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HomeMy WebLinkAbout32656-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No• Z-33040 Filed Map No. Lot No. THIS CERTIFIES that the build_i_ng ADDITIONS & ALTERATIONS Location of Property: 450 FAY CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 5 Lot 36.2 Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 2006 pursuant to which Building Permit No. 32656-Z dated JANUARY 19, 2007 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATIONS AND ADDITIONS, INCLUDING TWO CAR GARAGE, OUTDOOR SHOWER, WOOD DECK, SECOND STORY BALCONIES AND PATIO TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JACK J JR & ALICE MAZUR (OWNHR) of the aforesaid building. SDFP'OLR CODlTPY DHPARTMHNT OF BEAI,TH APPROVAL SLSCPRICAL CERTIFICATE NO. PLDlD38RS CERTIFICATION DATBD Date: 05/22/08 3053690 04/08/08 04/18/08 CHARLES AZZERA Au horized Signature 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 DepartmentwitFi the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and °`pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied; the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. ~~'ZO I ®~ New Construction: l~ Old or Pre-existing Building: (check one) Location of Property: ~ Z~ln ~~.~~ ~ ~M ~ K ~~ ~ aa.- ~,~ ~~~sTvL ~ '~ House No. !1 Street Hamlet Owner or Owners of Property; ~ CJ.C~IL~-' /~1-(,- 1 GC.. ~/`./l t~'Z U 12 Suffolk County//T'' ax Map No 1000, Section ~ 2 Block ~ t t Lot Subdivision LQ,ti^~ `~ ~ i h'~6 ~-- ~ Filed Map. ~ ~1 Lot: Permit No. ~ 2 Date of Permit. ~ q ~ Applicant: ~ ~,~ ~ ~ nn~p ~Q~ Health Dept. Approval: Underwriters Approval: ~ ~~` _C1 `I Planning Board Approval Request for: Temporary Certificate Final Certificate: O~ Fee Submitted: $ p~ CO ~ 3~U~0 ~~~~33~ /~ ,,~'"~FFD(kC o~p OG~ TOWN OF SOUTHOLD ,~ ~- :c OFFICE OF BUILDING INSPECTOR ~, ~j~ ac P.O. BOX 728 u' __\\\ ~ TOWN HALL '°O~,~O!"~y/l~pt- SOUTHOLD, N.Y. 11971 I F I C A T I O N TEL. 765.1802 Date aOOO Building Permit No. ~ /~~~ Owner ~Q~~~~,.~~~/"\A2V~ (please print) Plumber l..(-~1~~a ~"SLZ:.rc (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. REGINA R. GUEVARA NOTARY PU6LIC, STATE OF NEW YORK No.01GU6089336 QUALIFIED IN SUFFOLK WUNTY €v^,n;~7Aq'iSN,)51L',!PIFF~'ai:1RuN 7A.?OII (plu er's signature) Sworn to before me this ~8,,~,day of "~~~ otary Public U~ Notary Public, ~ County 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 JIM SAGE ELEC. INC. JOHN MAZUR PO BOX 38 32 CAMP MINEOLA LANE GREENPORT, NY 11944-0038, MATTITUCK, NY 11952 ~ (0 5 r'o Located at 32 CAMP MINEOLA LANE MATTITUCK, NY 11952 Application Number: 3053690 Certificate Number: 3053690 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Attached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the gxt`Qnt detailed d herein, was conducted in accordance with the requirements of the applicable code an standagd promulgated by the State of New York, Department of State Code Enforcement and Administration; or other authority having jurisdiction, and found to be in compli ance therewith on the 8th Day of April, 2008. Name QTY Rate Retina Circuit Tv Alarm and Emergency Equipment Sensor 2 0 Cazbon Monoxide Sensor 7 0 Smoke Appliances and Accessories Dish Washer 1 0 1.2 KW Exhaust Fan 4 0 F.H.P. Furnace 1 0 Oil Air Conditioner 2 0 24.000 BTU Air Conditioner 1 0 48.000 BTU Panels 1 80 9 Wiring and Devices Outlet 103 0 Fixture Fixture 97 0 Incandescent Fixture 6 0 Flourescent Outlet 141 0 General Purpose Receptacle 92 0 General Purpose seal Switch 69 0 General Purpose Continued on Next Page 1 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. 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 JIM SAGE ELEC. INC. PO BOX 38 GREENPORT, NY 11944-0038, JOHN MAZUR 32 CAMP MINEOLA LANE MATTITUCK, NY 11952 Located at 32 CAMP MINEOLA LANE MATTITUCK, NY 11952 Application Number: 3053690 Certificate Number: 3053690 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Attached Gazage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 8th Day of April, 2008. Name ~ Rate Ratine Circuit Tvoe Dimmers 18 0 Receptacle 10 0 GFCI Receptacle 1 0 40a Range Receptacle 1 0 20a Laundry Receptacle 1 0 30a Dryer Paddle Fan 3 0 Disconnect 3 0 60a Air Conditioner Service 1 Phase 3 W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 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. JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: October 29, 2007 To: Town of Southold Re: Sr<-apping/Framing/Plumbing Inspections Mazur 3200 Camp Mineola Rd. Mattituck, NY Permit# 326562 To Whom It May Concern: .1 ~ oV ~ 200-J ~! `~~~ _ _J I y L. _-t'1' ~~~ . _ "gin; This letter certifies that all wind strapping on the above mentioned project is in tact, and meets all state and local building codes. A Framing/Plumbing Inspection was also Performed on this Structure, and all framing, and Plumbing was done correctly and also meets all state and local building codes. A pressure test was also performed on the waste/water plumbing systems. Any questions please feel free to call. n\ °- r~~ ~ ~I Si~lcerely ~d,~ ~ \\ ` ~l ~ 3. 5 1 ~• ,~aines~ . Deerkoski P.E. _ ~ z~ ~~• I JAMES J. DEERKOSI{I, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: May 14, 2008 To: Town of Southold Building Dept. Re: Mazur 3200 Camp Mineola Rd. Mattituck, NY 11952 Permit# 32656 To Whom It May Concern: An Inspection was performed on this Structure, and all interior and exterior concrete piers footings were installed as per State and local Codes. All insulation and fue/perimeter caulking was done as per plan and also meets state and local building codes. Drywells were installed of proper capacity to hold all roof runoff as per code. Any questions please feel free to call. P.E. 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. 32656 Z Date JANUARY 19, 2007 Permission is hereby granted to: JACK & ALICE MAZUR 3200 CAMP MINEOLA ROAD MATTITUCK,NY 11952 for ALTERATIONS & ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA DEC. #5909; FLOOD PERMIT INCLUDED at premises located at 450 FAY CT MATTITUCK County Tax Map No. 473889 Section 123 Block 0005 Lot No. 036.002 pursuant to application dated OCTOBER 4, 2006 and approved by the Building Inspector to expire on JULY 19, 2008. Fee $ 1,238.80 ~~~ ~ Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. ~ ,2 ~p~ ,o~.. t,~„~ s fir-. 111 e/o'I Examined~~, 20 c7 7 Approved ~BL , 200 ]],~~I1 Disapproved a/c N ld~yp ~ ~~'7 Expiration v7 , 2(~_~ C>G.~ 04.7-c~C'L Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic N.Y.S Contact: y,, - , U f,,//O/i~'~ Phone: r77~ ~S~ 'Building Inspector APPLICATION FOR BUILDING PERMIT Date ~ ~ , 20 ~,( INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or azeas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. r d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. ~ e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. LL ~it~~~c./ -~~(Signa of applicant or name, if a corporation) ~o~ ~ ~~ (Ma' g address o a icant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No._ Other Trade's License No. 1. Location of land on which proposed work will House Number ~~~fuC~ Hamlet County Tax Map No. 1000 Section /~,3 Block -~ v,,, Li~Pt ...3~ - ai Subdivision Filed 1VIap No. ' ..Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~y,~, /P ~,,, ~L+, ~,-~ ~LCrPi/Cr~ b. Intended use and occupancy W v Nature of work (check which applicable): New Building Addition ~ Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 300. Oo D Fee (To be paid on filing this application) If dwelling, number of dwelling units ~ Number of dwelling units on each floor If garage, number of cars ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7 Dimensions of existing structures, if any: Front S Y ~ Rear 5h~ Height Number of Stories / Depth Dimensions of same structure with alterations or additions: Front ~6' Rear_~ Depth ~lO' Height ~/' Number of Stories / %3- 8. Dimensions of entire new construction: Front .3~ Rear .~ ~ Depth Height Number of Stories / %, 9. Size of lot: Front /,35. ~S Rear / ~{/, d3 Depth /00~ /L~ 10. Date of Purchase Name of Former Owner 11. 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~WiIl excess fill be removed from premises? YES_ NO ~/ 9~fK B7as> LB.~ 14. Names of Owner of premises ~A7 (1R- __Address 1f9eB~2 ~~~ /V~Phone No. _~a ~ i~S~ 7- Name of Architect 5~oG8rf L3~~ai~~ Address - i~ pexir Phone No /f7 ~ - 9 JSa Name of Contractor Address ~ Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO `~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO / * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUN"I'Y OFs2~~~/p~ ~ ~~YJ y~~~ ~// i7 being duly sworn, deposes and says that (s)he is the applicant (Name of in ividual signing contract) above named, S)He s the T/ ~%J ~ (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. re me this day of 20~ i R%~~~~ M otary Public afore of Applicant JOYCE A. STEVENS NOTARY PUBLIC, STATE OF NEW YORK N0.4875122 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES NOVEMBER 3, 20~ ~o~y,Of SOOT~o6 3~s~ z ~©# ~~,~.~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING ~ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FlRE RESISTANT CONSTRUCTION [ ]FlRE RESISTANT PENETRATION REMARKS: vl- DATE S-~° ~ ~ ~ INSPECTOR ~'' ~~ 32-6~6z ~o~~,Of SOUT,y06 (~ ~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING ,FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT C011STRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: '~ ~ °~-e~ .~e~e-..ems, ~~- ~/~" DATE ~' ~~ D ~ ~~~ ti. ~ ~~~ ~~~ ~ti INSPECTOR ' ~y `-~~ °~~° `~ 3~~~~ o}r ~o~y,OF SOGTy0~ #©~ /~,t/j/~ ~ r, ~~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [' FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] RRE RESISTANT CON~iR~ ION/~ RESISTANT PENETiiATiON Q REMARKS: /,y/ a'"~. ~a~ DATE S- 7- ~ 8 v INSPECTOR ~~ ~, w 3a-~ ~6 z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION ,[ \] FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] RpE RESISTANT CONSTRUCt'ION [ ]FIRE RESISTANT PENETRATION ~ a~ REMAR S: ~ a-- ~ 6 ' DATE 7 ~ ~ INSPECTOR ~~~~_ 3a-~s~ z TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [FOUNDATION 1ST [ ]ROUGH PLBG. `[ ]\ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FlRE RESISTANT CONSTRUCTION [ ]FlRE RESISTANT PENETRATION DATE S ~ r ~ 7 INSPECTOR o -''~~ ~. FIELD INSPECTION REPORT DATE COMMENTS ~ ~ ~a~ '°' ro a~ „,~ ~ ' 3 FOUNDATION (IST) /~ ; (`{.) ~ 4r` ~~ ~ ~ r C ~m FOUNDATION (2ND) z ~o H ~~ ROUGH FRAMING & PLUMBING ~ y INSULATION PER N. Y. CTATE ENERGY CODE ~ ~ ` ~ ^~, j\ i C bV•p-te~ ~ waJV~'1-- irrs~.~r~ sZ ~ d ~~ FINAL L~riN._ ~ ~/ ~ ~~ . - In wrtic-d.- ~ ~~ g ~ i l,4- ADDTTIONAL COMMENTS - 3- o JPo-¢~ ~ ~ W r~,Pf~ _ -o ' ~ ~ ~ GZ m ~ _ ~- ~~ ~~ b ~ ~ ~ J y ° ~ x y x d b y Permit Number 1tEScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSofiwaze Version 3.6 Release 1 Data filename: C:\Program Files\CheckVtEScheckVvfazur,Jack .rck PROJECT TITLE: Mawr Residence COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric WINDOW /WALL RATIO: 0.14 DATE: 10/03/06 DATE OF PLANS: May 1 t, 2006 PROJECT DESCRIPTION: Renovation to existing Single Family Residence Second Story Addition Mudroom Mechanical Room Addition Unheated attached 2 Caz Gazage Addition DESIGNER/CONTRACTOR: Robert Brown AIA Fairwaether-Brown Design Associates, Inc COMPLIANCE: Passes Maximum UA = 636 Your Home UA = 578 9.1% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Ps~timgt!~sBlalug R=Y.alug 3Z_Faci4.I ll@ Ceiling is Flat Ceiling or Scissor Truss 1958 30.0 0.0 68 Skylight 1: Vinyl Frame:Double Pane with Low-E 5 0370 2 Wall I: Wood Frame, 16" o.c. 1674 15.0 0.0 93 Window 1: Wood Frame:Double Pane with Low-E 130 0.370 48 Door 1: Glass 336 0.340 114 Wall 2: Wood Frame, 16" o.c. 399 19.0 0.0 24 Wa113: Wood Frame, 16" o.c. 1149 19.0 0.0 69 Floor l: Slab-On-Grade:Unheated 208 11.1 160 Insulation depth: 2.0' Boiler I: Other (Except Gas-Fired Steam), 80 AFUE Air Conditioner 1: Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this pemrit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and t e, they are attes that to the best of his/her knowledge, belief; and professional judgment, sucJ~~ns are i mpliance with this Code. Date ~~ '3, 0 fo l3EScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.6 Release 1 DATE: 10/03/06 PROJECT TITLE: Mazur Residence Bldg Dept Use ~ Ceilings: [ ] ~ 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation ~ Comments: ~ Above-Grade Walls: [ ] ~ L Wall 1: Wood Frame, 16" o.c., R-I5.0 cavity insulation ~ Comments: [ ] ~ 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation ~ Comments: [ ] ~ 3. Wall 3: Wood Frame, 16" o.c., R-19.0 cavity insulation ~ Comments: ~ Windows: ( ] ~ 1. Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.370 ~ For windows without labeled U-factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ~ Skylights: [ ] ~ 1. Skylight 1: Vmyl Frame:Double Pane with Low-E, U-factor 0.370 ~ For skylights without labeled U-factors, describe features: ~ # Panes_ Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: I ~ Doors: [ ] ~ 1. Door ]: Glass, U-factor: 0.340 ~ Commems: ~ Floors: [ ] ~ 1. Floor 1: Slab-On-Grade:Unheated, 2.0' insulation depth, ~ R-I I.1 continuous insulation ~ Comments: ~ Slab insulation to extend down from the top of the slab to at least 2.0 ft. OR down to at ~ least the bottom of the slab then horizontally for a total distance of 2.0 ft. ~ Exterior insulation must have a rigid, opaque, weather-resistant protective covering that ~ covers the exposed (above-grade) insulation and extends at least 6 in. below grade. ~ Hestiag and Cooling Equipment: [ ] ~ 1. Boiler 1: Other (Except Gas-Fired Steam), SO AFUE or higher Make and Model Number 2. Av Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufactwer's installation instructions Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in unconditioned attics or outside the building must be insulated to R-8. Return ducts in unconditioned attics or outside the building must be insulated to R-4. Supply ducts in unwnditioned spaces must be insulated to R-8. Return duds in unconditioned spaces (except basements) must be insulated to R- Return duds in unconditioned spaces (except basements) must be insulated to R-2.. Insulation is not required on return duds in basements. Duct Construction: All joints, seams, and connections must be securely fastened with welds, gaskds, mastics (adhesives) mastio-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL ] 81 A or UL 18 ] B. F_rception: Cominuously welded and locking-type longitudinal joims and seams on duds operating at less than 2 in. w.g. (500 Pa). The HVAC system must provide a means for balancing air and water systems. Tempentnre Controls: Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set poim of the largest zone. Electric Systems: Separate electric milers are required for each dwelling unit ~ Fireplaces: [ ] ( Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] ~ Fireplaces must be provided with a source of combustion av, as requred by the Fireplace construction ~ provisions of the Building Code of New York State ,the Residential Code of New York State or ~ the New York City Bui/ding Code , as applicable. ~ Service Water Heating: [ ] ~ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet udess the ~ water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Insulate cirwlating hot water pipes to the levels in Table I. Swimming Pools: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% ofthe heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: I3VAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness jor Circulating Hot Water Pipes. Heated Water "1'~gijrerature t F) Un to 1„ LTO to 1.25" 1.5" to 2.0" Over 2„ 170-180 0.5 l.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 ].0 Ta61e 1: Minimum Insulation Thickness for HI~AC Pipes Fluid Temp. ins~ation Thickness in Inch a by Pjp '~P Pjpjng~ystem Typg~ Rance (F~ 2" Runouts 1" and Izss 1.25" to 2" 2.5" to 4" Heating Systems Low Pressurelfemperature Low Temperature Steam Condensate (for feed water) Goofing Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 I.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 My 1.0 1.0 I.5 2.0 40.55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) FORM NO. 3 NOTICE OF DISAPPROVAL TOWN OF SOUTHOLD Date:Apri13, 2006 Amended: 5/17/6 Amended: 5/18/06 TO: Amy Martin for J & A Mazur 205 Bay Avenue Greenport, NY 11944 Please take notice that your application dated March 27, 2006 For a permit for additions to an existine single family dwelline at Location of Property: 3200 Camp Mineola Rd., Mattituck County Tax Map No. 1000- Section 123 Block 5 Lot 36.2 Is returned herewith and disapproved on the following grounds: The proposed construction to a single family dwelling on anon-conforming, 13,834 sq. ft. parcel in a R40 Zone is not permitted pursuant to Article XXIV Section 100-244 which states: "This section is intended to provide minimum standazds for granting of a building permit for the principal buildings of lots which are recognized by the town under 100-24, are non-conforming and have not merged pursuant to 100-25." The required front yard setback for this parcel is 35' The ~ronosed front yard setback is approximately 15.5' (feet) from Allen Drive and 31.08' from Fay Court. Furthermore, the proposed 2„a story construction is not permitted pursuant to Article XXIV Section 100-242A which states: "Nothing in this article shall be deemed to prevent the remodeling, reconstruction or enlazgement of anon-conforming building containing a conforming use, provided that such action does not create any new non-conformance or increase the degree of non- conformance with regard to the regulations pertaining to such buildings." * The addition indicates a front yazd setback of 20.92' from Fav Court. And the 2°a story addition indicates a reaz yard setback of 31.58' .Pursuant to the interpretation of Walz #5309, such additions will thus constitute an increase in the degree of nonconformance. The required lot coverage is 20%. The proposed lot coverage will be approximately 21%. *Amended for clarification. . (~,-~= Authorized Signature FORM NO. 3 NOTICE OF DISAPPROVAL TOWN OF SOUTHOLD Date:Apri13, 2006 Amended: 5/17/6 TO: Amy Martin for J & A Mazur 205 Bay Avenue Greenport, NY 11944 Please take notice that your application dated March 27, 2006 For a permit for additions to an existing single family dwelline at Location of Property: 3200 Camp Mineola Rd., Mattituck County Tax Map No. 1000- Section 123 Block 5 Lot 36.2 Is returned herewith and disapproved on the following grounds The proposed construction to a single family dwelling on anon-conforming, 13,834 sq. ft. parcel in a R40 Zone is not permitted pursuant to Article XXIV Section 100-244 which states: "This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which are recognized by the town under 100-24, are non-conforming and have not merged pursuant to 100-25." The required front vazd setback for this parcel is 35'. The proposed front vazd setback is approximately 15.5' (feetl from Allen Drive and 31.08' from Fay Court. Furthermore, the proposed 2"d story construction is not permitted pursuant to Article XXN Section 100-242A which states: "Nothing in this article shall be deemed to prevent the remodeling, reconstruction or enlargement of anon-conforming building containing a conforming use, provided that such action does not create any new non-conformance or increase the degree of non- conformance with regazd to the regulations pertaining to such buildings." The proposed 2"a story addition indicates a front yard setback of 20.92' from Fay Court. And the 2"d story addition indicates a reaz vazd setback of 31.58' .Pursuant to the interpretation of Walz #5309, such additions will thus constitute an increase in the degree of nonconformance. The required lot coverage is 20%. The proposed lot coverage will be approximately 21 %. Amended for clarification. uthorized Signature ~~ O FORM NO. 3 NOTICE OF DISAPPROVAL TOWN OF SOUTHOLD Date:Apri13, 2006 TO: Amy Martin for J & A Mazur 205 Bay Avenue Greenport, NY 11944 Please take notice that your application dated March 27, 2006 For a permit for additions to an existing single family dwellin¢ at Location of Property 3200 Camp Mineola Rd., Mattituck County Tax Map No. 1000- Section 123 Block 5 Lot 36.2 Is returned herewith and disapproved on the following grounds: The proposed construction to a single family dwelling on anon-conforming, 13,834 sq. ft. pazcel in a R40 Zone is not permitted pursuant to Article XXIV Section 100-244 which states: "This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which aze recognized by the town under 100-24, are non-conforming and have not merged pursuant to 100-25." The required front yard setback for thisparcel is 35' The proposed front yard setback is a~proximatel~5 5' (feet) from Allen Drive and 31.08' from Fay Court. Furthermore, the proposed 2"d story construction is not permitted pursuant to Article XXN Section 100-242A which states: "Nothing in this article shall be deemed to prevent the remodeling, reconstruction or enlargement of anon-conforming building containing a conforming use, provided that such action does not create any new non-conformance or increase the degree of non- conformance with regard to the regulations pertaining to such buil~lltgs.'~ And the 2"a story addition indicates a rear yazd setback of 31.58'~Fursuant to the ' interpretation of Walz #5309, such additions will thus constitute an increase in the degree of nonconformance. The required lot coverage is 20%. The proposed lot coverage will be approximately 21%. _ ~ Autho~~ e 3656 APPEALS BOARD MEMBERS James Dinizio, Jc, Chairman ~o~~pF SOUTyo~ • ~,0~ 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 Gerard P. Goehringer Ruth D. Oliva Michael A. Simon Leslie Kanes Weisman http: //sou[holdtown. nor[hfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD ~~ Tel. (631) 765-1809 • Fax (631) 765-9064 _ --= _~~ FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JULY 12, 2007 ZB File No. 6044 -John and Alice Mazur Property Location: 3200 Camp Mineola Road, Mattituck CTM 123-5-36.2 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 further steps under SEQRA. PROPERTY FACTS/DESCRIPTION: The applicant's 13,834 square foot parcel is improved with a single-family dwelling as shown on the survey prepared by Kenneth M. Woychuk dated 4/21/2005. The property has frontage along three roads: 141.23 feet along a private 30 ft. right-of-way referred to as Fay Court, 100.17 feet along Allen Drive, and 135.45 feet along Camp Mineola Road, Mattituck. BASIS OF APPLICATION: Request for a Variance based on the Building Inspector's May 7, 2007 Notice of Disapproval, based on the ZBA #5909 issued August 17, 2006, based on Building Inspector's April 3, 2006 Notice of Disapproval citing Sections 280-122A and 280-124), for approval of the location of the new foundation at less than 35 feet from the front yard line and less than 35 feet from the rear yard line, after demolition of the foundation of the existing dwelling and related construction. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application has been referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning reply dated June 11, 2007 states that the application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on June 28, 2007, 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 applicant was issued a Stop Work Order and Notice of Disapproval regarding new construction, portions of which were beyond the scope of Building Page 2 -July 12, 2007 1 ZB File No.6044 - ]ohn and Alice Mazur CTM No. 123-5-36.2 Permit #32656-Z dated January 19, 2007 and ZBA Appeal No. 5909 issued August 17, 2007. The applicant wishes to maintain the setbacks of the foundation that was constructed, as well as an addition, to the proposed new single-family dwelling. The setbacks are indicated on the new 5-2-07 foundation survey at 15.2 feet at its closets point to the front line along Allen Drive, instead of the 15.5 ft. setback requested under the original building permit and ZBA variance. 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. Applicants' property is the first lot on the west side of an area called Camp Mineola. This area consists of primarily improved older substandard lots which were developed prior to zoning. The former dwelling was demolished, and the property is improved with a new foundation for a new dwelling. Anew dwelling is required to meet FEMA minimum elevation requirements in an AE-8 Flood zone, even when it is anon-waterfront parcel. The property contains only 13,824 square foot, and has three front yards. The yards from which setback relief is requested front two unpaved roads. The yard for which the 15.2 foot setback is sought (adjacent to Allen Drive) fronts on a right of way that is not open to traffic. The Board concurs that changes to meet FEMA requirements are required, with the builder/contractor adding 16" to the height to the foundation, which is existing. As part of the structural changes to meet FEMA, grates were added that will allow water to flow through the foundation portion at times of possible flooding. 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 contractor was faced with removing and replacing a portion of the existing foundation to meet code requirements, and constructed the foundation 0.3 ft. closer to the front yard lot line than requested under the building permit. 3. The variance granted herein is not substantial, resulting in a 0.3 ft. setback reduction for 15.2 ft. setback instead of 15.5 ft. setback at its closest point. 4. The difficulty has not been self-created. After a careful review of this record, the Board finds that the issues in this appeal are not unreasonable, in that FEMA Code changes do happen. 5. 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 Board feels that in granting this application no specific physical or environmental characteristics will be compromised. 6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a new foundation, 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 Goehringer, seconded by Page 3 -July 12, 2007 ZB File No.6044 -John and Alice Mazur CTM No. 123-5-36.2 Member Oliva, and duly carried, to GRANT the amended variance as applied for, as shown on the foundation survey prepared by Kenneth M. Woychuk dated 5-2-2007. 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. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Dinizio (Chairmen), Oliva, Goehringer, Simon, and Weisman. This Resolution was duly adopted (5-0~ % 1 for Filing ~~S BOARD MEMBERS ~; 'Ruth D. Oliva, Chairwotnan Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman ,~'~OF SO~Tyo~ ~~ G • O ~~~'~OOUNT(,N~~ http://southoldtown. northfork. ne[ 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 ~: ZONING BOARD OF APPEALS ~~ TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF AUGUST 17, 2006 ZB File # 5909 -John Mazur, Jr. and Alice Mazur Property Location: 3200 Camp Mineola Road, Mattituck CTM 123-5-36.2 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 applicants' 13,824 square foot parcel is improved with a single-family dwelling as shown on the April 21, 2005 survey prepared by Kenneth M. Woychuk. The property has frontage along three roads: 141.23 feet along a private 30 ft. right-of-way referred to as Fay court, 100.17 feet along Allen Drive, and 135.45 feet along Camp Mineola Road, Mattituck. BASIS OF APPLICATION: Zoning Code Sections 280-122A (referring to Interpretation under Walz Appeal No. 5039, 100-242A and 100-244) and 280-124, based on the Building Inspector's April 3, 2006 Notice of Disapproval, amended May 18, 2006, stating that the new construction will increase the degree of nonconformance when located with a front yard setback less than 35 feet and a rear yard setback less than 35 feet, and with an new increase of lot coverage in excess of the code limitation of 20%. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on July 27, 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 are proposing additions to their home, and conversion of their existing garage to living area and the existing first floor area of their home which has nonconforming setbacks to a front yard lot line and rear yard line. The addition will also increase the lot coverage by one percent greater than the code limitation of 20%. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: Page 2-August 17, 2006 ZB File No. 5909 -John and Alice Mazur CTM No. 123-5-36.2 1. Grant of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicants are proposing to convert an existing single-car garage into living space, to construct one-story additions, to construct second- story addition to the existing first floor area of the home, and new outdoor shower. The home is presentty `40.6 feet from the westerly front line adjacent to Fay Court. The property contains only 13,824 squaf'e foot, and has three front yards. The yards from which setback relief is requested front two unpav~oads. The yard for which the 15.5 feet setback is sought (adjacent to Allen Drive) fronts on a ~ ht of way that is not open to traffic. The lot coverage will be at 21 % lot coverage, which will not s~re,~ e a major impact. 2. The relief granted is not substantial. 3. The difficulty is not self-created. It is a result of the fact that the property is surrounded by three roads, only one of which is improved. 4. The benefit sought by the applicants cannot be achieved by some method, feasible for the applicants to pursue other than a variance. 5. 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. 6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of additions, 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 Member Chairwoman Oliva and Member Dinizio, and duly carried, to GRANT the variances as applied for, as shown on the May 18, 2006 diagrams with site plan, lot coverage, and elevation/construction details, all prepared by Robert I. Brown, Architect. 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 otherfeature 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. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Oliva, Goehringer, Dinizio, Simon, and Weisman. This Resolution was duly adopted (5-0). ~., Ruth D. Oliva 9/~~ /06 Approved for Filing :-.... ,. ,, , ., . .'-~.• ', ,' APPLICATION M .' PAGE I nl 4 -~ TOWN OFSOUTHOLD CLOODPLAIN DGti~LOPM1iNT PERMIT APPLICATION This Corrn is to be filled out in duplicate. SECTION !• GENERAL PROVISIONS (APPLICANT to read and sienl: _. 1. No work may start until a permit is issued. 2 The permit may be revoked i[ any faLte statements arc made herein. 3. II revoked, aU work must cease untJ pctmit is rc-issued. 4. Development shall not be used or occupied until a Cartificatc of Compliance is issued. S. The permit will txp-ve if no work is commenced within six months of issuance- 6. Applicant is hereby informed that other permits may be rcquved to fvlfdl local, state and kderal regulatory requirements. 7. AppGeaot hereby give cotasent to the Local Administrator or his/her representative to make realsouable ' inspections required to verify compliance. 8. I, THE APPL[(.ANC, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENCS TO _ THIS APPLICATION ARE, TO T/IHE//BEST OF,M+Y [Q~IO~VLEDGE, TRUE AND ACCURATE. (APPLICANTS SIGNATURE)1/1 f~~w~ }-t YNG S ®F DATE / 2.3 D ~ i / / / /SECTION 2: PROPOSED DEVELOI'PiENT (T~bc comulc[cd by APPLICAh`Tl APPLICANT ~a~.te-~/~/~% Z r0 I/7 Ma`~';A~y//r~- /~`,~I~/9.SrZ Zg~9~ 9f'p BUILDER -T,. I _- .~ tI_-- - Q On //7 {1Aa 1~K.r'~uI'_~ ~tPl ~/4Ff 2gS?~ln Q~ ENGIrIEER -?„b,.~~Qt2ow~ 2t~~ ~~ Qa,IE ~>~~0~~- y7~ 5~S PROJECT LOCATION: To avoid delay io procr_tsing the appliotion, please provide coou¢h information to easily idaalify the project location Provide We street address, lot Dumber or legal ducription (attach) and, outside urban areas, the distance to the nearest inluseuing road or well-known landmark A skclcb attached 10 this application showing the projcU location would be holphil_ 3Zo~ LG.~ W /l''iN FDP(9~) '~•,...* . , ,, DESCRIPTION OF WORK (Check all applicable boxes): APPLICATION PAGE10Fa A STRUCTURAL DEVELOPMENT eCTIViTY STRUCTURE TYPE ~w Slructurc csideoti of (1-4 Family) ^ Addiuoo ^ Residential (Mort than 4 Family) ^ Ahuatioo ^ Noo-residential (Floodproofmg? D Ycs) D Relocation ^ Combined Usc (Residential & Commcrdal) ~emoGtioti R D Manufac[ttred (Mobile) Homc flu Manu- ^ Replacement lactured Home Park? D Ya) ESTIMATED COST OF PROJECT'S O~ ~~a B. OTHER DEVELOPMENT ACTIVITIES: D E'dl D Mining D Drilling O Grading O Exavalion (Except for StruUUral Development Checked Above) ^ Wamrcourse Alteration (Indudiag Dredging and Channel Modifir~tions) ^ Drainage Improvements (Including Culvert Work) D Roach, Street or Bridge Conswuioo ~ D SuF~vition (New or Ezpaasion) ^ [/dual Water or Sewer System G-Other (Please Specify) P,Itcr complctiag SECTION 2, APPLICANT should submit form to Loyal Adminis tra[or for rcvdcw- SECTION } Fi,00DPLATN DE"IBRMINATION fTo be completed by LOCAL ADht[NTSTRATOEL) The proposed development is lo<a tnd on FIRM Panel No. D The Proposed Development: O H ~IQT located in a Special Flood Hazard Area (Notify Uae applicant that the appBc~tiou review is complete and NO FI.oODPLAIN DEVELOPMENT PERMIT IS REQUIRED). D E located is a Specal Flood Hazard Arcs. FIRM zone d~<ignation is 100-Year flood elevation al lbc silt is:- Ft. NGVD (MSL) O Unavailable ^ The proposal development is loc:~~cd io a floodway. FBFM Panel No. Dated ^ $cc $cciion 4 for addii Tonal iusi nir.iioos /~ SIGNED _ ___ DA , .T ~~ APPLICATION # PACE l OF 4 SECTION 4 ADpITIONAL fNFOftMATION REQUIRED (To he comnlctcd by LOCAL ADMINIST'RATORI The applicant must submit the documents checked 6clow before the appGcauon can be procured: O A.site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed devclopmcot. O Development plans, drawn to scale, and specifications, including where appGwble: dUails for anchoring structures, proposed elevation of lowal Ooor (including basemenQ, types of water resistant materials used below the lust (1oor, ddails of [loodproofmg o(utililies located below We lust floor and ddails of eodosures below the Cost floor. O Subdivision or other devclopmem places (I[ the subdivision or other devclopmcot exceeds 50 lots or 5 aces, whichever is the lesser, the applicant us provide 100-year flood elevations if they arc not otherwise available). O Plans showing the extort of watercourse relocation and/or landtorm alteration O Top o[ new Ctll elevatio^ Ft. NGVD (MSL). ^ Floodproofmg pro[cdioo level (non-ruidculial only) Ft. NGW (MSL). For floodproofed structures, %~ppGcant mull attach «rtification from registered engineer of archi[cd. 1~ ~~ ^ Certification from a'repstered engineer that the proposed auivet~y in a regulatory flOOdway will uol result in an incrcazc in lbc 6cight of lbc 11X1-year Dood. A copy of all data and calculations supporting tlus fording must also be submitted. ^ Other. SECTION 5• PERMfT DETERMINATION fTo be completed by LOLAL ADMINfSTRATORI I Gave dUermined that the proposed adivity. A O [s B. O Is not in conformance with provisions of i,ocal Law~F_, 19 e(tedred to and made part of this permit. SIGNED DATE The permit is issued subject to the eoodillotas (LBOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fcc. If BOX D is checked, the Local Administrator will provide a written summary of deGcienciu. Applicant may revise and resubmi( an appbcalion to the Local Administrawr or may request a 6caring from lbc Board of Appeals. ... , ,~ ;~ ~~ ' . - ° APPLICATION ~ PAGE a OF a APPEALS: Appealed to board of Appeals? O Ycs O No Hearing date: p e --- ccr'r'ION 6 ,1S-DUILT ELEVATIONS fTo be submitted by APPLICANT before CertiLcalc of Comolianee • is ued The foDowing information must be provided for projca structures. This section must be completed by a registered professional engineer or a Dcensed laud surveyor (or attach a certification to this application). Complete L or 2 below. L Actual (As-Built) ElevaUOn of the lop of llse lowut floor, including bazcmwt ('tn Coastal Hivh- azard ea bottom oC lowut strudural member of the lowest Boor, e+cduding piling and columns) is: FT. NGVD (MSL). L AUUaI (As-Built) Elevation of Boodproofmg proteuioo is -~ FC. NGVD (MSL). NOT~~: Any work performed prior [o submittal~bf [hc about information is at lbc risk;( lbc Ap~;icant. -~ SECTION 7~ COMPLIANCE ACTION fin be comolUcd by LOCAL ADMINISTRAT R The LOCAL AD~iINIS"I'RATOR will complete this section as applicable based oa inspcaioo of the project to ensure comphanct with the communit}~s local law for Bood damage prevention. INSPECTIONS: DATE BY DEFlC[ENC[ES? OYES ^ NO DATE BY DEFICIENCIES? OYES ^ NO DATE BY DEFICIENCIES? OYES ^ NO SECTION B' CERT1FICATE OF COMPLIANCE(To be comnlctcd by LOCAL ADMINISTRATORI Certificate of Compliance issued: DATE BY: C ~P ~ in W 3 BEDROOM 2 BEDROOM I 4 C f` 6 2-0" 3'_6' 4'- T ~'~ ~~ 1;~4 CERAMIC TILE ~ I ~ FLOORING ~ '~ ~' . . BATHROOM 2 r ~ x uO ~ •~ , b RAMI - TI ~. 5 R • ~. 2 ^ I'' 6" Door-S m ~ ~ 1, I ;. R ~ ~, S I I -~ I ~' c n ~; I PLOORIN ~ t',; Ij C71 ~'(" ~ f ~~ ~ 3+''a ~~ I2 I3 a' . I'<<i a 6'- 113/8' ~' `' / ~. -- I ,CERAMIC ~J FLOORING - ",~';iP ~ ~.~ O-' I b tom- Ci I 4' 14`' - - - _ ay ~ t0 iV RAMI 5 I n ;~u' °4 I O SH .R .. ~ n'~ FAMILY ROOM m ~ N U ~'- O lD n - _ ~ ' _~ I _- ~~ m _~ r '(2i9-3/4"xl I-7/B" 1.9E MICROLLAM LVL NEW STRJp OAK I FLOORING THROUGHOUT ' EXCEPT AS NOTED ' LIVING ROOM m l ro t`,~ CERAMIC TILE 8 ~ I~ ~` o ~St.~ '. j -:. O N.Q ~IV I G FLOORING pUUZC '':" ~ .~ `~ BATHROOM I '' I - N'~ ... _ , h 10 9 I - -. 8 __fL_ 1I Y`' ~~' ~I, 3-I/2'x9-1/4'2.OE ,'T r ~~ -- . LJ I Jul. _ 6'-3 I/2" 10'-3 7/8" ` t ,. `' ~ PARALIAM PSL -" . "~tt~~~i'"I "I"I 5/b C ; '-'', ~M i , ;5 -T- F L O O ~ ~~,~ + ~ ~~ ~ B HB4G I2• DIA R sz, ~ ~, ., S PERMACAST C '~~~~ TUSCAN STYtt `. , ~ (TYPICAL) '~, '` ,' ~ v: a , ,,, ~_ i.. ' ~ ,~~ ~~; ~'' ~ ~c~ ~jt~ivh ~~11Si0 :y'~ O~ :, p~, ~~?' ~ ' ~ G,~?rv~ lCi ~4 ~ ~ I "1 ~ Q Cl ~i"; ' ~! ° S V YL ~ Uv?Q~ r ~l~ ~. t~ ~'1 y ;. an - ,.7. ,g~ Iatl+§', r'~i,'V Or Y .~ i5 - ~__-- _;~ ~~o v.. ~,' I p~: ' i "~ , ~ i ~)''~~ y_., ~.. _ I . f'~ 3~~5~ I ~ ~ s: I a' s-o' ~ '7 ~ 8 AIR-t1ANDLER N 32 - ~ ABOVE CEILING '4 _ _ 30 ~ 6 ~ ~ L--- 'sr 6• UP I R 7. `O ~ 25 . = I ~ { . _ . _ . x ,22,x, ~ ~ ~ 1.'f 7'-2 2•-0. I I ~_ l o' irk OFFICE /STUDY b ui a _ _ t~s _ ~ _ ~ - - >?jvicSS, 0 _ i \_ J " . / I r § r' ' i I ~ - - - - - "~ - - t5 _ , ~ , -FtAT ROOFING SLOPED I/4' / FT. - O W/ REMOVABLE . ~ FIA NDRAIL DECK ,~ 4 ~~z~~ \GnnE`` /'~71 H v, ~~ SECOND FLOOR D FLOOR ~ SCALE: I/a'= I b' A 2 n.,r,. J ~~ f'ii :=t , r url;b „~~ o ~~.~~ (~s - ~~ 4 `-'s ~, ALL NEW CONSTRUCTION AS INDICATED. ~:_ ~{(I ,,~~, ~~2~~~ ~ ~z ~ ~~ S.C.T.M. N0. DISTRICT: 1000 SECTION: 123 BLOCK: 5 LOT(S): 36.2 ~bl~~, ~ PIPE FD is -j I ~... 8 J __ 2,~w u.P~O' N 88°29'30" E coNC. EL 7.2 MON t'J N rl 100.17 'A~r', I1I----~~ 1~ 3 O 0' o rr ~ h+i Z w w a o_ J Q o_ N Q h EL 7.2 21.0' ,S'S c n ALLEN DRIVE 30' R.O.W. (NOT OPEN) fV N .0'yZ O H 0 N n S ~.. 0'Z EL 8.2 ~o M ,0'9 a; ui ~ o u r ,S'S ,S"0l TOP OF FOUNDATION EL 9.6 Z O F- L'£l 2 0'S O ~I L EL 7.1 (A e d' O z SHED 0.3'N EL 5.5 S 85°11'00" W .o sz i~ n LAND N/F OF DUNN EL 7.8 MON EL 7.5 w :~ ow if! w a d' ifJ ^ ,p ~ ~ rl U A W.M. O z w w Q a J a o_ 0 a +I w N i i~-I 35.0' 1~ ~~ J a° W ~ o o ~ r~ N EL 8.0 U.P ~ WIRE FENCE 0.3'N ~ 100.00 SUBJECT TO COVENANT AND RESTRICTIONS AS STATED LIBER 12196 PG 14 FOUNDATION LOCATION 5-2-07 FIRM ZONE AE(EL 8) THE WATER SUPPLY, WELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS REVISE CRAWL SPACE ELEV. 01 -04-07 AND OR DATA OBTAINED FROM OTHERS. AREA: 13,834 S.F. OR 0.32 ACRES ELENA 170N DATUM: __ USC _& GS _________________ UNAUTHORIZED AL TERAT/ON OR ADD/1/ON TO THIS SURVEY lS A NOLA7)ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING 7Hf LAND SURVEYOR'S EMBOSSED SfAL SHALL NOT BE CONSIDERED TO B£ A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY lS PREPARED AND ON HlS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARf NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO TH£ STRUCTURES ARf FOR A SPECIE/C PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT TH£ PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND~OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARA~~,TEED UNLESS PHYSICALLY EVIDENT ON IHf PREMISES AT THE TIME OF SURVEY suRVEY oF: DESCRIBED PROPERTY CERTIFIED T0: JOHN J. MAZUR; ALICE H. MAZUR; MAP oF: MKM ABSTRACT SERVICES, INC.;(rITLE$ MKMS2aost FLED: FIRST AMERCAN TITLE INSURANCE COMPANY; TOWN OF SOUTHOLD; slrunrED AT: MATTITUCK rowN oF: SOUTHOLD KENNETH M. WOYC$UK L.S. SUFFOLK COUNTY, NEW YORK „_ ~ Land Surveying and Deaign FILE N 25-47 SCALE: 1 "=20' DATE: APRIL 21,2005 N. Y. 5. LIC N0. 50227 P.O. Boz S, Mattituck, New York, 11952 eeoNa (as>.) zee-iaee rex (as><) zee-i5ee meini~inin~ the records oT Robert J. Hennessy