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Home My WebLink About32005-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32941 Date: 03/21/08 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1145 GULL (HOUSE NO.) County Tax Map No. 473889 Section 35 POND LA (STREET) Block 4 GREEN PORT (HAMLET) Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 2006 pursuant to which Building Permit No. 32005-Z dated MAY 16, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH FRONT AND REAR COVERED PORCHES, SECOND STORY BALCONY AND ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to DONNA L FRAGOLA (OWNER) of the aforesaid building. SUFFOLK COilllTY DEPARTMEliIT OF HEALTH APPROVAL R10-01-0199 10/04/07 ELECTRICAL CERTIFICATE NO. 1133184 11/13/07 02/19/08 FRED J FRAGOLA PLUMBERS CERTIFICATION DATED e h ;j'~ / thorilzed S' ature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property witli accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi'Oll1 Board of Fire Undcrwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. S. 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 nses, or bnildings and "pre-existing" land nses: 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 statc the reasons therefor in writing to the applicant. C. Fees J. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0(), COlllmercial $15.00 Date.-.n2-/? ~ New Construction: ./ Old or Pre-existing Building: Location of Property: //-51.5' fuLL !1.vD ljH.If~ House No. Street Owner or Owners of Property: ~lj /oJ k1 {.\ L- ~ (} LA Sufl(,lk County Tax Map No 1000, Section -3 ~_.,__ [Jlock (check one) o/fN..JptJLT Hamlet 'I Lot g Suhdivision ./ ---------. --- ./. _ Filed Map. _,____ Lot: Applicant~",<.)pll 1.HfhrOlJl Underwriters Approval: V Penlllt No. JP-OtJ..6: '2 Date of Permit. Health Dept. Approval: Planning Board Approval: Request fi1r: Temporary Certificate ___ Fee Submitted: $ V"'-,OD (J) -2 3;)C\ \..\ \ C2e c '1"3 c'\ <t> 3 rinal Certificate: v/ (check one) Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 021-9/01" / / Building Permit No. Jd {J CJ..:T;Z Owne~[;/JtLllI j. fie 1100 ('.;1 (Please print) , t::::: ~--- Plumber r 'RiJb cJ: )- /.2l1ffo //4 (Please print) I certify that the solder used in the water supply system contains less than 2 lead. Sworn to before me this {I-li YOf~, 20J:K ) CI Notary Public,S- L) ?(() Lk County MELANIE OOROSKI NOTARY PUBLIC, State of New'l1ltll No, 01004634870 Qualified in Suffolk County Af\ I 0 Commission Expires September 30~ I!I~~~I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at I Application Number: ~ Section: Block: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Dimmers ~ Paddle Fan ~ Receptacle ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I!I ii!Ii2rr.! affi! affi! E!IE!Ii2re! affi! E!IE!Ii2re! ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ E!Iii!Iii!Ii2rr I!I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 ./ 3 ')OD ') CERTIFIES THAT Upon the application of LOWELL ELECTRICAL CONTR. 138 OREGON AVE MEDFORD, NY 11763, upon premises owned by FRED FRAGOLA 138 OREGON AVE MEDFORD, NY 11763 1145 GULLPOND LANE GREENPORT, NY 11944 1133184 Lot: Certificate Number: 1133184 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 13th Day of November, 2007. Name OTY Rate Ratin. Circuit ~ Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Exhaust Fan Oven Dish Washer 2 0 5 0 3 0 2 0 1 0 1 0 75 0 73 0 2 0 85 0 55 0 47 0 13 0 3 0 2 0 Furnace Wiring and Devices Outlet Fixture Fixture ' Outlet Receptacle Switch Continued on Next Page Carbon Monoxide Smoke F.R.P. 40 Amps 1.2 KW Gas Fixture Incandescent Fluorescent General Purpose General Purpose General Purpose seal 30a Special I of 2 ~E!IE!Ii2re! E!Iii!Iii!Ii2rrii!lfdlE! I!I~~~~I!I 3J'-'-j'o ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ii!Iii!Ii!!ffi! I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I l!I~ii!Iii!Ii!!ffi! BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 3;)005 CERTIFIES THAT Upon the application of upon premises owned by LOWELL ELECTRICAL CONTR. 138 OREGON AVE MEDFORD, NY 11763, FRED FRAGOLA 138 OREGON AVE MEDFORD, NY 11763 1145 GULLPOND LANE GREENPORT, NY 11944 1133184 Certificate Number: 1133184 Block: Lot: Building Permit: BDC: Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 13th Day of November, 2007. Name OTY Rate Rating Circuit ~ Receptacle 1 0 20a Laundry Receptacle 12 0 GFCI Service I Phase 3 W Service Rating 200 Amperes Service Disconnect: Meters: I 200 cb seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~~ NS11 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 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0240C Date: August 17,2007 THIS CERTIFIES that the construction of a two-stOry dwelling, attached garage, porch, pervious driveway, sanitarY system, drvwells, public water service, and 50' non-disturbance/non- fertilization buffer At 1145 Gull Pond Lane, Greenport, New York Suffolk County Tax Map # 35-4-8 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 08/30/01 pursuant to which Trustees Permit # 5450 Dated 11/20/01. Was issued, and conforms to all ofthe reqnirements and conditions ofthe applicable provisions of law. The project for which this certificate is being issued is for the construction of a two-stOry dwelling, attached garage, porch, pervious driveway, sanitarY svstem, drvwells, public water service, and 50' non-disturbance/non-fertilization buffer. The certificate is issued to Fred Fragola owner of the aforesaid property. ~p~ Authorized Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32005 Z Date MAY 16, 2006 Permission is hereby granted to: DONNA L FRAGOLA MEDFORD,NY 11763 for : CONSTRUCT 1 FAMILY DWELLING W/ATT 1 CAR GARAGE, COV FRONT PORCH, REAR PORCH, (4 BEDROOMS) ZBA #5147. THIS PERMIT REPLACES 29400. at premises located at 1145 GULL POND LA GREEN PORT County Tax Map No. 473889 Section 035 Block 0004 Lot No. 008 pursuant to application dated MAY 16, 2006 and approved by the Building Inspector to expire on NOVEMBER 16, 2007. Fee $ 1,219.30 ~.~ I Authorized Signature ORIGINAL Rev. 5/8/02 . - Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 http://southoldtown.northfork.net APPEALS BOARD MEMBERS Gerard tl. Goehringer, Chairman Lydia A. Tortora George Horning Ruth D. Oliva Vincent Orlando BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JULY 25, 2002 Appl. No. 5147 - FRED and DONNA FRAGOLA Property Location: 1145 Gull Pond Lane, Greenport CTM #35-4-8 SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and detennines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned as a setback or lot line request. . PROPERTY FACTSIDESCRlPTION: The applicant's property is 27,227 sq. ft. in area, presently vacant land, situated on the east side of Gull Pond Lane with 124 ft. of water frontage on Fordham Canal, in Greenport. This property is referred to as Lot 12 on the Map of Fordha.rl' Acres, Section One, filed March 7, 1962 in the Suffolk County Clerk's Office, with 102.44 ft. along Gull Pond Lane and an average lot depth of 260+- feet (extending from the street into Fordham Canal) as shown on the April 30, 2001 survey, last amended April 3, 2002, by Joseph A. Ingegno, L.S. BASIS OF APPLICATION: Building Department's April 15, 2002 Notice of Disapproval for the reason that applicants' proposed dwelling will not meet the minimum 40 ft. front yard requirement provided under Zoning Code Section 100-244B. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on Julv 25. 2002, at which time written and oral evidence was presented. Based upon all testimony, documentation, personal inspection of the property and the area, and other evidence, the Zoning Board finds the following facts to be true and relevant. AREA VARIANCE RELIEF REOUESTED: Applicants were disapproved in their building permit application to the Building Department to construct a new two-story dwelling with garage at 35 feet from the front property line instead of 40 feet. (Ref. Amended April 3, 2002 survey prepared by Joseph A. Ingegno, L.S.) 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 relief requested is for only a five foot reduction in the required front yard area, which will not have a negative impact on neighboring properties 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The applicant has positioned the residence closer to Gull Pond Lane in order to comply with the Town Trustees permit, which requires a 50-foot wide non- disturbance zone, and a minimum setback of 75 feet from the high water mark and tidal wetland boundary. The environmental constraints of the property and conditions of permit approvals from Pag~ 2 - July 2;, 2002 ZBA Appl. No. ;147 - F. and D. Fragola Parcel 3;-4-8 at Greenport , other agencies, severely restrict the building envelope within which applicant can construct a new dwelling. 3. The variance granted herein is not substantial and represents a 12.5 percent reduction in the code's 40-foot minimum front yard setback. 4. The alleged difficulty has been self-created and is due to the applicant's desire to construct a large (2500 sq. ft.) dwelling on a lot that is restricted by environmental considerations. 5. No evidence has been submitted to suggest that the proposed additions will have an adverse impact on physical or environmental conditions in the neighborhood. The applicant's proposed construction was reviewed by the New York State Department of Environmental Conservation and the Southold Town Trustees, both which issued permits for the project on March 22, 2002 and on November 7, 2002, respectively. \ 6. Grant of the' requested variance is the mID'mum action necessary and adequate to enable the applicant to enjoy the benefit of a new single-family residence while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Tortora, seconded by Chairman Goehringer, and duly carried, to GRANT the Variance as applied for, in accordance with the survey prepared by Joseph A. Ingegno, L.S., dated April 30, 2001 last amended April 3, 2002. 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: A YES: MEMBERS GOEHRINGER (CHAIRMAN), TORTORA, HORNING, AND ORLANDO. (MEMBE'!JlU'1A W^" r'""':\ THIS RESOLUTION WAS DULY ADOPTED (4-0). / _____ ~ GE R IRMAN 7-31-02 ~ :LOC)"S--z? TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~LATION [ ] FRAMING I STRAPPING [v(FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ,U./~, ./1' REMARKS: (~d:-r J-r (~ -CJ / I 7 ..-.." DATE 11~!>fof I { / INSPECTOR I " ,/ 3J---oC) rt- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESI CONSTRUCTION REMARKS: ~ , ~ ~ DATE 1//1/& 7 I I [ ] ROUGH PLBG. [ ] INSULATION [~NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION , o-t ~ /M=--<'- ~~ INSPECTOR ~ 2ooS::-2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION tJO I REMARKS: [ ] ROUGH PLBG. [ ] INSU TION [ INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION Acc..LJ' f ~ (j!~;T' DATE - INSPECTOR "3 2-00 J TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~LATION [ ] FRAMING I STRAPPING [ --rFINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUC'nON [ ] RRE RESISTANT PENETRATION REMARKS: ~ () Jc Clf'f I DATE 7113f~7 I i INSPECTOR J-1L/OO~ /) I<c. ) 2, -) { '( ./ L J 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] Ry..uGH PLBG. [ ] FOUNDATION 2ND [ v(lNSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: (?P-;)..2 ~ ~ ~~,'~ ~~.,~~~.. DATE ~;Jf ;Lcoy' INSPECTOR ~t!:i' t7' / )' " r t!~," ~ j')c T I) /eM f~ ~~ BUILDING DEPT. 39cfr90 [ [ ] INSULATION [ ] FINAL CHIMNEY [ ] FIRE SAFETY INSPECTION ~St~ N INSPECTI [ [ [ [ @; DATE 9q~t ~'/1 3.XD\ 765.1802 BUILDING DEPT. NSPECTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS. fPu-nJ~~~6, ~~- :2 .I cf4e"~ 'Jfl~~ ~ aLl ~ "is;; 6fl1JJ. . .~ <2~ ~AA~~ ra ~_ ) a~'-< ~~~QLd.f~Y/ ~ / /V y- R- fSCJt..<-.; DATE f~y INSPECTO DEC-18-2007 TUE 08:30 PM LOWELL CONTRACTING 07/21/2000 1;:32 F^~ FAX NO. 16314471775 P. 01 -.-..--.-. .----- -- .1 "--'''J' J.1), HUNTER ENTERPRISES,lNC. . WN R ~ ~. ' ~WQ~ll~ ~ 144 C~" Rood 39A, __ NY "968 '" I) "'-4120 Ox '" l) '''-41'' Decc.l'b" 6.2007 Fl'\:d Fragol\! 1145 Gi!li?ond L.1ne Gr';cr.?o(1;, N.Y. 11944 Mt.Ftr1f:,i:;la: Oll May 2.0, 2004 the insulatioQ job iJIlne at your residence was done to eode as follows; the c:cililLl):.was lusulated with 9" R-30 kraft fa~d insulation, the bas~ment .:.:iling Vias in.ula\cd wi!...... 6" of R-19 I'CYCfscd. secured witb tigers teeth, and U'1l exterior wall was done with R-19 kraft faced in.;ulation. An fir.! caulking Wa:l also done to I:odc. Ple;c;c feel free to contact my office with any questions or eon(.ems. l'h:.u\k YO~lt (.'.-t // Z~""~r-' f'l.--'- El.lc'ol.!a Roman :':nle, Rcpre..;cnlativ<l .. Cii!.CI.!i,VIU,E l~.O, (.o.(302.Ci~c\..:"U~e.NY 10919 1'110".< (I 15) 36\-n'l6 p., (a45) 361.17'" Io:lN.;;s ''''Ill' P.O.Il.,ll,. Klne' Patl:, NY 11754 Ph.~' (63\) l44..I()31 fox (631) 544.7681 -...-'.-.....-- (},;Il' Fjolle-Deeain "f~rd.lify fJlIil &rVH!a -- JOHN FOKINE PE PO BOX 1 064 SHELTER ISLAND HTS NY Phone (631) 466 2068 (631) 749 6510 fax Email menantic@hotmail.com December 23, 2007 BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD SOUTHOLD NY GP Re: Insulation installation in the Fragola residence 1145 Gull PondiLane Greenport Permit no. 32005 Attention: Gary Fisher I;m certifying the installation of the insulation according to the code requirements that were in place at the time that the original permit was issued. That is RI9 in the basement ceiling, R 19 in the exterior walls and R30 in the ceilings above heated spaces. The insulation was installed by lP. Hunter enterprises inc. Refer to statement from Hunter Insulation. I personally monitored the construction of the building for my own interest and as well as for Fred. Since He was building the house for his own use he was very conscientious about the quality of the construction. . / ...:~= iZ == ~ '. ..C;~ -::- I. a.b ..-~...... ~ \JI~"~..lVo. ()4q1..... ((,;-.. "" :.1/ :()b...."...........:..t-'\I,.::::- //11' 'l"OFESS\o' ", 1111111\1\\\\\ , ,IJ P / ~2 (A/~'ADlF L U/1 'h.h::: /P'J/?::t7>, ~A. / ~ .. ~ P 7 ' 'r::Ald /.'Jh tOn/ M~ (I"';~. ~~_I'" fi/'A.L.U,/ w~ A"> A / n -" 'iJ ~ ~u.. / Y 1/ t!J/C ...... /?/ fA .-b ~ ~ ,~. -,fi.-;;:.HI-,h~ hA, ~ iY/../-.r-- -.., / ~ ...9... A -'- ..c.- 1 ./_ i Of Jo"" ) ~ d./.# L ./111.,2:." A ... .Ob-- .a... I.. ~. J;7_1f!!- ~ '1) ,t? .--. !l \ .-./ /P n/. h.c ~". r ".L :I / L ...c. ZIt? ~ M" _ ~ 6' , , .;.." 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STATE ENERGY CODE " , , FINAL . rJh/,j 1- / / I ., ); , 1- 1:..1) .s (tJ C'. /) 'j,\ \ ~ -L{ /\ '(~ ~ / ' i-;~.4,. ~_ l . , ( c':' ',: i I ,c.." i_ ,> > I- ,-' '" e" C ~t- "'" '~ J I /;...~ I()(, I { ~(/J ,/, /({n.....tJY.l.A.AI-. / Iljp 7../-1- il 'c~A '.rL'J / I01L- /LuJ0 . /0 ,/I o r I Mrt.: /; P l'L 'O"""""'ll. .. - / - ) ( / f re-rA...4ce.- .. - Y-o A "',,: -~ r> J)j) -.... I / :Sv..b ~\ '\t:e C;! \ W~ \ J . "-... '. , J0 I' ~ 9;" ~() ) :;;; J.\\ .{J Ie': <:: '-::;' ~ I<J ~~ r. .., o ~) -, "' 1- -- ~ I-~~ ~ ~ r . .., ..q~S ~ ~ :: ~ , I:l () t'!l ~ ~ RLJG;30-20.07 10: 15R FROM: NRTHR,I CORWIN 6317271727 TO: 4471775 P.2/3 U.S. DEPARTMENT OF HOMELAND SECURITV ELEV A liON CERTlFICA lE Federal Emergel1CY Management Agency Nallonal Flood Insura... Program Important: Read the Instrucllons on pages 1-8. . OMB No. 1660-000ill Exolres Februarv ~ SECTION A . PROPERTY INFORMATION For Insurance COlflpany Use: A ,: BUilding Owner'l Noml F f!.e b ... DOIII.v4 P,lt/l(,'-O'-J'1 Policy Number 1\2. Building Street Addren (Incfudlng Apt. Unl1. Suite, and/or Bldg. No.) or P.O, Roule end Box Nl)~--' Company NAIC Number /1/.1-1> Go"U. p",.I'[> .LIJIV':;- - -~-- City /' 51010 ~ I l..r.:!..li~AI~4 r ,.., 'i. M. Property Desalpllon (tol ond ek Numoortl, To. Porcel Nurnbor, LeGal Do.crtpllon, ele.) /tpC.rJ -3~-O'-f. -~ A~. Bulldlno Use (e.a.. Resldenllal. N~n-Reeld,enllat.ll!ldlffon, Acaoes"'Y, !tc., e P-'O./'hm.in N 1_ AS. Lalllud.ellongllude:lel. Jj2..- "y; '5'7),1 Long. '?.t:- Z-L::.J..3_ W___ Hoflronl,ID,dum: o NAO 1027 ~NAOI983 A6. Mach ot lea'l 2 photogroph. 01 the bulldlna II the Ce1flRcele I. being u,ed 10 oblaln Rood Insurlnce. At. Bundlng Dlaaram Numblr2- A8. I=or 8 bundlng wfth. etlwt space or endosure(s). provfdo: .,. Ag. Fer a tJU!/dtuiJ wllh an aUR(:hed gBrsgl!. ilJrQvlde: t s) Square loolage of aawlopooo or endosuro(.) loOp' - sq ft a, Squere footao" or .llacMd garage 3 eo' Iq ft b) No. of pefmantml flood openlnglln the crawlspace or. b) No. of permanent IODd openings In the attached g8rage enclosUf8(S) wallswtlhln 1.0 feat above adjacefllgrade -.B...!S'eu C#I'1tfJtJt.,. walls within 1.0 fool800v8l1dlacsnt gmde~_ c) Tolal net area of Itood openlng. In A8.b --!J..FeL Bq In c) Tot~1 net ~fe8 of nood openings In A9.b .JI../.A- aq 'n liP Code _______11 ') "f I,L SEcnON B.. FLOOD INSURANCE RATE MAP (FIRMlII~!!"ORMATIOIl Bl.NFIPCommwlly ama CommuntlyNumber B2.Coun\V..Noma I B3.SIII., '. y, 7Y'f~"; (;'J..~ S"t't '..b a ~u/~rc It.. --L I'oJ B4. Map/Pan.1 Number B5.5uftIx BB. FIRM Ind.. B7. FIRM Pa"ol - BB. Ft;;oa-- B.. Ba,e Flood Ssvallon(.) (Zone Dale EffectlvelRevlsed Date Zone(s) AD. use baso flood deplh) 17. G- I I I 8 iT B . 0 Bl0. indicate the source 01 th. el.. Flood Bevlllan IBFE) dota or b.... Rood deplh enlered In 110m B9. OFISProftl1 3FIRM OCommunllyDeI.rmlnod OOlhlrlDe.crtbsl__ BI1. Indlcale ".vaD... datum u.ed rar 8FE In Item 89; IBI NOVO 102. 0 NMD 1988 OOlhor (De.crlbe) B12_ 1'lho buRdlna loceled In 0 Cosllal Bomer Rooourcel Syolam (C8RS) areo or Otho,.,',o Prolected Atas (OPA)? 0 V.I 00 No De'lgnaff... Dale 0 CBRS 0 OPA SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIREOI C1. Building elell8tlona Ire bleed on: 0 Construellon OrllWlngs' 0 BuildIng Under Coostrudlon. 1&1 Flnl!lhed Cot1slrucl.lon 'A new Elevallon Certlflc8le will be ,equlred when consbualon of the building Is complete. C2. Elevation. - Zono, Al-A30, AE, AH. A (wllh BFE), VE, Vl-V30. V (with BFE), AR, ARiA, A'~/AE, ARIA 1-A30, AFUAH, AR/AO. Camplalo Itoms C2..-. balow accordlnolo1he blAldlng dlaaram IPedRld In Item AI. Bonchmart< UlHlzed P.1'1 Z. 0 ConvefslonlCommenls Verllcal Oatum AlGI//) 192'l. . 0) Top of botlom noor (Including basemen!. crawl apace, or encloslKo noor) b) Top ollhl naKl hlgha, ftoar c) Boftom of the lowest hodzontel structurel member (V Zones only) d) ^Uachad garage (lop of slab) Gl lowest elevation of mlchfnery or equipment aeNldnglhe building (Oesalbelypo of equipment In Comm.nt.) f) lowest adjacent (finished) grade (LAG) 0) Hlgh.lt Id)acent (ftnlshed) arade (HAG) Ched; Ihe met:lsuremenl used. , .LIiJ foet 0 meter3 (Puerto Rico nnly) , 3 .1L1iI I.el 0 malers (Puorl. Rico only) NIA. MJfl!l3t DmeterAIPuertoRlcoonly) , 10 .~fiJ fuel 0 motoru (Puerto Rico only) " ._Z._.l8 roel 0 mel." (Pu.rlo Rico only) " .Q...~ foel B melers (PU"llto RlCiI only) 10 .!t:-~ foel moten. {PU<!lrllJ Rico only} SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Thlfl cerUncatlon I, to be signed Ind SHied by I land lurveyor, engineer, or archlteclauthortzed by few ,1D certify elevallon InfoonatlDn. , CMII'y thst fhelnrMnatlon on ""I C8rttncat8 mptesenlS ,"y Des! 9trortS to 'n~erpJl)f the da.~a s\lsflablf1. I under8!fJnd '"et tiny fst9tJ stetement may be punishable by ffne or imprisonment vnder 18 U.S. Coda. Sectfoll 1001 5G.. Checfr: here If comments are provided on back of form. eMmera Name /JArVArv T?JFT Title ("' /..441r" <)Uj!W'toe Add.ess PiP. f",.. I ');V Slgnalure AM T1.IM) CHve IVee/lU-<I):, Date Of? -z<,! -07 FEMA Fonn 81-31, February 2006 Soa reverse side for continuation. F:ep!ace"oll provlou9 ed{tlons Au~-30.2007 10:16R FROM:NRTHRN CORWIN 6317271727 TO: 4471775 P.3"3 IMPORTANT: In Ihe.. .pace., co Ih. comepondlng I"'annellon Irom SecUon A. Il<Jlldlng _I ddre.. (Including Apt.. Unit. Sutte. andlor B . No.) or P.O. Roul. .nd 80, No. //~S' r~HJ.L. Povb L./J VG Clly ') St.t. 1 I . ZIP Cod. GI4.~J!J()ei- IV. 'I. 1/ I- 8ECTlON D - 8URVEYOR, ENOINEER, OR ARCHITECT CER.!!ICATION ICONTlNU~ Copy both lldee ofthlt ElevaUon CerilReele for (1) community omdal, (2) lnaurrmce sgsnUcompeny, end (3) buIlding owner. Comments / S'ee- e7t1rjll//el:Q!; Ce<'I7F'Ic;;f:e ,A"'btt. iltc Flc'''''~ t/~t/H' For Insurance Compeny Ule: PoUey m er compeny IC mber t; W/ Signature t..: Date- v: l C>l~/Z?/()7 g Chlcl<herelleU.etlln.ntl SECnON E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIREDI FOR ZONE AO AHD ZONE A (WITHOUT BFE' For Zones AO and A (without BFE), complete 1181Tl1 E1-E5. If Ihe CertlRellls It 1"lended to support B lOMA Of lOMR.F requeal, complele Sections A, e, and C, For Ilems E1..e.., ute nBttnt grade.. I' Ival1able. C1l8~ Ihu measurement used. In Puerto R!(:(t only. enter melers. E1. Provide elllvatlon Infonnltlon for the following Ind check the 8pproprlete boxes to show whether the elevalloo III above C1r below the hlgh8/tt adjacent grade lHACl) and the I...... Id)scenl grlde (lAOI. . el Top of bottom lIoor ~ndlldlng _men~ aewt.pece. or andoau,") Is _' _ B ~,.I IJ mel.ra B .bDve or 8 below the HAO. bl Too of botlom ftoor ~netudlng b...men!. crowl'olce. or .ndo.",.) I, _' _ r.'1 0 m.ler. .bove or below the LAO. 62. For Building D1egr.ma G-8 wllh .......nenl n.od .p.nlng. prol/lded In S.etlqoJ. naml 8 .mlar 0 (see I!l!III 8 01 'nelrodlon.). tho ne,1 hlgh.r ftoor (ef.voUon C2.b In lhedlegral1l81 IlIlh. bundlng I. _' _ 0 leal U mel." U ebo,. or U below ,he HAG. E3. Alleehad g.rllle (lop 01 oIsb) It _' _ 0 leel 0 met.ra 0 Ibo.. or 0 below the HAG. Ee. Top DI pleltorm of mlchlnery Ind/or equipment .eNlelng the bundlng I. _' _ 0 reat 0 molara 0 .bov. Dr 0 belDw tho HAG. E6. Zone AO onlY. If no Raad depth number Is IV81lable, Is the lop of the bottom noor elevaled tn accordance with UI8 communlly', noodplaln man8gemsnt Drdln."",? 0 V.. 0 ND 0 Unknown. Tha Iocalolfldal mlBl certify Ihl. In'Drmallon In Sa"lIon G. SEcnON F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property """'" or owne~1 euthDrlzed "",,,,,,nlol"'" whD complel.. SectJons A. B. end E for Zono A (w1lhOu1 e FEMA-lIlu.d Of comm...lIy_ BFE) Of Zone AQ mUIII .tgn here. The "..menta'n Section. A. 8, end IE am comJCt 10 the best 0' my knowledge. Property OWner's or OWner', Authorized Repreeenlallve', Name Addrtlss Clly Slate ZIP Codo SIgnature Comments Date Telephone 8ECTION G. COMMUNITY INFORMATION (OPTlONALj The IDellomete! who II llUthortzed by few or online"", 10 edmlnl.ler 'he community'. noodplaln mlnegamanl onllnence can compl.'e Sectlonl A, e, C (Of el. Ind 0 ollhl. EI.vaUon C.rtlRcete. CDmpl." tho eppllcebleltem{.) .rd sign below. Check the maa.uremanl u.ed In Item. OS. .rd GO. 01. 0 Th8lnformltldn In Stc:tfon C W.8 tllken from other documenlallon lhat hilS been signed 8nd IIEilled b)' ll11cen!$8d IUfVeyor, engineer, gr 8rchllect whc) " eulhorlz.d by few 10 tert!/y eleveUon InronneUDn. llndlcele the .ou,ce and deto 01 tho ol..allon dolo In Iho Commenla .r.. below.) 02. 0 A community offtclal 'oornpleted section E (or 8 bundlng localed In Zone A (wllhoula FEMA~IsSlJed or communlty-lssued BtE) 01 Zone 110. G3. 0 The folfowlng Informa~on (Ilems G4.~09.) II provided for community noodplaln management purposes. I 04. Permll Number I 05. Dale Pennlllasued I 00. Dale CtrrUncale orCompllance/Occupancv ISlued -07. This permll hIS been Issued tor: 0 New ConslnJdlon 0 Su!:le.lllnUal Improvement Q8. BevlIUon of 1I..b~llowell noar (lndudlng bBlement) of the building: 09. eFE or (In Zone AD) deplh 01 ftoodlng 8Ilhe bundlng sliD: o Check here If aUadtmentll Ora.1 Or"l o m.'er. IPR) o m.'era (PR) Datum Dltum Local OfftcJel'a Name Communlly Name TlUe Telephone Slgnlturo O.le Comments o Check here If a"aehmanla FEMA Fo"" 81-31, Februlry 2008 Repllcel III prevlOUI 9dlllanl . f1UG-30~2>107 10: 14A FROM: NATHAcl CORWIN TIJ:447P75 6317271727 P.l/3 . . . . 0 , , . 0 o 0 C 0 . . C . . . . . . . C . C 0 " o . o 0 o . ,. . . . . . . 0 o. 0 o 0 q . . o . . 0 . . n . C . . C . C . ~ o 0 . . 0 o C C . o 0 C C . 0 o C C1:g o O. c: . a " c c a 0 . c. c c ~ C 0 o . C ~ERTIFICATION OF COMPLIANCE PROJECT NAME ADDRESS _DATE _ TOWN STATE ZIP -- Home Land Security. FEMA. NFIP. TeCH Bulletin 1-93 requirements for engineered openings In foundation walls for FEMA T9 1-93 openinQ$ il~ foundation Willis USAFLOOD/AlR VENT Will allow for the automatic equalization of hydrostatic flood forces aJnd pressure during ~oodinll as well for base 100 year flood or 1 % Chanee of flooding in FEMA (F. I. R.M. - Federallnsurallce Rate Map) In "A" zone ty))& properties. Addlliona' informalion to meet FEMAI NFIF> requiremanti fOl' flood venting in foundation walle can be found in TB 1-93. I.C.C. (Intllmational Code Council) requires a mInimum 3" diameter opening to be maintained during flooding to allow patsage of debris through flood vent. Adclllional copies 0' Certlflcate of Compliance should be made available to local code official I archlleotl engineer I surveyor /lnsUI'ance broker I real eelate agent I property ownerto $how compliance with FEMAINFIP IICC. I do hereby certify thet USA FlOODIAIR FOUNDATION FLOOD VENTS opening are deSigned for installation in buildings to meet the FEMA. NFIP, Ice code requirements for the eqllallzlnlil of hydrostatic nood forces 011 extl!riorwalls by allowing for the automatic entry and exll of floodwater during 1I00ds up to and includinglhe base (1 00 year) flood, One USA FLOOD/AIR VENT, with its single door and frame or dOLible door and frame, will proVide sufficient hydrOilalic preiiura equalization dUring a flood. EliCh or 1 vent will cov,er 250 square feet of enclosed bUilding area itli per FEMA, NFIP or Ice Inetructicns and calculetlo,ns. I fur1her certifj that the breakaway door releases under less than required 20 Ibe. of hydraulic, pressure. Thank you for your consicleralion and feel free to Cilll with allY ClueEltlons or comments. Robert Bennett, Professional Engineer, Rll,BCO Engineering, New Yor/c a w. Merrick Road, Suite 219, Freeport, NY 11520 616,81>7.2\1315 Email: ra~co@lx.netcom.com OffI06S In "Tfl8port. NY, Th6,llana, China. lna/a and Garmany. /Excellent working knowledge of Gflrmen; French; ConVllr'88t/onal ~us.18n; Spanish: Thai _~___"_ .__._,..__.... ._-0_- ." __._, _"".__. .,._ ...._~_, ___.._.. ._~.__. ~.___...___.. ,_._." ----.---. _. .'''-----_..~ a 0 o 0 00 C o' J " 0 . C CClCQCDCtlCD The Flexible EIa~tomeric flap attached to bottotTl of the bidirectional door has a ,~O to 50 Durometer Shore A reading $It for a 10 to 15 pound per square. fool release at a temperature 0' -20.F to BO"F. Th_~!I1,!;i_!!I!l!'~~~.. M~"f)~.n..~~/E.nalnf3_e.f, Trl8.!19.~_Rubb~-"Je_w_YQr:k.._._.. CI c' g a tl D g CI II D "e/"e ~~d :3NN-l "eSp"E:L8TS "" : II we" 19 !le8 o 0 o . , , 0 a c . 0 c. . . . o 0 . C " . . p o 0 . . a a a C , . C o C 0 . . . . a a C . C C . . o . o . . . o C . . . . a . C a C . o a C ~ o:c lil~ia oI:..?a l:;~ Ol" a . . C . . C 0 o . . . , . . . . a o " " a . . o . o 0 . . a 0 . a . aDo PERMIT NO. BUILDING PERMIT APPLICA nON CHECKLIST Do you have or need the following, before applying? Board of Rea lib 3 sets of Building Plans f2,~, 3 dcv 5 Z, Planning Board approval Survey_ ~7<{-15D;7 Check Septic Form N,Y.S.D.E.C. Trustees Contact: Mail to: TOWN OF SOUTHOLD BUlLDINGDEP ARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoId/ Examined 14h1;j03 I ,20_ ,2003 Approved Disapproved a/ c Phone: Expiration t! (9 , ,20Q!L (Je,. R Building Inspector r,-~- --_._. ----. ,''\1 :'1 !1 7 ,'-----. i i i I Date ,20 APPLICATION FOR BUILDING PERMIT L,_.J:C' 2-.J 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 ofa 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 e ein described. The applicant agrees to comply with all applicable laws, ordinances, building code, f//de, and re tions, and to admit authorized inspectors on premises and in building for necessary inspections. ~ (Signature 0 applican r name, if a corporation) /Z% (J/1-o/,v M-~~t.' (Mailing address of applicant) It'?;:;! State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~ /,-J (As on the t x roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proRosed worklill be done: II~s G-vlt I"d/'o'-:;J ,j'''-'e House Number Street Hamlet County Tax Map No.1 000 Section Subdivision / {)tlo '] s- - c..J Block ( Filed Map No. Lot Lot ; (Name) . 2. State existing use and occupancy of premises and intend use and occurancy of proposed construction: a. Existing use and occupancy 'i4-C "',v T L-A7'/ ~ r-' b. Intendeduseandoccupancy :::r / 14<> 1-//''''11 ~ .HC#'lA.€ 3. Nature of work (check which applicable): New Building ,/ Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars' I 2-. (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~ ~ Rear ~' Depth ~ I Height Number of Stories ~ Dimensions of same structure with alterations or additions: Front Depth Height ~ Number of Stories :) C) f Rear ~ CJ / Rear 8. Dimensions of entire new construction: Front Height Number of Stories 2 I / '"L <I Depth "S"'~I 10. Date of Purchase IV2 ~ /7119 , Rear Depth t!-(!'4.. rl/!v,at::' U~I 9. Size oflot: Front Name of Former Owner (2 hL4 I 1. Zone or use district in which premises are situated 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_ j) __ I ~ 8 ,M..." i>,v /f.-re 14. Names of Owner ofpremisesl/O"-'.t+ ~"'Address .n~n.1V; -1/.r. Phone No. ~ fC/~?S- 6.5' Name of Architect <:T. 1-1)1_ Address PhoneNo i?Od--lfY7 - 3J3J>' Name of Contractor Address Phone No. 15 a. Is this property within 100 feet .of a tidal wetland or a freshwater wetland! *YES ~O ~ * 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.G. 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 O~\lLt \='/ed I=" ~ \G.. . . being d~IY sworn, deposes and says,that (s)he is the applicant (Name ofindi' I signing contract) above named, (S)He is the (Contractor (Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statelnCl1ts contained in this applicat~on are true to the best of his ktlOv/ledge and belief; and that the work ,,,ill be performed in the manner set forth in the application filed therewith. Sworn to,hefore me ' Cll~day , , 20~ Notary Public BARBARA ANN RUDDER Notary Public, State of New York No. 4855805 Qualified In Suffolk County. Commission Expires April 14, ~y MAY-27-2003 TUE 08:50 AM LOWELL CONTRACTING . . FAX NO. 16314471775 P-;;"II NWllbor REScheck Compliance Certificate New York Sbite Enerl:)' CODserntion CODstruc:tioD Code: JUOScJ..""Sottw.rc Version. 3.5 Release Ie Dala fllollllllle: C:lProgram FilcslCheck\JlliScheckIl'AAOOlA.rck 'ITI1.E: FRAGOLA COUNTY: Suffolk STATE:N~'WYork lJDD: 5750 CONSl1WCTlON TYPE: Petached 1 or 21'amily HEATING TYPE: Non-llIeelric DATE: OS/26/03 DATE OF I'LANS: MAY I 2003 PROJECT INFORMATION: PROPOSED RESIDENCE FOil MllAND MRS. F. FRAOOLA COMPLIANCE; ~.~ Maximlrm UA = 871 Your Uome UA & 58) )).I%.BottorTh"" CocW (VA) C",1ing 1: Fila Ceiling or Scissor Tnw: Skylight 1; Wood FlllIDC:Double I'IlIlc with Low-E Coiling 2: Flat Ceiling or Scillaor Truss w.n I: Wood FI'IlI1I.. 16" o.c. Window I: WllOd fram.:Doubl. Panc with Low-E lloor 1: Glllli9 Door 2: Olals WaU2: Wood f'''IIIIc. 16" o.c. Floor 1: All-Wood JoisIITruas:Ovcr Uncomlllioned Space Crawl 1 : Solid CoQl;lllLe or Masomy Willi heighl: 6.0' Depth below grado: 4.0' In:lulalioQ depLh: 4.0' furn""" I: forced Hot Air, 92 AI'IJE Cbeclced ByJOIlII p, 02 Gloss GllI:ing Ana or C..ill' COIIt or Door Pcriml!ll:r R- VoJuc R-Value U-Faetor ~ 187 30.0 0.0 16 0.350 15117 31.1.0 0.0 1916 19.0 2.2 :68 0.330 3) 0.350 36 0.350 1482 19.0 2.2 1<\92 19.0 0.1.1 ".58 0.0 10.0 ,. COMPLIANCE STATeMENT; '11.e prop....d blllkllng tcpl'l.ienled in this dOCUlDlIlt;. eoA>>istemwith the building plana, Jpccificotlons, aod other takulalions submiuod willi dIis pcIIl>it :'l'plic:atiOD. The ~ s,y-... ha.... bcca dea~ 10 mee\ the Now York SlaLo SI1cQ;)' Con~orvallon COIlllU1l<tion Cede !equirctM/lb. WIlen a ReJ:iatcrc4 Decill/l P",fos5jllllal has .tamped ond .iened this fI'lge, dtcy.... attelItiag IhaI to the bcstof'lIisIhor knowledao, beliof.lUld profiossioualjwJsment, SllCh pllw 0" spocifJallioos _ in eompUlIIlC4: with dJis Code. Bllild",/D.lsiguer Dale . , ., f \' , Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Telephone (631) 765-1892 Fax (631) 765-1366 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 27,2001 Mr. Rob Herrmann En-Consultants, Inc. 1320 Nortjh Sea Road Southampton, NY 11968 RE: Donna Fragola 1145 Gull Pond Lane Greenport, NY Dear Mr. Herrmann: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on November 20,2001, regarding the above matter. WHEREAS, En-Consultants, Inc. on behalf of DONNA FRAGOLA applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated August 30,2001 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 November 20, 200 I 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 standard set forth in Chapter 97 -18 of the Southold Town Code. WHEREAS, the Board has determined that the project as proposed will not affect the health, ., ~. 2 Safety and general welfare of the people of the town, , NOW THEREFORE BE IT. RESOLVED, that the Board of Trustees approved the application of Donna Fragola for a Wetland Permit to construct a two-story one family dwelling with attached garage and porch, install a pervious driveway, sanitary system, drywells, and public water service, and \:stablish a jO'.1!on-disturbance /rlonJ~Jtiliz"tionbuff~<l<ijacel1t t~ the aJ.Jprove~high_'YaterJine/tidal wetland bounclarY' Construct approximately 112 linear feet of vinyl plastic retaining wall and 5 linear feet of stone rip-rap dredge irregularly shaped area to a maximum depth of 4' AL W and use approximately 75 cubic yards of dredged spill for backfill Construct a timber dock, consisting of a 4 'x 17' fixed catwalk, 3'x 14' ramp, and 6'x20' float to be secured by (2) 8" diameter pilings. All work to be undertaken in accordance with new project plan indicating the undisturbed area and the driveway to the south. reference plan dated 10/26/01 & survey dated 12/5/01 BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable and permit issued within six months of the date of the notification. Fee must be paid, if applicable and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified when project is started and on completion of said project. FEES: NONE Very truly yours, /....'1 J {J ;.J _.;)'V!l. C; l.-'v~ 1" iu... j ~ . Albert J. Krupski, Jr. President, Board of Trustees AJKlcjc cc: Building Department DEC Dept. of State Army Corp. TERMS and CONOmONS Q"!~e The ~~t<< . 1)enRd r.. &0....1.... residing at 1145 Gull Po"" T",,?' r.~PPT1r~~+ N. Y., as put. of the coosideration for lbe jSsuaIlCC of me Permit does UIlderStaJ>d and prescribe to the fol- lowing: 1. That tbc said Board of TrusteeS and lbe Town oi Soulhold arc released &om ID.Y and all damageS, or claims for damageS, of suits arising dhccdy or indirecdy IS a rcsuk of ID.Y oper- ation perfom>ed punuaat to this permit. and lbe said p.-l- will, IC his or her 0WI1 -'1' .AI.... dcfood ID.Y and all sw:h suilS' W'.;..... by thUd puder, and tbc said p......;uoo .......... fall Jlabllity with respecr thereto, to the c:omplete' esdusioll of tho Board of T~ of 1110 TOWI1 of Sc>aIhQId 2. That Ibis permit is ~ fOr ".period of ? moL wbld1 is c;oasidcrod to be tho csdmated time' required tD complete tbc work lavol~ but should drcmiJst2l'CCS warnor, request for an ex=sioa may be made to tbc Board at a later date. 3. That Ibis Permir should be .etaiaed ladef'mltcly, or as long as tbc said permittee wishes tD maiatala' tbc suuccure or project lavolved, to provide cvidcacc tD aayoac conccroed that aam- orizadoa was orlgiaally obtalaed. 4. That me work lavolved will be subject to the iaspcctioa and approval of tbc Board or ilS agents, and aoa-<X>dIP1laacc with. the provisioas of the origin.,;ng application, rtJZf be caasc for revocation of Ibis Permit by teSOlutioa of the said Board- 5. That lhcrc will be ao uarcasoaable latcrfcrcacc with aavigatloa IS a rcsuk of tbc work . hercla aUthorized. 6. That lhcrc shall be DO latcrfcrcacc with the right of tbc pub1ic to pass and repass tloag' tbc beach betwcca high and low water marks. . .' 7. That if future opcradoas of the Town of Southold require the lCJDOV&l and/or tlurarloaS la the locatioa of the ...,rk bcrcla authorized. or if, la tbc oplaloo of tbc Board of TrusteeS. the. w<nk shall caasc uarcasoaable obsUUCtlOD to free aavigatloa. tbc said permittee will be requIled, upon due aotice, to remove or alter this work or project hcrela stated without ~~ to the Town of Soulbold. . 8. That the said Board will be aodfled by the Permittee ot the c:ompledoa of tbc work aam- orlzcd. 9. That the Permittee will obtala all other permits and coasoatl &at -y be required sup- plcmeatal to this permit wbkh _1 be subject to revoke upoa failu1'o to obWn -- /' , . . 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 ~ .... ~ Erin M. Crotty Commissioner March 22, 2002 Donna Fragola 138 Oregon Avenue Medford, NY 11763 RE: Pennit # 1-4738-02924/00001 Dear Pennittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your pennit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a pennit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, I/Idttw /. iZ.i- Matthew R. Penski Encon Program Aide MRP Enclosure . NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-02924/00001 FACILITY/PROGRAM NUMBER IS} a PERMIT EFFECTIVE DATE March 22, 2002 EXPIRATION DATE IS} Under the Environmental Con.ervation Law March 21, 2007 TYPE OF PERMIT . New ----, o Renewal 0 Modification 0 Permit to Construct I o Permit to Operate . Article IS, Title 5: Pro- tection of Waters . 6NYCRR 608, Water Quality Certification o Article 27, Title 7; 6NYCRR 360, Solid Waste Management o Article 15, Title 15: Water Supply o Article 17, Titles 7, 8: SPDES o Article 27, Title 9; 6NYCRR 373: Hazard- ous Waste Management o Article 15, Title 15: Water Transport 0' Article 19: Air Pollution Control o Article 15, Title 15: Long o Article Mined tian 23, Title 27: Land Reclama- o Article 34: Coastal Ero- sion Management o Article 15, Title 27: wild, Scenic and Recreational Rivers o Article 24: Freshwater Wetlands o Article 36: Floodplain Management Island Wells ./ o Articles I, 3, 17, 19, 27, 37; 6NYCRR 380, Radiation Control . Article 25: Tidal Wetlands PERMIT ISSUED TO TELEPHONE NUMBER Donna Fraqola (631) 654-3565 ADDRESS OF PERMITTEE 13 8 Oregon Avenue, Medford NY 11763 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER En-Consultants, Inc. , 1329 North Sea Road, Southampton NY 11968 (631) 283-6360 NAME AND ADDRESS OF PROJECT/FACILITY Fragola Property, 1145 Gull Pond Lane, Greenoort NY LOCATION OF PROJECT/FACILITY SCTM # 1000-35-4-8 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Fordham Canal E,722.2 N,4555.0 Description of Authorized Activity Construct a two story single family dwelling, garage, porch, sanitary system, pervious driveway, public water, and drywells. Construct a 112 foot long vinyl retaining wall, place 50 to 200lb stone, install a catwalk, ramp, and float, and dredge an approximate 20 foot by 60 foot area to 4 feet below apparent low water with resultant 75 cubic yards of material to be used as bac5tlll.. _._~11 work shall be oerformed in accordance with the attached olans stamoed NYSDEC aooroved ;;" 3!19/02'~ ."\ '-- .-r By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (lee pag. 2 . 3) and any Special Conditions included as part of this permit. SUNY, Stony Brook, NY 11790-2356 AUT DATE March 22, 2002 Page 1 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non compliance with the terms and conditions of the permit. This indemnification does not extend to' any claims, suits, actions, or damages to the extent attributable to D.EC's own negligent acts. Item B: Permittee's Contractors to Comply with Permit The penmittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this penmit, including all special conditions while acting as the penmittee's agent with respect to the penmitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation law as those prescribed for the penmittee. item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impainment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITiONS General Condition 1: Facility inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECl 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this penmit does not modify, supersede or rescind any order or detenmination previously issued by the Department or any of the terms, conditions or requirements contained in such order or detenmination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other penmit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this penmit in accordance with 6 NYCRR Part 621. . The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the penmit; c) exceeding the scope of the project as described in the penmit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing penmit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation law or regulations of the Department related to the permitted activity. DEC PERMIT NUMBER I I PAGE 2 OF 5 1-4738-02924/00001 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed. the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require. remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local govemment which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, wilhoulleaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environme'ltal Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the sita to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project, tile permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. . 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Joseoh A. Inqeqno last revised 12/5/01 (sheet 1 of 31 and En-Consultants. Inc. last revised on 3/14/02 (sheets 2 and 3 of 31. oEe PERMIT NUMBER 1-4738-02924/00001 PAGEl- OF 2- NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary. 2. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 50 linear feet from the tidal wetland boundary, or as per NYSDEC approved plan, at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. 3. Roof runoff shall be directed to drywells a minimum of 75 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 4. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. 5. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. Driveways and parking areas shall be constructed of pervious material. 7. All fill shall consist of "clean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris). 8. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion . or prior to permit expiration, whichever comes first. The app!oved methodologies are as follows: a. Stabilization of the entire disturbed area with appropriate vegetation (non-fertilizer / non-pesticide dependent grasses, etc.) 9. If seeding is impracticable due to the time of year, a temporary mulch must be applied and final seeding performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. 10. All peripheral berms, cofferdams, rock revetments, seawalls, gabions, bulkheads etc. shall be completed prior to placement of any fill material behind such structures. 11. All dredged material shall be disposed on an approved upland site and be retained so as to not re-enter any water body, tidal wetland or protected buffer area. 12. During the dredging operation, the permittee and his contractor shall prevent spillage of sediment during excavation and haulage. Dredging shall be accomplished with a clam shell or other closed "bucket" equipment. 13. Excavated sediments shall be placed directly into the approved disposal site or conveyance vehicle. No sidecasting (double dipping) or temporary storage of dredge material is authorized. 14. No dredging shall occur within 12 linear feet of the seaward edge of the line of apparent low water. 15. Dredging is prohibited from June 1 - September 30 of each year to protect spawning shellfish and/or spawning finfish. . 16. Dock or timber catwalk shall not exceed 4 feet in width and shall be a minimum of 3)4 feet above grade* over tidal wetland areas (* as measured from ground to bottom of dock sheathing). 17. No permanent structures may be installed on dock/catwalk/float without first obtaining written Department approval (permit, modification, or amendment). OEC PERMIT NUMBER 1-4738-02924/00001 PAGE..1...0F~ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 18. Docks/catwalks/floats may not (a) extend laterally beyond property lines. (b) be placed so that docked boats extend over adjacent property line. (c) interfere with navigation. (d) interfere with other landowners riparian rights. 19. Floats and ramps may not rest on or be stored in any vegetated tidal wetland. 20. The use of wood treated with pentachlorophenol in the construction of structures that will be in contact with tidal waters is strictly prohibited. 21. All fill must be graded to match the elevation of the land immediately adjacent to the bulkhead. 22. During construction. concrete or leachate shall not escape or be discharged. nor shall washings from transit mix trucks. mixers. or other devices enter tidal wetlands and or protected buffer areas. 23. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 24. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 25. The permittee shall incorporate the following language as a notice covenant to the deed: . "Regulated tidal wetlands associated with Fordham Canal are located at 1145 Gull Pond lane. County Tax Map Number: District 1000. Section 35. Block 4, lot 8. otherwise known as the properties of Donna Fragola and her heirs. assigns, or successors. This property is subject to the provisions of New York State Environmental Conservation law (ECl) Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECl Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor. Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and filling; clearing of vegetation; and application of chemicals." This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record. along with the number assigned to this permit, shall be sent within one calendar year of the issuance of this permit to: NYSDEC. Regional Manager. Bureau of Marine Habitat Protection. SUNY Building 40, Stony Brook. New York 11790-2356. . DEC PERMIT NUMBER 1-4738-02924/00001 PAGEL OF ...L d 9 '( cr<) e: (C.'r1 3 :J-co (" .. rown Hall. 5.1(1l.}:'- '....1;.,11I Ro P.O. no., 117<1 Sllulhold. New Yor"- I P'7 Fax L'il(ll U.:-.I$P' T clcrhonc t,'\ I <q 7(,~~i Xo. . " J1:Ip4TH T. TERRY - TOWN CLERK HEGISrnA.f1 OF VlTAL SfAnS11CS MMlnl^CE orrlCEn nECORUS M.N'MGEMENT OITICEn FnEEOOM OF INFOnMATlON OFFleEn OFfICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations , of the Code of the Town of Southold: "Floodplain Developmen,t Permi t Application" [FDP(93)1. end "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93)]. i 0 :ffi(0; \ ~> "l _ J ;'"1 ., .. .~. ---' 6i...:Ju. OC:?T. TOWN OF SOlJlHOLD ~~ ~~T.T~ Southold Town Clerk August 25, 1993 ., - , APPLICATION II PAGE 1 of 4 TOWN OF SOUTHOLO fLOODPLAIN DEVELOPMENT PERMIT APPLICATION This (orm is to be filled out in duplicate. , SECTION I: GENERAL PROVlSIONS (APPLICANT 10 read and siltTl): 1. No work may start until a permit is issued. 2. The pcrmit may be revoked if any false statements are madc herein. 3. If revoked, all work must ceasc until pcrmit is re-issucd. ~. Dcvelopmcnt shall not be uscd or occupicd until a Certificatc of Compliance is issucd. 5. The pcrmit will expire if nO work is commenced within six mODths o( issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, statc and [ederal regulatory requiremeolS. 7. Applicant hereby gives consent to the Local Administrator or his/hcr representative 10 make reasonable . inspections required to verify compliance. - 8. I, THE APPUCANT. CERTIFY THAT, N AND IN ATIACHME.NTS TO _ THIS APPUCATION ARE, TO E, TRUE AND ACCUXY-TE. (APPUCANT'S SIGNATUR ) DA~ &/-zrj C/3 SECTION 2: PROPOSED DEVELOPMENT ITo be eomoleted bv APPLlCM'TI BUILDER TELEPH APPLICANT ENGINEER f{ %It~ I?$;~ . /1t~ Wi I- tt-Iscr PROJECT LOCATION: To avoid delay in processing tbe applicatioll, please provide cnough informatioD to easily identify tbc project location. Provide the SUeet address, lot number or legal description (attach) and, outside urban areas, tbe d"istance to the nearest. intersecting road or well~knovro tandmark. A sketch aHacbed to this application showing the project location would be helpful. Iliff (rUff A~ , C /L#e-t/ ~1- FOP(93) . ' ." APPUCA TlO'" " PAGE 1 OF , DESCRIPTION OF WORK (Cheek all appGGlblc boxes): A STRUCTURAL DEVELOPMENT ACTIVITY kw Struetlue o Additioo o AJleratioD o Relocatioo o Dem6litioo o Replacemeot ~CTURE TYPE esideotial (1-4 Family) o ResideotiaJ (More than 4 Family) o Noo-resideotial (FloodproorlDg? 0 Yes) o Combined Use (Resideotial & Commercial) o Manufactured (Mobile) Home (Io Manu- factured Home Park? 0 es) l> ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT AcnVlTlES: / o Fill 0 Mining 0 Drilling ~rading o Excavatioo (Except for Structural Development Chec\:.ed Above) o Watercourse Alteration (Including Dredging and Channel Modifications) o Drainage Improvements (Includiog Culvert Work) o Road, Street or Bridge Construction o Subdivision (New or Expansioo) o Individual Water or Sewer System o Otber (Please Specify) , After completing SEcnON 2, APPLICANT should submit form to Local Administrator for review. SECTION 3; FLOODPLAIN DETERMIN....TION ITo be como\eted bv LOCAL ADMINISTRATOR) The proposed developmeol is located DO FIRM Panel No. . Dated The Proposed Development: o Is lliIT located in . Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT pERMIT IS REQUIRED). o Is located io a Special Flood Hazard Area. FIRM woe designalion is 100- Y ell flood clevalioo at the sile is: Fl. NGVD (MSL) o U oavailabk o The proposed developmenl is localed tD a noodway. rn~p~No. Dued OSee Seclion 4 (or addilional iusuuc(IOOS SIGNED DATE .r APPLICATION /I PAGE] OF 4 SECTION 4: ADDITIONAL INFORMATION REOUIRED (To he comnleted bv LOCAL ADMINISTRATOR) The: applicant must submit lhr:: documents checked below bdorc tbe applicauon can be processed: o A site. plan sbowmg tbe toulioo o( aJl Crullng structures, waler bodies, adj~ccn( roads, 101 dimensions and proposed developmeDt. o Development plans, drawn to scale, and speciracatil:ms, including wbere applicable: details [or ancboring structures, proposed elevalion oC lowest floor (including basement), types of water resistant materials used below the rlrSl Ooor, details of floodprooftng of utilities located below the Hrsl Door and details of enclosures below the flIst Door. Also. o Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide lOO-year Oood elevations if they are not otherwise available). o Plans showing the extent of watercourse relocation and/or landform alterations. o Top of new fill elevation Ft. NGVO (MSL). .. o Floodproofmg protection level (non-residential only) Ft.' NOVO (MSL). For Ooodproofed structures, applicant must attach certification Crom registered engineer or architect. o CertiCtcation Crom a registered engineer that the proposed activity in a regulatory Ooodway will not result inJ!!lY increase in the height oC the lOO-year Oood. A copy oC all data and calculations supporting tbis Hnding must also be submitted. o Other: SECTION 5: PERMIT DETERMINATION (To be com Dieted bv LOCAL ADMINISTRATOR) 1 have determined that the proposed activity: A. 0 Is B. 0 Is not in conCormance with provisions oC Local Law (f . 19 The permit is issued subject to the conditions attached to and made part of tbis penni!. -- SIGNED ,DATE If BOX A is checked, tbe Loc.aJ Administrator may issue a Development PenTIit upon payment of designated fee. l( ~OX B is checked, the. Local Admin.islra(Or v.riJ1 provide a wri({co summary or dclicicncics. Applicant may reVl~c and resubmit an application to the Local Administrator or may request a bearing from lbe Board of Appeals. " '" APPLICATION H PAGE40F4 APPEALS: Appealed to Board of Appeals? 0 Yes 0 No Hearing dale: Appeals Board Decision --- Approved? 0 Yes 0 No Coad..ilious SECTION 6: AS.DU1LT ELEVATIONS (To be submitted bv APPLICANT before Certificate of Comolianee is issued) The [oUowing information DJUS( be provided for project slruclures. This section must be completed ~y a registered professiooal engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Aetual (As. Built) Elevation of the lOp of the lowest Ooor, including basement (in Coastal Hi"h Hazard ~ boUom of lowest strUctural member of the lowest Ooor, excluding piling and columos) is: Fr. NGVD (MSL). J 2. . Actual (As-Buill) Elevalion of Ooodproofmg protection is Fr. NGVD (MSL). NOTE: Any work per!ormed prior to submittal of the above informatioo is al lbe risk of the Applicanl. SECIlON 7: COMPLIANCE ACIlON ([0 be comoleled bv LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based 00 inspection of the projecl to ensure compliance with the community's local law for Oood damage prevention. INSPl:;cnONS: DATE DATE DATE BY BY BY DEFlCIENOES? DEFICIENCIES? DEFlCIENOES? o YES 0 NO o YES 0 NO o YES 0 NO SECTION 8: CERTIFICATE OF COMPLlANCE([o be comoleted bv LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: " .' Attachment B SAHPLE CERTIFICATE OF COMPLIANCE for Development in a special Flood Hazard Area . II .. . .. " '. .' . . TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAl.. FLOOD HAZARD AREA (O....VNER MUST RETAIN THIS CERTIFICATE) -, PREMISES LOCATED AT: OWNERS NAME AND ADDRESS: PERMIT NO. PERMIT DATE CHECK ONE: o NEW BUILDING o EXISTING BUILDING o VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLlA.NCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # ,19 SIGNED: - - DATED: B. COMPLlA.NCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_. AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C IC (93) -. .. DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 REPLY TO ATTENTION OF: Eastern Permits Section March 22, 2002 SUBJECT: Department of the Army Permit Number 2001-01247 Donna Fragola c/o En-Consultants, Inc. 1329 North Sea Road Southampton, New York 11968-2015 Dear Ms. Fragola: We have completed our review of Application Number 2001- 01247-L2. Pursuant (33 USC 403), Army: to Section 10 of the Rivers and Harbors Act of 1899 you are hereby authorized by the Secretary of the ACTIVITY: Construct a pier assembly consisting of a 4' by 17' fixed timber pier, a 3' by 14' hinged ramp, and a 6' by 20' float, secured by two (2) 8" diameter pilings. Dredge approximately 75 cubic yards of sediment to a depth of 4 feet below the plane of mean low water and placed upland, behind an existing bulkhead, with no return flow. All work shall be performed in accordance with the attached drawings which are hereby made part of this permit. WATERWAY: Fordham Canal, Shelter Island Sound LOCATION: Greenport, Town of Southold, Suffolk County, NY The activity authorized herein must be completed within three years of the date of this permit. This authorization is subject to the enclosed conditions. Please find enclosed two forms to be used to submit ~o this office, as required, the dates of commencement and completion for the authorized activity. Also enclosed for your information is a Notification of Administrative Appeal Options. The authorized activity must be performed in accordance with the enclosed plans. If any material changes in the location or plans of the subject work are found necessary, revised plans should be submitted to the District Engineer. These plans must receive the approval required by law before work begins. . . ~ Notice is hereby given that the permittee should recognize that a possibility exists that the structures permitted herein may be subject to wavewash from passing vessels. The issuance of this permit does not relieve the permittee from taking all proper steps to insure the integrity of the structures permitted herein and the safety of boats moored thereto from damage by wavewash and the permittee shall not hold the United States liable for any such damage. If any questions should arise concerning this matter, please contact Mary Ann Miller, of my staff, at (212) 264-6730. Sincerely, )l,~,-<- ciJ.el,,,~ ~41"For and in bel;ulf oiVII John B. O'Dowd Colonel, U.S. Army District Engineer Enclosures 2 ~ . E: PRpLIMINi\RY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the Corps to reevaluate the JD. SECTION II.. REQUEST. FORAPPEAL QrQBJECTIONS.TOANINITIAL PROFFERED. PERMIT REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or objections are addressed in the administrative record.) ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, you may provide additional information to clarify the location of information that is already in the administrative record. POINT OF CONTACT FOR QUESTIONS OR INFORMATION: If you have questions regarding this decision and/or the appeal process If you only have questions regarding the appeal process you may contact: you may also contact: Richard L. Tomer James W. Haggerty, Regulatory Appeals Review Officer U.S. Army Corps of Engineers, New York District North Atlantic Division, U.S. Army Engineer Division Jacob K. Javits Federal Building Fort Hamilton Military Community New York, NY 10278-0090 General Lee A venue, Building 301 (212) 264-9053 or 3996 Brooklyn, NY I 1252-6700 (718) 765-7150 E-mail: James. W .Haggerty@nad02.usace.army.mil RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site investigations. Date: Telephone number: Signature of appellant or agent. 2 ~ NOTIFICATION OF ADMINISTRATIVEAPPEAL OPTIONS AND PROCESS AND . REQUEST FOR APPEAL ... Applicant: Donna Fragola T File Number: 2001-01247 Date: March 22, 2002 Attached is: See Section Below X INITIAL PROFFERED PERMIT (Standard Permit or Letter of Permission) A PROFFERED PERMIT (Standard Permit or Letter of Permission) B PERMIT DENIAL C APPROVED JURISDICTIONAL DETERMINATION D PRELIMINARY JURISDICTIONAL DETERMINATION E SECTION 1- The following identifies your rights and options regarding an administrative appeal of the above decision. Additional information may be found at http://usace.army.millinetlfunctionslcwlcecwolreg or Corps regulations at 33 CFR Part 33\. A: INITIAL PROFFERED PERMIT: You may accept or object to the permit. . ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the New York District Engineer for final authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations (JD) associated with the permit. . OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the permit be modified accordingly. You must complete Section II of this form and return the form to the New York District Engineer. Your objections must be received by the New York District Engineer within 60 days of the date of this notice, or you will forfeit your right to appeal the permit in the future. Upon receipt of your letter, the New York District Engineer will evaluate your objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After evaluating your objections, the New Yark District Engineer will send you a proffered permit for your reconsideration, as indicated in Section B below. B: PROFFERED PERMIT: You may accept or appeal the permit. . ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the New York District Engineer for final authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit. . APPEAL: If you choose to decline the proffered pennit (Standard or LOP) because of certain terms and conditions therein, you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the North Atlantic Division Engineer, ATTN: CENAD-ET-O, Fort Hamilton Military Community, Building 301, General Lee Avenue, Brooklyn, NY 11252-6700. This form must be received by the Division Engineer within 60 days of the date of this notice. C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the North Atlantic Division Engineer, ATTN: CENAD-ET-O, Fort Hamilton Military Community, Building 301, General Lee Avenue, Brooklyn, NY 11252-6700. This form must be received by the Division Engineer within 60 days of the date of this notice. D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new information. . ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD. . APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by the North Atlantic Division Engineer within 60 days of the date of this notice with a copy furnished to the New York District Engineer. DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278.0090 REPLY TO ATTENTION OF. CENAN-OP-RH IMPORTANT This letter must be completed and mailed to the Harbor Supervision & Compliance Section at the above address prior to commencement of any work authorized under the permit. Permittee: Donna Fraaola Permit No. 2001-01247 Date Permit Issued: March 22, 2002 Expiration Date: March 22. 2005 Waterway: Fordham Canal. Shelter Island Sound City & State: Villaqe of Greenoort. Town of Southold. Suffolk County. New York Work will commence on or about: Name, Address & Telephone Number of Contractor: Si Date Fold this form into thirds, with the bottom third facing outward. Tape it together and mail to the address below or FAX to (212) 264-4260. Place Stamp Here Department of the Army New York District Corps of Engineers Jacob K. Javits Federal Building ATTN: CENAN-OP-RH New York, New York 10278-0090 DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 REPLY TO ATTENTION OF: CENAN-OP-RH IMPORTANT This letter must be completed and mailed to the Harbor Supervision & Compliance Section at the above address following comoletion or cancellation of work authorized under the permit. Permittee: Donna Fraqola Permit No. 2001-01247 Date Permit Issued: March 22. 2002 Expiration Date: March 22. 2005 Waterway: Fordham Canal. Shelter Island Sound City & State: Villaqe of Greenoort. Town of Southold. Suffolk County. New York Check and complete applicable item(s) listed below: Work was completed on Work will not be performed on the project. Deviation from work authorized in permit is explained below. Other (explain) For dredging projects, list the volume of material dredged. amount placed at each disposal location (if more than one) . cubic yards placed at cubic yards placed at cubic yards placed at ~ and the {/ Date Fold this form into thirds, with the bottom third facing outward. Tape it together and mail to the address below or FAX to (212) 264-4260. place Stamp Here Department of the Army New York District Corps of Engineers Jacob K. Javits Federal Building ATTN; CENAN-OP-RH New York, New York 10278-0090 PERMITTEE: PERMIT NO. : Donna P'ragola 2001-01247 PERMIT CONDITIONS: NOTE: The term "you" and its derivatives, as used in this permit means the permittee or any future transferee. The term "this office" refers to the appropriate district or division office of the Corps of engineers having jurisdiction over the permitted activity or appropriate official of that office acting under the authority of the commanding officer. GENERAL CONDITIONS: 1. The time limit for completing the work authorized ends within three years of the date of this permit. If you find that you need more time to complete the authorized activity, submit your request for a time extension to this office for consideration at least four months before the date is reached. 2. You must maintain the activity authorized by this permit in good condition and in conformance with the terms and conditions of this permit. You are not relieved of this requirement if you abandon the permitted activity, although you may make a good faith transfer to a third party upon written notification to this office. Should you wish to cease to maintain the authorized activity or should you desire to abandon it without a good faith transfer, you must obtain a modification of this permit from this office, which may require restoration of the area. 3. If you discover any previously unknown historic or archeological remains while accomplishing the activity authorized by this permit, you must immediately notify this office of what you have found. We will initiate the Federal and state coordination required to determine if the remains warrant a recovery effort or if the site is eligible for listing in the National Register of Historic Places. 4. You must allow representatives from this office to inspect the authorized activity at any time deemed necessary to ensure that it is being or has been accomplished in accordance with the terms and condi tions of your permit. Special Conditions: (A) The permittee understands and agrees that, if future operations by the United States require the removal, relocation, or other alteration, of the structure or work herein authorized, or if, in the opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause unreasonable obstruction to the free navigation of the navigable waters, the permittee will be required, upon due notice from the Corps of Engineers, to remove, relocate, or alter the structural work or obstructions caused thereby, without expense to the United States. No claim shall be made against the United States on account of any such removal or alteration. 3 J" PERMITTEE: PERMIT NO. : Donna Fragola 2001-01247 (Bl To protect water quality and Essential Fish Habitat, dredging shall be performed at low tide to reduce turbidity and use of a dragline to dredge is proh1b1ted~ Further Information: 1. Limits of authorization. a. This permit does not obviate the need to obtain other Federal, state, or local authorizations required by law. b. This permit does not grant any property rights or exclusive privileges. c. This permit does not authorize any injury to the property or rights of others. d. This permit does not authorize interference with any existing or proposed Federal proj ect . 2. Limits to Federal Liability. In issuing this permit, the Federal Government does not assume any liability for the following: a. Damages to the permitted project or uses thereof as a result of other permitted or unpermitted activities or from natural causes. b. Damages to the permitted project or uses thereof as result of current or future activities undertaken by or on behalf of the United States in the public interest. c. Damages to persons, property, or to other permitted or unpermitted activities or structures caused by the activity authorized by this permit. d. Design or construction deficiencies associated wi th the permitted work. e. Damage claims associated with any future modification, suspension, or revocation of this permit. 3. Reliance on Applicant's Data: The determination of this office that issuance of this permit is not contrary to the public interest was made in reliance on the information you provided. 4. Reevaluation of Permit Decision: This office may reevaluate its decision on this permit at any time the circumstances warrant. Circumstances that could require a reevaluation include, but are not limited to, the following: a. You fail to comply with the terms and conditions of the permit. 4 , PERMITTEE: PERMIT NO. : Donna Frago1a 2001-01247 b. The infermatien previded by yeu in suppert ef yeur permit applicatienpreves to. have been false, incemplete, er inaccurate (See 3 abeve) . c. Significant new infermatien surfaces which this effice did net censider in reaching the eriginal public interest decisien. Such a reevaluatien may result in a determinatien that it is apprepriate to. use the suspensien, medificatien, and revecatien precedures centained in 33 CFR 325.7 er enfercement precedures such as these centained in 33 CFR 326.4 and 326.5. The referenced enfercement precedures previde fer the issuance ef an administrative erder requiring yeu to. cemply with the terms and cenditiens ef yeur permit and fer the initiatienef legal actien where apprepriate. Yeu will be required to. pay fer any cerrective measures erdered by this effice, and if yeu fail to. cemply with such directive, this effice may in certain situatiens (such as these specified in 33 CFR 209.170) accemplish the cerrective measures by centract er etherwise and bill yeu fer the cest. 5. Extensiens. General cenditien 1 establishes a time limit fer the cempletien ef the activity autherized by this permit. Unless there are circumstances requiring either a prempt cempletien ef the autherized activity er a reevaluatien ef the public interest decisien, the Cerps will nermally give faverable censideratien to. a request fer an extensien ef this time limit. 5 ::5' ,1,\' RAMP FORDHA CANAL (APPROX. WIDTH. "5') - 78,.32' rJ' ,II!. " ..----- .+P.. B" PIl.E (rYP') '\' X 11' fiXED TlMBER CArw/'J..K '70 - 200 L.". RIP -1iW' C1-~C!.4) I cD'4 "I- o II') 11')" C'I~ "- .,0 ~ <:>~ Zu ~:i -,,,, ..,=> ~ll. Oen w en => '-tu ::>0 E~ o -\ \ \ " o :> o. ZU =>z eo \ " \ I / \o-~ 9- / ~ / I I I I .;. \ + \ es u. <?+ u.C'5 (I),. ::l~ "115 "'~ . " " " - ~ o T 0;+ \ \ \ \ , I I f I of /.' ...... \ 1,44- " I~' v ~ o <v 0 Zw 6~ a. " / \ I /' -POND LANE GULL C WA1ER IN STREE1) (PU8L1 o ~ '" w .... <:>~ Zu :J::; -,,,, ..,=> ~ll. Oen . w en => ~ \ \ .... Co " ... @) w o <( >:w UU 2" ent' 1 WATER MnER ~ UlIlIT1' POLE lIL #9 + STIRLING ;- / '0> 5I./T<6. c...m, ~""' I/a;> 1/: I""''''~' 1145b (Shelter Island Sound - Donna Fragola,- Pier Assembly, Dredge '0 w/Upland Dispp.sal). N?te" I. Ero>k>1 contra: private boa!; doc~: recov""l of Io.t up/at:l materia m:I improvement of "",iqaOO1aI "'c"'. 2. Datum: fl-W ~. l1etainirq wallo be of ~ CGYl5tndia1; al ~mber 10 be CCA-treated 4. I1etalnirtj wallo be tied Wllo = of adj",ent Wkl1ead to srot.h: tGp e1evatial of .trucbre 10 """ down.v...d (east.to-w",tJ ~ m-therl4 "",to> of prcper<4. CGYl5,.tent with decrease ~ tGp e1evatlal d emba-kment cr.,t '7. ft;pr01.. 1'7 cub~ 4"-.. of dredqed sm:I/ .,It spoil 10 be used for b",kfill beh~ ret.a~irq wal 6. Project locatlat.114'7 CUI PGl'd l....... lKe~. 5CfM No. 1CJCX)-?'7-4-B 1. Water depth. reca-de. arirq low ~de ~ Chri. M.Lm. NY5OEC. a!; 10:7aMl. 10/ 2?/ 01 B. Mja;ent OHner.: I) Mow,,, 2) CO>tello ~) 5o!,ie,,<I< EN-CONSULTArJTS INC. 1329 NORTH SeA RD. SOUTHAMPTON, N.Y. 11968 "" < "83 6""" 0..) ,-;: - ';QIJ PROP05f;D RffAJNINc.:; W,AL.l; DOCK; AND DREDc.:;INc.:; fOR DONNA fRALAOlA ON fORDHA!v\ CANfl. c.:;RE'ENPORf, 5UffOlK COUN1Y, ~J'( xEEflOf 28/1::5/01.9/11/01.10/26/01 . . -,. f "'/-7~' 1 Pm'O:Cv~ tWfA Gl' Blafl.l. (~Ol) I , 12' I ~~' PRCP~lIllMBf~ IIOCK 17' CAfW/i.K I I 14' RfNP a:f5f Cf fj,ANK (1I15fMU F~OM fa V~5) FLOAf i-- 6'--l 2) 6"Wfl-e !'~ ". '. EX~ --......_ . .. . -2'-6" . ~ 2'-P PRCf'~1I PRCl'~IIfl-W I/, -~'~~I?i 14' VIN'tl.li:UNNIt-.kAW/i.~ ("'".) -uNfAfOlJf[;lifVavfO-'r'ItWONIJ.J ,,.., -1' [I/'PWI(. 1HY, 5l'0lJ B" PI~It-.kA5 ( fyf') eX,fl-W fflN-2'-6" /i.W-O'-O" . . :i':O'. (2) B" Pllt-.kA5 , . seC1l0N fHRU PROPoseD DOCK: RfiAlNINu W,AL.l: AND DRWCiINCi SC,AL.f :/" ~ 10' 1145b (Shelter Island Sound - Donna Fragola - Pier Assembly, Dredge w/Upland Disposal) . EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.Y, 11968 6:: ,-283-6360 PICOP05W 1Ct:IAJNINiA W,AU_; t?OCK; .ANt? t?iCWCAINCA FOIC t?ONNA FICMOL-A ON FORDf-iAM CANAl CARt:t:NPOICf, 5UFFOL.K COUNfY, NY / , Ot"lTf2Of 2 8/1'5/01,9/17/01,10/26/ olil Jc M-t6 ''---" TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER VILLAGE DIST. SUB. V' I vlll1.J Ld~I'e. , if ;tf ,. f.) ACR. .~.: , ,( ".; -' ) /~ r ,I V"'-'~v"'~ E ,. I TYPE OF BUILDING S W LAND IMP. VL. .3 Ij TOTAL FARM COMM. CB. MISe. Mkt. Value REMARKS If _ .j (;v,eA ~ 7/QQ-UIC,(P7p'65a.-Lubrlch ., ! '>1 ./..,/ ,r' ,- ".,,-."' r " h"'" ~ES, SEAS. 1 -Iv ;;'-0.90 I a. - ~OO/) 0 b ~---- O() 2- 00 eJ"-\/' AGE NEW FARM BUILDING CONDITION NORMAL BELOW ABOVE Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 House Plot FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD 20 Woodland Swampland ~/'106 Brushland ;:,.., L- 7t, '3J, \rtU{~ i.i 'A: '/0 ;~~ - J 6 I . I 'f "'" 11, A.'<c&- ~ I. 7.'l'f ~ 5; ,W,;.{. Total DOCK o ADVOCATES ABSTRACT, INC. DOGWOOD PROFESSIONAL CENTER 6302 ROUTE 25A . PO BOX 958 . WADING RIVER, NY 11792 (631) 929-6686 FAX (631) 929-3708 TITLE NO. L-277734~S VARIANCE SEARCH (SINGLE & SEPARATE) STATE OF NEW YORK) ss. : COUNTY OF SUFFOLK) STEPHEN M. RICHARDSON, being duly sworn, deposes and says: That he is the President of Advocate's Abstract, Inc., an Agent of Conunonwealth Land Title Insurance Company and has had a search made, under his direction of the records and/or files of the County Clerk and Registrar of the County of Suffolk for the purpose of an application for a variance affecting the following premises: TAX MAP DESIGNATION: District: 1000 Section: 035.00 Block: 04.00 Lot: 008.000 That such search includes a chain of title as to the premises and all of the adjoining lots since prior to 12/18/65 and such search shows that according to the names listed herein as shown by the search of the public records, no contiguous property was owned by an owner of property involved since that date. That this affidavit is made to assist the Building Department and Board of Appeals of the Town of Southold to reach any determination which requires as a basis thereof the information set forth herein and knowing full well that said Town will rely upon the truth hereof. This Company's liability is limited to Twenty-Five Thousand and 00/100 ($25,000.00) Dollars for negligence only. No policy of insurance is to be issued hereunder. ADVOCATE'S ABSTRACT, INC., as Agent for Conunonwealth Land Title Insurance Company BY: ~---e STEPH N M. RICHARDSON Sworn to before me this I01jt day of March, 2003. of'''' ~ 't:-'.. ~ l ,,/l~ "-- KAREN L RICHARDSON I\OIARY PUBLIC, "GINN YOlk _ REPRESENTING 01R14ll37211-COMMONWEALTH LAND TITLE INSURANCE COMPANY ~1Ied"~N TITLE INSURANCE SINCE 1816 ..ul nmlsslon ..........~ 03 ~UBJECT PREMISES: lUUU-U35.UO-04.0UUU5.UUU LlLLlAS CORWIN to HERBERT L. FORDHAM Dated: 04/24/05 Rec'd: 04/24/05 Liber: 566 cpo 321 (conveys tax lot 8 and more) Herbert L. Fordham died on ~/IU/5J, File #702P53, leaving Inez Fordham ad devisee. Inez Fordham died on 10/21/54, File #175P55, leaving Austin Davison as devisee. AUSTIN DAVISON to ROBERT H. PRESTON Dated: 12/04/58 Rec'd: 01/23/59 Liber: 4577 cpo 528 (conveys tax lot 8 and more) ROBERT H. PRESTON to RUTH F. PRESTON, IDA BELLE LATHAM and ROIlERT L. MUIR Dated: 05/07/59 Rec'd: 06/16/59 Liber: 4642 cpo 146 (conveys tax lot 5 and more) IWTlI F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR to GERTRUDE C. LUBRICH Dated: 02/18/65 Rec'd: 09/16/66 Liber: 6033 cpo 391 (conveys tax lot 8) GERTRUDE C. LUBRICH a/k/a GERTRUDE C. KOCH to DONNA L. FRAGOLA (LAST DEED OF RECORD) Dated: Rec'd: Liber: 04/07/99 06/07/99 11967cp.832 ------------------------------------------------------------------- ADVOCATE'S ABSTRACT, INC. BY:~~ STEPHEN M. RICHARDSON Sworn to before me this 16'1':" day of March, 2uUJ ~a....o....a.l.- cK'. a J...c1.-<...~ - I KARENL-RIC~RDSON NOTARY PUBLIC, State 01 New York . 01RI4837291 QuIlItled In SuM ~11 c;.....IIIIIlIIEllP* 1 ::ryl)~ PREMISES ADJOINING NORTH: 1000-015.00-04.00-028.040 LlLLlAS CORWIN to HERBERT L. FORDHAM Da ted: 04/24/05 Rec'd: 04/24/05 Liber: 566 cpo 321 (conveys tax lot 7.2 and more) Herbert L. Fordham died on 9/10/53, File #702P53, leaving Inez Fordham ad devisee. Inez Fordham died on 10/21/54, File #175P55, leaving Austin Davison as devisee. AUSTIN DAVISON to ROBERT H. PRESTON ROBERT H. PRESTON to RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR and HELEN MUIR (ux) to FRANK BISK, VIOLET GERMANSKY, CLAIRE BRODY and SARAH RAUCH FRANK BISK, VIOLET GERMANSKY, CLAIRE BRODY and SARAH RAUCH to HELEN RUTKOWSKI and HAROLD STETLER, as tenants in common HAROLD STETLER to HELEN A. RUTKOWSKI (LAST DEED OF RECORD) Dated: 12/04/58 Rec'd: 01/23/59 Liber: 4577 cpo 528 (conveys tax lot 7.2 and more) Dated: 05/07/59 Rec'd: 06/16/59 Liber: 4642 cpo 146 (conveys tax lot 7.2 and more) Dated: 01/30/70 Rec'd: 02/03/70 Liber: 6699 cpo 467 (conveys tax lot 7.2 and more) Dated: 08/04/75 Rec'd: 08/28/75 Liber: 7900 cpo 427 (conveys tax lot 7.2) Dated: Rec'd: Liber: (conveys 06/21/91 06/26/91 11288 cpo 396 tax lot 7.2) ------------------------------------------------------------------ Sworn to before me this IO++-' day of March, ~003. ~I/.... cK: ~c...f...o'...IJ ~ -~ ADVOCATE'S ABSTRACT, INC. BY:~~~ STEP EN M. RICHARDSON KAREN L RICHARDSON NOTARYP\J8UC, ....afHlwYOIll 01R14837211 QuelIfted In lIuM~ t..ufrvnMlanExpna /03 PREMISES ADJOINING NORTH: 1UUO-03~.00-04.0U-U28.U4U LLLLlAS CORWIN to HERBERT L. FORDHAM Da ted: U4/24/05 Rec'd: 04/24/05 Liber: 566 cpo 321 (conveys tax lot 28.40 and more) Herbert L. Fordham dIed on 9/10/53, FIle #702P53, leaving Inez Fordham ad devIsee. Inez Fordham died on 10/21/54, FIle #175P55, leavIng Austin Davison as devisee. AUSTIN DAVISON to ROBERT H. PRESTON Dated: 12/04/58 Rec'd: 01/23/59 Liber: 4577 cpo 528 (conveys tax lot 28.40 and more) ROBERT H. PRESTON to RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR Dated: 05/07/59 Rec'd: 06/16/59 Liber: 4642 cpo 146 (conveys tax lot 28.40 and more) RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR to ROBERT H. PRESTON Dated: 03/01/72 Rec'd: 05/08/74 Liber: 7633 cpo 111 (conveys tax lot 28.40 and more) RODERT H. PRESTON and RUTH F. PRESTON (ux), ROBERT L. MUIR and HELEN MUIR (ux) to JOliN A. COSTELLO Dated: 12/28/79 Rec'd: 02/22/80 Liber: 8781 cpo 523 (conveys tax lot 28.40 and more) continued ...... ------------------------------------------------------------------ ADVOCATE'S ABSTRACT, INC. BY:~~- STEP EN M. RICHARDSON Sworn to before me this IO'!:::b day of March,. 2003. rl(~~Qc..f.....-..~ ~ I KAREN~ R~SON NOTARY PUBLIC, SlIl8 III ~ York 01RJ.4837291 Qulllfted In SUIIok County c ",,:!!!,,lfll"llnn l="...J~ ,-;-{ :t,,1 ,.... ~ _ JOHN A. COSTELLO to PECONIC HOLDING CO., INC. Dated: 04/30/80 Rec'd: 06/03/80 Liber: 8831 cpo 224 (conveys tax lot 28.40 and more) PECONIC HOLDING CO., INC. to HELEN A. RUTKOWSKI Dated: 12/20/88 Rec'd: 03/17/89 Liber: 10818 cpo 532 (conveystaxlot28.40~ HELEN A. RUTKOWSKI to HELEN A. RUTKOWSKI, as Trustee of a Revocable Trust dated 3/20/01 (LAST DEED OF RECORD) Dated: Rec'd: Liber: 05/14/01 OS/23/01 12120 cpo 15 ------------------------------------------------------------------ PREMISES ADJOINING EAST: 1000-035.00-04.00-028.034 (p/o) LlLLlAS CORWIN to HERBERT L. FORDHAM Dated: 04/24/05 Rec'd: 04/24/05 Liber: 566 cpo 321 (conveys tax lot 28.34 and more) Herbert L. Fordham died on 9/10/53, File #702P53, leaving Inez Fordham ad devisee. Inez Fordham died on 10/21/54, File #175P55, leaving Austin Davison as devisee. AUSTIN DAVISON to ROBERT H. PRESTON Da ted: 12/04/58 Rec'd: 01/23/59 Liber: 4577 cpo 528 (conveys tax lot 28.34 and more) continued ..... ------------------------------------------------------------------ ADVOCATE'S ABSTRACT, INC. ~ BY: 9- STEP EN M. RICHARDSON Sworn to before me this IO~ day of March, 2003. ~~~~~L~~ -, ~- NOTARYPUllUC,S....oINewYCll1< 01R14837291 QuIItIed In 6uI!llI< r;pty CA,.,..I_l" ,~ ~il1_~ ROBERT.H. PRESTON to RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR Dated: 05/07/59 Rec'd: 06/16/59 Liber: 4642 cpo 146 (conveys tax lot 28.34 and more) RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR to KENNETH A. DEEGAN Dated: 12/31/68 Rec'd: 01/15/69 Liber: 6489 cpo 474. (conveys tax lot 28.34) KENNETH A. DEEGAN to JUDITH A. DEEGAN Dated: 09/01/96 Rec'd: 06/03/97 Liber: 11833 cpo 548 (conveys tax lot 28.34) JUDITH A. DEEGAN to STEPHEN J. FITZPATRICK AND RENEE PONCET FITZPATRICK, ux. (LAST DEED OF RECORD) Dated: 04/27/99 Rec'd: 05/13/99 Liber: 11962 cpo 833 (conveys tax lot 28.34) ------------------------------------------------------------------- PREMISES ADJOINING EAST: 1000-035.00-04.00-028.034 (p/o) LILLlAS CORWIN to HERBERT L. FORDHAM Dated: 04/24/05 Rec'd: 04/24/05 Liber: 5GG cpo 321 (conveys tax lot 28.34 and more) Herbert L. Fordham died on 9/10/53, File #702P53, leaving Inez Fordham ad devisee. Inez Fordham died on 10/21/54, File #175P55, leaving Austin Davison as devisee. continued ..... ------------------------------------------------------------------ ADVOCATE'S ABSTRACT, INC. BY~~~~ STEPHEN M. RICHARDSON Sworn to before me this /0 <f:!:. day of March, .2003. cf d!. ~ c...A..t::u-~ a....u......... KAREN RICHARDSON NOTARY , Stale 01 New Yor1c 01R14837291 au.utIed In SuIIoII r;;;l Cllo...1 111lI~ ry ^3 AUSTl N DA V I SON to ROBERT H. PRESTON Dated: 12/04/58 Rec'd: 01/23/59 Liber: 4577 cpo 528 (conveys tax lot 28.34 and more) ROBERT H. PRESTON to RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR Dated: 05/07/59 Rec'd: 06/16/59 Liber: 4642 cpo 146 (conveys tax lot 28.34. and more) RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR to ROBERT H. PRESTON Dated: 03/01/72 Rec'd: 05/08/74 Liber: 7633 cpo III (conveys tax lot 28.34 and more) ROBERT H. PRESTON and RUTH F. PRESTON (ux), ROBERT L. MUIR and HELEN MUIR tux) to JOHN A. COSTELLO Dated: 12/28/79 Rec'd: 02/22/80 Liber: 8781 cpo 523 (conveys tax lot 28.34 and more) JOHN A. COSTELLO to PECONIC HOLDING CO., INC. Dated: 04/30/80 Rec'd: 06/03/80 Liber: 8831 cpo 224 (conveys tax lot 28.34 and more) PECONIC HOLDING CO., INC. to STEPHEN J. FITZPATRICK and RENEE PONCEI' FITZPATRICK, ux. (LAST DEED OF RECORD) Da ted: 11/30/99 Rec 'd : 12/20/99 Liber: 12008 cpo 374 (conveys tax lot 28.34) ------------------------------------------------------------------ ADVOCATE'S ABSTRACT, INC. BY : G.- . Q ",^1lJ ~ S'T'dHEN M. RICHARDSON Sworn to before me this 10 e day of March, 2003. .-J("~^- df (~~~ - I KAREN ~ ~I~DSON NOTARY PUBUC, SIIIIII of New York 01R14837281 QIIIttIed In ,nty c:.....oIo.oI..n EoibI! '7/1\ "l PREMISES ADJOINING SOUTH; 1000-035.00-04.00-009.000 LlLLlAS CORWIN to HERBERT L. FORDHAM Dated: 04/24/05 Rec'd: 04/24/05 Liber: 566 cpo 321 (conveys tax lot 9 and more) Herbert L. Fordham died on 9/10/53, FUe #702P53, leaving Inez Fordham ad devisee. Inez Fordham died on 10/21/54, File #175P55, leaving Austin Davison as devisee. AUSTIN DAVISON to ROBERT H. PRESTON Dated: 12/04/58 Rec'd: 01/23/59 Liber: 4577 cpo 528 (conveys tax lot 9 and more) ROBERT H. PRESTON to RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR Dated: 05/07/59 Rec'd: 06/16/59 Liber: 4642 cpo 146 (conveys tax lot 9 and more) RUTH F. PRESTON, IDA BELLE LATHAM and ROBERT L. MUIR to RALPH FRANK CROCKER and SHIRLEY CROCKER, ux. Dated: Rec'd: Liber: (conveys 06/12/64 07/20/64 5580 cpo 254 tax lot 9) RALPH FRANK CROCKER and SHIRLEY CROCKER, ux. to BARBARA B. PICKEN Dated: 09/23/88 Rec'd: 10/17/88 Liber: 10714 cpo 446 (conveys tax lot 9) continued ..... ADVOCATE'S ABSTRACT, INC. BY:~~ STEPIEN M. RICHARDSON Sworn to before me this {Oo/-!:J day of March, 2003. ~oF ae-fLa.......d~e"'-' KAREN C ~CHARDSON NOTARY PUBLIC. Stale of Now York 01RI4837291 QualIfIed In Suffolk County CornrnIlI1Ilon ExPI_ '2/.-30/ 0 ~ " . BARBARA BALDWIN PICKEN to BARBARA BALDWIN PICKEN, as Trustee of the Barbara Baldwin picken Living Trust of 3/6/89 Dated: 03/17/89 Rec'd: 04/18/89 Li ber: 10838 cp. 529 (conveys tax lot 9) BARBARA BALDWIN PICKEN, individually. and as Trustee of the Barbara Baldwin picken Living Trust to ROBERT SOBIESIAK and MARIANNE SOBIESIAK, ux. (LAST DEED OF RECORD) Dated: 04/08/99 Rec'd: 05/07/99 Liber: 11961 cpo 769. (conveys tax lot 9) ------------------------------------------------------------------ PREMISES ADJOINING WEST: Gull Pond Lane ------------------------------------------------------------------ ADVOCATE'S ABSTRACT, INC. BY:~~ STEP EN M. RICHARDSON Sworn to before me this Jo+-it day of March, 2003. c1<U.4 "- ~ ar GA~ KAREN L RICHARDSON NOTARY PUaUC. Stele 01 New 'fori< 01RU837291 QuIIned In 8ufroI< ~ty CID..... '.n___ 1'~~3 Permit Nwnlxlr REScheck Compliance Certificate New York State Energy Conservation Construction Code IUlScheckSotlwarc Version 3.5 Release Ie DatIl fllenome: C:\Prognun l'i1esICheckIREScheekll'RAOOLA.rck "lTtLE: FRAGOLA Checked ByID8t0 COUNTY: SuWoll< STATE: New York HOD: 5750 CONS1'RUCTION TYPE: Detached I or 2 Family HEA TINO TYPE: Non.E1ectric DATE: 05126/03 DATIl OF PLANS: MAY 1 2003 PROJECT INFORMATION: PROPOSED RESIDENCE FOR MR.AND MRS. F. FRAOOLA GOMPUANCE: ~ M."imum UA-871 Your Home UA - 583 33.1% Better Than Code (VA) Ceiling I: 1'181 Ceiling Dr Scissor Truss Skylisbt I: Wood Frame:Double Pune with Low-E Ceiling 2: Flat Ceiling Dr Scissor Truss Wall I: Wood FIUIC, 16" o,c. Window 1: Wood Frame:Double Pune wilil Low-E Door I: Olass Door 2: Glass Wall 2: Wood Frame, 16" D.C. Floor I: All-Wood JoisllTruss:Over Unconditioned Space Crawl 1 : Solid Concrete or Masonry Wall height: 6.0' Depth helow gt'Ilde: 4.0' Insulation depth: 4.0' FumllllC I: Forced Hot Air, 92 M'UE COMPLIANCE STATEMENT: '11,. pl'llp<>SCd building represenled in this document is consistent with the building plans, specifications, and other ClIicUlatiDrlS submitted with this penpit application. Th. proposed systems have been designed to meet the New York Slate El1el'lY Con...rvation Conllll'lletion Code requirements. 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SURVEY OF LOT 12 MAP OF FORDHAM ACRES SECT/ON ONE nu: Ho_ 3518 nLED llARCH 7. 1812 SITUATED AT GREENPORT TOWN OF SOUTHOLD SUFfOLK COUNTY, NEW YORK S.C. TAX No. 1000-35-04-08 SCALE 1.:40' APRIL 30, 2001 JULY 7.1'c!lfl 1!rr~ ~E.~CTlON AUGUST 15. 2001 REI/ISEIl PROP. HOUSE LOCATION AUGUST 27. 2001 ADDED !SO' IIUFFER SEPTDllIER 25. 2001 ADDED 1.200 gol. SEPl1C T....K I}I 9f ~ ~'!l.... AREA: 27,227.64 sq. ft. ....Jo. "Zo_ _ 0 ...-v 0.625 oc. "'~<P. ...~ \->."0, "2,"" "" '2-.'=""0 t"" ~"'4.- .A~"I<\ ...~ -::\'r ",... ..,-e ~<' -e..... <' .... .- ;.1 Jo eph::A.4ngegno Land Surveyor 1& s:urw,. - SlA. il4 _ - sa. PIaM -.... ....6.. ...,., PHONE (U1)727-2OIO FOIl (Ul)727-1n7 -- P.o. Boll HOt ....... .... 'fort 11101... IYFJCES LDCAlED AT 1J1O AQMO([ ~ RMJIDD. .... yen. 11101 ~ao ~~ I a::c ~ (/)! q~.!t ~u ~,.: 5~'i' ' r:o. ~ Pol ~ ~ ~ i= %~liiS~t' !II OC\l..<~J 0;:) .~i1~ lil~ .....0 ); ~ liH: ~,-. ,~ E b~~~ !~~~~:i:~li i ~...:l ~~;Hi~g:j%uz ~elili~i:: rIl ~ e1~~~!I!lill ~ j g~,": ~~I~ ~ ~~ al i~ z ... . ~o \ .",--: \ ~~ z I. I ~ 1-8 5 I ~ ii ~ I! I ~I ~ ' ~ I' elm ~ i \. q Ii 8 ...I I i 'I' ..., , I hi ~ I' ;"'ttll!.' I~; ". ,ii'lI. :1, i'- ilt, 1111'.' Ill, II;~ I'~; ,!;'I'lillI,i! 'II ~~Ii II '-I @: , II I. II M II .n i t ~g ~r: ~d i II ' ~\C~\!;\cf. i tI(O~'t'L:\~."tt:t t\~tI ~c~'t s't~?~~ 1>0 i'tI ~ ~ II -.,0 ~Q~ .,i c;. 'J; 1~' I jj 'I~ d t I {: , '0 Cl () ~ ~ "" ~ '1'l .~ J...~ 0. " ,~ ......... ~:l 1':.1 I 't<ol\., . "0 '"I.. C) gj :'"!" .rY w r:l H 'j.... Cl 1-' , ~ 'I) ,~..?: l'.:~.......... - ,. I.:' 0 "^ I:, ',' ',' '" \ z - " , I L1 () ~: u l' ( ) ~.: J!l ,,~ \l ;: t' c.. ,_. ,-, ..- ~ < 8 6 o'\.. li i~ /' I 511 I I '<<-f--J I 'I \ @~ ~~ \. I I {: / \ , t . ! i! ; i I . I · , I_ I! 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[t[\IATIONS AIlE Ift.r~KL...tu TO M.C.V.D. 1121 DAllAl EXISTJHG SI'OT nn'ATlONS AIK $MOWN THUS: lIL1J EXISTIHG COIITOUI JJNn AK SHOWN TNUS:- - - - -8M --- TOP Of fOUNDA1ION IlLVAlIOHS AIlL SHOWN THUS: TF J.1U EXISTING SPOT ELnImONS I: CONTOUR LINES ARE: '" PRKlR TO THE STMT Of AIft CONS11tUC1'lOH. 2. lMlS PICJIIPI'fY IS IN FLOOD ZONE AI CEL I) AS SHOWN ON FlOOD 1NSUIIAHCI: RATE IrU.P No. 3110Jc0111 C Z'OHE IE.; IIt\S( f\DOO nLVATIONS DETeIMI€D ,.~ - 2 2IllJ4 ';") "'o.o~ '~q44r C4N4Z S Sa-'9' 00- C \)~ 1-'0'0' tl 82"36'5?" [ 46.10 S 8,.~ < <9' ~8 .~!O*" ...... c ~stO "/O/~\l'fY.O ". yf," 1\10 '" \.~ ...~ "'", ",-z.-z. O~~ -z.. 0 ~~- ..-"'J,~...q ..,'" -'" ?>.":. "'"e. ":.0 "IJ..... ~ SURVEY OF LOT 12 MAP OF FORDHAM ACRES SECTION ONE FILE No. 3519 rIlED MARCH 7, 1962 SITUATED AT GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-35-04-08 SCALE 1"=40' APRIL 30, 2001 JULY 7, J~Jlf, 'ltr 23!J, %'a5lfPE.'t~PEC1lON AUGUST 15, 2001 REVtSEO PROP. HOUSE LOCATION AUGUST 27. 2001 AOOEO so' BUFfER SEPIDotllER 2'. 2001 AIlO€J1.l.l00 JlOl- SEPTIC T"'" DECEMBER S. 2001 Rt.VTXU PROP. HOUSE ~R1l 3. 2002 REVtSED PROP. HOUSE J4Nl..Wff 8, 2003 REVrSED PROP. HOUSE FEBRlIARY 13 2003 ADDED PROPOSED FlOOR EL APRIL 7, 2Doj CORRECTED PROP. HOUSE AREA MAY 19, 2003 LOCATED DOCK a: BULKt-EAD IN\IUARY 20. 2004 FOUNOATlON LOCATION . ~ .1:JO ,0 ''o~ / '00 / ~ / .' , ::9! 'I< o ~ CERTIFIED TO: FRED FRAGOLA DONNA FRAGOLA , ,: @ yO'f lJtIWJl1<<MIIZE ....~TQ.l Oft AOOmON 'TO TIeS SlJItoOrY IS A W1Al1OIol OF SEC1IJN 7201 (6 lH[ NEW 'l'ORK STATE mucA",,* LAW. ~ AREA = 27,227.64 sq. It. O.Ciai .e. __J~"'= =- ~ EMBOI!IED 1UL StW.L Nl7l' I[ CONSlIIER!D 10 IE A. \IllUD lRUE COPI'. CU1I'1tAT1ONS ICIlQUED HEJlIEOtrl SWJ. MJH ON..Y TO 1M[ PEHSON Fat WMOW THE SUIMY IS~NoIDON"lOWFlOM ~COMP~um"~NC)NCI 10 THE ...-.us (If H l..ENlNa Nm- llmON. CfJmlIICA.1IONS IIfL NOT ~ Joseph A. Ingegno Land Surveyor T& ~ - !A.lildli' '_ _ - Sit. Pfa". - COMtrvction I.G)'OUt 1lf[ IJOSTENC[ Of" lIGHT or WAYS AMO/OA EASEWNfS Of ItECOIID, .. ANY, NOr SHOWN .... NOT GI..IAItANlKO. PItON[ (131)727-:zooa 0FF1CES LOCAllV AT 322 RDNOC[ AYEMIiE RM:RttE1D, .... York 11101 Fox (631)727-1727 _ NJORE:SS P.O. 9o1l 18J1 RMrMad, ..... York 11101-0Ie 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. , I L.02.--..(l 29400 '-::'".::t::oS'. z Date MAY 19, 2003 permission is hereby granted to: DONNA L FRAGOLA MEDFORD, NY 11 7 6 3 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATT. ONE CAR GARAGE COVERED FRT.PORCH & REAR PORCH TO COND.OF ZBA #5147; FLOOD PMT; 4 BEDROOMS ONLY at premises located at 1145 GULL POND LA GREEN PORT County Tax Map No. 473889 Section 035 Block 0004 Lot No. 008 pursuant to application dated DECEMBER 27, 2002 and approved by the Building Inspector to expire on NOVEMBER 19, 2004. Fee $ 1,219.30 /~~ I Authorized Signature ORIGINAL Rev. 5/8/02 Date: 08/05/02 Transaction(s): Town Of Southold P.O Box 1179 South old, NY 11971 * * * RECEIPT * * * Receipt#: 1 Septic Penn It - Construct - Resld. Total Paid: Name: Fragola, Fred & Donna 138 Oregon Ave. Medford, NY 11763 Clerk 10: BONNIED o Subtotal $10.00 $10.00 " Intem.IID: 61019