HomeMy WebLinkAbout33421-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33087
Date: 06/11/08
THIS CERTIFIES that the building ADDITION
Location of Property: 8675 GREAT
(HOUSE NO.)
County Tax Map No. 473889 Section 126
PECONIC BAY BLVD
(STREET)
Block L- Lot 16.4
LAUREL
(HAMLET)
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 13, 2007 pursuant to wbicb
Building Permit No. 33421-Z
dated SEPTEMBER 25, 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
Tbe certificate is issued to HENRY P & MARTHA POPE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPAR~ OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
120751C
02/25/08
PLUMBERS CERTIFICATION DATED
03/26/08 CUTCHOGUE EAST PLUMBING
~ri~
Rev. 1/81
tiI
.
Form No.6 I, _
TOWN OF SOUTHOLD Ii r) [~~_
BUILDINGDEPARTMENT. L .
I 'I
TOWN HALL I I
765-1802 !. . , 0
I L
APPLICATION FOR CERTIFICATE OF bCCUPANCY
L----.:;.....
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonn).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Plmming Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate stirvey of propeliy showing all property lines, streets, building and unusual natural or topographic
fealures.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. Celiificate 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. Celiificate of Occupancy on Pre-existing Building - $]00.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00_,
5. Temporary Celiificate of Occupancy - Residential $]5.00, Commercial $15.00
Date.
'{/t/9/o ~
(check one)
L-/-10/U;L-
Hamlet
New Construction:
Old or Pre-existing Building:
/"
Location of Property: ~c;75
House No.
l:t?c o,(J( c 8'!;j lX-v 0
Str
Owner or Owners of Property: t/GN~ f~7h.PE 7/7~o.s 1
' /'
SuffolkCountyTaxMapNo]OOO,Section /'1 " Block 0 Y/<>D Lot o/6~~~
I
Subdivision ;(4npOP;P/o'I>E:~'i Dt=P.LI DoWJJ( Filed Map. 2-1 Lot:Ji'Od'l;/~.lh~~/
pe1111itN03~<fl..(~ DateofPermil.C:C' 01 Applicant: ~fl./7 ?~,PC
Health Dep!. Approval: Underwriters Approval:
Planning Board Approval:
Request for:
Temporary Celiificate
Final Certificate:
~check one)
Fee Submitted: $
tw -2~?>D~/
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'OW" Hail, 53Q95 Mau, RoaiJ
p 0- 8-ox 1 ,79
Sou1JlCid NewYo(Jo;. ~~g7'
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Te~phoOO (SH;) 765.iBCl7
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R or
'U S_~_T ~-:'~'JfZhjO })
3:...: ilcL!.ng
Permit No. ]31{J./
He-It" ,Pate
(please print)
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.)wner:
P _ :.lfftber ,
,~~~,'5'~t,A ;,_,/cv-r(b6~ ,Vf
p.i.ease print J
c P-H-;....C
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I certify that the solder used in the wat.er suppl'; system
contains less than 2/10 of 1\ :ead.
,
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before
me thiS
i'10taiY PUbl'i~'3tate 0'( f~t;Vv 1', (~
No, 4896735
;?uaIHi",d In Suffolk County
,10m mISSion ~Xl')jr~$ Mav ~'II)(
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day of
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Notary Public,
COU~LY
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Electricalln.~pecti{)11 Cert{ficate
Issue Date
2i25i?OOH
Eleclricallnspcction Service, Inc.
375 Dunton Avenue
Application Number
1207fi1'~;
East Patchogue. New York
(631) 286.6642
11772
Issued To:
Street:
Village:
Section:
Mr. Hank Pope
86'15 Peconic Bay Boulevard
Mattituck Zip: 11952
Town: Soulhold
Block:
Lot:
Contractor: Shore Power Electric Contracting
Lie. #
War, exarrlil1~d and founa to be In c:omplian..:e wllh lhe Na~lunai EleclJical CI)l.le
Commercial
NV Defects
Pool X 1 st Floor X Indoor
Basement
Hot Tub
'X Residential
Del. Garage
Attic
2nd Floor
Outdoor X Addition
Survey
Switches Receptacles Fixtu....s GFI Heaters
9 4 1 2
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps
Furnace Oil Gas Circulators Smoke Detector
4
Meter Amps Phase UGlOH Jacuzzi Television
AlC Fans
1
Microwaves
Bell Transformer
CO Detector
1
Bldg. Permit: 334212
Other Equipment
H!./f/I~
President
Rough Inspection:
InspecIOf:
fiMj ioiSped;ori:
InspecIOf:
1211912007
Jeny Flaherty
o2l2oi2001f -
John Me Mahon III
This certificate must not be akered In any manner, Inspectors may be identified by their Cledentials,
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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.
33421 Z
Date SEPTEMBER 25, 2007
permission is hereby granted to:
HENRY & MARTHA POPE
8675 PECONIC BAY BLVD
LAUREL,NY
for :
ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at
8675 GREAT PECONIC BAY BLVD
LAUREL
County Tax Map No. 473889 Section 126
Block 0004
Lot No. 016.004
pursuant to application dated SEPTEMBER 13, 2007 and approved by the
Building Inspector to expire on MARCH
25, 2009.
Fee $
200.00
4..~ 0~
I Authorized Signature
ORIGINAL
Rev. 5/8/02
}}f;;-I z
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[)4..FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE JI-,.. rS - 0 gr INSPECTOR ~ ~
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TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
-
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] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRAnoN
REMARKS:
DATE I if!' Ie; 7
INSPECTOR
3)f;)-\ 7-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
~TRAPPlNG)
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
REMARKS:
[>{ ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnoN
~
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DATE 1~'--7 - () 1
INSPECTOR ~~
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
Ai" FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
REMARKS:
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DATE I) ,.- I t, - {) 7
INSPECTOR
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FIELD INSPECTION REPORT DATE I COMMENTS \}.l
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FOUNDATION (1ST) %I. --:-:iff: ~ /~L" ~J/ ___ (j U~
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INSULATION PER N. Y. ~)t'I
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STATE ENERGY CODE ~/
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
PERMIT NO.
35fd-l :e
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board ofHeallh
--.., 4 sets of Building Plans
Planning Board approval
--.l Survey
Check ~oO. 0 U
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
r;f ~~9h
Examined
Approved
Disapproved ale
Mail to:
:3 /K, 20 I)q
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Phone:
Expiration
LL-
I Building Inspector
(;; <, 1\ \\~ \1, I
) ~.' ~.. ~ '1 \~~PPLICATION FOR BUILDING PERMIT
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a. Thiiapplication 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 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 permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
Date
,20_
INSTRUCTIONS
,
~~
(Signature 0 app ican! name, if a corporation)
~ 75 ~CD~/(; 13A115'-YO . t..At/ /1.6'-- il7
(Mailing address of appliCant) 119 '1'&
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
o \4./"fEn
Name of owner of premises U,e::.\.l{L."1 p ~ MA.p...'{"t,t,A .b-.t6pe
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
~75 PECOt-lIc.. eo,...., 6'-VO
House Number Street
L-Av 12 EL-
Hamlet
County Tax Map No. 1000 Section I '1...Go Block 0 tf
Subdivision MA2'~ p 11.D'P6J. 1:1 o,.,Ac ..Tla w'w Filed Map No. ""2..1
(Name)
Lot Ih,i'
P.O-Lot:::, l'it ,S,If" ;(!>/
...
\
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:.
a. Existing use and occupancy 12-e&t3:' l:!"NC.e- "
b. Intended use and occupancy
r:Le=::'IP EO. r-lC loi'"
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost Ii( 2..0, 000."---
Addition ~
Other Work
Alteration
(Description)
Fee
5. If dwelling, number of dwelling units5t MtacE:
If garage, number of cars -
(To be paid on filing this application)
Number of dwelling units on each floor 1ii=/l2t7 r FL-
btQ '-7
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 57. q ,
Height I 8> \ Number of Stories l
Rear 5'7. Cf '
Depth '-( !-,C(
Dimensions of same structure with alterations or additions: Front CI '-t. '-t' Rear '" ...,. .<f
Depth 4 'l..., "t 'Height I e, I Number of Stories_t
8. Dimensions of entire new construction: Front c::;. . S 1 Rear (, . S f Depth ---.!.'J t
Height I (p r Number of Stories { -toe........." \...GiV....... 3')C.lo'
9. Size oflOl: Front
I
I LC; .s
Rear
(P1.-'
Depth .... ( 9-1
10. Date of Purchase t5!J (/'it ~
Name of Former Owner -=+ (2..-EIolr:!:.. 'f.A.1l.-L-et2-
11. Zone or use district in which premises are situated
14. Names Qf Owner of premises S EiE:
Name or~l~l?o.PE
Name of Contractor 5~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO .........--
13. Will lot be re-graded? YES NO t/\Vill excess fill be removed from premises? YES NO t--'
- - --
,fl - of c- ~-
F ~ L/AdUress ,I{ I ~ .....tt- --r'"~ne No. rp..6'
Address 8V15 ~../C... Y ~lio~~ ~'1-"L" 4-U( 5,Q,
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 v'"
--
* 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.
18. Are there any covenants and restrictions with respect to this property? * YES NO /
--
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTYOFS\JFto\~ )
Ile..w.n..-<.t P'T4>pe:- being duly sworn, deposes and says that (~is the applicant
(Name of individrla1 signing contract) above named,
ILHe is the
(r (CvutLa.dvJ, Ao,,-,ul, CVJpUli:1U; Oal\;~I, <!I.e.)
of .dll 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 this
11 +j day of S epk~1l
)!c .,
C /
- I
N6tary Public
20R
Nota ~~=~NewYork~~
ry No. 0108132008
Q\IaIlfBd In Suffolk County
My ~n ExpII'8ll Auguat22. 2001
~ {) 0) _ I ~ c; _ V_I I 7'TowN OF SOUTHOLD . PROPERTY RECORD CARD
OWNER STREET t, '/5 VILLAGE DIST. SUB.
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FARM
SEAS.
LAND
IMP.
TOTAL
DATE
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7c<Y
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AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
Tillable
Woodland
Meadowland
Hause Plat
Total ........ _
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ACR.
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TYPE OF BUILDING
COMM. CB. MICS.
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REMARKS 11.1:,./$
Mkt. Value
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
-1
OWNER STREET VILLAGE DIST. SUB. LOT
mr (j ~ I ~ J4o./~fA A. P 0(Je. Gt Pecon/(' !3(A1/ Bttid La.-ure..1 t'l-
I , ACR. ~Wt!l~ -LJz"f?/o'ZZt./- )oltf.07acn!:. fyOIYl/,/AdrlQfi() f-D
.07
TYPE OF BLD. , ---PO p.e 711 S-O/-zJlN)
~1Ot nw s D 'flcJda.'IO PROP. CLASS
.311
LAND IMP. TOTAL DATE
ISO /l~'-' /50 Z.J~J()7
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FRONTAGE ON WATER HOUSE/LOT
BULKHEAD
TOTAL
LOT I EXIST. AREA PROP. AREA OWNER
15.1 16,830 SF 19,99B SF HENRY P. AND MARTHA POPE
16.1 lB,743 SF 0 JAMES D'ADDARIO
S87'04'lO'E
147.116' 17.1 34,067 SF 49,642 SF JANET AND JAMES D' ADD ARlO
1) MAP SCALE 1"-100'
2) - - - - - EXISTING LOT LINES
3) PROPOSED LOT UNE
4) THERE ARE NO CHANGES PROPOSED TO EXISTING CONDITIONS
5) THERE ARE NO EASEMENTS, COVENANTS OR RESTRICTIONS
6) SCThI DIST 1000, SEC 126, BLK 04, LOTS 15.1, 16.1, 17.1
7) THE PROPERTY IS IN RES ZONE 4()
8) EXISTING WA 1ER SERVICE FROM SCWA
\
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APPROVED BY
PLANNING BOARD
TOWN OF SOUTHOLD
DATE
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MAP OF
PROPOSED LOT UNE CHANaES
AND
LOT MERaERS
SUFFOL.K co. TAX MAP
DIST. 1000, SECT. 128, BLK 4
L.OTa 15.1, 18.1, 17.1
MAP OF PAOPEF!TY OF
A. L DOWNS, FILED a/14/2a, MAP .21
IICAL..I!o. 1'-100' AUQ. 200e
H. ,.. ~ .-e ANO L..8 ..203
M?S P'l!!!00NI0 BAY BLVD.
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Henry P. Pope
Civil Engineer
NYSPE&LS 29203
8675 Peeonic Bay Blvd
Laurel, N.Y. 11948
772 234 2958
xsmallboatlalvahoo.com
Oct. 25,2007
Southold Town Building Dept.
Re: Bldg Permit 33421
Attached herewith are 4 prints of the revised plan for the addition of 118 sq. feet to
the NIE bedroom of my eIisting home.
The insulation complianee requirements for the addition are met utilizing 2x4 studs
for approximately a 3 foot extension of the north wall with R15 to meet the eIisting
wall with the rem.ining waD Ir-ming 2x 6's. The heat loss from the 3 foot wall at
Rl5 is more then compensated for with those joints caulked and the double wall
(closet wall and exterior 6" wall) for 13' of the north wail
The remaining insulation requirements for ceiling(R38) (two Rl9 layers at right
angles), walls R18 and OoorR21 are proposed with no variation.
Peter Heard of North Fork Carpentry and Restoration, 127 Sterling Ave.
,Greenport 11944,631 374 1239 is the general contractor for the addition.
cc Peter Heard
Very truly yours,
~op-
:-~--~- rr.i ~ ~ W [~ [c-'
lu~r-'~ 2 6:~'
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Town
of Southold
PROPERTY LOCATION: S.C,T.M. #:
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
District Section Block ~
THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
STORM-WATER, GRADING, DRAINAGE AND EROSIDN CONTROL PLAN
CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
Item Number: (NOTE: A Check Mark (-I) for each Question is Required for a Complete Application)
Ves
No
- -1- - - - - ~1I~h~ ~~c~:a:: ~o~:V:e~R~n~;G~n~ra:d~Y~ ~w~(;) :c~ :'i:I~:S:; - - - - - -7 n
(This item will include all runRoff created by site clearing and/or construction activities as well as all Site - l.=J
Improvements and the pennanent creation of impervious surfaces.)
L/[d
~
2
3
4
5
6
7
8
9
Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location?
This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFtowl
l.l"~c \2.eqo\Q..ED
Will this Project Require any land Filling, Grading or Excavation where there is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel?
Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of
Five Thousand (5,000) Square Feet of Ground Surface?
Is there a Natural Water Course Running through the Site?
Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach?
Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to
One Hundred (100') of Horizontal Distance?
Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Stann-Water Run-Qff
into and/or in the direction of a Town right-of.way?
Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of
any Item Within the Town Right-of~Way or Road Shoulder Area?
(This Item will NOT Include the Installation of Driveway Aprons.)
Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse?
Id
Id
Id
Id
Id
Id
Id
NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark In the Box. a Storm-Water, Grading,
Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit!
t./"
v
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v
EXEMPTION:
----------------------------------------------------
No
Ves
Does this project meet the minimum standards for classification as an Agricultural Project?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requlredl
----------------------------------------------------
STATE OF ~~~N~~~ ....s(),~\.l.................... SS
That!, ..t.\~i.....e...~.p..~.......................... being duly sworn, de~oses and says that he/she is the applicant for Pennit,
(Name of individual signing Document)
And tha~he is the
(Owner, Contractor, Agent, Corporate Officer, etc.)
.........................................c::?.~.N.~.................................................................................................
Owner and/or representative of the Owner of Owner's, and is duly authorized to perfoll} 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 herewith.
Sworn to before me this;
/J.+!l Jl W.JoeR- 67
............................................... day of ........:t................................ ,20.....
Notary Public: ...~:...~.:~~NewYOrl("
FORM - 06/07 Qulllkd In ~~ 2008
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