: Contractor: G. M. Gebhardt Electrical Contr. Inc. Was examined and found to be in compliance with the National Electrical Code. Lic. # 176-E o Commercial U NV Defects D Pool IX: 1st Floor IKI Indoor D Basement D Hot Tub ~ Residential IXI Del. Garage Il(J Attic ~ 2nd Floor ~ Outdoor U Addition Survey ,--------------- - Fixtures GFI Heaters I Switches Receptacles I 46 65 49 14 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps 2/15a 1 20 1 Gas 1 40 Furnace Oil Gas Circulators Smoke Detector 1 X 4 5 Meter Amps Phase UG/OH Jacuzzi Television 1 200 1 XII 1-15a Bldg. Permit: 32671 Other Equipment 1-200 amp M/B-Panel/2-30a AlC Disc.l1-30 mp Subpanel/ 2-15 amp Air Handler Disc. AlC Fans 2 11 Microwaves 1/20a Bell Transformer 1 CO Detector 2 1~~""L' Hugo S. S rdi - President Rough Inspection: Inspector: 10/10/2007 John Me Mahon III Inspector: Final Inspection: 01/3072008 John Me Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. " < #I EALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman http://southoldtown.northfork. net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 . Fax (631) 765-9064 Mailing Address: Southold Town Hall 53095 Main Road. P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 FINDINGS, DELIBERATIONS, AND DETERMINATION MEETING HELD MARCH 9, 2006 ZBA File No. 5841 - Paul Long Property Location: 3945 Camp Mineola Road (Howell Avenue), Mattituck Parcel CTM 123-5-30 PROPERTY LOCATION: The applicant's property contains 8,997 square feet with 60 feet along Camp Mineola Road (a/kJa Howell Avenue). The property is currently improved with a 580+/- square foot single-family dwelling (to be demolished). BASIS OF APPLICATION: Request for Variances under Sections 100-239.4B and 100- 244, based on the Building Inspector's December 5, 2005 Notice of Disapproval, amended January 17, 2006 concerning a proposed new dwelling, after demolition of the existing dwelling. The reasons for disapproving the building permit application are that the new dwelling will be: (1) less than a total side yard (both sides) of 25 feet, (2) less than 75 feet from the bulkhead, and (3) the lot coverage will exceed the code limitation of 20 percent for all building area. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on March 2, 2006 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspectiorJ of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The building proposed will replace a dwelling to be demolished. The percentage of coverage of the property will be reduced from the current 22.3% to 21+/-% (excluding concrete pads, walks and aprons) for the new construction. The proposed dwelling will be centered with 10 ft. side yards and is smaller in width than the existing dwelling. The setback from the bulkhead will not be reduced, and will remain at 28.3 feet and 35 feet to the rear lot line. For these reasons, the new construction is not out of character with the buildings in the area and is Page 2 - March 9, 2006 ZBA File No. 5841 - Paul Long CTM 123-5-30 no more intrusive to adjacent properties or the beach front areas than any of the surrounding dwelling construction that exist. 2. The amount of relief requested is not substantial, inasmuch as the increase in lot coverage, to 21 +/- percent will be less than that of the existing dwelling. 3. The proposed dwelling will be located further landward than the existing dwelling. There will be no reduction in the setback from the bulkhead, and no increase of lot coverage by building area. 4. The side setbacks, ten (10) feet on each side, will result in the building being centered on the lot and an increase from the existing nonconforming side yards. 5. Grant of the requested variance is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a replacement dwelling, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. BOARD RESOLUTION: On motion by Member Simon, seconded by Chairwoman Oliva, it was RESOLVED, to GRANT the variances as applied for, as shown on the May 17, 2005 survey, amended January 12, 2006 by Joseph A. Ingegno, and construction diagrams prepared by Mark K. Schwartz, A.IA 12/16/05 (A1, A2, A3), SUBJECT TO THE FOLLOWING CONDITION: That the 10-foot passages on the sides of the house remain free of any structure. 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, Simon, and Weisman. (Member Dinizio was absent.) This Resolution was duly adopted (4-0). ~_l\).CDDli~. Ruth D. Oliva, Chairwoman 3/24/06 Approved for Filing 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. 32671 Z permission is hereby granted to: PAUL E LONG 3945 CAMP MINEOLA ROAD MATTITUCK,NY 11952 Date JANUARY 26, 2007 for : DEMOLITION OF A DWELLING AND CONSTRUCTION OF A NEW DWELLING PER ZBA, TRUSTEES, DEC, & SCHD. W/FLOOD PERMIT. CONFORM WITH SETBACK REQUIREMENTS. at premises located at 3945 CAMP MINEOLA RD MATTI TUCK County Tax Map No. 473889 Section 123 Block 0005 pursuant to application dated JANUARY Lot No. 030 26, 2007 and approved by the Building Inspector to expire on JULY 26, 2008. Fee $ 1,720.50 ORIGINAL Rev. 5/8/02 3~!P71 L TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. p<[ INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON REMARKS: ~ v.;:.~ /1~ ~~ (j k .. h'- c ~ () /0 -~r- 0 7 DATE INSPECTOR ~~ 3~ 7/ 7- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND ~MING..JsTRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: .... [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ f~ ~ alLe ~, DATE r~ ?o -/) 1 INSPECTOR ~ ~ .,-.~ 3rb71 Z- TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST )?\ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~MIN~STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON wo-rnt ~ ~ ~~ , ~ ~~ REMARKS: r; tJ " ~O a.JVL .; ~ cJ'>....... 7--.3tJ-07 DATE INSPECTOR ~ ~ --II~H' 3CJ-'7/7- hc-. ~ ~~ I TOWN OF SOUTH OLD BUILDI G DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [~FRAMING~RAPP~ [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ~ v<L [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION , ~ DATE b.-~r~o 7 INSPECTOR ~~ 3 ~b 7 / 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 PENETRAnON REMARKS: ~ K-d ~r~ vk~ ~~ - c JO- 0 , I~J E>o H) 12~ rI- ~ ~. ^~c{ I DATE ;L '-Il- - 0 % INSPECTOR ~(~ WILLIAM R. SUCKOW, P.E. & ASSOCIATES Architects & Eneineers Suite L 3555 Veterans Memorial Highway Ronkonkoma, NY 11779 (631) 563-7574 (631) 467-6977 Fax (631) 981-3971 February 13, 2007 To Whom it May Concern RE: Piling Installation 3945 Camp Mineola Rd., Mattituck, N.Y. Paul Long !'1AR 1 ~... This is to certify that the piling installed, at the referenced location, has been completed in accordance with the FEMA Code and pilings have achieved a minimum bearing capacity of 10tons. William R. Suckow, PE WRSjcg 1') \~'- , ~ FIELD INSPECTION REPORT DATE COMMENTS ~"C . . / . . ~~ FOUNDATION (lSn I AJI. P,I,~ .,) / r-.'"' "" ------------------------------------ \'V . lfr FOUNDATION (2ND) i f I " IV / H o CJI'l -t'~ / W~ t,- ?/.-, . - v.t O'/T v'/~ 1...'30 -l 1 w~f ~~<-h,," \.~ ~()7 M. ,- .S> ..... " Ai 1) ~+'jAOP.~L<~'~{)~ Ul", ROUGH FRAMING & -7 fI1J:A ' /l':,;h '10 ~../J ~ n ?~ PLUMBING f -+.fJ T...P "" I~ M~ _ /.~..., 9j ~ ~ o/Jt /,' I_~:t;. "Vi"t" A c.AO , ..J. ']P. ~ , ~ 3 . .... I fl- ~. - 07 II ~ /J"";'; ._fI-- /I J... ~ ()J/- - .Ffi "<f..Jv.:..v aM Ok J<<f..,.j/IJ ~~ I (/ - ..... INSULATION PER N. y, t.l ...; STATE ENERGY CODE " - , ., d- -)? 0"3 . j-L.:. - f J<- ~, la-- 0 fC.---IHt- Co? 0 /A 'f-iL" .> J]f( JI , ~ (~ft'" "i- ~ '''''P'- ......11. P -j CQ/if- . FINAL ',.,.,., "'-' ';{) v /';7" /if./ , V ADDITIONAL COMMENTS Ih '1'...\.,,, j s f'; ^ ,.1;----r;,.< + n. t:.D"".n (~l ()cJ .,.-(~ cia ~ i' --p;. '/A , \:&1 . 'C. 6 . J\J.--<- -" ;)..~ /3 -- ln1' ./7 . . ~ ;; L' ( if/// i 1J(r') ) /-v ..l' rnJ /,~ / ( -b0 . '.-- -----. ~ ~. <.,. m ~ ;lJ , . -i;:-J , , ... v;; c> \ '"' - . 00 ",<,2 13 o ::: \ I'l ~~ ::: (; ti I'l ~ :::J r- PERMIT NO. .3;;L {~ I b BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health Pending 4 sets of Building Plans X Planning Board approval N/A Survey X Check X Septic Form X N.Y.S.D.E.C. X Trustees X Contact: TOWN' OF.SQUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ f- Examined . 20----?---- ,20_ Expiration ,20-&- ---- ._-~ n .. ., r? ..vI !;' li_ ",>_ ~!: . I Mail to: Suffolk Environmental Consulting. Inc. P.O. Box 2003; Bridgehampton, NY 11932 Approved Disapproved a/ Phone: (631) 537.51{)0 .M 2'(.0 <C>:> APPLICATION FOR BUILDING PERMIT I n> .""--.. ___----! Date November 13 ,20~ --' INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 '- ~ sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and 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 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, housic e, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . Suffolk Environmental Consulting, Inc.: P.O. Box 2003; Bridgehampton, NY 11932 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder AGENT Paul Long Name of owner of premises (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: .... 3954 Camp Mineola Road . House Number Street Mattituck Hamlet County Tax Map No. 1000 Section 123 Subdivision N/A Block 5;. Filed Map No. . Lot 30 Lot (Name) r' 1 ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy single family dwelling b. Intended use and occupancy same as "existing" 3. Nature of work (check which applicable): New Building Repair Removal..... Demolition ..... Addition Other Work Alteration Fee $510.00 (Description) 4. Estimated Cost $300,000 5. If dwelling, number of dwelling units If garage, number of cars N/A (To be paid on filing this application) Number of dwelling units on each floor 1 6. (fbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. N/A 7. Dimensiorts~xisting structures, ifany: Front 45' Rear 29' Depth 41' Height 15' +/- Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front 38' Height 29' 9.5" Number of Stories 2 Rear 38' Depth 51' / 9. Size of lot: Front 59' Rear 60' Depth 154.5 10. Date of Purchase 11/13/2006 Name of Former Owner Linda AI Reinares f/k/a Linda II Z d. . . h' h . . d R - 40 . one or use Istnct In w IC premIses are sItuate 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~ Phone No. 298-8410 Phone No 734-4185 Phone No. 14. Names of Owner of premises Paul Long Name of Architect Mark K. Schwartz Name of Contractor same as "Owner" Address 3945 Camp Mineola Road: Matliluck Address P_o_ Box 933; Cutchogue Address 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 MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? · YES ~ NO_ · IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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 ) tV i IIi "-",,, ~. L..\...n being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the AG1::"" (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before /'3-1.... ,... 20 D(, ..--"............. Notary Public Matthew D. Ivans Notary Public of New York No. 011V6053859 Qualified in Suffolk County Commission Expires January 22, 2007 '----.,-, . '." ' FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765,1802 BOA~D OF HEALTH ......... J SETS Of PL~~S ......... SU.RVEY .................................... CIICCK ... _ . . _ . . . . . . . . . . . . SEPTIC fORl1 _............ Examined. . . . . . . . . . . . . . . ., 19 . . . Approved . . . . . . . . . . . . ~~. -p . .h'rmit No. . . . . . . . . . . . Disapproveda/c ... .... '1'~ //,...........,.:... t:071 F"f: CALL HAIL ~ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. TO: .................................. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. APPLlCATIO FOR BUILDING PERMIT . . \)cC ? 1(j~6 . w' .' U"" ", . .~,~.---J INSTRUCTIONS ,.o~--- a. Tins ition must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of pIans~' accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. . c. The work covered by tltis application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. - . .," \', \., f', \ii S ;' l \ >J :-~l. \\ . . \,. . Date .~~If1~~':". ?t:~. .,ff~ .... ... ........ ......... ............ 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 rem v or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building e using code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecf , (Signature of apI', if a corporation) WI\\\c:.w-.:s.I..J../~\\z. 6"T'I\ji.-on~~\ CO~\'''\)';ti ........ :P:~ ~~i .a'~~I~,\J...1. Jl1~~_. (Mailing addre~of applicant) State whether applicant is owner, lessee,' agent, architect, engineer, general contractor, electrician, plumber or builder. . ...... .~~.........,.... .10...................... ."..............................:.......... Name of owner of premises . Pw. . , . .~ . . . . . . , .(~~ ~~. it; ia~' ;o'li ~~ i;t~~t d~~d)' . . .. . . . . . . . . . . . . . - . . . . . . If applicant is a corporation, signature of duly authorized officer. AJI4 ..... ,....... ... ...... ...... ............... .... (Name and title of corporate officer) Builder's License No. ......................... Plumber's License No. ......".................. Electrician's License No. Other Trade's license No. I. Location of land on which proposed work will bc done. ............................................. _ . . . ........................... ~!AW!J{IJ/LI' .ricJj.;~k. .i.~.d:)o.f-I-.lLIfJ.(.d. .,.N/... House Number "Street Hamlet County Tax Map No. 1000 Section. ..:. .I.~3....... .. Block.... .C?"5(.. ... : . .. Lot..... ?9. ... . .... Subdivision. . . , _ ' . . . . . . . . . .1(fI: . . . . . . , . . . . . . . . .. Filed Map No. .... f1. /1. . . . " Lot,... /!!A. . . . . . . " (Name) . 2, State existing Use and occupancy of premises and intended use and occupancy of proposed construction: .. " ';). ,1_ . {. k. . t 1l. ..11' . a. EXisting use and occupancy......... r.f'1V()Je.. .sl.~ e.... .IH-l..'f. .~.l.5""""""""""" b. Intended use and occupancy ................... $..~. . . . . . . . '.". . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . , ,'" ,,- , ,3. Natu:e of work (Che~k which applicable): New BUildin~ ...0 Addition ~.', -Ii Alteration '...... :'. . RepaIr ....,......... Removal . . . . . . . . . . . . .. DemolitIOn ....;. v.-:". . . . . Othl! Work. . . . . . . . . . . . . . . (Description) 4. Estimated Cost. . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . . . . Fee .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'J '. (to be paid on filing this application) , 5 I'dw II' b I'd 11' . On.e1t N 'b I'd '. hll "vIA . , e mg, num er 0 we mg umts . . . . . . . . . . . . . . . um cr 0 welling umts on eac oar. . . . . . . . . . . . . . . . . If garage, number of cars . .~!A . . . . . . . . . . . . . . . .. . '. . .. . . . " . . . . . . . .. . . . . .. . . . . . .. . . . . . ... . . . " . .. . 6. If business, commercial or mixed occupancy, specify natureand extent of.each type of use . . . . t!-!(~. . . <(1;' . " . . . 7. Dimensions of existing structures, if any: Front. . .. ?ii': ~ f~ . . ; . . Rear .. 2$. .x<: t . . . .. Depth.:1"o.:.. / . . . . . . Height " -:-/:>'://. . . . . . . . Number of Stories. . . ../.. . .. . . . . ('#;-.~,~.~ ) . . . . . . .. . . . . . . . ... . .. '" . . '" Dimensions of same structure with alterations or additions: Front ..... tV fA . . . . . .. Rear.../of 14: . . . . . . . . . . . Depth. . . . : .,.N M. . . . . . .. . . . . Height.. . .1/ IA. . . .. . . . .. . . '" Number of Stories.. . .)[ 11\. . . ; '.f.I. .. . .. . . 8. Dimensions of entire new construction: Front. . .38: H . . . . . .; Rear.. .~l/: . . . . . . . Depth .. 7':Q. . . . . . . . . . Height .~'. G:?':.. .... Number of Stories.... .. .d............. .... ............................... 9. Sizeofiur:Front ......~:l1-........;.. Rear........f,<;:>.H........ Depth ...J.l?::?-f;-t-........... 10. Date of Purchase ........~! ~ . .. . . . ... . . . . . . . Name of Former Owner ...I.-! (I!r. . " .. . . . . . .. . . .. . . . . . 11. Zone or use district in which premises are situated. . .. ::R.-:'i. C< . .. . . , . . . . . . . . . . . . . . . . . . .. . .. .. . . . . .. . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: .. -:............................. 13. Will lot be regraded .. .5li:s~\)'. '2. . .. . . . . . . . . . . . Will excess fill beremoved from premises: Yes c:@ 14. N3lne of Owner of premises. P",uJ . .1'1'5 . " , . . . . Address ;.'Z'f.1 L~ ..J1,~4>...~ Phone No. " .~. . . ; . . . Name of Architect .<':1f'-1/t.. j(. Xr.~.z., 1>:;::;(').. . AddressvO.~O/.f~3.ir.~f,~ . Phone No. . . . . . .. " .. ... . N3lne of Contractor . . . ~ . . . . . . . . . . . . . . . . . . . Address .. . . . . ~ . . . . . . . . . Phone No. '" ~. . . . . . . . 15.' Is this property within 300 feet of a tidal wetland? *Yes........ No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street n3lnes and indicate whether interior or corner lot. , , neA~ 14fvr ~ Altt(~ I klf i fIr (-!;V ;-( f , Yf1 3~O J }~~ ~1~ ~/ 6 L{~ bein!; duly sworn, deposes and says that he is the applicant -:11'1. (((ovJ-. ) () I I 'I (trY'!-'h : 16 X ;U. j\. vo-IS- ~.' f(-21 K :l2'~ I 'I V" 101 ~ A. ..?t g-U 8- {~~6 j"tf OOb I ^ / i Z \ , b//. /i'y ~:J, o ' ~ 1., :;'fA TE OF NEW YORK, S S :OUNTY OF.....;,,:.:...... S-- h ......... '.... .Jrl!I.~.... .'.. .4?...h... (Name of individual signing contract) bove named. I, '''h, .... ..' . . . . . . .. . . . . . .. . . . ic;;;';;~";;;';;;;.;; ;ffi;;;:,;;.i . .. . . .. ... . . . . . . . . I' said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. worn to before me this ~ . e:;-- . .. .. . .. ,,3.q.~ ~". yoI'.. . ..6.~~.... . ", w... . otary Public, . ... ""...,.."",.. ;;>-.. ... C,"", ~ Notary Public of New York \ . . No. 011V6053859, . Qualified In Suffolk County . . . . . . . . . . . . . . . .. . ~ . . . . . . . . . . : . . . . Commission Expires January 22, 20tJ7, Ignature of applicant) ... '~ TOWN OF SWTHOLD ~OPERTY Wecoi'D CARD STREET 5 VILLAGE DISTRICT ~ LOT / OWNER --30 'I '-I) /!..4 j . I1f1.TT EAGE , J).OO TYPE OF BUILDING E,,\ I) ..J -It> (./ \ ~~Uv' 'V_D.A '\ ~a .lfFICDoc I IND. I CB. I MISC. RES. FARM COMM. VL. -;i'~ 00 ,(I s-,() LAND IMP. DATE REMARKS TOTAL ~>,)h!,;:r ji , () '5!7 :; .J/.;- 2J~ ! V'WU? .~., /j! v' /( _4 '-j.:h ~,;' /i"ttf ~=-:?" './~- - ,,//,. ,,' "~",," 'J-.--LfOo :A. t (j c) 3300 3 66 ~ o NORMAL In Farm Acre Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD ,{/< tV DOCK NEW Tillable 1 Tillable 2 Tillable. 3 Woodland Swampland Brushland House Plot Total IJgq~D6D G.:l- ~~ Iff. z"y -....) ,--I / ! if" " - ~,(/ I r- I , I , I I i , 'I I II ,'I ! I i I I ! ~~ i' lil'l I: ,~~;:: 7' I! Iii,! ". /v~~ --: i . I ,! :-! I V/:.-;:" i :I! i: ,! I I I '6 ! ' I~<( I j i Ii! I.! 'q/~) I [1l+t-H+ , I": I I ! Ii.. ! ! I I !-, ! i i i I"' : I i , , I I I ! I I " i i._ ! -; I , I ! , I , I , , ' I : w~-\-<. , Tl ! I .' J ! LA'''' t.<. \11 Cl~ p.-< ...,,~ ~~ Ncv... t~\~ ~O('elAk- '\OvV , -, "I~ r~.-p-r ".,-- ! , i i i I ! Bldg. oX?-~ y/ I Foundation C tJ> I Both -- 600 .33 r;, 0 ~ensian Basement C , Floors l,..-t':I t./ ' ~ension Ext. Wall~ Interior Finish ~ension Fire Place hi .., (~ ' ~ '-.... --'- 'qq Porch Roof Type {7fi I ' j(pc F )!,t! 41' Porch Rooms 1 st Floor , - , lezewoy I Patio Rooms 2nd Floor rage I X7--'2- - 3d I )i? ,r Driveway Dormer B. ,- t Building Photographs Continuation Page For Insurance Company Use: Policy Number Building Street Address (including ilPt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. e. ~1A)~ 1/(I't'1{ ",i City <'fl=;<. . 'l" f State V ZIP Code ~ tVl", ! 11'~7.- CorrlJany NAlC NurrIler II submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." - L IIII .., -------- . -~~ - -... 01.17.2008 01:48 .~ - -- ..=;;..-- jJ..r~ <;rd& ~ 0 .;11., -S: : "Iv . " , . , Building Photographs See Instructions for Item A6, For Insurance Company Use: Policy Number Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. t} 't.. IIIIC I i2.<l.. City State )./V ZIP ,code CoIr!>any NAlC Nurrber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. '" ~ I ~ f. ~ . ~~ ~ ~ ~~)- ~:I(U wt>t '::>U(<... A 1. Building Owner's Name "Ill A2. Buil . g Street Address (including APt., Unit, S C--"I ' City yV]" fh t- v v k State Ale J../ t'"r k. ZIP Code A3. Property D~scription (~ot and Block Num~, Tax Parcel Nu"}ber, Legal Description, etc.) -SJ~('~'K c..-,,,t~ I...r L..t /Jd, 1<JOc- 11...3-0';)-Jo A4. Building Use (e.g., Residential, Non-Repidential, Addition, Accesso~ etc.) jl e) :J,,., h~. j A5. Latitude/Longitude: Lat. !:to')<2, 5'," 111 Long. J. 2-' 5 " t. <J" IN Horizontal Datum: 0 NAD 1927 0 NAD 1983 A6. Attach at least 2 photograph~ of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number~ A8. For a building with a crawl space or enclosure{s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 'I/...fo'$ sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawl space or b) No. of pennanentflood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade ~ walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b I, L ~\1sq in c) Total net area of flood openings in A9.b ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8.,1 SECTION A - PROPERTY INFORMATION OMB No. 1660-0008 Expires Februarv 28. 2009 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program No.} or P.O. Route and Box No. For Insurance Company Use: "1i1' Number Company NAIC Number t r . 11'15 S sqin SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 6- B2. County Name J, .s" ~ 1', B7. FIRM Panel EffectivelRevised Date Me:. <0 B3. State jJe B1. N.fJP Community Name & Com unity Number J~v" "f 5,,~ 0/ J"l>'$l3 84. Map/Panel Number B5. Suffix B6. FIRM Index Dale Y<b & B8. Flood Zone(s) VE- B9. Base Flood Elevation(s) (Zone AD, use base flood depth) ~.O B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. o FIS Profile ~ FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE in Item 89: ItrNGVD 1929 0 NAVD 1988 o Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or OthelWise Protected Area {OPAl? Designation Date 0 CBRS 0 OPA o Yes o No Cl. SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on: D Construction Drawings~ D Building Under Construction. ~Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. Elevations _ Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO. Complete items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized Conversion/Comments Vertical Datum /J&VD 'Cf~~ C2. Check the measurement used. .g . 0 [3J feet 0 meters (Puerto Rico only) II . Q 00 feet 0 meters (Puerto Rico only) ~ . 1 ~ f.et 0 met.rs (Puerto Rico only) .v A 0 feet 0 meters (Puerto Rico only) e ,-L~ feet 0 meters (Puerto Rico oniy) S-- . 2- [3J feet 0 meters (Puerto Rico only) <2 .~IRI feet 0 meters (Puerto Rico only) a) Top of bottom floor (including basement, crawl space, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) f) lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the infonnation on this Certificate represents my best efforts to interpret the data available. f understand that any false statement may be punishable by fine or imprisonment under 18 u.s. Code, Section 1001. I2'check here if comments are provided on back of form. Title L "". Address PO Signature J\Lt~G" /. Lorw/~ u:r Company Name Certifier's Name FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions .' For Insurance Company Use: Policy Number tV! t<.. ZIP Code I z... SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) State <.! Company NAIC Number Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments A~(' ~/\J)h';flt;r5 ".re 00\ e-.,<,r ':irk 8~ /''',,5<- c.f F,HtlLAfe, c,-"./ f.lof wr..fu' +"" k. 0-.. fU Floor ele,;. de,;. 'is. I {{,a Signature Date t""J I <.. au 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AD and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR~F request, complete Sections A, 8, and C. For Items E1-E4, use natural grade. if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG), a) Top of bottom floor (including basement, crawl space, or enclosure) is _' _ D feet D meters D above or D below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _' _ D feet D meters D above or D below the LAG. E2, For Building Diagrams 6-8 with permanent flood openings provided in Sectio..n.,A Items 8 and/or 9 (see ~e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _' _ D feet U meters D above or U below the HAG. E3. Attached garage (top of slab) is _' _ 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _' _ 0 feet D meters D above or D below the HAG, E5. Zone AO only: If no flood depth number is available. is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? DYes D No D Unknown, The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B. and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments D Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item{s) and sign below. Check the measurement used in Items G8. and G9. G1. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. D A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AD. G3. 0 The following information (Items G4.-G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction D Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: o feet o feet o meters (PR) o meters (PR) Datum Datum Local Official's Name Tilte Community Name Telephone Signature Date Comments D Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Albert J. 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 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 19, 2005 Mr. Bruce Anderson Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: PAUL LONG 3945 CAMP MINEOLA RD., MATTITUCK SCTM#123-5-30 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on October 19, 2005 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of PAUL LONG applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 7,2005, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 19, 2005, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of PAUL LONG to demolish the existing dwelling and construct a 38'X 41' two-story frame dwelling on pilings, with 10'X 32' porch attached to southern side, and to install a new sanitary system, with the condition drywells and a french drain are installed to contain the roof run-off, and a line of staked haybales is installed before the project begins, and all as depicted on the survey prepared by Joseph A. Ingegno last dated October 28, 2005. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, ~:7 ,K~~"~.. Albert J. Krupski, Jr. President, Board of Trustees AJKllms I I " ~ '-j f:\:; I' i, i'-: kF I i: I';~ New York State Department of Environmental Conservation Division of Environmental Permits Rm 121, Building 40-SUNY Stony Brook, New York 11790-2356 Telephone (631) 444-0365 Facsimile (631) 444-0360 ~ Denise M. Sheehan Acting CommluioDer LETTER OF NON-JURISDICTION Mr. Paul Long 3945 Camp Mineola Road Mattituck NY 11952 October 12, 2005 NYSDEC # 1-4738-03522/00001 Long Property Howell Avenue Mattituck NY SCTM #1000-123-5-30 Dear Mr. Long: Based on the information your agent submitted, the New York State Department of Environmental Conservation has made the following determination. The portion of the referenced property landward of the functioning bulkheads greater than 100 feet in length and constructed prior to 8/20/77, as verified on AeroGraphics Corp. aerial photograph dated 4/6/76, is beyond the jurisdiction of Article 25 (Tidal Wetlands). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6 NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, 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 which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Ylease be further advised that this letter does not relieve you of the respon . necessary permits or approvals from other agencies. CC: Suffolk Environmental Consulting, Inc. Marine Habitat Protection file F . .-- 111111111111 111111111111111 1111111111 111111111111111111 1111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION/DOP Number of Pages: 9 Receipt Number : 06-0122694 District: 1000 Received the Page/Filing COE TP-584 Cert.Copies SCTM Recorded: At: LIBER: PAGE: Section: 123.00 EXAMINED Following Fees For Block: 05.00 AND CHARGED AS FOLLOWS Above Instrument Exempt NO NO NO NO NO $27.00 $5.00 $0.00 $11.25 $0.00 Handling NYS SRCHG Notation RPT Fees Paid THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County 12/22/2006 10:39:36 AM D00012484 494 Lot: 030.000 $5.00 $15.00 $0.00 $30.00 Exempt NO NO NO NO $93.25 DECLARATION OF COVENANTS AND RESTRICTIONS TffiS DECLARATION made this;.f.#aay of,j;;t'r ,2006, by PAUL E. LONG, residing at 3945 Camp Mineola Road, Mattituck, New York 11952, hereinafter referred to as the DECLARANT, as the owner of premises described in Schedule ''A" annexed hereto, also known and designated as SCTM# 1000-123-5-30, (hereinafter referred to as the PREMISES) desires to restrict the use and enjoyment of said PREMISES and has for such purposes determined to impose on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following covenants and restrictions: 1. WHEREAS, DECLARANTS have made application to the Suffolk County Department of Health Services (hereinafter referred to as the (DEPARTMENll for a permit to construct and/or approval of plans for a single family residence, a subdivision or development or other construction project on the PREMISES; and 2. The DECLARANT appeared before the Board of Review requesting a variance for the installation of the subsurface sewage disposal system wWch does not conform to the residential construction standards of the Suffolk County Sanitary Code to wit: will not meet the separation distance of ten (10) feet from a building foundation and twenty (20) feet from a drainage system, and the Board of Review of the County of Suffolk Department of Suffolk Department of Health Services granted a variance by letter dated August 21, attached hereto and made a part hereof, provided a covenant is filed, the DECLARANT, its successors, heirs or assigns, agrees: a) As a condition of approval by the DEPARTMENT of the application, the DECLARANT covenants that the garage on the premises shall not be used as a living space. b) DECLARANT, its successors, heirs or assigns, further agrees to hold harmless, indemnify and defend the County of Suffolk, its employees, offices, or agents harmless from any claim for damages or injuries that may arise out of the installation or use of the sewage disposal system. 3. The DECLARANT, their successors and/or assigns, shall set forth these covenants, agreements and declarations in any and all leases to occupants, tenants and/ or lessees of the above described property and shall, by their terms, subject same to the covenants and restrictions contained herein. Failure of the DECLARANT, their successors and/or assigns to so condition the leases shall not invalidate their automatic subjugation to the covenants and restrictions. 4. All of the above covenants and restrictions contained herein shall be construed to be in addition to and not in derogation or limitation upon any provisions of local, state and federal laws, ordinances and/or regulations in effect at the time of execution of this agreement, or at the time such laws, ordinances and/ or regulations may thereafter be revised, amended or promulgated. 5. This document is made subject to the provisions of the laws required by law or by their provisions to be incorporated herein and they are deemed to be incorporated herein and made a part hereof, as though fully set forth. 6. The aforementioned restrictive Covenants shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or at law. The failure of said agencies or the County of Suffolk to enforce the same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the County of Suffolk or any officer or employee thereof. 7. These covenants and restrictions shall run with the land and shall be binding upon the DECLARANT, their successors and assigns, and upon all persons or entities claiming under them, and may be terminated, revoked or amended only with the written consent of the DEPARTMENT. 8. If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall. by a Court of competent jurisdiction, be adjudged illegal, unlawful. invalid or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so adjudged to be illegal, unlawful. invalid or unconstitutional. 9. Local Law #32- I 980 - the DECLARANT represents and warrants that he has not offered or given any gratuity to any official, employee, or agent of Suffolk County, New York State, or of any political party, with the purpose or intent of securing favorable treatment with respect to the performance of an agreement, and that such person has read and is familiar with the provisions of Local Law #32- 1980. ~ PAUL E. LONG f ,....--.... .." I J I ~ Ii i }, '; STATE OF NEW YORK ) ):SS.: ) COUNlY OF SUFFOLK On the~ay of .~ Min the year of 2006, before me, the undersigned, a Notary Public to and foithlStat~' of New York, personally appeared, PAUL E. LONG, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subject to be subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals or the person upon behalf of which the individuals acted, executed the instrument. '~U~-A~Lz < NOTARY PUBLIC PATRICIA RIC~ERT Notary PQblic. Stajeof New Yorll No.3u-4T41l54 Qualified. in Nassau / ~ ~~es Comrmsslon Expires / v. /.---.... .,. "\ ~, 'i: \ ~ ! ! ,Ii? ,I I f / / ~. t \ 'J /' /J /', /' I / / I ' A i f k ~~ :l -/ i./....iI'.. t _ " COUNTY OF SUFFOLK ~ STEVE LEVY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES BRIAN L. HARPER, M.D., M.P.H. COMMISSIONER August 21, 2006 Suffolk Environmental Consulting P.O. Box 2003 Bridgehampton, NY 11932-2003 Subject: Board of Review Hearing - August 17, 2006 RIO-05-0l9l - Long Property - Howell Avenue, Mattituck - t/o Southold- SCTM: 1000 123000500030000 Dear Sir/Madam: Enclosed is a copy of the findings, recommendations and determination of the Board of Review concerning the subject application. Based on the information submitted, the Board granted the request for variance/waiver with the provisions indicated in the determination. The granting of this waiver does not imply that your application will be automatically approved. It is your responsibility to ensure that your application is complete; otherwise, your approval will be subject to unnecessary delay. a. ~ A. Costa, P.E., Chief Engineer an, Board of Review Enclosure C: Board of Review File - Yaphank Ms. Jodi Cerasuola - Reviewer Mr. Andrew Freleng - Planning Department Ms. Lauretta Fischer - Planning Department Ms. Eileen Cantone - OWM Ms. Valerie Scopaz - Town of South old Mr. Joseph Fischetti, P.E. tDIVISION OF ENVIRONMENTAL QUALITY. BOARD OF REVlEW . 3150 YAPHANK AVENUE, SUITI'; 28 . YAPHANK NY I I Qae. PHONE (631) 852.580 I FAX (631) 852-5825 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DIVISION OF ENVIRONMENTAL QUALITY BOARD OF REVIEW ARTICLE 2, SECTION 220, SUFFOLK COUNTY SANITARY CODE To: Brian 1. Harper, M.D., M.P.H., Commissioner From: Stephen A. Costa, P.E., Chairman, Board of Review Subject: Findings and Recommendations of the Review Board Regarding: RI0-05-0191 - Long Property - Howell Avenue, Mattituck - tlo Southold- SCTM: 1000 12300 0500 030000 Hearing Date: August 17, 2006 Statement of Problem Residential construction standards require that a subsurface sewage disposal system be placed at least ten feet from a building foundation (garage) and 20 feet from other drainage structures. The applicant is proposing a septic system to serve a single-family dwelling that does not conform to departmental standards in that portions of the system are located within ten feet of a building foundation and 20 feet of a drainage structure. Findine:s and Facts 1. The applicant is proposiI).g to remove an existing single-family dwelling and to construct a new 4-bedroom single-family dwelling with a new on-site sewage disposal system and connection to public water. 2. The project is located in Groundwater Management Zone 4. 3. Soil conditions are good with fine sand at 5 feet below existing grade. 4. Depth to groundwater is 4.1 feet below existing grade. 5. The parcel is connected to the public water supply serviced by the Suffolk County Water Authority (SeW A). 6. The current site is improved with an existing dwelling that is served by one on-site sewage disposal system consisting of a single cesspool (no septic tank). The existing cesspool is located in the approximate area of the proposed new septic tank. 7. The applicant is proposing to abandon the existing disposal system and replace it with an improved system that includes a 1,200 gallon septic tank and five 8-foot <I> by 2 feet effective depth leaching pools with area available for three expansion pools. The bottom of the leaching pools will be 2 feet above groundwater elevation. 8. The location of the new sewage disposal system is constrained by existing site conditions including the size of the lot (58 feet wide), the Peconic Bay adjacent to the rear, and an existing garage at the front that will remain. There is also a 30-foot square (approximate) driveway at the front of the property. 9. The water line is located at the west side of the property. Brian L. Harper, M.D., M.P.H., Commissioner Hearing Date: August 17,2006 Subject: Findings and Recommendations of the Review Board Regarding: RIO-05-0191 - Long Property - HowellAvenue, Mattituck- tlo Southold- SCTM: 1000 123000500030000 10. Portions of the proposed leaching pools and expansion area will be as close as five feet to the garage foundation. II. Additionally, the project has been designed with a continuous 18-inch wide by 18- inch deep French drain along the front and side property lines. Portions of the leaching pools will be within 3 feet of the French drain. 12. The applicant's consultant claims that the location of the leaching pool system will not affect the garage foundation or vice-versa. Determination It was a 3 to 0 determination of the Board to grant the request for the variance to install the proposed sewage disposal system closer than 10 feet from the garage foundation provided the following conditions are met: · The disposal system design shall be reconfigured and shown on drawings submitted to the department signed by a licensed professional engineer to maintain an 8- foot separation from the garage foundation. · The French drain shall be discontinued in areas within 15 feet ofthe leaching pools. · The applicant shall covenant the property, in language acceptable to the County Attorney, that the garage shall not be used as living space. The Board notes that the disposal system was designed to avoid the unpaved driveway area. However, reconfiguring the design to place a portion of the leaching pool system under the driveway area is acceptable to the Board provided that traffic bearing slabs and cast-iron covers to grade are installed. The system will be constructed to allow proper routine maintenance of the sewage system. Therefore, granting the variance will not have any adverse effect on groundwater. The proposed sewage disposal system is an improvement over the currently installed facilities and provides for a greater degree of sewage treatment. As per 9760-609 of the Suffolk County Sanitary Code (Sanitary Code), the approval of the variance is in harmony with the general purpose and intent of the Sanitary Code to protect groundwater and drinking water supplies, surface water and other natural resources, and public health, safety and welfare. In compliance with 9760-609(1)(a), the proposed variance is in general conformity with the Sanitary Code. The uses of groundwater, surface water, and drinking water supplies will not be impaired, taking into account the direction of groundwater flow and, as such the granting of the variance is in compliance with 9760-609(1)(b). August 21, 2006 G. ~/' Steph A. Costa, P.E. Chairman - Board of Review Fidelity National Title INSURANCE COMPANY TITLE NO. 06-7404-66414.5S-SUFF AMD SCHEDULE A ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a concrete monument set on the southerly line of a certain 30 foot right of way running easterly and westerly at a point on said line 302.0 feet westerly from the westerly line of a 25 foot right of way established by an agreement between Reeve, Tilly and Hollister, and recorded in the Office of the Clerk of Suffolk County in Liber 629 of Deeds at page 168 on the 5th day of September 1907 (Reeve Avenue), said point of beginning being the northwesterly corner of land of Peter Gray; RUNNING THENCE along said land of Peter Gray, South 3 degrees 40 minutes 30 seconds East, 158.70 feet to a bulkhead line at ordinary high water line of Great Peconic Bay; THENCE westerly along said ordinary high water line South 76 degrees 57 minutes 44 seconds West, 59.64 feet to land of Brookfield Home Improvement Corp.; THENCE along said land of Brookfield Home Improvement Corp., North 3 degrees 19 minutes 10 seconds West, 151.48 feet to a concrete monument set on the southerly line of said 30 foot right of way; THENCE along said line of said 30 foot right of way, North 70 degrees 00 minutes 00 seconds East 60.00 feet to the point or BEGINNING. TOGETHER with a right of way over a strip of land thirty (30) feet wide, the southerly line of which beginning at the northwest corner of the land herein described runs on a course North 70 degrees 00 minutes East to the northeasterly corner of the land heretofore mentioned as conveyed to Bryant S. Conklin and; THENCE northward over another right of way twenty-five (25) feet wide extending northerly from the southerly side of the first right of way to New Suffolk Avenue, hereinbefore described; TOGETHER with all the land lying between the east and west boundary lines extended from the bulkhead line to the high water mark of Peconic Bay. 24 Commerce Drive. Riverhead, New York 11901. (631) 727-0600. Fax: (631) 727-0606 SCHEDULE B CONSENT OF MORTGAGEE / LIENOR MORTGAGEE NORTH FORK BANK SCTM# 1000-123-05-030.000 SCDHS Reference No. RIO-05-0191 LlBER: M20591 mp: 507 and LillER: M21029 mp: 749 In the matter of the application of PAUL E. LONG , the undersigned, as holder of a mortgage or lien on premises described in Schedule "A" annexed hereto, hereby consents to the annexed covenants and restrictions on said premises. IN WITNESS WHEREOF, the MORTGAGEE has duly executed this instrument this 0 1 day of /JoI , 2006. NORTH FORK BANK By: xukfJ~ Title: L WJ I . , '1. ,-- Vu..<.. - / ,j<~jv1 , . STATE OF NEW YORK) ) ss.: COUNTY OF SUFFOLK) On the 9 day of AJol , in the year 2006, before me, the undersigned, personally appeared /....uAfI PIETf2.cu.)<;;t:j personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their capacity(ies), and that by hislher/their signature(s) on the individufXs), or the person upon behalf of which the individual(s) acted, executed this mstrun/ent. . \ ~ - NN 8- NOT"iRY PUI?L:'. -=<;;te of New Yo ~~-? en ~-CJ~:~)S.33G,t , OIJ.?Pi:'~':: j0, '\Ii'o;;~ Cc.unty ! Commission E;-T<;;",'s r<-'ce;;~b':;,r 18, ~ ' ,'. _, CL..-'()'!1' FORM NO.3 NOTICE OF DISAPPROVAL DATE: December 5, 2005 TO: Suffolk Environmental Consulting NC Long PO Box 2003 Bridgehampton, NY 11932 Please take notice that your application dated December 2, 2005 For permit to demolish an existing single familv dwelling and construct a new single familv dwelling at Location of property 3945 Camp Mineola Road, Mattituck, NY County Tax Map No. 1000 - Section 123 Block2 Lot.lQ Is returned herewith and disapproved on the following grounds: The proposed construction, on this non-conforming 8,997 square foot parcel in the R-40 District is not permitted pursuant to Article XXVI. Section 100-244, which states that non-conforming lots, measuring less than 20,000 square feet in total size, require a minimum total side vard setback of 25 feet and a maximum lot coverage of 20 percent. Following the proposed construction, the dwelling will have a total side vard setback of 20 feet and a total lot coverage of 23 percent. In addition, the proposed dwelling is not permitted pursuant to Article XXIII Section 100-239.4B. which states: "All buildings located on lots upon which a bulkhead, concrete wall, riprap or similar structure exists and which are adi acent to tidal water bodies other than sounds shall be set back not less than seventv-five (75) feet from the bulkhead." The ro we will be setback +/- 19 feet. CC: file, Z.B.A. Note to Applicant: Any change or deviation to the above referenced application may reqnire additional review from the South old Town Building Department. ,I 3 ~l/l \ LoN6- I""''' lLiIl. 5.111'1:1 Ma," r.O. nn. 117'l SllIJlhold. New. Yurt.; , Fox 1511,. 7o'<'IR~ Tclcrll(,nc t.'d(q 7(15-: " ~-"h... I ~ '~'" . . t . . . '. J'tfP'lTH T. TERRY , tOWl'l CLERK Itl:GISTnAJ1 or VlTN. ST^1l511CS MAnnIAOF. OfTlCI.:n nECOl1.lJS MANAGEMENT OFrlCEl1 r["(EEDOM of INrOrtlMnON OrrlCEI1. OFfICE Of THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 2Q, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new lorms to be used under tlie Flood Damage Prevent regulations .J 0; the Code of the Town of Southold: f.pplication" [FOf'(9])). and lCertificate Special Flood Hala,'d Area 1{/C(9]}]. "Floodplain Development Permit i ) of Compliance ?5rr Develupmen l in .. / rrJli1: I,V. ~~- I~I ..; --1 i i~1 It B~,J. oC:rY TO,^:l OF SOlJillOLD ~~ A~T_;~ Southold Town Cle,-k August 25, 1993 ~ . '.' . " " :~" . . , APPLlCA TION II rM;E I of 4 - TOWN OF SOUTHOLD I'LOODPLAlN DEVELOPMENT PERMIT APPLICATION This form is to be 1iI1ed out in duplicate. , ~ECTION 1: GENERAL PROVISIONS (APPl.,!CANT 10 read and 5i,,"): L No work may ,tart until a porm;! is issued. L The permit may be revoked if any false ,tatemenll are made berein. 3. If revoked, oil work must ceo.se untU permit is re.issued. 4. Devclopmentsholl not be used or occupied untU a Certift",,'e of Comp~an(~ is issued. S. The permit will expire if DO work is commenced within six montlls of issuance. 6. Applicant is hereby informed tbat otber permill may be required to fulfill local, ,tate wd fedenl regulatory requirements. 7. AppliCUlt hereby gives consent to the Loa! Administrator or his/her representative to make reasonable , inspections required to verily compliance. . 8. 1, THE APPLICANT, CERTIFY TI\A TALL STATEMENTS HEREIN AND IN A TTACHME]'ITS TO . THIS APPLICATION ARE, TO THE BES~T OF MY KNO\~DGE. TRUE AND ACC~~TE. ') . (APPUCAI'IT'S SIGNATURE) C ~= '. DATE I 6---'> ; I / / / /lSECTION 2: PROPOSED DEVEUJer.hUIT rro. Se complered by APPLICANT) NAME APPLICANT L- PtrV E. BUILDER f'} I - Iff"'.... I:::. I",/e::::: ENGCNEER ADDRFSSJ <J~( 5 c.A-I'1/' r1y /11C."~LEPHONE _ ;'!.P M+m Tv </lL I.~y'. /v'1(,- PROJECT LOCATION: To .void delay in processing ,be ,ppUCltiOn, please provide enough information to C45Uy identify the project location. Provide the 'treet address, lot nurnba or legal description (att.cI1) and, outside urban areas, Ibe distance to the nearest iolCfscctlog road or VlCU-knO\lffi G..CidmarL A sketch attached to lhi.s 3pplicalion sbowing the project locatioo wouJd be belpfuL --~- ~--.----~---- FDP(9J) '.' . ," ;.'1. i".... . . APPL/CA TlO'" t;' PAGE10F' DESCRIPTION OF WORK (Chook all appuGlbk boxcs) A STRUCTURAL DEVELOPMENT ACfIVITY STRUCfURE TYPE %-Hew Structure l!t.Residential (1-4 Family) o Addition 0 Residential (Moro Lban 4 Famuy) o Altoration 0 Non-residential (Floodproonngl 0 Yes) o Relocation 0 Cowbinod Use (Resideotial & Commercial) --l5tDewoUtion . P 0 Manufactured (Mobile) Home (In Manu- oReptacement factuyWo Park? 0 Y,}es)__ ESTlMATED COST OF PROJE<7('_3 ~ CJ. u. ,'- ~ B. OTHER DEVELOPMENT ACOVlTIES: ~ill 0 Mining 0 Drilling ~.ding o Excavation (Except for Structurll Developwoot Checkod Above) o W.teroourse Alteralion (locluding Dr<<fging and Channd Iyfodificalions) o Drainage Improvements (Including Culvert Work) o Roa.i4 Streot or Bridge Construction o Su~vision (New or Expansioo) o ~dmdLlaj Water or Sewer System o Olhor (PI<=se Spocify) " J / ! / NlC:f c~mplc(ing SECTION 1, APPLlCA_NT should submit form to Local Adminisr.ra(or for rC\1cw. ~ SECTION J: FLOODPLAIN DETERMINATION (fo be comn\cted bv LOCAL ADMINISTRATOR) The. proposed deve.lopment ls !OC\tcd 00 RRJy{ Panel No. Dated The Proposed Development: o Is t!QI loatO<! in . Special Flood Hazard Area (Notify Lbe .ppUcantlhat the applkation review is cowplete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). Or... 1000tcd in . S(Xcial Flood Ha=rd AJ~ FIRM UJne design'lion is /!.Ic; Y / vE'l( 100. Ycu nood c1evatlou at the sile is: . FI. NOVO (MSL) o UoavaiJ,blc o Tbe proposed development is louted \0 a Iloodway. FE FM Panel ~Io D'ted OSee Scujon ~ (or ~rJdjlional iClSlrlJclioos / -1- '')-'' J DATE__~____ SICNT'r~ ~_~. " ',' 1-.... , ;, . APPLICATION ,II PAGE) OF4 - SECTION 4: ADDITIONAL INFORMATION REQUIRED (To he comnleled bv LOCAL ADMINISTI\^TORj The applicanl musl submit the documents check cd bclow bdore Ibe appliCAtion can be processed: o A.sile plan sbowing toe location of all oisling structures, wHer bodies, adj~ccDt roads, lot dimensions and proposed developmenL o Development pl.ns, dr.wn to SCAle, and specificat41ns, ioeluding wbere applicable; details for ancboring structures, proposed c1ev.tion of lowest Ooor (including b'-Semeot), lypes of waler resistant materials used below tbe rust noor, details of OoodproofLDg of utilities located below the first Ooor and details of enclosures below Ibe firs! Ooor. Also. o Subdivision or other devclopmenl plans (If the subdivision or other development exceeds 50 lots or 5 acres, wbichever is the lesser, the applicant !!JJill provide lOO-year aood e1evatioi\S if lItey are DOl otherwise .vailable). o Pla.o.s showing lhe extenl of walereourse reloca.lioD and/or landform alterations. o Top of new CUI elevation Fl. NGYD (MSL). o AoodprooClng protection level (non, residential only) Fl: NOVD (MSL). For lloodproofed slructures, ;Ilpplicant must auach certificaLion froro r.-:gislered engineer or hi ! _ lie led.. ! /,,- o Certificatioa [rom a-'~g:i.s(ercd engineer tbal tbe proposed adi0.(~ in a regulatory fioodwa)' will Got result Lnill increase in the beight of tbe loo-year Oood. A copy of all data and caJa~ations supporling this rwding mus{ also be subroincd. o Other. SECTION;: PERMIT DETERMINATION [To be completed bv LO,;AL ADMINISTRATOR) I hive determined lbal the proposed activity: A. 0 Is B.O Is Dot in conformance with provisiQrtS of Local Law I , 19 attached lo and made part or tbll permil. The p<:rmit is issued subject 10 tbe conditions SIGNED ,DATE If BOX A is checked, tbe Loc.aJ Administrator may issue a Developmeot Permil upon payment o( d'csignated fcc. If ~OX B is checkedl tbe Local Adrniruslralor wtJl pro\ide a WTillco summary o( dcllClcncics. Applicant may revue and resubmit all appuc.aiion to the Local AdrninistrJIOr or al3Y r~qucs( ;} bC;}flng from tbe Board of Appe:us z.t. ", r ", " " APrLlCA TION ~ PAGE 4 OF 4 APPEALS: Apptalcd to Board of Appeal,' 0 Ytl 0 No Hearing datt: Appeah BUill d Dl,.....~;lJU d--*ppron..d7 0 'I'd 0 ~Ie Coodition..s SE:CT10N 6: AS.DUlLY E:LE:VATlONS fTo be 5ubmillcd bv APPLICANT beroft Certilicale of Comolianee is issued) The foUowiDg information must be provided for project structures.. This section must be completed QY a registered professional eogineer or a lieeosed land strrYeyor (or attam , certllication to this application), Complete 1 or 2 below. I. Actual (As.Built) ElevatioD of the lap of the lowest Ooor, including basement Gn 0,.5101 Hi2h H .za'rd Are.s, bottom of lowesl structural member of the lowest Ooor, excluding piling and columns) is: FT. NOVD (MSL), L ' "Actual (As-Built) Elevatioo of Ooodprooflng protectioo is FT, NOVO (MSL). / ' '" N7: Any work performed prior to sUbmitla/:~f the above informalio" is at tbe ris~,;f tbe AP~';~l. .) ,.) .--.! SECTION 7: COMPLLANCE A~TlON no be comIJlcted by LOCAL ADMINISTRATOR) The LOCAL AflMlNISTRATOR wiB complete this section as appucable ba.sed 00 inspedioo o( the project (0 ensure compliance Mln the community's locaJ law for Ooad damage prevention. INSPECTIONS: DATE BY --~~- DATE BY ------------- DATE BY DEFlClENOES? 0 YES 0 NO DEFlCIENClES? 0 YES 0 NO DEFlCIENOES? 0 YES 0 NO SECTION 8: CERTIFICATE OF COMPLlANCE0'o be comnleted by LOCAL ADMINISTRATOR) Cutllic~te of o,mpliancc is.\ucd: DATE; BY: f '. . " " . . ',. . .' . " Attachment [J / / / 8AH~:LE cERTlyrcATEjJF COKPLIANCE for Development in a special Flood Hazard Area '. I.. II I, i C~ I' , ~., . .' " . TOWN OF SOUTHOLO CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT [N A SPECIAL FLOOD HAZARD AREA (OWNER J\1TIST REH TN THIS rRRTlFICA'fE) ., PERMIT NO, PERMIT DATE PREMISES LOCATED AT: CHECK ONE: o NEW BUILDING o EXISTING RUlLD ING o VACANT LAND OWNERS NAME AND ADDRESS: J " , / j / I , ( / / TIlE LOCAL ADM[N[STRATOR [S TO COMPLETE tL OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITII THE REQUlREMENTS OF LOCAL LAW # ,19 S[GNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH TILE REQUIREMENTS OF LOCAL LAW # ,19_, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C Ie (93) ')~~\-\."l<.~..~" ,^_<i!i'--'- ."y, ~--.Jf>iJ,,'{ 'leV; of " \\O~ pJGI1 ) , ~ :,j<~'f' -,Jl . ....r' . ,r'" 'GO"" ;0'00 -.(; O'R.QPC'SED ' "'1Oi!l:!iG"-' oRA-;-"': 8 ~rv' ~QP!':RTY _ !'E .~~,~, ~" " " - ",p': ~ -- ... , z ~'-l o :1 'J< ~i?l ~~c~ .: .~ o ci" c"~ ~'~);L~ / ~*~ ' ~~:~r(ji I '~ -...:::..~c_ ..y PER..fORA""ED ~i~ v oc...'''lC ~ SARA.6::: ,,;,., ii ~ "'<:> 7'..... ~ ~ Ije " c t ~ -<;~ ;) ~ ~QSF.-D :>:: "'RENO'" DR,A;'!"l e" :-'RO'-'1 F'RO~R"""'" - '''<E " " \l-~/~ o~t..\.-\-. 'I., " 1.0" ~OSED ROy... C, :JF +-tA..... gA.LES ' ~~0SEr; I\.",,"'"[-R _I.f: 1,] ! ,..j;- rPl<Of'<06Ep - 12 s~""-.Y HOJ5E" lib , ,4 BEQROO'-'1' lLl~~';~i) \!, A"'- ,~. ~J-;~.~J~ J<."-L3.:o.~~ ~' ,~~ 5'-. ,0- '" () ,~ ;; ~ ~ :-O-",S-'-'1--,6 '"'IQL0E '--c BE RE\YIOIED :::)< S~N6 oPE:"-\ ~ o()RGt-t TO BE REHOI!::V oo<Q!'OSED :;q......rc:...... ........' .).2" :.OMC"'("'I ~""::JJ ! ~~_:-<~ ~~~ji~o;" 'fi 'C)N F r:C ' . . ~ ,- ,,' \-'J ,r p1WpOSED ROn ~ U) '~O, OF i-lA..... BAL.ES ~ oJ' ',. ~ (),~\\ \ ... ~ I o c ~ '-" .~ <- en, ~ ,--..' '~ Ie ,v; " ~_!!{<, '51' A-A Sum1L~-ro-~lYDEPARii.1OO0F HEALTH SERVI~ F: \ T PEfu"IIT FOR AFPROV:, t -'JF r:J ,c;-n (:CnON FOR A SINGLE FA:' _L..:, ,';i_ .u__ ;":::2i..fl'''iLY 1/10/07 .+OU5E F, I.tl. DATE <, 7>- ',-If - '1'~~-M-;::-~Pf--~+tJI '~::'~;( " APPROVED FO ~ _.,\XL\.iU}.; OF -.:LBEt)ROO~\1S EXPIRES THREE YEARS FROM DATE OF APPROVAL S[P~I~ ~P._N.t\i "No.."... '>U"" '.,.,' ''< -'i-A,(C;~~ - ~ , ",:>-(:".. - ."( ''''-'. :"'.3' -, .,'Jo. ','.' ~,,."',...... ",,~,'.C ".".,~ ~..__ '~",'~l'", ',,"~., ~r .......u. -' '" ""J~ES; f ~_ "~i-,-j, 3C-,---.... * "-;rv., ."-'." ""'"'-,<"',..,- "",;,' r,..'" ',,,,"",,-, 'It ,;.~= I -../ --"r..,' (l'~,- '"",. '''',_ :!!. "~"'i" _,'" "",~"'".. ,~ . ......"',.. " --.<^ ~ ?Oo'-o.("~ "'r./ ~. ';~h! -..; '.,.., '* --~f" _PT-', ",~. ,~ ;",~, o'<QP /""CDD -.-' 1 i :i.6'}'111' :;Y~'),UJ [j.f'SIG,\ JOESEPH FISCHETTi NY 5 P,l Lie ~.jc p,O. BOX 616 SOUTHOlO NT 11971 EXCAVATION INSPECTION RE~lHflJ"\ f FOR SANITARY SYSTEM 8:LHEfi~f;PEP A~1]'j,~'t, I . . ~"";l;l'a: '::f:; ':'<l_-r: "-'~.""------- 'M'15ROVE0 ie, @;UArKE WITH BOARP OF CO REV!'::\'! [:'f'::":~~':T):1 OAED"t/?1 /J-( '''~~''~ ;;~::t ;i'li;C ~~> }:o- '^ .-:; ~, " " SIlWtcT To COVENANT& &: RESTRICTIONS L1SER DJJJ ~-~'f., : ~ ~ PAGE.:3i3:: ~ +-t;?':... 'i\l)andc"rn:nt of existing Sir;;;', system must be in coml'om.':l,\.....;-:. '-,",'\ 'r1e;n'lf-r-rr -~'l' ',' -,\.!'-,~menl Subml't PO'SE~~"~"""-' .:'. "-'-'Y"""".' ~.. ...'. ~ -l1011'I~ed fonn WVirvI.<l'SG is proof -.--.-:.;0:'-; ~o-tDR'>":~ --... ~. ~.... ~CPER N::: . .' ~~ <0 O' c' ~ '1>iJl--.<.l:. ,;j-ft., V' en "'RQPOstS ~""'-- ,-"",,-'~- ~?)C. , '~ o. 15\ ') PROPOSED SE.PTIC "YSTEM N(" ~.....,' OETAiL. ",,.n;- ^,"-,- :.f'p,. ~. " , 'F ~ 'c' >oj,,, !!I~ ," J<A ~P~QG\''O~ ....IPE o,r-:... R. '-'," , ~ -, "....~HIf.;G ;><JOI 'I, ' -"~Ci-<If-<( ': P<'f)o _A"~ " , ,- ,. I it:. " ;. ~ ---'-4, R -==#==-=4=-= ~~~-~- "-,' -,- lI: _.. .1 "'J)L ',f' "7'_ ,..'_"..,N' ,,_--,--, ~<, " _EA~_>-i' : --' ;:O';:"'jLS 5 ,~,' . '-f- ."..' ~-'ft.o h ,-.~, ',,,~;~;M:; ,~,.tW, ,"'~, ,<~-"',' ": -"""F';,!<, """..F' -'E ~ ,', ",,,", c '" ''''_~, >, ~l.., ~.y, '~'.,." 'if ,..,,-," , ~ ",..' ~' iF Sl'I(\'FY OF PROPERTY 'j 1'[1 l'FfJ\ I \1'd 'nl C)< [oWN OF SOUTHOl..D COUNTY, NEW fORK '-10 1000-' 2.3-05-.30 SCt.LE 1 "=30' M~( 17, 2,::"05 f 0.-1 ",._:__~J0..~ ::f..;;;'.'L'!'<~ " ..ow..i'i SUFr OLK S ~ TA:X ..."~" ",,;_ A' ~':~.";:,-- '~" '0 "'lR ,.rilRO"'MEI,'-I,~L '_'...'i'",~'\ii ',,:-< J;.;::;; 'i)/)"; ~,,(;!/~. " ~.CO') ~COf'~, "'<(,P'/::E[, "ICJ~t .\.GDt:': ~;?E"C'. }RJ<.iN,.i." BActS de C;R"''''t E.~V1PGN~t~--'-A.L C:ONSlJLT;'-iC. ~c. :...E~RS :;",'EC' '7,20.-,S.0\: '+':;5 ~:.;GLJS-;- . 20C6 RE'JISEJ SEc":C S-fS7EM _.- , .'_ T ;,_,~ St:CTiONS ::;-F P""CP FRENe... DfO..A1N ""'t-'---rl~< ':;, ~t PRuF -"toP.iC 'o{,,-;Tl'A PE,l<;E:i) ORO" SEpT:1 S'S~cl,l '-') elE ~' '''00,1 '~"RAGf f:}I:~OAT,n," : "Cico;, "~';. '" '" AREA"" 8,996.78 sq, ft. 'f i"'E 0.207 ac, ~P[N(>-i DRA~~ DE'AII '10 ....:QI.E;;,' [,[",vl0NS ARE REFERENCED TO ~.G"-.D. 1929 DAfJIol EXlsn~ ELEVATIONS ARE SHOWN I~US:, EXISTING COWOiJR 0NES "RE SHOWN T)1US' PRQPOSE0 SLEYATO~S ARE SHOWN THUS:~ PROPOSELJ CO~TOUR LINES oI,RE Sf<OW~ THUS ' -~~--- i'~--"/ ~, . ,-,;' ,A. '., -" flR'j"LciOF ~",OOR rOPOF BL--U<liUL; ElOTTOl.l Of BU,!<HUD TOP iJ l'IAU flO""'OI.<Grl'l"'--L ,;'<..-0 2 FLOOD ZONE INFORWAT:ON TAKEN FROIol ,LOOD INSURANCE R" TE !.lAP No 36103CO-4S2 G le-NE. '"' flASE 'LOOD ELE''''hli'/S DE1ERtoliNEl) Z0M:: I!: COA.ST,t,L '-:'OOD -Nffii JELOClT'( l-WARL '..Ji~,,-- .o.:TiIJti) BASE P_ooD EL2i~'10NS DflERMINED 3 EXISTING BUILDING COVERAGE (HOUSE A: G"RAGE) ,s ',475 sq H OR 16.4" or TOTA~ '_OT AREA, 4 EXISTING I!.lPERViOUS LOT COVERAGE (HOUSE, C"RAGE, WAlKS DECK, STEPS, .f..PROftlS. OUTSIDE SHOWER) IS 1,894 sq. If. O~ 2' 'X OF TOT"L LOT AREA ~ PROPOSEC BUILDING COVERAGE (HOUSE, "'ORCH .t GARAGE) IS 2.120 SQ 11. OR 2.5,6" or TOTAl- LOT .f..REA, I:i PROPOSEO It.lPERVIOUS LOT COVERAGE (HOUSE. PORCH GARAGE, WALKS, DECK, STEPS .t .f..PRONl IS 2,441 sq. ~, O~ 24.4" or TDT"L LOT ..ilEA 1 itilNIWlJW SEPTIC T.-.Ht< CAPA,ClTIES FOR -4 BEOROOItol HOUSE IS 1,200 GALLONS. TAHK; S' DIA, 5' UQUlD DEPT>-l 8 I.llNIWUW LE,f,CHIHG SYSTEW FOR -4 BEDROOW HOUSE IS 300 .Q It SiDfW"L. "REA. 6 POOLS; 2' DEEP, S' dla ," m ,,;/\~ ';'iZ:, .....,y /~'"'-, c 1 ,~/ PRQPOSfD lFACHIWC Pooi PROf>QSED EXPAt-lSION POOL PE 052510 P~OPOSED SEPTIC T"'Mk OF WEL'-S .\NO CESSPOOLS SHOWN HEREON ARE FROIol FIE...D ANO/QR DATA OB NEO FROItol OTHERS \ ,3; , \ <;,- \-<h " C((ft,&, ~D :fEn ~ ~ DEe 2 2 2006 W By ~_':;, LIe No 49668 ,r-.u>.j CR'~oL ",-'f,RA:'(,', .',,, .....-" ';~ ~ -,'~R'If' '" .. "Ou. T"-''>>< .:)' :;r -0/-. -y,g'J 'HF ...n.. '')PI' J', ':~T'(>, __~,. Joseph A. Ingegno Land Surveyor "f .."._y~." "~-, C,Y-,' ..:..,.... 'l"oA' " '..; ~~psc", ....f,f;'" "", -'~Pl ~ ,,,.r -j>, 81-~p" ~"[;11<'~ ~~:~~ _,,?~'-~~~P-:r?~~'" :Nc"" "''"ASSIGNE,,;:,, '''F ",[<N';'",:S' " , 0.,---, "(~A . ";"". .Ip,' '1(" ''''P.'' ';F 0 "Pi', , iFj\il"2"_"?' ,~.< ct,cj'v"';. " , ~(,5 JnstructJ0-"' cJyC PHO"lE (631 :-1"'-2090 H, D S-..N(;E Jf fllG-HI Of ,,0., S ....NCi:)R E.l.SE!.lENTS 0'- RECORO, 1:- !or. Y "leT $...0"'.... ~Rr NeT GiJARAN~ffr ),;-(1 ,)i.:A :~_ ..I' ""'",LiNG ADORE. .oS ., I] !3G. 19J1 '<j,e,l-er;d, New t',-,r~ l' JC C>965 "lL "'ijA~C~f Ai ~.~.' - '.~_ :.>'-<'"~:. 'oe.. . , )::' "-" '''TIlfl -- . '. "",'jf1>" . ~ :!l:n ,.~ ft' "''eot; kl ~ 0"e ",0 j)I!(f'Dv!./ ~e" , ( /,Vr/ <jIPe"- lJ rl< IIv \" I'v '" t1 TEST HOLE DATA (TESr IiOCL DUG fI'( _n ~ ON a.MT 1t. 2(05) 'I~ ,if .. _1'- I'lOOl> TE /'II\l.L ,/fOlIDI"OII!l'- (f('AA'l'~ .... ~oAAIII 1&' ~~ ~'IE ~ IO.fIIIItOt"fr,.,.,..-IM"'IT lit. I ~~ I i~ .....,ELL ~ ~- ~ DAAIlI 1&''''''''''~UlI!. .. ' ~~. 1)...~~ ~-/ (f('AA'l'~' i- Ii , ';i i i I BAY - os....., PROPOSED SEPTIC SYSTEW DETAIL (llOr 10 ...., -- ......... ---4' .... r <UNO - ....... 1m. L 3Jf SU'I1C TANIC {11 .. \"l:I r::....,.......... - -..-...- 1_MlIL_Il_"-'__.~ ..."..... 1 =".IIt ..a,.. -..:J:.... II~"",-...Q..""''''''' ~.. .......--....--..........._.~ . :.l'.'IlIoI"I-'IIIi 1o"lr1'1Ir..r It.... -. - -- .. *'1'" .. A ,.. ... ___ _ ..-: _ .. ~ .... . ...... FRENCH DRAIN DETAIL (NOT TO ""-'LE) . _....~ ., ~__IC ___QM'l_ II: . r.:.- . n' ~l :..~.;1..~~Su:;~;:' ""'." -.-'.-.-.....,.".. >'>,..;~\~';-~).~:~:;-::~~(:\. I---- lB- U.~IltVII"(B) 1. r=.'fW.ft,........,.... _ "" ft tIlIM.L I#IEA. . ==:.......:.'l!!l!!"!!.lP..!'::Il!"................ (00""" 3.__.-L..~..--.......~ :::..1:: ==== ~:ft:f ::--='=J:u~ LMifllm __ AL1EMJIOM OR MIIlnICIIII 10 'nil s.-o . " WIAlIM CF __ ~ OfF _.. 'l'I:8: STAlE "'""""'" .... -..---....- ...-----.. ------- 10 . It 'AD ... CtPf. ~ ..... ...... --.a. ... <IU 1D _ .--. All .. 1H[ --.a .~_Cltt"""1alH[ 1IftI: ClCM'llIII'. UI~ l)f,..... MD ..- ~ UIIID.-. MD 10 1tC .-- tIf ... ~ Mn- lUIIM._ _U.,...,..1I'---- IU SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTH OLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-123-05-30 SCALE '"=30' .....y 17, 2005 JUNE 23, 2OOl5 RE.\IISED 1<5 PER SUFRlLK AI.. lET1IR DATED 6/6/~ ........2J, 0CT0Il[JI21l. -- ,. .....- .. '" ..... am. anA.... ,. SMIIIWM ~ ~ COIIRIW ..... AlE 1IIOIIII1HUIc- - - -5- - -- - ~ IIZVA1IONS ". IHOWM MIS: It] --.....--- ~ F.FL F-.r FUlOI G,f'[ GllarlER.OGIIl r,f'. - ...~ &8. - ~QlI"IllUCIIIJlO r.. _ ........... 8. ."., OF WILL 2. F1.OOD DIM[ INNMMTD 'MEN FW:IIit: F\.DDD ...-....cr: ..." ..... .... .'01CCM12 .:; ZIDHE/lL:.IlIlIEFlClODEL.lWilDfS~ ZQiEVE: CX\tIlIII'fIILFlDCID....Wl.CIaIYMIWiII)(lIIM:JlCflON)' _fUJOD~~ 3. ~ ..... COVEIWK (HOUSE I; CMMQ() IS 1.475 .... ft. 01 ,..... at toTAL lDf lID.. 4. ~ MIEIMOl8 LOT CCWUtMI: ..r- GAMQ[, WAlKS. ........... _ __ , IS ,_... fl. 01 21.1. at 1MAL lDY ~ 5. ......osID -.....0 COWItME (HOUK. I"ORCH a OMAGE) IS 2.120 .... ft. 01 u..: Of TOfAL ..... ~ I. ........ ..... LOT CO\lIIIIME (HOUSE. II'ORCH uaNilE, w.wcs. ..... ..... a _ IS ...... ... ^. 011 rt.n or mAL LOr MIA. 7. ....... IIPII: TAM( CAPACmES FOIl "IIDICIOW HOUSl IS 1,.zoo GAUDN$. 1 TANK; .' IlIA. ." UQl,ID DEPfH L ....... ~ SYS1DI FOI "1IDIlIOOM HOUSE IS 100 ... fI SIOlWAIl. AKA.. · i I''::':'=- .... @ ......-0 ~ I"OOl ~ .......u SIPfIC u. t. 'III[ LDCAlIDII Of' WDJ.I AND ~ ~ HEREON 1M. fIOM fl[tJ) OISDW'A'nOMI Ne/tJa DATA OITAKD F'IOM OTMDIS. N.Y.S. Uc. MG. 4eH8 seph A. Ingegno Land Surveyor TItlrt Surwy. - StJb.fIklll - SIt. PbIlt - eon.tnIctIon LajouIt _ (131)727-2010 Fox (631)727-1727 IN.MG NJORESS P,O. Box 1931 ~. Nn Yeri. 11101-01165 TH(. fJDS'I'IJICI OF ..... Of WAYS _If>> bIIImR'I Of IIlCOID. IF MIf, NOr StIDWN .... NOT m'... ~. 0Ff1CES ~1EV AT m__ RMREI4J. .... York 11901 l./ Vi 2 f :;." il:? 'i - , J- I , (j , (' r) "1 n 'Iii 'I \ I', , 'I \'. '\ ~""'~--~-II --~~-- 1,1"- / ~t\..\...\"'(,~ \)~..,. / f'oC> ....,\S'€,) .. .. ~~f.C,,^y ~\\O~~~Bf ~~ ""..S'""~D' ~O.?;::. -:'r'-~ 30 . ..~~ ~. ~,,~-- .,I I - ,~- ~-?,-_/,,,. A~ 0" t.. ,,//--- ~'; 1 .()()'() ~ ~"..,.,. ,,1(),.'~~ -_-~;J:'~~~? _~- 7~:~. ~i . ~1 ,.' ..GR,OM:l()llN'['ltO' '" "' ,.. ~'< 1I1-2 ,.. ,,' ~ "" { " d '<f' lcr:a~.OO' iB' PROPOSED "'ReNCH DRAIN i 1=RO~ f'R0f'ER..-y L-',NEi " . >- < ~~ <0 O' c' ~ o ~ .. o '" o , Q ~ ~. ~E . z .0 , "' \?>;;.:; o ~~r ;;; ~.'" ~ PRoPOSED 'HIGH riOOD -rl[ /"\ALL '0" PERFORATED PIPE - BE>iIND 'f"1-\E .sAAA&E --~ o . ~ .:E~ I _'1'11:;;:] ,~ "./ ./ F'ROPOSED RO'-' OF- riA y SALES (~ ~ ~ ~ ~ ?;~ ~ E lll~ '" z -...:'""l >;C) 0 :.0 PROPOSED ~ PRENGH DRAIN ,t)" rc-RQl"" PROPER"""" "- 'NE 1\" ",'t.~'" 1.0~\..~lV- 1.0"\. PROP05EP RQI"l.-- " oF t-tA Y eALES -1 , I-- PROPOSED M.T'ER:....INE t , !>-":L ';, ~ o ~ " . > ~ < o c ~ EXI5T':NIS HOUSE I, TO BE REMOVED ~ [XIS"'IN6 oPEN PORCH TO BE REMOVED !'RQf'OSEP ORY'/"ELL - 0.1.... - .~ ~ ~D~_ I L.. '" CD " o. '" ~~-::~ f~-::::;;~:___> -- .::.-----"- ~~ "ll~ ~'~~OI"rftl , ~___~ffll 59.?>'... 76'57'AA" ~ I) l,,'COf'JfC S T G I~ r:^ 13;\ Y .. CD. ~ ;_:<r .-, , d~;; '<",00 t'>:!......'"';J .." Ctl~~ .~ - '~?JZ '""l.....M g~o 1"'''1;: ,"0 ~~::G 'z:::lii!O ~~~ PROPOSDJ ~t-lDRAIl'< e" nw~ f'RoPE-Ri"I" (;R>J11 "" ~~_'yI~ .ijS'i>1l0VfD PTPr ,.,1., "'W'- '/M-i' IN\' I, " , Ll ,- '~ ~'5TR1B1JTlO" POOl 0' ~ P(lO, S""",... F'RQPosED DRYV'ELL ""'11";)1,1 SEP'I( '.yI' '-AP"'CI1li~ '01< . tMr,R{l(,.. f-I(l,.." T.4.N~, ~. ..llN0. < Q(JIC ')[V''' __ONCRIT[ ~>W.L H,O.-I!:' . ,m.,l,Il.lo< '.LJj,jD"f,--SM ',!p,,...;]'., "I ',1)0.,; ". .' Je :"'-', "''''-1 THICMI.IESS SH.O,lL !ft. . IotlNlUU... Of ~', A TO!' ;HICK"[~ 'It C ~Nli . BOTIO'" 'HIC~"[S0 Of .- ", W,"l>.5. !)(JT'OIol ~l) lOP SIW. 'TI.H..... ~[..rORCIN(; ru ftf<;ISl A.N ~~D,Jr C~)..u :)f .WO "'" A,J, ~"'" SHAll B[ ~I.^.LIT' ~,() ',,^T 'Yr T.....~ I~ ....ATl~f)(;...l 'H( SH'llC T"'~ c~.L Ell '''ST''~E.C ~l ,..[,1.. ,~ .... Jlf.'lCTION'. '''''>,,. ...." ,,"-"N, I " l' ,," '.. ~ ...NloIlJlol 3' "-lICk BO) 01 C(lOjP.<cTLD '><NIl ()~ PLA CRAVU . 10' "'," :'Jr;l~"'CI OlfT'Wfllo -'flT'K' ......, <Nfl..i.c),>! ','iI'.i 'II .....iN''''.., ,-',NE aIJ'--'V"'- "",". . F HOUSi: [lEV a.ll .-.J" INISh!1 c,_f.'.ll PRQPOSED SE.ETIC__5YSTEM -'<0' '0 '>I::.A.lF) rETAIL ~ ' _ _. '. 'OP I. ~ '--'-~.,=-r _. -:Jl:~ ,~, ~!~,;lf-'n,~D,,~~~-,-~\, s~::;:: ~ NV" ,. SEPTIC T~N15 (U 'E" ,.....,-,'<', "If' ,I ",r, ..cI. ~ -m Lf~~NC ; I Ii''''; I f::&~:"(; '0 ).l ~... Fe ~~jj k~ ,. '::1...'::'-'- Ii _~~?_ 'Fl,_'T <, ",C, TE;ST__HOj.F. VA TA SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-123-05--30 SCALE 1 "=30' MAY 17, 2005 IL.Nl j_~ 2005 Rf-Vl5lC' A'5 PER SUFTOU< fNYIRONMENTAL CONSUL liNG LEDER DATED 6/6/05 ,\..JGUST 23, 2005 ADDED PROPOSED HOUSf acroBEi'< 28. 2005 AODED .RENCH DRAIN, f-IAY BALES de ~RYWllLS ~-, 2006 Rl,'!SC; A,c; PER SU'-FOLK EN'iIRON~ENTAL CONSULTING. IflC LETTERS DATED 11/11;2005 &: 12/'4/05 A.UGUST 17. 2006 REVISE.D SEPTIC SYSTEM ,!Y'1'~[1f-R /5, 2U06 roo" OUI SECTIONS OF PROP FRENCH DRAIN WITHIN 15' OF PROP SEPTIC SYSTEI.A Of:CU.A8fR " ~U06 REvlSED PROP SfPTlC S'\"'STEM TO Elf 8' ~OM G.ARAGE ,OUNDATlON ill',' H~' 8' _~GfO~CIFNCF (IN !,(AI '9, 2005) "- ~ "' ~"'~i , ..xro'>NlD.'.cwo -i- "'" ~..'-"'rn_r 5(; l..TVl.._cu.n-y,....,<{. t--. ""fll'''_ "....""'r ,,~."',IA.R' AREA::: 8.996.78 sq. ft. lie ~'f cJM) 0,207 CC. FRENCH DRAIN DETAIL 'Nul ro ')f:Ad' =. 1 [I ["ATIONS ARE REfERENCED TO N,G,Y.D. 1929 DATiJt.l EXISTING ELEVATIONS ARE SHOWN THUS::... EXISTING CONTOUR LINES ARE SHOWN THUS' PROPOSED ELEVATIONS ARE SHQWl4 THUS:~ PRQPOSED CONTOUR LINES ARE SHOWN THUS --&~ .~.. I, ~i . I I I -U)ARSf STON[ 'lR51 FlOOR GAA.'o.GEFlOOR ToP Of IIUlKIiUo.D OOTTQW Of aULJ01EW TOP Of WAil eoTT\')I,lDF''lfALl FLOOD ZONE INfORWATION TAKEN FlWt.l: !'"lODD INSURANCE RATE IoIAP No. 36103C0-462 G ZONE Af BASi. fLOOD ELEVATIONS DfTERt.lINEO lONE VE CQ,t,STAL FLOOD WIl'l1 VELOCITY HAZARD (WAYI' AcnON): BASE FLOOD EL[VATlONS Df1UUollNElJ EXISTING BUILDING COVERAGE (HOUSE. GARAGE) 1$ ',",7.5 sq. ff OR 16,"," or TOTAL LOT AREA. .. EXISTING IWPERVIOUS LOT COvERAGE: (HOUSE, GARAGE, WI>.lKS, OECK, STEPS, .M'RONS, OUTSIDE SHOWER) IS 1,8U MI, ft. OR 21.1" Of TOTAL LOT "REA. ~. PROPOSED BUILDING COVERAGE (HOUSE, PORtH ,I; G"RAGE) IS 2, I 20 sq. 11 OR 23.8X or TOTAL LOT AREA. 6, PROPOSED IMPERVIOUS LOT COVERAGE (HOUSL PORCH GARAGt. WAUCS, DECK, STEPS ,I; APRON) IS 2,-4.' sq_ it OR 2.."," Of TOT"l L6T AREA. 7. WINIIoIUIoI SEPTIC TANI< CAPACITIES fOR 1 TANK; 8' 01", S' lI0UID OEPTH 8. WINIWUW LE.ACKlHG SYSTEW FOR "' 9[011:00101 HOUSE IS 300 sq It SIDEWALL AREA 6 POOLS: 2' DEEP. 8' dlo. f@ I'FIOPQSEO EXPANSION POOl o P1WPOSlD LUr,C...llG I>()()L GRA-',[L IB"- . BEORooW HOUSE IS 1,200 G"U.ONS. SEf'Ilf-. ~'Y.sTHMjJES'l.r;N. BY JOESEPH FISCHETTI, P.E. N.Y.S. P.E. Lie. No. 052510 P.O. BOX 616 50UTHOLON.Y 11971 /---0--'\ , , \ 0/ '-------' PROPOSED SEPTIC TANK \;RA,l! h'" ~~c NO. 49668 -~---- "" 9 THE LOCATION or wrus AND CESSPOOLS SHOw.. HEREON ARE rROw fiELD OBSERVATIONS "NOjOR D"T~09T",.Nro fROI.I OTHERS PREP,o.RED IN ACCORDANCE WIIH rHE lollNIMUlol t STmOARDS FOR nTLE SU~ ftS ESTABLISHED '"----'" BY ~[ LIA.LS AND A.Pf'ROVED AND Al)(lf'fED .~~ ""f~lICH\JS.E:BY~fN[\IIIY'ORl(S1"'TElANO . <,{\':~i-c,--;'-~--~>~:,(:,~,:,,,_ ~SOC~OON .:"0 #' .,"~~ ~I'.. "'" .:,~ I " --:i/(",'";"'IJ,_-<-,, ~"~'.,""'\ " .1'" ..~.'...c__\ ' cf' ' L) . ':., ,': I', . , '..~ I'. ':J; ~ ~ r , \, ,{~.. '\ "r. \" ".~.:~?'~- c "J, - oseph A. Ingegno Land Surveyor , ., \ il." ~c '"",M> .. ".' .:;U~- . , , -. ---- - -----~._.- __ _n _. _ __ ._ !\j_yS -NA1''1 ,,'I<ALJ'HORllI [j Al.a_fotA'ION OH Al)LJ'Tl(:O~ TO ""'I':> ':>URv[Y ,s . ,IlOLATlON ()! s[cnO/'-o '209 OF nlf NfW vORr ';1.:\ i.l)u-::..TlON : A~ llA(:.HN.G PQQl,.~ (6J \()(l ,~ ,,'" ""- '~f. ~:JF'I(~ A :H15 ~UR'",Y W>J" Nl' i,H:.AAI"'c' 'HE l-'NIJ ',UR\/I,-"OR'5 'NKED 51,0.,,- OR H..OO5SfI' '>tAI <;I-'ALL 'lO1 Bf C0N5;[)FR' [l . Rf' 1N.1(; TI'Wf ,"ewe """""",,, J....:I-'!N(j ".... " .,,~ . flf.DR'..',.. ",., [."co.o, c'OfIP 5 LEACHt<G POOI..5 oOffl' '-, fjf (t.INSTlfuCHn QI P+ID'....S. RIINF")HU[ ,'J..C....'f i()~ '''''''' ; !ACHI'/G ~TJl\J('ruRl:S ".oU[) [l(JI,I[S AND/O~ 5lAll5 AU COVf'l"> S<>All Bf PRlrA<;1 Rf",FOf'C!T. "-o.."F-If'. I()~ f UuAl , -r) [)+SI,loJ,lCf ~,WID< U.A(.H'~I; "0015 ANfl W~1111 .INI ~....' fJI \IAI~T""II AN ~. .,.,,~ :'..,~..",U ~,...rFN "-'. f..<l;H'.." P<.l01'; ANn ~FP", 'AN" ~"""J fl! WJ"'~M: '[RnfICAHONS ,NI)K;AHD HtREO>' SHAl.' RlJ" )Nl t ;0 THE PfRSON FOR WHO~ THf '>UR'I/F" S PREPARED,,&,ND Ot< HIS Bn~ll TO T!-II 'rr'.l CQI,lP,&,NY. G(l\IFRN'-IEJHAL AGtNC'<.<NU ,fNOING INSTITUTlClN cJSTED >1t1~IO"', ,&,ND TO Tlif ASSlGNEES OF THE ,ENDING INSTl "'TlO~ r:ER11flC..TlONS ARE NOT TR.AJoj5fTRABlI ')ite Plans Const,uctio'1 Layout Survey.~ .'>"Wi"isio"s ';tl~ ~ax (631)727-'777 PHONE (631)727-2090 IHl lXISTENCl OF RIGHT OF WMS ANDjOR EAS[IoIENTS or RECORD, If "NY, NOT SHOWN A.Rf NOT GUA.JlANTFfD ,]f'FICES LOCATFD A7 3Z2 ROANOV; A\ ,"'; :,I\.-'(RHEAD, Ne... 1901 MAILING ADDRESS r 0 &1. 1931 P:verheod, N",,, Yer.. 1 1901 096~ I I "" 'TI9Tl