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Home My WebLink About31989-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32976 Date: 04/14/08 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 2100 JACKSON (HOUSE NO.) County Tax Map No. 473889 Section 117 ST (STREET) Block 10 NEW SUFFOLK (HAMLET) Lot 18.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 2006 pursuant to which Building Permit No. 31989-Z dated MAY 10, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5819 DATED 3/9/06. The certificate is issued to KAREN L SPEYER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR-nmNT OF HEALTH APPROVAL R10-05-0205 02/14/08 ELECTRICAL CERTIFICATE NO. 3000514 09/28/07 PLUMBERS CERTIFICATION DATED 11/30/07 HI-TECH PLUMBING ~Ori~ Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1 " I I b~ A. \L\,"~,_.J _~~:~__ -- ._-- . .--- ---- -;-- This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of Wilter ""'1'1'17 and sewerage-disposal (S' S form). Approval of electrical installation from Boar d of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. APPLICATION FOR CERTIFICATE OF OCCUPANCY I II \ " 2. 3. 4. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.lpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 2. 3. 4. 5. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $2_.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - , .25~ Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 1ll4J2Ul (0 c2eO P Date ..........................;............... New Construction........... Old Or Pre-existing Building....~........... Location of Property. .r!.F?c:.............. :!.1-.GI:{.ff!(Y. .~r:........ .N~.<fP.f?~C-:K... House No. Street Hamlet County Tax Map No Property... u#t!M .f'. Mfo/!\!. .Sl:.F:f.~........................ 1000, Section... .1/7.... .Block..... .1.9...... .Lot.. ./f" I............ Onwer or Owners of Subdivision................................... .Filed Map........... .Lot...................... Permit No. s.!. r. ?1... .Date Of Pemit.. 5/10./0. b.. . .Applicant~VfM. >!s.~ .Ni!/f. 1210- O~~ 0205':. . Heal th Dep t. ApprovaL......................... Underwr~ ters ApprovaL........................ Planning Board Approval......!.\!~~........... Request for: Temporary Certificate........... Final . / Cert~cate.......... . (j..~. 7t.f 1/ { c o~ 3)(1 7(, 'HH.H.HHHH.....HH.. , ~ . . . . . . . . . . . AP;~Ic~"";"""""""" . . . . Fee Submitted: 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. 31989 . Z Date MAY 10, 2006 permission is hereby granted to: KAREN L SPEYER 2100 JACKSON ST NEW SUFFOLK,NY 11935 for : ALTERATIONS & ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING PER ZBA AS APPLIED FOR at premises located at 2100 JACKSON ST NEW SUFFOLK County Tax Map No. 473889 Section 117 Block 0010 Lot No. 018.001 pursuant to application dated MAY 4, 2006 and approved by the Building Inspector to expire on NOVEMBER 10, 2007. Fee $ 1,119.60 /L t/~ Authorized Signature ORIGINAL Rev. 5/8/02 il!ffi! il!ffi! il!ffi! E!ImB! I!l ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ . il!ffi!Jil!ffi! ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at I Application Number: ~ Section: 1000 Block: ~ ~ I ~ ~ ~ ~ ~ ~ i ~ I ~ ~ ~ ~ ~ ~ ~ I ~ E!lmB!il!ffi!il!ffi!~il!ffi! il!ffi!Jil!ffi!il!ffi!Iii!Iii! BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by CUSTOM LIGHTING OF SUFFOLK INC PO BOX 1698 MATTITUCK, NY 11952, KAREN SPEYER 2100 JACKSON STREET NEW SUFFOLK, NY 11956 2100 JACKSON STREET NEW SUFFOLK. NY 11956 3000514 Certificate Number: 3000514 117 10-18 Building Permit: 319892 BDC: n511 Lot: Described as a 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, 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 28th Day of September, 2007. Name OTY Rate Ratio. Circuit I= Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Dish Washer Exhaust Fan Range Furnace Air Conditioner Panels I 0 9 0 Carbon Monoxide Smoke 1.2 KW F.H.P. 40 Amps Gas 24.000 BTU 100 14 General Purpose General Purpose Incandescent 20a Laundry seal 30a Dryer I of 2 2 0 3 0 I 0 1 0 I 0 Wiring and Devices Receptacle Switch Fixture Dimmers Receptacle Receptacle 43 0 51 0 51 0 9 0 I 0 1 0 Continued on Next Page This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. il!ffi!il!ffi!Iii!Iii!~il!ffi! FROM SOUTHDLD TOWN PLANN 1 NG BOARD FAX NO. 631 765 3136 Ma~. 182001 02:19PM Pi Town Hall, 53095 Main Road . P.O. Box 1179 SOU1hold, N,wYorl< 11971 FlIX (516) 755-1823 Telephone (516) 785.1802 OFFICE OF ntE BUILDING INSPECTOR . TOWN OF SOUTHOLD C E R T I FIe A T ION DATE: It/aclO? Building Permit No. ownerl -::J~ras.... K4/lt:4 S?<!-'-It=:f\.. ' (please print) - Plumber: ffi-Tez.tI f'1\Jiltbli'llf (please print) . HI-TECH PWMBING & HEATING ENT INQ. 700 MAIN RD. . ./ RlVERHEAD, NY 11901 631-722-9616 L I certify. that the solder used in the water supply system contains less than 2/10 of l' lead. Sworn to before me this 30 day of Notary P1;1blic1 NoJ~ , ~~ (2, ,ili\ 'f,. County ',(l, ~ ~FER NtltaIyPllbllc,SlJIeotNowM Ho.4n716Z ~inSuffolkCounty . Commission Expires Apli130, ZO,~ LS BOARD MEMBERS h D. Oliva, Chairwoman . . . Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman / http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809. Fax (631) 765-9064 Mailing Address: Southold Town Hall 53095 Main Road. P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF MARCH 9, 2006 ZB File No. 5819 - James and Karen Speyer Property Location: 2100 Jackson Street, New Suffolk CTM 117-10-18.1 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's 43,415.97 sq. ft. parcel has 120.21 feet along Jackson' Street and 371.62 feet along Fourth Street. The property is improved with a one and story two frame, single- family dwelling with accessory shed and garage, as shown on the January 28, 2005 survey prepared by Joseph A. Inge9no, L.S. BASIS OF APPLICATION: Building Department's October 19, 2005 Notice of Disapproval, amended January 6,2006 and February 3,2006, citing the Walz Interpretation (Sections 100-242A and 100-244), and Section 100-242A, in its denial of an application for a building permit. The reason stated by the Building Inspector in the denial is that after demolishing portions of the existing two-story dwelling, the reconstruction in the same place, and new additions and alterations, will constitute an increase in the degree of nonconformance when located at less than 50 feet from both streets. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on March 2, 2006, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: The applicants wish to construct a reconstruct a substantial portion of the existing single-family dwelling, and to add a minor extension, within 50 feet of the front yard property lines, as shown on the site plan prepared by Samuels & Steelman, Architects dated 1/6/2006 (Project 0419). 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 variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicants are proposing to replace the additions built many years ago with new construction, preserving and restoring the original historic, mid-nineteenth century design with a gabled roof as opposed to a flat roof, in the same footprint of the existing home. Also proposed is a new bay window and covered, open porch for enjoyment of the southern vistas. The applicant states that the new construction will result in improvements very much like the existing house in architectural form and mass, and will require upgrades by the Health Department for a new sanitary system meeting current codes. The height e 2 - March 9, 2006 File No. 5619 - J. and K. Speyer M N~.117-10-18.1 for the new construction will be 29'7" to the top of the ridge. The setbacks will not be reduced to less than the existing nonconformities on the northern or western yards, and the footprint of the existing home will be utilized, except that a single-story, open covered-porch will be added at the south side of the home. 2. The benefit sought by the applicants cannot be achieved by some method, feasible for the applicants to pursue, other than an area variance. While applicant's wish to preserve and restore the architectural integrity of the existing home, the code requires approval from this Board before a building permit may be issued. The home contains additions that were poorly built and placed in a location that does not conform to the current zoning code. With the proposed reconstruction of similar architectural design as the existing dwelling, proper structural supports and building standards will be met. 3. The variances granted herein are substantial, in that the nonconforming setback areas for the new construction, as a replacement, are substantially less than the code requirements. 4. No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The road services three existing houses and the new construction will be screened. 5. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of reconstruction of a major portion of the existing house, and a minor addition, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Simon, seconded by Chairwoman Oliva, and duly carried, to GRANT the variance as applied for, as shown on the site plan prepared by Samuels & Steelman, Architects dated 1/6/2006 (Project 0419). Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer, Simon and Weisman. Member Dinizio was absent. This Resolution was duly a~ted (4-0). . \k ,"70" /j, <3l1~, Ruth D. Oliva, Chairwoman 4/..s-/06 Approved for Filing Date: 05/04/06 Transaction(s): 1 1 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Receipt#: Check#: 12986 Septic Permit - Construct - Resid. Reference 3589 Total Paid: Name: Samuels, & Steelman 25235 Main Rd Cutchogue, NY 11935 Clerk ID: FRAN 12986 Subtotal $10.00 $10.00 Internal 10: 3589 311rlz- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING jXf FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS: ,F~~/ , LL6I\/ ~~~ DATE 3 -7-- () r INSPECTOR ~ ~ - ----- 31 ~ l, z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ;rJ.aeL ~ rj-- A ~ ~v~ ~ ~~--f4- -he~ k. ~1Jf! ~ ~ 1- "A.Bft, -, (JY\. / . DATE ;2-/}- P gr , INSPECTOR ~~ ]) 7 ~1~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST ~OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENEmAnON fI ' JI/ J J) L- REMARKS: / -1 ---1/ r-f ~/l Jtr- , , DATE J,( 7 ~Q 7 l INSPECTOR. 3/ ,t4 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] FOUNDATION 2ND )(J ~RAMING I STRAPPI,NG [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] RRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARK~ ~ ~ J-~ ~ Of(: DATE 18-~y-tJ6 INSPECTOR~~ 3 ) ~ 'l~ z.. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [><J' FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~, DATE 7-!}-oC ~~<~ INSPECTOR . 3) ~ ~~ Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION ~ FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: /4~. . ok lA- ~ , ~ - 7-7-&(, DATE INSPECTOR ~~ ,-- FIELD INSPECTION REPORT DATE . (" ~() -1 0/. ..... I ( COMMENTS i.A.J L J ~ /// of . "V ~ ,/ ~J;;J " ~ 0:8~ ~') ::3 'It FOUNDATION (1ST) FOUNDATION (2ND) A ~h~~ 11/J'7 II :J.vJ 1/. J ,()J/R +.1.-- /J u.l.JI, 1/ 1/ ~:=Ig , ~~ v V ' ~ ~ 2 /1).-1'...- ~('" VA" <: ,. rJ. /J11\ "_/I "- tz1p r?Je ~~ -t'l'V9 I I / (/ .. . // t/ ~ V c; 3/7A.7.-11(7.. A. V"..#- ~_Y2d C Ul ..., / ./' '-/;/ / Li~ '" ~ ~ f'\ (I( 9 ~ ROUGH FRAMING & PLUMBING V\ 1- INSULATION PERN. Y. STATE ENERGY CODE ~ t"' l'll ..., ,/ ), , {(/Y!f x; (I... h-<-LrJJ~) I ! ;:- (Ii r- /JW ,~ u,V..:t1..:.. rJ- v. - - 01 c0itVIAA (~ (k If- ../1- '" n J /IV"". Jf->. v p).,. n. .In..1J-' 1I:.J7. (/) .~ ' An_.....*; ~~-~.n'Il....'^"j/f): jyr1 "b.LM-5. f -ta-Jrt V--JJ../J 1'O,;,./Jnn V -#n17 RCU~"" . On; 0 00. -lh.. . .0,. D.' J-1F" '/fo. _ _, ,..L -' i Y1. A hn'" \,..() (I, A...-< 'II / / f' l\. C -() . :'.:, ok, 11 Hn., lY---~~~A , 'Z {/\ --t (il -L r1i lv~ Z 0~"' ]J T. (II L . i~I~~o FINAL 3-1~09, ,ADDIDONAL COMMENTS ~\:c.O\ ~ (\ cJ. D,C) oN, .R, ic\.f eln . ,oj )Cj /, 10 (Y\ ~&y:/- ($., L ~;;I ell - h~l f,u ()/( '/ ! iT ( ;'- k 4 ~I'~~ ;, ~ - 0go :zoa It> -:;t: o~ A., t:: ~/ ..., i.I1:;t: Ol:::l fL' ~ 5\~ "'. . . .~ ., Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 31 , 2005 Mr. Thomas C. Samuels Samuels & Steelman 25235 Main Rd. Cutchogue, NY 11935 RE: SPEYER RESIDENCE 2100 JACKSON AVE., NEW SUFFOLK SCTM#117 -10-18.1 Dear Mr. Samuels: The Southold Town Board of Trustees reviewed the site plan prepared by Thomas C. Samuels dated October 20, 2005 and determined the renovation of the existing two- story dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Town Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 25' landward from the top of the bluff, without further authorization from the South old Town Board of Trustees pursuant to Chapter 97 and/or Chapter 37 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. 2 However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, J{~. 1- ? ;4..'7....J.. f} .. Albert J. Krupski, Jr., President Board of Trustees AJK:lms New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0403 . FAX: (631) 444-0360 Website: www.dec.state.ny.us ~ ... ~ Denise M. Sheehan Commisioner April 25, 2006 Jim and Karen Speyer 450 West End Avenue Apt. 3A New York, NY 10024 RE: Speyer Property 2100 Jackson Avenue New Suffolk, NY 11956 DEC# 1-4738-03532/00001 Dear Permitee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Sherri Aicher Environmental Analyst Enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER '1-4738-03532/00001 FACILITY/PROGRAM NUMBER(S) o PERMIT EFFECTIVE DATE Ami! 25, 2006 EXPIRATION DATE(S) Under the Environmental Conservation Law Ami! 25, 2011 TYPE OF PERMIT. New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate o Article 15, Title 5: Protection of Waters o Article 17, Titles 7, 8: SPDES o Article 27, Tille 9; 6NYCRR 373: Hazardous Waste Management o Article 15, Title 15: Water Supply o Article 19; Air Pollution Control o Article 15, Title 15: Water Transport o Article 23, Title 27: Mined Land Reclamation o Article 34: Coastal Erosion Management o Article 15, Title 15: Long Island Wells o Article 15, Title 27: Wild, Scenic and Recreational Rivers o Article 36: Floodplain Management o Article 24: Freshwater Wetlands . Article 25: Tidai Wetlands o Articles 1, 3,17,19, 27,37; 6NYCRR 380: Radiation Control o 6NYCRR 608: Water Quality Certifica- o Article 27, Title 7; 6NYCRR 360: S M tion olid Waste anaaement PERMIT ISSUED TO TELEPHONE NUMBER Jim and Karen SDever ADDRESS OF PERMITTEE 450 West End Avenue, ADt. 3A, New York, NY 10024 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Samuels & Steelman Architects, 25235 Main Road, Cutchoque, NY 11935 631-734-6405 NAME AND ADDRESS OF PROJECT/FACILITY Spever Property, 2100 Jackson Avenue, New Suffolk, NY 11956 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Great Peconic Bav DESCRiPTION OF AUTHORIZED ACTIVITY: Reconstruct a portion of an existing single family dwelling. Construct an addition to existing dwelling and construct a covered porch. Install new sanitary system. All work must be done in accordance with the attached plan prepared by Thomas C. Samuels last revised March 30, 2006 and stamped approved by NYSDEC on April 25, 2006. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the Generai Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: George W. Hammarth .$41 DATE April 25, 2006 Page 1 of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 4. All areas of soil disturbance resulting from the approved project shall be stabilized as per the specifications of the approved plans immediately following project completion or permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 5. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 125 linear feet from the tidal wetland boundary. 6. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales / silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 7. If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding performed at the earliest opportunity when weather favors germination and growth, but not more than six months after project completion. 8. All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 9. All fill shall consist of "clean" sand, gravel or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 10. Disturbance to natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited. 11. Necessary erosion control measures e.g., staked haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed areas. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 12. Sanitary systems (bottom of the tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. DEe PERMIT NUMBER 1-4736-03532/00001 PAGE20f ..1. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department . of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with, or operation and maintenance of, the facility or faciiities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributabie to DEC's own negligent or intentionai acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmentai Conservation law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvais, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECl 71-0301 and SAPA 401 (3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, inciuding all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or faciiity. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Faciiities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation law or regulations of the Department related to the permitted activity. DEe PERMIT NUMBER 1-4736-03532/00001 PAGE 3 OF 4 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 ofthe 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 Environmentai 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, orfor other purposes, and no claim or right to compensation shall accrue from any such damage. 3. All necessary precautions shall be taken to preclude contamination of anywelland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 4. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across or along the bed of a waterway or floodplain, deposits within any regulatory floodway, or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 5. There shall be no unreasonable interference with navigation by the work herein authorized. 6. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 7. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or 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. 8. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 9. 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 Thomas C. Samuels last revised March 30. 2006. DEe PERMIT NUMBER 1-4736-03532/00001 I I PAGE.1..0F.1.. "..... ~AAGE. !YERAGI;;. . . HOUSE: AGE; 696.0 S.F. 696.0 S.F. I 36,852.7 S.F. = .018 % COVERAGE , " \.-4" SEJo"ER "'-FIPE GROUND WATER EL. 2.9' i'JYS[)f=,C ilPp"'l"'in' !I~ j'"'R 'IT:pl,ftS /",\, 1 t.l\ k_.J, .,,-, I.. 'l., .1'<,,>, /iND CONDIT:mJS OF PERMiTl:oi-:!ilJ(-O~ DA TE JC1f,)cif~5J&~ RADE EL.IO.sq 61 II LEACHING POOLS INVERT EL. e.e4' N~I= . ~ "" 011 z. en ct. ~ J ...I::E. ~ ~ .. W...l. ~ 51 ~ i :I:!~~ :;)W'li!:ll~J 0( ::! g ::E w. .. G c(1-. Bi en en. dOcJl 0419 DRAWN BY: CHECKED BY: TS DATE: 2/17/06 SCALE: 1" = 20'..()" SHEET TITLE: SITE PLAN SHEET ~O.: SP JVWN U.I'SUUTHULU BUILDING DEPART T9W1'i1IALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 : www.northfork.net/Sout ).1_J J7J'l~~i. . ~. d '~',: _ J 'i;I' t'c, LeU) " L.___, ,__ , __, ...I. i r' -c; "T. _ "fe", ''"Nc.:' I' ''':,"~_.~-->... . ~_Jh~1J1.NU p,"~~n APPLICATIUN CHbCKLl~T Do'yo.,.l .ve or need the following, before applying? J. 'Board of Health " .,' ". 3 sets of Building Plans Planning Board approval A2 Survey'" ?lq~WZy Check Septic Form N.Y.S,D,E,C. Trustees Contact: . Examined Approved Disapproved ale ~ Mail to: ! Phone: ""7'1> 4-v<.f6J Expiration (0 ,20!!..j APPLICATION FOR BUILDING PERMIT Date to I u INSTRUCTIONS ,20tJJ a. This application MUST be completely fiIled 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 oflot 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 p~rmit shaIl 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 shaIl 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 shaIl be required, APPLICATION IS HEREBY MADE to the Building Department forthe issuance ofa Building Permit pursuant to the Buillling Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Reg~l~tions.. for the. corstrnction of building~,. adilitions: or. alteratio~ or ,for reqlOva.l or den:olitio~ ,~~.he:ein described. 1?e apphl!an'l'agiees ttkOmply With all apphcablt.l'ItWs, ntd1hlltices, bUlldll't'~<l6,.not19il1g c\>d6tMi~~1atlOns, and to admit ""m"'",, "'P'''''" "" p-~ ,,'" j" bWldIDg r" ",=."" ",~,,"~ ~!i!. . . (Signa e of applicant OF name, if a cOIpOration) f)saz:s ~~ f2t.J CuAr~, J Mf (Mailing address of appli t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ,sQfVJW 1s 'hS~ekn 111.1'\ _ Arr.hlfe.d--.S Name of owner of premises :Tirv. rIA-vi )('a~ .sp.~. (As on the t 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. _ j TO fk &-I"rMhd 1. Location of lanll on w~i;h proposed work will be done: al DO J"~A..WCVt Avut. House Number Street NQk1J Juffi ~J~ Hamlet ,~~~ " .Iii. ""',' "1~~~~;~'A'f~"c'::~':'>"',C";1:i:;c,;':"'.:. ,,' ",;6;,;',;.">('~:':; k'~~~\a~11(~' l"j';' 'fiN~,},:" " . ~ .., ...; 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition------1..L.-Other Work 4. Estimated Cost i 'ff)()J (7)0 , (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars ? (To bcpaid 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 exjs~ng structures, if any: Front 51 If Height 1.l-r-1- Number of Stories ::2 Dimensions of, same structure with alterations or additions: Front 5,<;' ~ 11 Depth 70 I D tI Height 2. '1 ' Number of Stories Rear f))f+ Depth ~O++ '1,'Vj Rear SS I 15 /1 8. Dimensions Qf ent\J;e. new construction: Front 55 t g / I Height '2.q ~ Number of Stories 9. Size oflot: Front-1?vO .2[+-4 Rear_J ;;2 S- 07 Depth ')oJ-lo II ~ 7 ). (Pcl f-+. Fb('~ ~ II. Zone or use district in which premises are situated rz..--<<-j 0 12. Does proposed construction violate any zoning law, ordinance orregulation? YES_ NO V 13. Will lot be re-graded? YES / NO. Will excess fill be removed from premises? YES V NO - - '-I50VlIl4-~~J}U - - 14. Names of Owner of premisesOlh\.--I. S Address_J'll' I N'Y Phone No. Name of Architect ;\ddreSS1~~~~_ Phone No 73'-f-i;'io:r Name of Contractor ddress _~ Phone No. ~ . ;"00,. 10. Date of Purchase 'd. mm Name of Former Owner 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES . X NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES 'X NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF <;~ --rhoh1aS c... <s Ci WI {).(! JS . being duly sworn, dep9ses and says that (s)he is the applicant (Name of individual signing contract) above named. lS)Heisthe_~ _ ~_~_~u (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work WIll be performed in the manner set forth in the application filed therewith. Sworn to before me tlnSe) _..L 1_ day of ~ 20QL Signature of Applicant I IA RICHARDS Notary Publi Q ary u c, Slale of Naw York ., .... No. 01 RI6042467 .... Qualified In Suffolk County Commission Expires May 30, 20ft' rAp WINDOWS Provide window units by MARVIN, Inc. as per WINDOW SCHEDULE, FLOOR PLANS and ELEVATIONS. Verify window schedule with Architect prior to placing order. WINDOW FEATURES Wood "Ultimate" units 5/4 x 4" factory applied casings Factory mulled multiple units Low-E II insulating glass with Simulated divided (interior and exterior) lights with 7/8" glazing bars with spacer bars as shown on ELEVATIONS and as below Matching screens in white Factory applied extension jambs of required width Grade 60 coastal hardware package Egress function where applicable Interior hardware in oil rubbed bronze Factory primed on all units WINDOW SCHEDULE All dimensions shown are single unit frame dimension (w x h) TYPE UNIT SIZE (h x w) A WAWN 3228 2'4-1/16" x 2'4" 6 lite sdl's B Wood Octagon 2'6" x 2'6" 9 lite sdl's C CRT 5118 DH 1'5-15/16" x 4'3-3/4" 4 lite sdl's D WUDH 2614 3'1" x 2'7-3/8" 6/1 sdl's E WUDH 2618 3'9" x 2'7-3/8" 6/1 sdl's F 2@ WUDH 2820 4'1" x 2'9-3/8" 6/1 sdl's G WUDH 2622 4'5" x 2'7-3/8" 6/1 sdl's H WUDH 2824 4'9" x 2'9-3/8" 6/1 sdl's 1 WUDH 2628 5'5" x 2'7-3/8" 6/1 sdl's I' 3@ WUDH 2828 5'5" x 2'9-3/8" 6/1 sdl's J 2@ WUDH 3028 5'5" x 2'11-3/8" 6/1 sdl's M WUDHP 6862 5'5" x 5'9-3/8" w/custom sdl's N WUDH 3030 5'9" x 2'11-3/8" 6/1 sdl's 0 WUDH 2636 6'9" x 2'7-3/8" 9/1 sdl's P WUDH 3036 6'9" x 2'11-3/8" 9/1 sdl's Q 2@ WUDH 3036 6'9" x 2'11-3/8" 9/1 sdl's T WUDHP 6878 6'9" x 5'9-3/8" w/custom sdl's V 3@ WUDH 2836 6'9" x 2'9-3/8" 9/1 w/3/8" stl. reinf. SPEYER 12 DOOR SCHEDULE tl Size (HxW) Unit Notes 101 6'8" x 2'8" #7512 reuse combination door 102 8'0" x g'O" WUIFD 9080 w/custom glazing pattern w/new full screen door 103 6'8" x 2'6" WUIFD 2668 w/custom glazing pattern reuse combination door 104 8'0" x 5'4" WUIFD 5480 w/custom glazing pattern w/new full screen doors 105 6'8" x 2'4" #44 pocket 106 6'8" x 2'4" #44 107 7'0" x 2'8" reuse existing 24" plank door 108 7'0" x 2'6" #44 109 2@ 7'0" x 3'0" #44 110 6'8" x 3'0" reuse existing 6 panel door 111 6'8" x 2'0" #44 201 7'0" x 3'6" WUIFD 9068 w/mulled awnings WAWN 3220 w/new combination door 202 6'8" x 2'4" re-use 28" wide plank door 203 6'8" x 2'4" re-use 28" wide plank door 204 6'8" x 2'6" #44 205 6'8" x 2'8" #44 206 6'8" x 2'8" #44 207 2@ 6'8" x 2'0" re-use (2)24" wide plank doors 208 6'8" x 2'8" #44 209 2@ 6'8" x 2'0" re-use (2)28" wide plank doors 210 6'8" x 2'4" #44 211 6'8" x 2'6" #44 pocket 212 6'8" x 2'8" #44 213 6'8" x 2'6" #44 SPEYER 14 APPLICATION 1/ rAGE I or , TOWN OF SOUTHOLD FLOODPLAlN DEVELOPMENT PERMIT APPLICATION This Corm is to be filled out in duplicate. , SECTION I: GENERAL PROYlSIONS (APPLICANT to read and si",,): L No work may start until a permit is issued. 2 The permit may be revoked if any (alse statements arc made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if DO work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulHlllocal, state and Cederal regulatory requirements. 7. Applicant hereby gives consent to the Loca1 Administrator or his/her representative to make reasonable . inspectinns required to verify compliance. 8. l, THE APPUCANr, CERTIFY TIlAT ALL STATEMENTS HEREIN AND IN ATIACHMENTS TO _ THIS APPUCATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. .; (APPUCANT'S SIGNATURE) ~a DATE 6// trG SECTION 2: PROPOSED DEVELOPMENT (To be comoleted bv APPLICANT) NAME ADDRESS TELEPHONE APPUCANT~t" cf \!t~ 25Z35 MILi<< IY.,Csdck~ 7~'I (pi/oS- BUILDER ~,.O'I~rL l4t,~~&~1f I Po IlDx '11.. 7 NIIJJJ~(fP-/J./ 73'1- 5r;df ENGINEER ' PROJECT LOCATION: To avoid delay in processing the application. please provide enough information to easily identify the projecl location. Provide the street address, lot number or legal description (anach) and, outside urban areas, the distance to the nearest intersecting road or well-known l3.Ddmark. A sketch attached to this application showing the project locatioD would be helpful. ~j~SOh. Sf/)I'P-JU~k. ;V,~tet-I Cvh1lLr 0/ FDP(93) '. APPLlCA TJO,," !! PAGE10F4 DESCRIPTION OF WORK (Check all appuublc boxes) A STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE otResidential (1-4 Family) o Residential (More than 4 Family) o Non-residential (FloodprooflDg? 0 Yes) o Combined Use (Residential & Commercial) p 0 Manufactured (Mobile) Home (10 Manu- factured Home Park? 0 Yes) lJ(New Structure rlf Addition g AlteratioD o Relocation lIif'oemolition ~Replacement ... ESTIMATED COST OF PROJECT S ~cq ClOD. B. OTHER DEVELOPMENT ACTIVITIES: o FUJ 0 Mining 0 Drilling IliGrading o Excavation (Except for Structural Development Checked Above) o Watercourse Alteration (Including Dredging and Channel Modifications) o Drainage Improvements (Including Culvert Work) o Road, Street or Bridge Construction o j>ubdivision (New or Expansion) 6lJ'Individual Water or Sewer System o Other (Please Specify) Alter completing SECTION 2, APPLICANT should submit form to Loc.al Administrator for review_ SECTION 3: FLOODPLAIN DETERMINI\.TlON ITo be comnleted bv LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. . Dated The Proposed Development: o Is ~ located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPlAIN DEVELOPMENT PERMIT IS REQUffiED). o Is located in a Special Flood Hazard Area. ARM zone de."ignation is 100- Year fiood elevation at the site is: Fl. NGVO (MSL) o Unavailable o The proposed development is loca{cd in a Iloodway. FBFM Panel No. Dated OSee Seclion " (or additional instructions SIGNED DATE APPLlCA TION .. PAGE 3 OF 4 SECTION 4, ADDITIONAL INFORMATION REOUIRED (To he comokted bv LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before {be application can be processed: o A site plan showing (be location of all existing struclUrcs. water bodies, adj~cco( roads, lot dimensions and proposed development. o Developmeot plans. drawn to scak, and specificatipns. iocludiog where app~cable: details ror anchoring structures, proposed elevation or lowest floor (including basement). lypes of water resistant materials used below tbe ftrst floor, details of floodproofrng of utilities located below the fIrst noor aod details or eoclosures below the fIrst noor, Also. o Subdivisioo or other developmeot plans (rr the subdivisioo or other developmeot exceeds 50 lots or 5 acres, whichever is the lesser, the app~caot must provide 1oo-year nood elevations if they are Dot otherwise available). o Pl3llS showing the extent of watercourse relocatioo aod/or laodform a1teratioos. o Top of new fill e1evatioo Ft. NGVD (MSL). -' o Floodprooflllg protectioo level (ooo-resideotial ooly) Ft: NGVD (MSL). For Ooodproofed structures. applicaot must attach certification rrom registered engineer or arcllltect. o Certification from a registered eogineer that the proposed activity in a regulatory noodway will Dot result in l!!!Y increase in the height of the 1oo-year nood. A copy of all data aod calculations supporting this fIDding must also be submitted. o Other: SECfION 5: PERMIT DETERMINATION !To be com Dieted bv LOCAL ADMINISTRATOR) I have determined that the proposed activity: A. 0 Is B. 0 Is not in coorormaoce with provisions of Local Law # , 19 . The permit is issued subject 10 the conditions attached to aod made part of lhis permit. -- SIGNED . DATE Ir BOX A is checked, tbe l.<:>caJ Admioistrator may issue a Development Permit UpOD paymeot or designated fee. I[ ~ox B is checked, tbe Local Administrator will provide a wrincn summary of deHciencics. Applicant may reVIse and resubmit an application (0 (he Local Administrator or may request a bearing from tbe Board of Appeals. APPLlCA TION # PAGE 4 OF 4 APPEALS. Appealed lo Board of Appeals' 0 Yes 0 No Hearing dale: Appeals Board Decisioo n_ Approved? 0 Yes 0 No Conditions SECTION 6; AS-DUILT ELEVATIONS fTo be submilted bv APPLICANT before Certificate of Compliance is issued) The foUowing information must be provided for project slructmes. This section must be completed ~y a registered professiooal eogineer or a licensed land surveyor (or atcach a certification to thi.< application). Complete 1 or 2 below. 1. Actual (As-Built) Elevatioo of the top of the lowest Door, including basement fin Coastal Hio:h Hazard ~ bouom of lowest structural member of the lowest Door. excluding piling and columns) is: Fr. NGVD (MSL). -' 2. . Actual (As-Built) Elevation of f100dproofmg protection is Fr. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at tbe risk of the Applicant. SECTION 7: COMPLIANCE ACI10N ITo be comoleted bv LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based 00 inspection of the project to ensure compliance witb the community's local law for Oood damage prevention. INSPECI10NS: DATE DATE DATE BY BY BY DEFICIENOES? DEFICIENCIES? DEFICIENOES? o YES 0 NO o YES 0 NO o YES 0 NO SECTION 8: CERTIFICATE OF COMPLIANCEITo be comoleted bv LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: -' Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area , '. .' . . TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (O\VNER MUST RETAlN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: o NEW BUILDING o EXISTING BUILDING o VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH TIlE REQUIREMENTS OF LOCAL LAW # , 19 . SIGNED: - - DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITIl THE REQUIREMENTS OF LOCAL LAW # .19__ AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C IC (93) ... , .' ':.. :: ~ ..1 j "': , , X _ ~~ \\ . , ;1, ~ ~..o/ . j.J <I. i. r j.. " ~.~ ,x ; d , ~ I j. j' I' i 1 , . . . ... VACANT x -l..Z.Q2 JACKSON . . . \ . ~ x 1is~ ~ . ~ (,'w. w U . . I e , 0)1;; . IT CT>Q . . Z .Q " N . in . lD . ~ t<") . / . ./' ... "' 'j.' , . . (PUBLIC WATER IN STREET) .. x lU5 . .' . . . . . . . '. . , , , . . . . . . . . . . ~/-4 . . . ~ . / . \ X )24 S,8S022'00" E ~~~ /;JJ..2 ~ . '/11,1 '\ ., r - BRICK STOOp ~ m.; 151 . z . V 1 ~ ~- / ,,~ 3~b ~ - // l.LQ ~I / I /' ~I J.l..J/, J..Qj I x '" ;:; " " N W ~ il ell !..2.\j N ~ ~ 15.8' w en :J o :r / w ~ ~ ... >- Q: o ,... en N /WATER,- / '-lITER .... N ..; ~ .. / w U z I:' . I;; '< u ii: 4.6' 18.3' / ~.f )!~ w / '- CONe.' ,; 11 e 9 / / / JjJj / I I 9.7 f;~- x /.2:....8 ~ ,"y - --/ , :..-- .r- " / STREET x -L?...i.] . . . . . -" ---- .L .... . . -;. . . .(. -1UB , , . . . , ~ "-n--- J2...Q."x -L... 4'" . . .. ., J..Lj& . . ~. J' 117 . ~ X--120.21' J.Mx -. ~ ~ ~ -fOL 15 . -, ~ -.- , , PIPI ~ J.Q.Q .~ x ~---. = , . Q .' / . ,!2 , , ....... A" . CONe. . APRON 9.5 24.4' Gn JQ2;' rRAI.fE " " GARAGE N 34,S' ------ 24.4' OUTSIDE SHO\KR x l' L '),' WOOD STEPS / 2.j / / .; !li TEST HOLE . ~~.. / 76 X- I", x~ /' , " / " /. . /~, ....~~v 1P'?, ./' '" / / / " / 5.B /. .~~ xl / / / /' / / / / ~ II II SAM U E L S & S TEE L MAN . . November 27, 2006 Building Department Town Hall Annex Southold, NY 11971 Re: RECONSTRUCTION & ADDITION TO THE SPEYER RESIDENCE 2100 Jackson Street, New Suffolk, New York BP# 31989 Attn: Pat Conklin Per our phone conversation last week, enclosed please find an ADJACENT PROPERTIES SITE PLAN showing the principal buildings setback along Jackson Street in New Suffolk. You will note that the front yard setback of the proposed roof linking the existing Garage with the House exceeds the average of the setbacks in the vicinity. Assuming this satisfies your concerns and the Code, please prepare an AMENDMENT to the Building Permit for this work. 1 _.' [U'!: NuV 2 8 '3 , L....,...J \._ .:..J.''.' T. Te',,'., ',\ Of- SO'.!T-:JL0 ~--- ., i .1 I ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (631) 734.6405 FAX (631\ 734.6407 ~ II II 5 A M U E L 5 & 5 TEE L MAN November 1, 2006 Building Department Town Hall Annex Southold, NY 11971 Re: RECONSTRUCTION & ADDITION TO THE SPEYER RESIDENCE 2100 Jackson Street, New Suffolk, New York BP# 31989 Enclosed please find three (3) FIRST FLOOR PLANs, revised to show new work to the existing garage on the above referenced property. This work is necessitated by the insistence of the DEe that we raise the new sanitary system, which is located behind the existing garage, to meet their reg's. This would place the garage "in a hole", making drainage a problem. We therefore propose to raise that structure approximately two feet, and connect it to the porch of the reconstructed house. We will subsequently fill around the structure for natural drainage. Please prepare an AMENDMENT to the Building Permit for this work. Thank you, T m Samuels :\ /1111 nil, (l.l';, .' "/),1 \ (fiJ l1 v ~ . ;...-iJ. -1 ~. ~, , ,) J, 'Vi I,t ~ --. q.o,"'..... (, ,'\(~,{,; ) .r" 1/e> ',;.' I ~. ') .) )-"" fK! /~/ /!~.......; r ( -' f 1 :^t. ~' .. /,/ .I,' ( i~\;: ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (631) 734-6405 FAX 1631\734-6407 / Permit Number REScheck Compliance Certificate Checked BylDate New York State Energy Conservation Construction Code RES check Software Version 3.5 Release Id Data filename; Untitled.rck PROJECT TITLE; Reconstruction & Addition to the Speyer Residence COUNTY; Suffolk STATE; New York HDD; 5750 CONSTRUCTION TYPE; Detached I or 2 Family HEATING TYPE: Non-Electric DATE; 05/01106 DATE OF PLANS; 3/14/06 PROJECT DESCRlPTlON; Demolish portion of existing residence and re-construct two story wood frame addition to residence. DESIGNER/CONTRACTOR; Samuels & Steelman Architects COMPLIANCE; Passes Maximum UA ~ 692 Your Home UA ~ 625 9.7% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling I; Flat Ceiling or Scissor Truss 1366 30.0 0.0 47 Skylight I ; Vinyl Frame;Double Pane with Low-E 10 0.280 3 Ceiling 2; Cathedral Ceiling (no attic) 548 30.0 0.0 19 Wall 1; Wood Frame, 16" O.c. 848 19.0 0.0 51 Wall 2; Wood Frame, 16" O.c. 954 19.0 OiO 57 Wall 3; Wood Frame, 16" O.c. 1112 19.0 0.0 67 Wall 4; Wood Frame, 16" O.c. 1235 19.0 0.0 30 Window I; Vinyl Frame;Double Pane with Low-E 105 0.330 35 Window 2; Vinyl Frame;Double Pane with Low-E 105 0.330 35 Window 3; Wood Frame;Double Pane with Low-E 210 0.330 69 Window 4; Wood Frame;Double Pane with Low-E 75 0.330 25 Door I; Glass 64 0.330 21 Door 2; Glass 39 0.330 13 Door 3; Glass 64 0.330 21 Door 4; Glass 22 0.330 7 Door 5; Solid 22 0.600 13 Door 6; Solid 22 0.600 13 Floor 1; All-Wood Joist/Truss;Over Unconditioned Space 2096 19.0 0.0 99 "~"""j"",-~;",-,,,; her (Except Gas-Fired Steam), 80 AFUE tioner I: Electric Central Air, 10 SEER L1ANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, fications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the w York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and igned this page, they are attesting that to the best of his /her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. Builder/Designer ~{IVtNt. ~ Date 5/' loG I I ... II) w u 5? w f5 l./) (f; ::l: ~ 0 "<:'>0 I I f.5 gjg 0, r. ~w.:; (~R<..."L..1 ,.-"\. "1" . . .. '-'.. C, I- 1:~' IU _.~ ~.; <:1 t'< ,.'. ,,' . ~"" " ~.~ " i".". I" 1 "J I :i \::.. I" ;( ~ I ,... .-. r-ol ! ':' ~ .;.;, ~ , IJLJ I IJL. i I = = .= '" ~ JACKSON STREET Sll'22'ao"r 120.ZI' -" -----~\ ,.,....... SITE PLAN ~ '::;... a ......1.- W 71.D4 ~ ~1f1~GREAT PECONIC BAY -.<' l.A, o N o i.2 ,8'g !f.2 .,g-g "i'l . ~ ~ (~ G t\ c':; 1 '''' r:: ..? C ~1 ~; ~t~., i ~ ~;:> C;_"; li;M a> IV. iiJ':, OJ I ,', .~~ L~ / ij_ CD . ..> 'j ,j l liS ~j ! ::.: .-:~ /' !1r,~ ~ I .~ f i ':::' .;~! I > . .', .) 0: , ' ;. . I I . I I " I :.;: I ! (1 ( i 1"Re-E!)(1~T1N6 ",,'T!!R 1"E'TI!R . ! . ~ ",,'T!!R Ute T(~/ \ HOIJ!e ~-, / .."" 1..',. :"'- -~ ':: " M f!: ~ -1~ ,-~ ~ .._I _ :j SCALI:;: ,.. = 40"..0" " Ei -- ~ ~ ~ ~ ~ l/] ::c ~ ~ ~ o ~ .. . f .. ~ z - .' "- , Ie'l ~c. TANK . LVGHIN6 I"OOL eNlITNrr" 5't'STEM, NI N'l"\..1!!D !"OR SITE DATA SCTM # PROPERTY: ADDRESS OWNER: 1000-117-10-18.1 2100 JACKSON STREET NEW SUFFOLK, NY. JIM AND KAREN SPEYER 450 WEST END AVENUE APT.3A NEW YORK, NY. 10024 SITE: ZONING: SURVEYOR: 43,415.97 SQ. FT. = 0.997 ACRES R-40 JOSEPH A. INGEGNO 1380 ROANOKE AVENUE RIVERHEAD, NEW YORK 11901 UCENSE # 49668 DATED: JANUARY 28, 2005 NO'l7:S: 1. ELEVAnONS ARE IlERRENCED 10 N.G-V.D. 1121 DATUII EXISTING ELEVATIONS ARE SHOWN THUS: EXISTING CONT'OUR UNES ARE SHOWN THUS: --- --- 2. FLOOD ZONE INFORllAnON TAKEN FROM: FLOOD INSURANCE RATE IIAP No. 1I1l01COl101 G ZONE ~ _ FLDOO ELE.VAllONS U<......nNm ZONE X.: IfIEJS OF llOO-YrAR FUlOIl; MDS OF lOO-YrAR FLDOO WITH ItIF1W1E. DEPTH OF lfSS llWl 1 FOOT OR WITH IlIWIWlE MDS lfSS llWl 1 SQUME lII.E; NIl) IfIEJS rl<u.~.w BY LE.\IEES FROM l00-YrAR FLOOD. LOCA liON MAP srrc l..O(;.ATl .... w ~W ~O cnZ l5w EO Cl_> ~U)~ oaW6 ~D::~ O#Vln i=y.:it oWW :;) z 0::> tiW l5a.. ~U) 0:: ..z. . -c. I ..IS- .. II"'.IU ::III. II :III. -cl-. ... 041. SITE PLAN SP