The URL can be used to link to this page

Home My WebLink About32347-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33l02 Date: 06/17/08 THIS CERTIFIES that the building NEW DWELLING Location of Property: 355 SOUND (HOUSE NO.) County Tax Map No. 473889 Section 99 BEACH DR (STREET) Block L- MATTITUCK (HAMLET) Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 2006 pursuant to which Building Permit No. 32347-Z dated SEPTEMBER 7, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH FIRST AND SECOND FLOOR REAR DECKS, FIRST AND SECOND FLOOR COVERED PORCHES AND TWO CAR GARAGE UNDER AS APPLIED FOR. The certificate is issued to BARBARA & KIMON THERMOS (OWNER) of the aforesaid building. SUFl'OLK COUNTY DEPAR'l'MKHT OF HEALTH APPROVAL R10-05-0106 06/16/08 08/03/07 ELECTRICAL CERTIFICATE NO. 3009157 PLUMBERS CERTIFICATION DATED 07/24/07 THREE B'S PLUMBING & HEAT ~d~ Rev. 1/81 S//r 3 f0- 101025 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. 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. &~7/"f' , New Construction: / . :?SS H';use No. Old or Pre-existing Building: ~vNj ~~~. / Street (check one) ~~I :rv-<~c.. /' /' Hamlet Location of Property: Owner or Owners of Property: ,,<:: f /.5 ....J A ~ ~ , Suffolk County Tax Map No 1000, Section 7' 9 Block ( Subdivision ~ (' ~ r- j::;, j .L Filed Map. /- Permit No. 3~2, '-j 7 Date of Permit. Applicant: Lot (if , Lot: , .- Health Dept. Approval: L--- Planning Board Approval: Underwriters Approval: '---- p/-r- . Request for: Temporary Certificate Final Certificate: - (check one) Fee Submitted: $ d s ~ o -23310;)", ~L- l.lf~'81 ~-2) Applicant Signat e 1 own Ilnll, 53095 Mnln Rood P. O. Box 1179 Soulhold, Now YOlk 1197 I ...-rT:r,n;,~~ ,fI'- 11, /~'l.\\HUL.t C~ (J'~ O~.~ ~ ~ => . ~ :z: ..., ~ 1~1:1,.. ~l\ ',\:!O./ ... ~'Ii> fill " 'J(" Iff 'Q'''''n~ Fnx (516) 765.1823 Telephone (516) 765-1802 OFFICE OF TI-lE BUILDING INSPECTOR TOWN OF SOUTH OLD C E R T 1 F 1 CAT ION DATE: July 24, ?007 BuildIng Permit No. .3 ).3'17 Owner: _~J /YI~,c/._._Z/fe/U'?o.s (please p.dnt) PI umber! :;I:'):n:eeJ~~s..l'lumbing.. Heating & Air Conditioning Corp. (please prlnt) I certify that the solder used in the water supply system contaIns less than 2/10 of 1% lead. tff:l~ ~)n.~ Sworn to before me this 24th day of July Suffolk I IDQ.2.Q.P 7 Notary Public, County IlIaan M. ROIfcha Notary Public, Stata of Naw York No. 4826942 ~ua.lifled in Suffolk County Commission Expires January 31 J 20-'-CJ @I.@1 I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ PECONIC ELECTRIC CORP BARBARA & KIMON THERMOS ~ ~ 6~6~~~,1~~811952, ~5;~~~~~,B~~~~~f ~ ~ ~ ~ Located at 355 SOUND BEACH DR. MATTITUCK, NY 11952 ~ ~ 3009157 3009157 ~ ~ Application Number: Certificate Number: ~ ~ Section: 99 Block: 01 Lot: 19 Building Permit: 32347 8DC: ns11 ~ ~ ~ ~ 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, Attached Garage, 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 3rd Day of August, 2007, ~ ~ Name OTY Rate Ratio!! Circuit ~ ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 2 0 Carbon Monoxide ~ ~ Sensor 6 0 Smoke ~ ~ Appliances and Accessories ~ ~ Furnace 0 Oil ~ ffij Dish Washer 2 0 1.2 KW ffij ~ Oven 0 30 Amps ~ ~ Air Conditioner 0 48,000 BTU ~ ~ Air Conditioner 0 36.000 BTU ~ ~ Wiring and Devices ~ ~ Outlet 56 0 Fixture ~ ~ Fixture 54 0 Incandescent ~ ~ Fixture 2 0 Flourescent ~ ~ Outlet 95 0 General Purpose ~ ~ Receptacle 59 0 General Purpose ~ i ~~::ers ~~ ~ General Purpose seal i ~ Receptacle 1 0 30a Dryer ~ ~ Continued on Next Page of 2 I ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I @I.@1 @].@] I.' BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ PECONIC ELECTRIC CORP BARBARA & KIMON THERMOS ~ ~ P.O BOX 1258 355 SOUND BEACH DR. ~ ~ QUOGUE, NY 11952, MATTITUCK, NY 11952 ~ ~ ~ ~ Located at 355 SOUND BEACH DR. MATTITUCK, NY 11952 ~ ~ 3009157 3009157 ~ ~ Application Number: Certificate Number: ~ ~ Section: 99 Block: 01 Lot: 19 Building Permit: 32347 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: ~ ~ Basement, First Floor, Second Floor, Attached Garage, 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 3rd Day of August, 2007. ~ ~ Name OTY Rate Rating Circuit ~ ~ ~ Multi Outlet System 40ft ~ ~ Paddle Fan 3 0 ~ W Receptacle ] 0 0 GFCI ~ ~ Disconnect 2 0 60a Air Conditioner ~ ~ Service ~ ~ I Phase 3 W Service Rating 200 Amperes ~ ~ Service Disconnect: ] 200 cb ~ rnl Meters: I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 2 of 2 ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I @].I!l 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. 32347 Z Date SEPTEMBER 7, 2006 Permission is hereby granted to: B & D THERMOS 355 SOUND BEACH DR MATTITUCK,NY 11952 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH GARAGE UNDER, FRONT PORCH & REAR DECK AS APPLIED FOR PER ZBA DEC. #5910; FLOOD PMT. REQUIRED at premises located at 355 SOUND BEACH DR MATTI TUCK County Tax Map No. 473889 Section 099 Block 0001 Lot No. 019 pursuant to application dated MAY 16, 2006 and approved by the Building Inspector to expire on MARCH 7, 2008. Fee $ 1,268.50 /ltAn~ W/~ Authorized Signature ORIGINAL Rev. 5/8/02 ]AMES]. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: July 12, 2007 To: Town of Southold Re: Foundation I" $2"" /StrappingIFramingIPlumbingllnsulation Inspections Thermos 355 Sound Beach Dr. Mattituck, NY 11952 Permit# 32347 To Whom It May Concern: This letter certifies that First and second foundation, Framing, Strapping, Plumbing, Insulation, and ventilation Inspections were Performed on this Structure, and all work was done as per plan, and also meets all state and local building codes. A pressure test was also performed on the waste/water plumbing systems. Any questions please feci free to call. J'mm~mh P.IC O>.U '. ocr. ~" ,...,.,.,._~n. , _Jr~,~. Q>~::'l- .II'C'I"-' . l. __ i \ \ ~AMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 1I952 i (631) 298-7II6 I ,~ I"' ~'.7 fl,I.lG30,A L-'.-~ 'L-." . . ~-- Date: August 28, 2007 To: Town of South old Building Dept. Re: Sprinkler System Thermos Sound View Ave. Mattituck, NY 11952 Permit# 32347 To Whom It May Concern: This letter is to certify that the sprinkler system is in working order and installed as per attached plans, and per all State and local codes. Also the elevator doors are self closing and have a battery back up system to keep up and running all safety functions of the elevator functions. Any questions feel free to call. \ ~~o~,~~ y'. ~".). c 8-- O~"'-\ f~/ "S' - . ";fJ,v?'" '1-" ! (Ij <.10 '0, \ , - ~ ....~. I~'_\ \ !.;:< . '\ \, , --( \. p..' ~ (., ,~~." . '. I' ~\'. I fj ... c- I w.' ! .-...: ~;;>t. l!.J" '~,~ \ ,'.. - I :::-1 '. ....~ -.,,. -'J ......n ....it":,..., ',~...", j' ..;::Jj '\ --<-'.-,.. n ~,I \:.~';',--!.(, ;1'1""\ \)):;/' "~/I ~ A ~~,.L;.Vf'" '-.--7.2FE r~ S. \9-~ ......;c'O.~'" . . APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman http://southoldtown.northfork.net 24 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809. Fax (631) 765-9064 Mailinl1 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 AUGUST 17, 2006 ZB File Nor Q KIMON and BARBARA THERMOS Property L~ 355 Sound Beach Drive, Mattituck CTM 99-1-19 SEORA 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 required under SEORA. PROPERTY FACTS/DESCRIPTION: The applicants' 7,500 square foot parcel has 50 feet along Sound Beach Drive and lot depth of 150 feet. The applicants propose to demolish the existing single-family dwelling shown on the February 2, 2005 survey, revised January 21, 2006 prepared by Joseph A. Ingegno (Map No. 25-121 C). BASIS OF APPLICATION: Zoning Code Section 100-32, based on the Building Department's May 18,2006 Notice of Disapproval, in its denial of an application for a building permit to construct a new dwelling, after demolishing the existing dwelling, for the reason that the new dwelling will exceed the code limitation for a maximum of two and one half stories. 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: An area variance is requested to construct a proposed dwelling that will be three stories above grade instead of the required 2 112 stories. Applicant was issued an area variance from the ZBA (#5825) which allows for construction of a replacement dwelling with insufficient side yard setbacks due to the narrowness of the lot. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of alternative relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. There are other properties in the area with similar construction, with the third level at the ground floor (non-habitable) in the neighborhood. . Page 2 - August 17, 2006 ZB File # 5910 - KIMON and BARBARA THERMOS CTM No. 99-1-19 . 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance procedure. The subject property is located in an AE flood zone and the foundation cannot be backfilled. In order to build a dwelling with a garage on this narrow 50 ft. lot, the garage by code must be at grade. Living space will be located 9 feet above the cement floor of the "basement/garage". 3. The alternative relief granted herein is not substantial. The proposed height of 34 feet 2 Y, inches is within the code allowable 35 foot maximum height, and the applicant has agreed to install a full fire suppression system. 4. The difficulty has not been self-created. The property is located in an AE flood zone which restricts construction of a standard foundation. 5. No evidence has been submitted to suggest that the grant of the variance will have an adverse impact on physical or environmental conditions in the neighborhood. 6. Grant of the requested variance is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a replacement dwelling, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. 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 Leslie Kanes Weisman, seconded by Chairwoman Oliva, and duly carried, to DENY the variance for a dwelling with three stories, and to GRANT ALTERNATIVE relief, allowing the applicant's construction plan at the requested number of stories with the lowest floor (above grade) for non-habitable basement area, and the remaining two floors as habitable area (floors above the ground floor), subject to the following Condition: The dwelling shall be equipped with a full fire suppression system. 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 Oliva, Goehringer, Dinizio, Simon, and Weisman. Resolution was duly adopted (5-0), This (J.Jl7J20 [J illJ1.u:f\. Ruth D. Oliva 8/ ~ /06 Approved for Filing , - J ~ . I A,PPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman -I . r http://southoldtown.northfork.net i=r-B I 3 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809. Fax (631) 765-9064 MaHin!; Address: Southold Town Hall 53095 Main Road. P.O. Box 1179 Southold, NY 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 FEBRUARY 2, 2006 ZB File NJ ~BARBARA and DIMON THERMOS Property ~~ 355 Sound Beach Drive, Mattituck CTM 99-1-19 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' 7,500 square foot parcel has 50 feet along Sound Beach Drive and lot depth of 150 feet. The applicants propose to demolish the existing single family dwelling shown on the February 2, 2005 survey prepared by Joseph A. Ingegno (Map No. 25-040). BASIS OF APPLICATION: Building Department's October 20, 2005 Notice of Disapproval, amended December 8, 2005, citing Section 100-244 in its denial of an application for a building permit to construct a new dwelling, after demolishing the existing dwelling, for the reason that the new dwelling will not have a total side yard area of 25 feet, when a minimum of 10 feet is shown on a single side. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on January 26, 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 new single-family dwelling, after demolishing the existing dwelling. The new dwelling is proposed with minimum side yards at 10.5 feet on each side yard, for a total of 21 feet instead of the code-required 25 feet. 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 replacement dwelling is centered and will . , Page 2 - February 2, 2006 ZB File 5825 - B. and K. Thermos eTM No. 99-1-19 . have a conforming yard on the westerly side, increased from the existing dwelling setback of 9.6 feet, to the new dwelling setback of 10.5 feet. The applicant's has modified the design from the original plan to conform to the code required 20% maximum lot coverage, and it is designed in such a way as to ensure that no undesirable change will be produced in the character of the neighborhood. 2. The extent of nonconformance is minimal at four feet for the total side setbacks, given the narrowness of the lot is 50 feet and the modest width of the proposed dwelling at only 29 feet. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance, based on the narrowness of the lot. 3. The variance granted herein is substantial, representing a reduction of four feet from the 25 ft. total side yard requirement. 4. The difficulty is placing a new dwelling is related to the narrowness of the property. 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 a replacement dwelling, 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 amended January 11, 2006 site map prepared by James J. Deerkoski, P.E. and amended house diagrams dated 1/11/06. 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), Dinizio, Simon and Weisman. Member Goehringerwas absent. This Resolu~ was duly adopted (4-0). ~ [j. (0Q~ Ruth D. Oliva, Chairwoman 2/(0 /06 Approved for Filing [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY ~ [ ] RRE RES~ CONSTRucnON [ ] RRE RESISTANT PENETRATION ~ ~ ~ () /J.iI- ! REMARK~_~~ ~~~ ~ l~t v~ ._..<0' "" '..,.. , /~. 6Y\. ~)Jr.:t ~ ~ffi,~ DATE r~/7- tJ7 INSPECTOR~~ -----.-- ..- __'__ __.."c_==",,-.', "~"';';:;;._~ 3 ')-Jlf 7 7- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~FINAL Ii : [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ;(~ /(11 ^ fE ~ ~ ~ rf~ ~;"eVL ~J .J-~~ t4t:-~~ ~~J-'l4-~~ ~ ~ -Q-~Y~ ~ fI- ,;a.~'-6L, tM-rL ~~~~ " ~ , c. ~~ DATE cg~ J-) -0 7 INSPECTOR # ~ ~ IEcA-/1l I J l-3lf-7 7!-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRATION ~~~oKJ [ ] ROUGH PLBG. [ ] INSULATION O<f FINAL Ii: REMARKS: rf- j ~JH;tL I ~ A:uL, tf-~ ~~~ ~ ~ f:E, N~~~~~~ ~~~ ~~~ DATE 1-7-07 INSPECTOR ~~M._ , 3~3 Lf-7 L TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION REMARKS: _ ~ .p~ ~~ ' &ff ~dll [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~GK: ~~~ DATE i-If) -c 1 . s{'/J/J INSPECTOR ~. /~ .. FIELD INSPECTION REPORT! DATE j . COMMENTS W vtil UJ~ -1:.- --J~ \\J FOUNDATION (1ST) ~ _J-c~..~ FOUNDATION (2ND) fj - j} ... ..4VL ~ ~c-: '" ~.l'l ROUGH FRAMING & PLUMBING . /lY,g. .~.. 2 o \l0 . . \!-, .V1", -ltJ I' tol \J 0-03 ): :> INSULATION PER N. Y. STATE ENERGY CODE ~ ~ ~.::' ~ " == :s ~ t:/~ ~ FINAL .:::, ~ ~. (' ~ ~ 3-.J3DV ._"'~~ ~f.'.;;>'~-D.k...~__ . -- - -.- -- . /-v.--J) ~ Jt.-.- =- -=- sfif7- AI~-~ ~. . 4f2~1(]I~ ~~- Iv '1/ocfj e..e ~'Jt. .$ oQ&.vc ~ 1- -7r)D-01_=~\4 f[--~;}\.v :., fM. 'i A.J 1~ ' ~~.r cr/lo-'b7 - ~ ~ . ~ ~~i .-:0> O~ ll\ < z m ;0 ~ ~'j~ J-. .~. G..1tol :>< ,'<l - ';'J~ 0'"' ,,\,15 2 ]\::) - == C~ ..~ c F \/\'"' , == C t:l _ tol () ~ Approved Disapproved alc PERMIT NO. -3 :l3lf? t) , ~ 3 ;).30D ~ ~ BUILDING PirRM,~" ,-,',-,.tHIV" '-'111:\.-1\."..- -.....~ Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees . Contact: C).. /J-M,lv&7Z4 Mail to: olsos;;"v../ .JJ,. ~&<Ih i..f IJ Phone: fl' ';l '1- <j .2.;J..s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ Examined Expiration ~~,20~ fe", f' ('.' . .,." r' I '.,.' '" ~_!s.. [;~ I r, ,." "' n " " _Jr:_.~j ~: I'ir."\ 'llll L L' MAY' 6 ~ ] I II: Ii -"' i ~._,___..._~I I ...."', ,:' " ,':1. -.', ":~_,- ----!.d'~:' 'C". Sf',' '..:)L0 I~ 8uilding Inspector APPLICATION FOR BUILDING PERMIT Date J0" 20 ".c. '- INSTRUCTIONS 'This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of I ns, accurate plot plan to scale. Fee according to schedule. 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 ofthis 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 authOriZe~::ors on pr:;~ an~~:din~ f:~sSary inspections. ~~, 'l> L t:(n. LJ-"., ~ 2.6# """""",,-peci' (Signature ofapplic<l1lforname, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Q1J I Name of owner of premises ;t. ~. K J4,..u> ,s-. I (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 ofland on which House Number will be~one: /J-r. County Tax M~. 1000 Section Subdivision 1,...- J<: d;J (Name) ,~ Block CJ I Filed Map No. Lot It Lot ... - - ~ 2.- State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .5>'-"~ ;J~ ...:,. ~"~U/. ., b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ------- Addition Repair Removal Demolition --- Other Work .... , Alteration (Description) 4. Estimated Cost JOt!J,J~~~" Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front ,;? 7 Rear Height . ~ f-. <.f Number of Stories _-1' :l7 Depth <-/';/ 9. Size oflot: Front 5,) Rear $.., Depth /ro , 10. Date of Purchase <:547">- Name of Former Owner II. Zone or use district in which premises are situated /.2 t./ C) , 12: Does proposed construction violate any zoning law, ordinance or regulation? YES ~O_ ,,(JII?- 13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_ 14. Names of Owner of premises g. r -;d-.. So Address 5;;".,.1 fr......,( ~./?~one No. c1?.f- f/ Y :;- Name of Architect ./. '0 ~s/"-' Address / Phone No Name of Contractor Address Phone No. IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO --- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. , 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OFSi)~{..{U ) CL,.~L. (Name of individu / ~ - being duly sworn, deposes and says that (s)he is the applicant igning contract) above named, (S)He is the Q.. (Contractor, A ent, 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. 20~ ~/L.'6~ Signat~ Applicant MELANIE OOROSKl NOTARY PUBLIC, State of New'llrll No. 01004634670 Qualified in Suffolk County" ."\1\ I Commission Expires September 30.a..uJ.J D ~ ~ '", . u.s. DEPARTMENT OF HOMELAND SECL Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660-0008 Exoires Februarv 28. 2009 Important: Read the instructions on pages 1-8. A1. )1 , Building Owner's Name J ).tJ^- H:c.rb,...r~ "'''1_ 1\.-.1:::.. Building Street Address (including Apt.. Unil, Sulle~v 3 S So e... M"Ud'vd, State Ye'N Property Description (Lot and Block Numbers. Tax Farcel Number. Legal Description, etc.) .LHolk c.-,~^r'f -r<-t~ La/-- j.}o. 1000-'1'1 -0/-/9 Building Use (e.g., Residential, Non-Residential. Addition, Accessory, etc.) Re Sf Latitude/Longitude: Lat. ,"/0'00' 1./0" '" Long. "L" 3' 'It:' ...; Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood insurance. Building Diagram Number~ For a building with a c'rawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) _ sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings In the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade _ walls within 1.0 foot above adjacent grade c) Total net area offload openings in A8.b _ sq in c) Total net area offload openings in A9.b SECTION A - PROPERTY INFORMATION A2. i.er NlO) .....dg. No.) or P.O. Route and Box No. r/ For Insurance Company Use: Policy Number Company NAIC Number City {" I< ZIP Code 11'15' '- A3. A4. A5. A6. A7. A8. Horizontal Datum: 0 NAD 1927 NAD 1 983 sqin 81 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 82. County NamS A.,f", J K B8. Flood Zone(s) At=. Indica e he sour of the Base Flood Elevation (BFE) data or base flood dep entered in Item 89. o FIS Profile M FIRM D Community EJtermlned D Other (Describe) Indicate elevation datum used for BFE in Item B9: ~ NGVD 1929 ONAVD 1988 0 Other (Describe) Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date D C8RS DOPA 87. FIRM Panel Effective/Revised Date rn I ~/k. G B9. Base Flood Elevation(s) (Zone AO, use base flood depth) ,2..,0 81 B11. 812. DVes D No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 8uilding elevations are based on: D Construction Drawings. 0 Building Under Construction. Finished Construction .A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, AH, A (wllh 8FE), VE, V1-V30, V (wllh 8FE). AR, ARiA. ARiAE, ARiA1-A30, ARiAH, AR/AO. Complete Items C2.a-g below according to thLfullding diagram specified in Item A 7. Benchmark Utilized ' ~. LT.~, jl1...... B 1"'lf i'1 '5''' Vertical Datum JJ6 II D I? L~ Conversion/Comments a) Top of bottom floor (including basement, crawl space, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. I o~~eet D meters (Puerto Rico only) 1.. 0 .~ feet D meters (Puerto Rico only) .~D feet D meters (puerto Rico only) . - D feet D meters (Puerto Rico only) ':3 .1'iJ~"feel D meters (puerto Rico only) loL~ reet D meters (Puerto Rico only) 10 . L.. ~ feet 0 meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 US. Code, Section 1001. fuheCk here if comments are provided on back of form. Certifier's Name J Ii. IV4 4", Title L I 4/\,..{ Address ;>, 0, Signature /' . ~ License Number ---D LJ '7 -r. '-"rwlll ..u.. ., .., b CompanY.Name _._. tJGJ-L.~ -r-.~.L_Crc-Jl^ JJI L",J 5"rJt City It,"'tr hi',.) Slale to!e,.J 'f..r,"\"IPCode II Date 0(, 18 i.:4 Telephone I ' 7 2. 7 _ <- '" * FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions .t IMPORT ANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: Building Street Addres~ (inclU~ AP~ Unit, Suite, 'l)d/or Bldg. No.) or P.O. Route and Box No. Polley Nurnber . 3 5'~ ~JA &.rh r'J~ City M<,ff:fvc...r, Slate Ue"", 'Lrt( ZI) ;~S-2- Cornpany NAIC Nurnber . .. SECTION D .. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Cornrnents Ti,e. hal- t-/..ler l..e<-,J.e/ c<".,j td^'.Le.. C,rc 0"., Co 3 r h!!51. ~vre Ie.. ~/,.h, '" ft." b...."'........ J.. le.;e I s.rUj<:'" l1.-.~ hf 4 s-I"h ,s elev""rro.A 3/1(: Signature .......- Date _/ I - 010 16 oe 0 Check here If altachmenls SECTION E .. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRE ) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complele Iterns E1-E5. If the Certificate Is Intended to support a LOMA or LOMR-F request, complele Sections A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacenl grade (LAG). a) Top of bottorn floor (Including basement, crawl space, or enclosure) is _' _ 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _" _ 0 feet 0 meters 0 above or 0 below the LAG. For Building Diagrams 6-8 with permanent flood openings provided In Sectiqnft Items 8 ~'or 9 (see ~e 8 of Instructions), the next higher floor (elevalion C2.b In the diagrams) of the building is _' _ 0 feet U meters U above or U below the HAG. Attached garage (lop of stab) is _' _ 0 feel 0 meters 0 above or 0 below the HAG. Top of plalform of machinery and/or equipment servicing the building is _' _ 0 feet 0 meters 0 above or 0 below the HAG. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information In Section G. E2. E3. E4. E5. SECTION F "PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-Issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, S, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments o Check here if attachments SECTION G .. COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable lIem(s) and sign below. Check the measurement used in Items G8. and G9. G1. 0 The Information in Section C was laken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-Issued BFE) or Zone AO. G3. 0 The following information (Items G4.-G9.) is provided for community floodplain management purposes. G4. Pennit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as-buill lowest floor (including basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: o feet o feet o meters (PR) o melers (PR) Datum Datum local Official's Name Title Community Name T etephone Signature Dale Comments o Check here If attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Policy Number Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. .., , .:-,. S-5" .s~J~J ? h Ox.- City 1-- State J 1/ ZIP Code tft, v,,/< e"./ l.:Jr" I ~ COIT1'Ony NAlC Nurrber If using the Elevalion Certificate to obtain NFIP flood insurance, affix atleasllwo building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." II submitting more photographs than will lit on this page, use the Continuation Page, following. f(V/J vlevi \~Jtr VJ{.I/J Building Photographs Continuation Page Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. J 5'<) So...." J;e L.. DW<- ,_ .I~ 1_ State -J r, vt-/<. City For Insurance Company Use: Policy Number ~,r(<, ZIP Code II ...- 2- Corrpany NAle Nunber If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." I.--e(;-r v! e t...-l Re:c.v V:cvJ -- .. TOWN OF SOUTHOLD PROPERTY RECORD CARD -, '..,., lUll - '7'9-1.)9 M -:Sf' OWNER STREET 3:2..5 VILLAGE DISTRICT SUB. LOT ~'I ::- RHo.! b,. Mo.rr n SCONe> B~/H.' 0,. "IJ, I1Ar-r/TIUt(-. . ~ 9 v Ccdti tJr.l {/. 10, FORMER OWNER N E ~ ACREAGE -- , /7 ct. )U' S W TYPE OF BUILDING /".1../'/> ,J " .-.~ -" '~ ' . ~ES,~'. ( SEAS,. VL FARM COMM. I IND. I CB, I MISC. I Est, Mkt. Value - . LAND IMP. TOTAL DATE REMARKS '2:.- () () j 5'0 (.) 'I I~- /n.O_L/~_l1,'lA"'...- -10 lJ,. A' -IV//.".. S'o U jT'() 0 191.~1 ' ( ?&-b /'100 .:2 Wz) L ,/1) / L"'" -- ; ?Oi. / J"'6 c' ~.a.oo. .l'ult;~~ ,... g'()C) 1760 ~Soe j /6 1.2317 V . AGE BUILDING CONDITION' NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD j,-eJ I {OJ t$', ~ , , $"0 rllloble 1 Btn:Kli..Ab D ~ ,. 'r II /.Ii 0 ' "lIIoble 2 DOCK -moble. J ~oodland iwompland lrushlond -louse Plot ~atal, , .> ^. Bldg. x1~n:)iu(J X1tll::>ivll ;OJuyt: >. B. .r '- -"-.. "L ~ 4 I . o. r 0 ft"f:' V ...~.I't ,."" J, .... 17 x "S-:o ,-.. . 0 '-, .--.----------------------- . , r , , I ! ti I , , ! ! I , 0 c-~ i---G- , : f I i ~:n1 0- , , I .1 i " ..~.-~o .~=. ~,;--;~ .~-........ 'I " :x\~{)~iuTl 3"c L 't...., /'.......,f - I I hec~e'Nay , , I I L___ I . ! R=: I I I I I i J .- - .;.-c~-.: i 2,.:tfJ- \ / 'I ~ d ; Foundation C !) - t --- ~ ~ Basement "1~ ":' +,. . .~.!: + _ _.. ... I;' ~Ext. Walls (;':1./1 I Fire Place J I " /3.(, I I: L3~ r! r ;,;- ~orch tloY' Porch ~ _. ~patio I _ Driveway T - . i I L --1;{ ~7Y- ,\.'...... . , :- .... I , ,_I ~ .">"t Both Floors Interior Finish Heat Roof Type Rooms 1st Floor Rooms 2nd Floor Dormer ! , I I 0 i \+ Co/.,I-,' '! i -r-, . ~ (a" I i I ,- +T!:It:~ - ' . ,i I I 1-'..... , lTT 1 W~I'te. I , , , , 1 , , i' , :=t-u' , i ---t--- :Z:/~-1 j i Ii' '< I --T- (-7 I "", c ! (' . / o Jr. Ii / FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NY NOTICE OF DISAPROV AL Date: May 18, 2006 To: Chris Rivera for Barbara Thermos 250 Sound Beach Dr. Mattituck, NY 11952 Please take notice that your application dated May 16, 2006 For permit for construction of a single family dwelling at Location of property at 355 Sound Beach Dr., Mattituck NY County Tax Map No. 1000- Section 99 Block 1 Lot 19 Is returned herewith and disapproved on the following grounds: The proposed construction of a single family dwelling, in this R40 District, is not permitted pursuant to Article III Section 100-32, which states: "No building or premises shall be used and no building or part thereof shall be erected or altered in the A-C, R80... Districts unless the same conforms to the Bulk Schedule incorporated into this chapter with the same force and effect as if such regulations were set forth herein full." The required number of stories is two & one-half (2&1/2). The proposed number of stories above grade is three(3). *Note: The parcel has a ZBA approval (#5825), which allows for reconstruction of a dwelling with insufficient side yard setbacks. ~L'L~ Authorized Signature J"n 2B 03 03:051' TPS Inc 5819442447 1'.1 SBCCI PUBLIC SAFETY TESTING AND EVALUATION SERVfCES INC. 900 Montclair Road, Suite A; 8irmlngham. Alabama 35213-1206 www.sbccies.org a Partlclpallng Membet ollhe NES, Inc. Evalulllion Re90rts are the opinion 01 the Committee on E1I8luatlon. besed on _findings, and do not oonstlt.... or Imply .n approval or acceptanCe by ony local community. TIle Committee, In review 01 lIIe data submitted, nnds that In tl1e1r opinion the product. mal.riel, system, or method 01 conslruc:1lon speclllcally ldenllfled in this report conforms wilh or Is I sul1abla ell_IO thaI.peclned In _ Standard and Inllmatlon" Coda. SUBJECTTO THE liMITATIONS IN THIS REPORT. The Committe. on EVllulllon hes reviewed the dlla 4. DESCRIPTION eubRlillsd "" c_llanCe wllh _ S/MJdard Building COtNO, t1Hr $Seel _erd tor HlHrlCS". R..J.r.nr Residential eon_IIonO SSTDII1-9fI, lhe IlltematJoll81 On. end Two Family DwelHng C_, and Ih. 1'I0rldl Building Code 2001- Building Ind submits 10 !he Building O1ftclel or other authority hiving jurlsclJcUon "'a following report. Th. Commlltlle on E1Mluallon, SacCI PST. ESI Ind Its 811ft _ nol responsible lor .ny errors or omi....ons to any documenll. ca~8don., drawings. apaclflcallona, lasls or summarleaprepBl1ld emf submitted by Ih. design prof....on.' or praperer of recorcl_ are 1I.led In lha Suba..rrtl.tIng Ds" Secllon oIlhls report. ""rllons of 1111. report were prevloualy Included In SBCCI PST. ESI E.aluation Raport 4J2014. Copyrighted 0 2002 SBCCI PST" ESl REPORT NO.: 2014A EXPIRES, See current SBCCI PST & ESI EVALUATION REPORT LISTING CATEGORY: DOORS AND W1NDowilNAl REPflRt SUBMITTED BY: TRAIfSPARENT PROTECTION SYSTEMS, INC. 6143 c" TERRACE NORTH WEST PALM BEACH, FLORIDA 33407 561_.2445 1. PRODUCT TRADE NAME Clear Guard Hurricane Panels 2. SCOPE OF EVALUATION 2.1 Impad Resislance underSSTO 12 2.2 Structural. Transverse Wind Loads 3. USES Clear Guard Hurricane Panels are used to protect glazed openings from wjodbome debris. 4.1 Gen...1 Clear Guard Humcane Panels are corl'lIgate<l 0.098 Inche. thick poiycarbonate cl... panels extruded from GE La..... 103. 112 wilh fy = 91 DO psi. P_I..... .upp~ed in th... -s, 13.75 Inches. 15 inches and 7.69 Inch.. with a depth 012 Inches with cornJgalions. Panlllllnglh _.... Clear """e. .. ovarla~ped 10 prOllide unJim"ed widlh openings. E>cIruaions tor mounUng panels ar. 6063- T6 Aluminum alloy. Moumlng extrusions are Build.Out F.Track. Angle. -h-Header. .PTrack. "F" Track Hook, Pre-Slucco Co TracI<, Co Track (Flnieh) and Slud Angle. See Table 1 for Allowable Loads. 4.2 Large MlssII. Impacl Reelllanc. u.- SSTD 12 Tile aearGuard Hurricane Panels w...leslod lor large missile impact reslSlane. under SSTD 12. The panelslNled passed thele'lle missUe impact test for a wind speed ol g1eelerlhen Of equeJ 10 110 mph, ,...test mil.. The equivalent basic wind speed for 3 second gusl is 130 rnph or greater, lor use lMlh ASCE 7-98 or the florida Building Code 2201 . Building. The panels iiBled in lhis report may be uoed to ptDlec\ glazed openings from windbome debris, bolh lallle end small m1esiles. 4.3 WInd Loads The Clear Guard Hurricene Panels were tested for trenS\'el'Se wind pressures under ASTM E 330. AJlowable transverse wind loads al. given in Tabla 1. 5. INSTALLATION 5.1 Gena... Clear Guard Hurricane Panols are installed in """"_ wit" the manufaclure~s engineering drawings and Ihi."",ort. The manuf.acturer's publialwd instaUation lnsbuctions, engineering drewings and this report shall b. stric:t:y adhered te and e copy of Ih...lnSlluctlons ohall be available 0' ail tlmeo on the job site tlJring installation. The .instructions within this report govern ir. there are any conflicts olltween the manufacturer's inslr\lctions and this repon. REPORT NO. 2014A PAGE 1 OF 4 ,~' If \ SUFFOL': CCIDrrv DE?ARTMENT OF HEJI..LTI-l SElWJ Pt:>1.)j',,"rT .-~rV _' . t)l'.,........, \~ ,....._ ,.0 r' . .c:"'-';\.A~ :_~,~._.i.A '-_:..1"-,, \.t\..I.ll'oi.._:uf.i::1THUCTIONFORA ,:,.' T......:..J!."'ht'"';!L":: RESIDENCEO.NLY , --- DATE (1-'l7-0:, -- _..,~"" "~",-,....- /~<) <0 "0 .:P' ? ' APPR~'.~/~-:" >-") I-w C)Z~ w:::>> 2:85 w:::c:c.;) 1" ..J3: UOl--: -' ~u...~ =::> / ~"-<l. .-'/ :::>w ~ <n:J:;67"= v~ ~ :*~~'<.>..J-' ,0S~ // / / F <( , N CERTIFIED TO BARBARA THERMOS KIMON THERMOS CHICAGO TITLE INSURANCE COMPANY Joseph A. Ingegno Land Surveyor Title Surveys SubdiVlSIOf1S S;te Plor>~ - C,;;nslr"diol' Luy,-,,,r PHONE (631)727-2090 Fox (6J I )727.1721 OffiCES LC!CATED AT 322 ROANOKE A\lENUf RlVERHEAD, New Yor. 1190 I MAILING ADDRESS P_O Bo~ 1931 Rj"emeod. New York 11901 0965 "' /,' ,." "' 1- ~ ~. 00, 00.. ~ .#;~1~~~ ';;';~o.; >r,,' ,~ A t- '1'c.:.. ("':'0) "...-" " ",)0 --~ '6 ~~ <> J'.()~ 6 < ~<~. 1"'-'0 '" ..> <"f'! \ "\ vw.,UTt1ORlZEO ALTERArlON OR AOOOT>ON 10 f~ S-Ul'!'lE:r IS I\, vrOLATIDN or SECllC>>l 7209 OF' n-lE NEw 'OR~ ';TArE EOlJCATlON LAW COPIES Of THIS SlJR'YD' loiN' NOT BEARING THE IN<<) SVRVEYOlrS INKED SEAl OR EWSOSS[[) 5EAL Sl-W,L NOT BE CQt.jSIOCRW TO BE A \lAUO Tl'lUE COP'r r:tRTlFlCAllONSINDlCATEDHEREOf<lSKlU.RuN r:MlY TO THf PERSON FOR WHO... THE: SUR'If', IS PRD'ARED, AND Of<l HIS BE:HALf TO THE: TITLE COWPoUiY, GOVERNMENTAl .l(:EI<IO o.NC' UJ<<.HHG INSTITUT1~ USTED HEREON" AN[) TOfHEASSIGH;[ESOfTHElENOINGINSl1- T1.JllON CERTIFICATIONS AAE NOT TR",,6HRA8U THE EXISTENCE Of RIGHT or WAYS AND/OR EASEWEm or RECORD. IF ANY, NOT SHOO ,ur NOT GUAR.f.HTHO NOTE\;; 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS, "'" EXISTING CONTOURS ARE SHOWN THUS, -- --'0-' - 2" fLOOD ZONE INfQR....ATlON TAKEN fRO....: fLOOD INSURANCE RATE ~A.P No, 36103C0143 G lONE At BASE FLOOD ELEVATIONS LHERMINED ZONE V[ COASTAL H.oao WITH VELOCITY HAZARD (WAVE ACTION); BASE FLOOD ELEVATIONS DETERMINED lONE x' AREAS OF SOD-YEAR FLOOD; AREAS OF lOCI-YEAR FLOOD WITH AVERAGE DEPTH OF lESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MilE. AND AREAS PROTECTED BY LEVEES FROM 100- YEAR FLOOD l')NE X AREAS DETERMINED TO BE ('UTSIDE ~OU-YEAR FLOODPLAIN SEPTIC TANK CAPACITIES FOR A 4 BEDROOM HOUSE IS 1,200 GALLONS. 4' EFFECTIVE DEPTH. LEACHING SYSTEM FOR A 4 BEDROOM HOUSE IS 300 sq It SIDEWALL AREA. 2' DIA. X 2' DEEP. / TEST HOLE DATA ~<i--'1 ,~u...;:; :*'\.~0(, " .0 \..\;r_)~S (TEST HOLf Oi..IG BY MrOONAln GFosrlfNU ON f-TBRUAR\ :, 2005) EL76 --- --.---- 10" I i PALE BROWN lolEDIUlol SP ^" 'J' TO COU'SE $AND ~'O'cNI E~'~E~--/_-:' " f.. 'j ~ -~ iv- ~~,.. . ,j-": T'~ . d./ ',-#/ ;/ / ~. /0' /' / / / / ///\ '''" ~, <" '~, ',?, () ~ L ,..(, WATER IN PALE BROWN lollDIUlol SP TO COURSE SANG " / " " V~__"_.___ k/ , , \ " \ " 00. 00.. A, o~ -<::0Y( ;.../--,~C' '" '> /" f;-~ <fI' <' ~~i''<'' ,~ t-\':l~ /~.o ~ 'oA <> ~~ (. < ~<~ 0.'" ~ ~/ <"'f, \el=EASE NOTE ~System1l21to be Insfalted ...~. 3. MINIMUM 8' DIA. X 4. MINIMUM 6 POOLS; @ (.i) SURVEY OF LOT 21 BLOCK 1 MAP OF KIDD ESTATES FILED JAtoIUARY 19, 1949 CAPT AIN FILE No. 1672 SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C, TAX No. 1000-99-01-19 SCALE 1"=30' FEBRUARY 2, 2005 JUL i 20. 2005 ADDED PROPOSED Housr AREA = 7,500,00 sq. ft. 0,172 oe. PROPOSED EXPANSION POOL PROPOSED LEACHING POOL tO~~ / '<::\1 .,t ltC,. ~i-'i- "o+~" ,,0 <> ~~ ,,' '< '~~<~- -t -'Q '" '. /" 5 EXISTING SEPTIC SYSTE~ TO BE PU....PED CLEAN AND R[~OVEO AS PER S.CD.H.S. SPECIFICATIONS. V^./ V\//V'\ - () 90 PROPOSED SEPTIC TANK <'/ / ,,- I, ~~) \9~ PROPOSED SEPTIC ~ -~ -- 10" ~.<::P, .,,0 ()" S'" (). S S \p't rll)USl r~ L [, DJ.i c===r~ / FINISHED r,RADE I [LtV g' _ ___ _1__ _ _ _ ~I __Tllr~_~l~ 1_ -:Tr= l ,",I~IN 4 DiA F - APPROVED PIP~ - ~ ':>i:~~C APPROvED PIP.E INv,~ mr.PITn'1/4"11 ",npnrHl/8j , 'Nv EL '1 I -'NV EL 1'----=----==__----:::---' 6!} 1- i'j' --1 ,0 ) \ " " " , \ 'x:: // \ / , / ./ / i' ,<ie' ~G ~" V ~ :*':".,:-f-- ~ y0'C u~ v ~"') TRI80T'CJN P')()LS '_'f:- f POOL 'dST[M ~(PJK TANK__O) '-Z,r- \ "':'1'0 '\ .{l,~ " ~0<<'/ " 1->10 '" ,. / < ""NIIoAUi.' ';.EF'l'l ~PA: Ilof' f,:>f' A 4 1:l~,[\ROOI.1 '-I')l,'::r ' .~O(I r;Ac: ')N':, TANK 5'01A "'lvH ,_-._""" ONCRfTE "HAll liAVE A ~INI,",tlM COMPR[SSrvl STRENGTH Of 3,000 psi Ai 28 DA", ","l: THICI<NESS ~HAll A( " 1ol1"Il.lUlol Of,' A TOP THICKNESS OF B' ""0 A 80TlOlol THiC~N[S5 Of ,"",\\'ALLS, BOTfOIol ANC lUl-' -,,>i.I\LL lONlAiN RliNrOI-lUN(, TO PESISI AN APPLlEL' fORCE 0f \00 p,1 4 \1 L JOINTS "'HAl, BE Sf ALEC! 'So THAl TH( rAN~ IS WATERTIGHT '1-# SEPTIC rAN~ SHALL BE INSfAlli:O AT LE\lEL IN AU DIRECTIONS (WITH A t.AAJ( TOLERANCE Of ::I: 1/4-\ 0"1 A MINIl.lU,", J" THIO 8E[\ or COIolPAC'TED SAND 0R PEA (;FAV[I f' i, '1]' ""n D:STANC[ 8ETWEEN '-,EPn~ TAN~, A,ND >-lOUSE SHAl~ BE MAI"TAINED SYSTEM DET AIL (NOT TO seAl_E) n_ TOP EL 7,3 L r FINISH GRADE / ELEV 8 J" j l' Io4IN 6" T~ , o. :3" CLEAN SANO COLLAR LEACHING POm 'INV EL 6')' ": LEACHING POm ~~ --;'..--.--1 LOOT EL 48' - GROUND WATER ELEv_ 1,8 LEACHING POOLS (6) l,4IHIMUlol LEACHING SYST[1ol FOR A 4 BrDRoolol HOUSE IS 300 sQ !I SlOEWALL AREA 6 POOlS: '}" ()f&. 80 diQ LEACHING POOLS AR[ TO BE CONSTRUCTED or PRECAST RfINI'0RC[(\ CONCRnr (OR EQUAL) LEACHING STRUCTURES. SOUD OOMES ANOjOR SLABS AlL CCM:RS SkALl BE ~ PRfCAST REIHfORCfD COHCRrrE (OR EQUAL> A 10' fTI," D1STANCE BETWEEN LEACHING POOlS AND WATER LINE SHALL BE loWNlAlN[D ...,. 8" min tllSTANCE BETWf'EN AU lEACHING POOLS A.toID SEPTIC rANK Sl1AU 8[ IUJNTAINEO 25 12d ~/ TEST HOLE DATA SURVEY OF LOT 21 BLOCK 1 MAP OF KIDD ESTATES fiLED JANUARY 19, 1949 \ v~~..0<C~/ t~~~ ",>/// /// / / <coi' \.o;..(j~~ / *....~0v Q ." ,yc.,.....'" / / ~<::) 0-<0 o ~~ <::)<?- G~s<,-,,0' ), ~.\?'-",,<<'" .0. v..' v"c ,," '! . <<, ,~"..t' .<.Y',c. ~~~'?J\; . '-S "s ~ .' . ,)' ..' ." / / 1- " "6>. 00. 00.. ~ ., <"d'!' 1ff/ // / ~o J- A "'~1-....@ 10"'( CERTIFIED TO: BARBARA THER~DS KI~DN THER~OS CHICAGO TITLE INSURANCE '" ~~ ~o.j:, '\ ~<( ~~. -t>"'Q '" 1: t; COMPANY 49668 UNo\UTllORIZED ALTER.l.TlON OR AOOlTKlN 10 THIS SURVEY IS A V10lATU:>>. Of 5[CllON 7.209 Of THE NEW YORK STATE EDUCATION l...'.'Il Jos gegno Land Surveyor CMES or T\-iIS SURVEY Iol.-.F' NOT SEARING TrIE l>>IO su~'s INKED SEAl OR EMBOSSED SEAl SHAll. NOT €IE CONSIDERED TO OC ,., ',lAUD lRUE COPY CERTlFlCAnoHS INOl(>>.rED H{REON SHAlL RUN ONLY TO THE PERSON FOR WHOt.t Ti-I[ S1JRVEY IS PRD'MED, NolO ON HIS BDW.F TO 'THE nTI-ECOWf'ANY,GOYERNt.lENT......N;E:NCY,tJojO LENDING lHSTf11JT1Oft1 USTEO HEREON. AND TO mE ASSIGNEES OF THE LENDING INSD- l1mON_ CERTIF1CAl1ONS AAE NOT 1RA.NSFEFVJIL[ 'Title Surveys - $ubdivisiOfllJ Site PIGn~ - Construction Layout PHONE (63t)727-2090 Fax (631)727-1727 OFFICES LOCATED AT .322 RDANOKf AVENUE R!VERHOO, New York 11901 MAIUNG ADOf?ESS P.O. Box 1931 Riverheod, New York 11901 THE EXISTENCE OF RIGHT Of WAYS AND/OR EA,stNEm Of RECORD. IF ANY, NOT SHOWN ARE NOT GUARANTEEO. 0965 (TEST HOLE DUG BY IJr.OONAt 0 GfDSCifJ:Kf: ON FEBRUARY 2, --"-' l' -~~~ B~N MWUM SP I ~O COURSE SAND ^" EL- 1.8 ~ GROUNO-- WATER 200~) /f~ ~,i ." , .,,'\ \ \ \ CAPT AIN FILE No. 1672 ~ y, .?> ~ /L <t> SITUATED AT MA TTITU C K TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S,C, TAX No. 1000-99-01-19 SCALE 1"=30' FEBRUARY 2, 2005 JULY 20, 20U.5 ADDED PROPOSED HOUSE ./// S8 .~ -1 . / WATER IN PALE BROWN MEDIUl.l SP TO COURSE SAND " \ \ \ M...j M~ ~~ iA-^..~. ,-' r....__._ ~ AREA ~ 7,500.00 sq. ft. 0.172 ae. /' <f!' ,"" <I;.:t'J,r.,'r-r ~\o~ ,,0 r~::r ""1'0 . .<)~l.':: c...<9((/. <:'/('1-" .. ~~~ ~, .0 r(-;j> (<'J'o~ C 1c<.<>. 0--"" <'?:'('4_ --- '0-'0 (:0) "'^ - ~, NOTES 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATU~ EXISTING ELEVATIONS ARE SHOWN THUS, EXISTING CONTOURS ARE SHOWN THUS, 2. FLOOD ZONE INFORMATION TAKEN fROM: FLOOD INSURANCE RATE MAP No. 36103C0143 G ZONE. AE: BASE F-LDOD ELEVATIONS DETERMINED ZONE VF COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION); BA..<;E FLOOD EU.-VATIONS DUERMINED ZONE X+: AREAS OF SOQ-YEAR FLOOD; AREAS OF 100~YEAR FLOOD WITH AVERAGE DEPTH m LESS THAN 1 roOT OR WI1H DRAINAGE AREAS LESS THAN , SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1 OO~ YEAR FLOOD. ZONE X: AREAS DETERMINED TO BE OUTSIDE SOO~YEAR FLOODPLAIN. 3. ~INI~UM SEPTIC TANK CAPACITIES fOR A 4 BEDROO~ HOUSE IS 1,200 GALLONS. 8' DIA. X 4' EFfECTIVE DEPTH. 4. MINI~U~ LEACHING SYSTEM FOR A 4 BEDROOM HOUSE IS 300 sq It SIDEWALL AREA. 6 POOLS; 2' DIA. X 2' DEEP. tIJ () PROPOSED EXPANSION POOL PROPOSED LEACHING POOL "\1 .~~, (0/ ... ,\?~/",,, ...Q 'Ct, ,~ o~ ~y <t (<.0. 'b'Q '" '" t; 3 LL,,] /0\ \,~__r:~Y PROPOSED SEPTIC TANK 5. EX!STING SEPTIC SYSTE~ TO BE PUMPED CLEAN AND RD.tOUIL AS PER S.C.D.H.S. SPECIFICATIONS. '" /2\ V') O~ V PROPOSED SEPTIC SYSTEM DETAIL .l " ,'. ," " ,0 V'o \1 .a ,~ O~ .,-1 (NOT TO SCALE) HOUSe [LEv, lUl =--=-=n (n FINISHED GRADE ~II . _ ____ _ __ _ L~I Elli "_____ J TOPEL 81 ----::=cs:-: ._ ~1 MIN . _ _~__~ _ -- - t.4IN 4 DlA - - -., 'I -:;pp~~v~ PIPf==ffi Sf::~C - ~;;OVED PIP.E N\ <3 rnJn PITCH 1/4'/1' Il11l mll1 prrCl1 1/8/1 I, l_ INY [(_/1 -INV BE~, I--B.----j ~ F--INISH GRADE I ELEV 8..3' / , " , l-IJ " 'ClC" .ClCl cll .. ,,1- "Cl' (i\ '? ~) '" "p'-:' \>+~~~<,; ~<"'\,J/ Q ,Co \!}0x"'S GROUND WATER ElEV. 1.8 --1' MIN .....c--:--ZHING-]-- TN-B'/~~NCDlEAN ~ POOL I COLLAR " -8'~ !v. a ;Z. PPROV Alj/;1Y '" /0 / o~ 'XX' /~ / " // V,j'~ a~ 't&y( \ v('i-o ..,. 1: t; ~ DISTRIBUTION POOLS OF-- B POOL SYSTEM BOT El_ 4_8' SEPTIC TANK (1) LEACHING POOLS (6) MINIhlUI.4 SEPTIC T~ CAP,o,cmES FOR ~ " BEDROOl.l HOUSE IS 1.200 GALLONS 1 TANK; 8' 0lA... 5' HIGH_ CONCRETE SHAll HAVE A NINlNU~ CONPRESSfVE STRENGTH or 3.000 psi AT 28 DAYS J WALL THICKNESS SHALL BE A lAINIhlUW Of 3', A TOP THICKNESS OF 8' ....NO A BOTTO~ THICKNESS or .... AU. WALlS. BOTTot.! """' TOP SHALl CONTAlfIl REINFORCING TO RESIST AN APPLIED rOReE Of JOO pilI. ALL JOINTS SHALL BE SEALED SO ~T THE TNIII< IS WATERTIGHT S 11-IE SEPTIC T.....I< SHALL BE INSTAll.ED AT I...E\IEL IN ALL DIRECTIONS (WITH A MAX TOLERANCE OF 1:1/".) Dt4 A ~INIWUl.l J' THICK BED OF COl.lPACTED SAND OR PEA GRA-IIK I) A 10' min. DISTANCE BElWITN SEPDC TANK NIlD HOUSE SHAlL BE t.M.lNTAlNED. 1 MININUl.l LEACHING $YS1l:M FOR A ... BEDROOM HOU$f IS 300 aq ft SIDEWALl- AREA 6 POOLS: 2' DEEP, 6' di<:J 2 lEACHING POOlS ARE TO BE CONSTRUCTED Of" PRECAST REINFORCED CONCRETE (OR EQUAL) LEACHING STRUCTURES, SDUD DOMES AND/OR SLABS. 3 ALL cove:RS SHALL at OF PRECAST REINFORCED CONCRETE (OR EQl..II.l) " A 10' rnon DISTANCE BElWEOI LEACHINC POOLS AND WATER UNE SHAll BE IoWNTAlNED. 5 AN 8' min_ DISTANCE 8ETWEEN ALL LEACHING POOLS AND SEPTIC rANI< SI-WJ. BE IolAlNTAINEO. , '\ \ / / // // <'v \." <::)~ ,\. G' ^~ 0"" " ~<::) :0" c,o ." . ,'.' <v ./1:,0 \ /' . ./.()() C ,/ ,"/ /", ,,'1- ,,()/ /. / / ~, './d'f./ '/ or ~fus / ~ ~~\--~" ..r. /1,.O~<"" &.. ,.\- 0>. / -'" 00 ~O' . 00.. '" ~ . < '\ . f- '"0,,->. lie No 4g6bB utW./THORlIED AUEAATlON OR AOOllKlN TO 11115 SURVEY IS A.1UiJll1ON OF SECTION 7209 OF fHl: NEW YORI( S' A f1- fDlJCATlON u.w Joseph A. Ingegno Land Surveyor Tille Surveys Subdivisi{}~s Site PIa"5 PHONE (631)727-2090 F-ox (631)771 1727 COPIES or ~IS SURVEY l.lAP ~, 8EARIN<:: THE LlHD SURVEYOR'S INKED SEAL OR EM8:>SSED SEAl SHAlL NOT BE CONSIOUl[[; TO R[ A w..UO TRUE COPY ('onstructiofl I.oyo,,' CEIfTlFlCA.TIONS INDICATED HEREON SHAU, RUN ?NLY TO THE PERSON FOR WHOM THE stJR\IEY IS PREPARED, AND ON HIS eO"WI TO THf TlTLE COt.lPAHY, GOVERNWENTAL ,t,GENC'r AND LENDING INSTrrunON USTEO HEREON., AND TO n-tE ASSIGNEES OF THE LENDING INS11- 11JTION CERTlF1r.AnONS ARE NOT TRANSfUt4fllf omCES LOCATED A7 322 ROANOKE AVENUE. l!: RW_~RHEAD:_ New 10rk ~1901 /MlllNG ADDRfSS P.O. Bo~ '931 Rivert>ead, New York 1190\ -0965 ~E EXISTENCE OF RIGHT Of WAYS AND/OR EASElllENTS Of RECORD, IF ANY, MOT SHOWN ARf MOT GUARANTHD. ~ ~ '~ .A ~ ~ L ~ , ,. /: , , , ,~ ,0 '. .p ,'" ." :<f': j/ " . ,,fi 00 4 , " S J' ..to>. 00. 00, (' 'J ~ '\'C_ "'0-" /,;,." " \,"') "'0 10\'l.~ '" /s o '0 0, .()0: .()() cP ,,'1-,,(). 6\ '? t , O~ " (' '1 \ ~ / II: -_oj 0' \, ,/ ~~ 'I ~ \_---j \0 SURVEY OF LOT 21 BLOCK 1 MAP OF KIDD EST A TES FILED JANUARY 19, 1949 CAPTAIN FILE No, 1672 SITUATED AT MA TTITU CK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SoC. TAX No. 1000-99-01-19 SCALE 1"=30' FEBRUARY 2, 2005 JULY 20, 2005 ADDED PROPOSED HOUSE JANUARY 1 1 2006 REVISED PROPOSfD HOUSE OCTOBER J, 2005 FOUNDATION LOCATION OCTOBER 13, 2006 ADDED RIDGE HEIGHT AREA = 7,50D,00 sq. ft. 0.172 ce. CERTIFIED TO: BARBARA THERMOS KIMON THERt.40S CHICAGO TITLE INSURANCE COMPANY flOTES I, ELEVATIONS ARE REFERENCED TO N,G,V.D, 1929 DATUt.4 2. FLOOD ZONE INFORlllATlON TAKEN FROlll: FLOOD INSURANCE RATE MAP No. 361 03CO 143 G ZONE At. BASE F-LOOD ELEVATIONS DETER~INED lON~_ VE COASTAL FLOOD WITH VELOCITY HAZARD (WAVE_ ACTION); BASE FLOOD El.EVATIONS DETERMINED ZONE X.. AREAS OF SOD-YEAR FLOOD; AREAS OF 100-YfAR FLOOD WITH AVERAGE DEPTH OF lESS THAN 1 FOOT OR WiTH DRAINAGE AREAS LESS T4AN 1 SQUARE MILL AND AREAS PROTECTED BY LEVEES FRO~ 1 DO-YEAR FLOOD ZONE X AREAS DETER~INED TO BE OUTSIDE SOQ--YEAR FLOODPlAJN fY\f\~1 02C ''II ,~<V e-,O'v ,/ ~, " :v" '0 (x," ,"" :'(,~ t '\" 00 ...' . , / ,/" ~ ;f- o / / ,~ A" ,i\ 1.-- A<"- ~" 4f\~<- '{p. // ^vQ~ %. 00.. ___~_ ,,!o_~9fi58 ,,", . Joseph A-. Ingegno Land Surveyor TifleSurveys Subdivisions Site Pfuns ::'onslructior; LGYOLl! OFFlCES 1 ~T[O AT 322 ROANOKE AVENUE RIVERHf).[}, New York 11901 Fax (6.31)727-1721 MAILING ADDRESS PO. Box 1931 Rivert1eod, New York ~lg01-0965 PHONE: (631)727-2090 ~ '0 ., ~ r"" '. '\..~~ 10"'( ml'1t 8?.f \1N;llJJ1'HC.lRlzrn A,n-RA.1KlN 8R ....DlJITI(IN -;0 !'HIS SURVEY 10, ~ VIOLATlQN Of SfCnON 7209 n- l"H~ ~F'W 'fORI( qA'l- WIJCATlON L/lW CaPlES 'Jf THIS ';:;URVEY YAP NOT I3lARIN(; THE u..ND SURVEYOlfS INI(ED SEAl Of! EIolBQSSED SEAl SHAlL NOT BE: CONSI!)fRl-" TO BE ~ "AUD TRUE COPY CERllFlCATlOHS INOlCAfED HEREON StW.L ~UN ONLY TO THE PERSON FUR WHO'" THE SURYf'T IS PREPAAEO. ANO ON HIS BE~F TO TH[ TlTli CQWPANY. GQVERNllENTAL I\GE"lCY AND ~ND'NG tNsrmmON U$1'ED HEREON. N<lD TO mE ASSIGNl::ES Of THE UNDlNG INSTl- TUTION, CERTIflCATlONS ,t.RE NOT TAANSFERABLE THE EXISTENCE 0. RIGHT OF WAYS AND/OR EASEWENTS or RECORD, IF A.I<4Y. ~T SHOWN A.R[ NOT GUA.RAHTfED. / ~i ,.' '. . Ji' ,,f . , '01'; . ~' .,p .0 4 , . IV " ~> \ , 0", f ~J- " i_"> \ (~) ?s o '0 0, -c,c'. .,," ,,". ",'"",c>' io" S ~\~j ,,0 :1>" , ~ '-_/ 0' 'V ---, I ~ <'1> ?> ~ "L ~ , SURVEY OF LOT 21 BLOCK 1 MAP OF KIDD ESTATES FILED JANUARY 19. 1949 CAPT AIN FILE No. 1672 SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-99-01-19 SCALE 1 "=30' FEBRUARY 2, 2005 JULY 20, 2005 ADDED PROPOSED HOUSE JANUARY 11, 2006 REVISED PROPOSED HOUSE OCTOBER 3, 2006 FOUNDATION LOCATION AREA = 7.500.00 sq. fl. 0.172 oc. CERTIFIED TO, BARBARA THERMOS KIMON THERMOS CHICAGO TITLE INSURANCE COMPANY .,., '. NOTES. 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM 2. FLOOD ZONE INFOR~ATION TAKEN FRO~: FLOOD INSURANCE RATE ~AP No. 36103C0143 G ZONE AE BASE FLOOD ELEVATIONS DETERMINED lONE VE' COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION); BASE FLOOD ELE\/ATIONS DETERMINED ZONE. x.: AREAS OF SOD-YEAR FLOOD; AREAS OF lOO-YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DR.A.lNAGE AREAS LESS THAN 1 SQUARE MILE. AND AREAS PROTECTED B'I' LEVEES FROM lOO-YEAR FLOOD ZONE X AREAS DETERMINED TO BE OUTSIDE 500- YEAR FLOODPLAIN (~s) ~~J ,,0 7 ~5'- q s-o-z.-. Permit # Permit Date , REScheck Software Version 3.7.3 Compliance Certificate , , , , .\ Project Title: PROPOSED HOUSE Report Date: 05/03/06 Data filename: C:IProgram FilesICheckIRESc:heckITHERMOS.rck Energy Code: location: Construclion Type: _ng Type: Glazing Area Percentage: _ng Degree Days: N_ York State Energy Conservation Construction Code Suffolk County, N_ York Detached 1 or 2 Family Non-Electric 26% 5750 Construction Site: SOUND BEACH DRIVE MA TTITUCK, NY Owner/Agent: THERMOS Designer/Contractor: JAMES DEERKOSKI 298-7116 :::: Passes ,417 ' ~ It~' \ 413 1.0% Better Than Code (UA) ..... Ceiling 1: Flat Ceiling or Scissor Truss: ceiling 2: Cathedral Ceiling (no attic): Wall 1: Wood Frame, 16" o.c.: Window 1: Wood Frame:Double Pane with low-E: Window 2: Wood Frame:Double Pane with low-E: Window 3: Wood Frame:Double Pane with Low-E: Door 1: Glass: Door 2: Solid: Door 3: Solid: Floor 1: All-Wood JoisVTruss:Over Unconditioned Space: 215 904 2565 11 81 108 470 20 20 1119 30.0 30.0 19.0 0.0 0.0 0.0 0.320 0.330 0.340 0.330 0.260 0.250 8 31 111 4 27 37 155 6 5 29 38.0 0.0 The proposed building- represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit 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 signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are In compllance with thiS Code -=:J:I'I?~"':> U~uo;w. S/<e/Or> Builder/Designer Company Name Dale' PROPOSED HOUSE Page 1 014 REScheck Software Version 3.7.3 Inspection Checklist Date: 05103/06 Ceilings: o Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: o Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: Above--Grade Walls: o Wall 1: Wood Frame, 16" a.c., R-19.0 cavity insulation Comments: Windows: o Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 2: Wood Frame:Double Pane with Low-E, U-factor. 0.330 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 3: Wood Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Doors: o Door 1: Glass, U-faclor: 0.330 Comments: o Door 2: Solid, V-factor: 0.280 Comments: o Door 3: Solid, V-factor: 0.250 Comments: Floors: o Floor 1: All-Wood JoisVTruss:Over Unconditioned Space, R-38.0 cavity insulation Comments: Air Leakage: o Joints, penetrations. and all other such openings in the building envelope that are sources of air leakage must be sealed. o Recessed lights must be 1) Type Ie rated, or 2) Installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-Ie rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: o Required on the warm-In-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: o Materials and equipment must be installed in accordance with the manufacturer's installation instructions. PROPOSED HOUSE Page2of4 o Materials and equipment must be identified so that compliance can be determined. o Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. o Insulation RMvalues and glazing UMfactors must be clearly marked on the building plans or specifications. Duct Insulation: o Supply ducts in unconditioned attics or outside the building must be insulated to R-8. o Return ducts in unconditioned attics or outside the building must be insulated to R-4. o Supply ducts in unconditioned spaces must be insulated to R-8. o Return ducts in unconditioned spaces (except basements) must be insulated to R- o Return ducts in unconditioned spaces (except basements) must be insulated to R-2. . Insulation is not required on return ducts in basements. Duct Construction: o All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embeddedMfabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181 B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. o The HVAC system must provide a means for balancing air and water systems. Temperature Controls: o Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: o Separate electric meters are required for each dwelling unit. Fireplaces: o Fireplaces must be installed with tight fitting nonMcombustible fireplace doors. o Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York State or the New Yorl< City Building Code, as applicable. Service Water Heating: o Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. o Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: o Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: o All heated swimming pools must have an onloff heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: o HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. PROPOSED HOUSE Page 3 of4 , . Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Heated Water Temperature (OF) 170-180 140-169 100-139 insulation lb'_In Inches by Pipe Slzeo Non-Clrculatlng Runouts Circulating Mains and Runouts Up to 1" Up to 1 .25" 1.5"102.0" Over 2" 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 0.5 0.5 0.5 1.0 Table 2: MInimum Insulation Thickness for HVAC Pipes Piping System Types HealIng Systems Low PressurelTemperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant and Brine Fluid Temp. Range("F) Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1" and Less 1.25" to 2.0" 2.5"104" 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 201-250 120-200 Any 40-55 Below 40 NOTES TO FIELD: (Buildin9 Department Use Only) PROPOSED HOUSE Page 4 of 4 ,I 3)3Y;) , ~-"'.." I ! t ...~. .' fLJ:::GISTnNl or VlTAL ST^T1S11CS MAnnIAGF. OFflCFTt REcan-os MMAGEMENT OFrtCEJl FREEDOM Of INFONMTlON OFFICER Town Hilll. .') JOV~ ~'IQ"1 r.o. On.. 11711 Soulholtl. Nc\I,.-. Yurk , Fo> IS 11,1 7f>'<'IR"> T dcrllcJnc t 51 (q 1(,5-:. . . 'J1:/P'ITH T. TERRY , tOWl'l CLERK OFfICE Of THE TOWN CLERIC TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under tlie Flood Damage Prevent regulations ..1 OJ the Code of the Town of Sou thold: !,pplication" [FDP(9J)), and /Certificale Special Flood Hazard Area [e/C(9J)]. "Floodplain Development Permit i i of Compliance 7/r Oevelepmen t in " / / fQIi"~ \0; ! ~=_.. ~I :; 'l iH ~. 6wu, oc.:rr TOW;j OF SOlmiOLD ~~~ ~~~ Southold Town Clerk August 25, 1993 ~ . . " ., ~~. . .' , ., APPLICATION 1/ rNjE I of 4 TOWN OF SOUTHOlD fLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be 1iI1ed out in duplicate. ~ , SECTION I: GENERAL PROVlSIONS (APPLICANT to read and lii!Tl): L No work may ,tart UJlLil . permit is issued. 2. The permit may be revoked if any false ,t.tements are made be rein. J. If revoked, all work must cease UJltU permil is re.issued. 4. Development sball not be used or OCaJpied untU . Certu."'te oC CorupUance is lssued. S. Tbe permit will expire if DO work is commenced within six months of issuance. 6. Applicant is bereby informed tbat otber permilS may be required to fulfillloC1l, ,late wd Cederal regulatory requirements. 7. Applicant bereby gives consent 10 tbe L.c<:a1 Administrator or his/ber representative to make il>asonable . inspections required to verily compli=ce. . 8. I. THEAPPLlCANT. CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATIACHMEJITSTO _ THIS APPLICATION ARE, TO TH~T 0_ Y KJ'IOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE)~ /~ ~ DATE <?/I<(/dtf . / //SECTION 1: PROPOSED DE:YELOe~hENT rr,,~e comole'ed bv APPLlCAtEl . J~ TELEPHONE APPL NAME 6.v> ~ (- 3Ss Olf F-'1/'f 7 . BUILDER ENGfNEER lJ'Vl/c.- PROJECT LOCATION: To avoid del.y io proces.sing tbe application. please provide enough informatioo '0 casUy identify the project location. Provide the street address, lot number or legal description (anaen) and. ouLlide urban areas, tbe distance to the neares( in'er,ecting road or wcU'K.nown liDdmarl A sketch a((ached to lhi.I appUc>tion ,bowing the project location would be belpfuL d s-s- -!i:<J:, ~~~~ic;JZ- /' q f- /- cJ/ 'f. FDP(93 ) " . \'1' ;\ ;<'. . APPUCA TION ;';! PAGE10F' DESCRIPTION OF WORK (Check all appueabic bo,cs): A STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ~dential (1-4 Family) o Residential (More than 4 Fa..mily) o Noo-residential (Floodproofwg? 0 Yes) o Combined Use (ReoidentiaJ &. CowwerciaJ) p 0 Manufactured (Mobile) Home (In Manu- factured Home Park? 0 Yes) ~~UC:lUr<: o Addition o Alleration o Relocalioo p.tJcmoUlioD o Replacement ESTIMATED COST OF PROJECT S ~, ~. B. OTHER DEVELOPMENT ACOVITIES: ) , , / / o Fill 0 Mining 0 Drilling 0 Grading o Excavation (Except for StructuraJ Development Checked Above) o Watercourse Alteratioo (Including Drwging aod Channel ly{odilications) o Drainage ImproveolenLS (Including Culvert Work) o Roa'A. Street or Bridge Construction o Sutk;vision (New or Expansion) o !9f:t.mdual Watcr or Sewer Systcm o Otber (PI=e Specify) . ) / j Afler completing SECTION 2, APPUCAl'IT should <;ubrnll form to LocaJ Administrator for rc\-icw. SELTION); FLOODPLArN DETERMINATION (fo be ,omalcted bv LOCAL ADMINTSTRATOR) Tbc peapmed development ls located on FIRM Pand No. . Dated The Proposed Development: o 4 ~ locatw in a Special Flood Hazard Area (Notify the appUcant that the application review is complete OlId NO FLOODPlAIN DEVELOPMENT PERMIT IS REQUIRED), o ls loc.ated io a Special Flood Huard Area. FIRM TOne d~"ignalion is 100- Year 1100d elevalion at the si'e is; Fl. NOVO (MSL) o Uoavailable o Tbe proposed developmenl i~ IOCil1cd io a Ooodway. FBFM Panel No. Daled OSee Scction ~ (or ,ldrlilional ioslrw(io(l'i SIGNED DATE '. t. .I..... . ;, , APPLICATION ,Ii PAGE) OF4 SECTION ~: ADDITIONAL INFORMATION REOUIRED (To he comnleted bv LOCAL ADMINISTRATOIU The .ppbGUlt must submit the documents checked below before tbe .ppbGlUon GlJ) be processed: o A.sile plan sbowing tbe location of all cruLing S(fUC(urCS, wa(c:.r bodies, adj~ccDt roads, 101 dimensions and proposed development. o Development pl.ns. dr.wn to scale, and specificati<Jns, includin~ where appfjcable: <ietalls for 31Ichoring structures, proposed elev.tion of lowest Ooor (lncludlng basement), types of water resist31lt malerials used below the rust Ooor, detaili oC Ooodproorong oC utilities localed below the Hrst Ooor aDd details of enclosures below tbe first Ooor. Also. o Subdivision or other development pl31lS (If the subdivision or otber development exceeds 50 lots or 5 acres, whicbever is tbe le<<er, the .pplicant !!JJlli provide lOO-year nood elevations if they are not otberwise .vailable). o PIa.{lS sbowing tbe extenl of watercourse relocation 31Idfor landform alteralioos. o Top oC new ruJ elevation Fl. NGVD (MSL). o Floodproofmg protection level (non-residential only) Ft.' NOVO (MSL). For OoodprooCed structures, "ppliGlot must .llacb certificatioo Crom r~gistcred engineer or L' /' ~ arcwtec1.. ! ,/' o CcrtifiC<llioa [rom a~~g:istered engineer that the proposed acti0.{~ in a regulatory fioodway will nol result in,~ increase in (he height of the lOO-year Oood. A copy of all data aDd caJatlations supporting_ tlill Hnding mus( aho be submiucd. o Other. SECTION 5: PERMIT DETI;RM1NATlON [To be com Dieted bv LOLAL ADMINISTRATOR) I bave detertDined tb.t tbe proposed activity. A. 0 Is B.O Is Dol in conformance with provisions of Local UW , , 19 The permit is issued subject to tbe cODditlons atlBched (0 and mllde part of tbls: permit. -- SIGNED , DATE lLl1.QX A is checkcd, the Local Admioistralor m.y issuc . Dcvclopmeol Permit upoo paymeDt oC dcsig:natcd fee f{ ~OX B is checked, tbe Local Admiruslralor will provide a wriHen summary or dcrlciencics. Applica.nl may rLVlse and rLsubmi( all application 10 the Local Adminislrator or may rcquesl a bearing from lbc Board or Appcals J.t. ". t '. " '" APrLlCA TION ~ PAGE 4 OF 4 APPEALS: Apptalod 10 SOald of Appeals' 0 YeI 0 No Hearing dale: Appeals BUilld Dl;.\,~;vu --- App,v~....d7 0 Y(.,) 0 ~Ie Cooditions SECTION 6: AS.DUlLT ELEVATIONS fTo be submitled bv APPLICANT before Certificate of Comoliance is issued) The foUowiog inionnatioD must be provided (or project structures.. This secUoa must be completed qy a regislered professiooal eogineer or a lieensed land surveyor (or allach , certification 10 lhis application), Complete I or 2 below. I. Actual (As.Built) Elevation of tbe lop of the lowesl Ooor, including basement (in C<last.1 Hi"h Haza'rd ~ bottom of lowest structural member of tbe lowest Ooor, excluding piling and columns) is: Fr. NOVO (MSL). L . " Actual (As-Built) Elevation of Ooodproofmg prolection is FT, NO VO (MSL). / ' . '" Noj: Any work performed prior to submitlaJ/~f the above information is al Ibe risk/;r the Appli:~l. " j j j SECTION 7: COMPUANCE ACTION (To be eomDlded bv LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete IhLs section as 'pptiuble based 00 inspection or the projeel 10 ensure compliance with the comrnlllUty'S local law for Oaad damage prevention. INSPECTIONS: DATE DATE DATE DEFIClENOES? 0 YES 0 NO DEFICIENCIES? 0 YES 0 NO DEFICIENCIES? 0 YES 0 NO BY BY BY SECTION 8: CERTIFICATE OF COMPLlANCE(To be eomnlelcd by LOCAL ADMINISTRATOR) Cutificalt of C<lmpliance mued: DATE: BY: -, , . .'t._ , " , , " .. AttadlJl\ent B / / for Developm~nt in a special Flood Hazard Area . . i 8AHP,GE CERTIr~CATE ;JF COMPLIANCE . / ~ :r." I... II " l " fl. , , ", , .. , 0 ., .. .' '. , TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD H.A1.ARD AREA (OWNER MTlST RETA TN THTS C:ERTlFICATE) PREMISES LOCATED AT: OWNERS NAME AND ADDRESS: ! / } j PERMIT NO, PERMIT DATE CHECK ONE: o NEW BUILDING , ' o EXISTING BUILDING o VACANT LAND " , I j THE LOCAL ADMINISTRATOR IS TO COMPLETE A, OR B. BELOW: A, COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # _,19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH TILE REQUIREMENTS OF LOCAL LAW # , 19~, AS MODIFIED BY VARI.ANCE # DATED SIGNED: DATED: C Ie (93)