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Home My WebLink About33468-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33185 Date: 08/01/08 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 500 SOUND (HOUSE NO.) County Tax Map No. 473889 Section 67 AVE (STREET) Block ~ SOUTH/PEC (HAMLET) Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 8, 2007 pursuant to which Building Permit No. 33468-Z dated OCTOBER 12, 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 ADDITIONS AND ALTERATIONS, INCLUDING SECOND FLOOR ENCLOSED DECK AND FIRST AND SECOND FLOOR DECKS, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Tbe certificate is issued to MARISA CARDINALE (OWNER) of the aforesaid building. SUFFOLK COUllTY DEPAR'l'MERT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3058774 06/12/08 PLUMBERS CERTIFICATION DATED 06/27/08 PHOENIX PLUMBING & HEAT ~d1:!!:- Rev. 1/81 w~ et~t?y ( fo/?,;( ~1i H { t/1A Ie- !J lj 119,f~ lJ ~ 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). C$ 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 1 % lead. . Commercial building, industrial building, multiple rcsidenccs and similar buildings and installations, a ccrtificate 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 IIses: 1. Accurate survey ofpropqtysh&ving all property lines, streets, building and unusual naturnl or topographic features. . 2. A properly complcted application and consent to inspect signed by the applicant. lfa Certificate of Occupancy is denied, the,,~ui~ir Inspector ~Iiall state the reasons therefor in writing to the applicant. C. Fees \ I. Certificate ofOccupaney - New c\welling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, S'0!.gmlugpool $25.00, Ac='sory building $25.00, Additions to accessory building $25.00, Businesscs $50.00. 2. Certificate ofOecupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updatcd Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~ / V ( 200 fV Old or Pre-existing Building: V (check one) So () ruJ-- Av-e-. House No. Street Owner or Owners of Property: ~ t' dl~ I-t.--- tol New Construction: Location of Property: 9:;ro Pe L cf't " Hamlct c. Suffolk County Tax Map No 1000, Section Block / Lot 3 Subdivision Permit No. -3; '-f b 8' Health Dept. Approval: Planning Board Approval: Date of Permit. /V/t+- , Filed Map. J D . J '2. () 7Applieant: Lot: etA v d I 'V'tJ- (G 1tlN--h I,zSr~~ Underwriters Approval: Request for: Temporary Certificate Final Certificate: v (check one) Fee Submitted: $ ~5 .00 do d!:.. 3?Y J 'c? S- e ~ 1lfjo I 1f!fI1,:t::., {};;g/ ~ Town Hall, 53095 Main Road P.O.. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION . Date: t- 27-0r Building Permit No. 33 c...f (P y- Owner: tvhr()~a C/Jr(.~I/Jt2/t (Please print) -~._. ..-- Plumber: Ff:oent-Y (.71IAYIb;nq aJ'rJ ?IeeJih0 inc:.- (Please printy 7 I certify that the solder used in the water supply system contains less than 2/10 of 1 % lead. 'Y'~F (Plumbers Signature) Sworn to before me this 2. I .y' - day of ,)J" <- ,2003 ~~~, Notary Public, S ..Jff~lk County John M. JUdge NNOTARY PUBLIC, State of New Yo'" o. 01JU6059400 .~ Quali1i~d .In Suffolk County Commission Expires May ~9 20 If . - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I l!I.l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 Upon the appl ication of CERTIFIES THAT upon premises owned by CUSTOM LIGHTING OF SUFFOLK INC PO BOX 1698 MATTITUCK, NY 11952, MARISA CARDINALE 500 SOUND AVE PECONIC, NY 11958 500 SOUND AVE PECONIC, NY 11958 Application Number: 3058774 Section: Block: Certificate Number: Lot: Building Permit: 33468 3058774 BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code EnforcHt\lent and AdT.inislJJb~on, or other authority having jurisdiction, and found to be in compliance therewith on the t Day of une, . ~ QIY Rate Ratimz ~ 1m Alarm and emergency equipment Sensor Sensor Appliances and Accessories Air Conditioner Dish Washer Furnace Wiring And Devices Dimmer Fixture GFCI Circuit Breaker Multi Outlet System Outlet Outlet Paddle Fan Receptacle Receptacle Receptacle Continued on Next Page 2 4 5 15 1 3 15 41 3 1 1 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 of 2 o o Above 1500 1.2 120V 20a ft 20a 30a Carbon Monoxide Smoke BTU t<!/II Gas Incandescent Fixture Gen, Purpose Appliance Dryer GFCI seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. l!I~~il!ffi!~l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ il!ffi!l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by CUSTOM LIGHTING OF SUFFOLK INC PO BOX 1698 MATTITUCK, NY 11952, MARISA CARDINALE 500 SOUND AVE PECONIC, NY 11958 500 SOUND AVE PECONIC, NY 11958 Application Number: Certificate Number: 3058774 3058774 Section: Block: Lot: Building Permit: 33468 BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 12th Day of June, 2008, ~ OTY Rate Ratin. CiKlIil> I= Receptacle 25 0 Gen, Purpose Switch 17 0 Gen, Purpose seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 33468 Z Date OCTOBER 12, 2007 permission is hereby granted to: MARISA CARDINALE 41 UNION SQUARE WEST NEW YORK,NY 10003 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC AND TRUSTEE NJ LETTERS AND FEMA FLOOD PERMIT at premises located at 500 SOUND AVE SOUTH/PEC County Tax Map No. 473889 Section 067 Block 0001 Lot No. 003 pursuant to application dated JUNE 8, 2007 and approved by the Building Inspector to expire on APRIL 12, 2009. Fee $ 450.40 ~ ORIGINAL Rev. 5/8/02 Approved Disapproved alc ,20~+ ,20 -~--_.-_.----~ ~.----- /~ BUILDING PERMIT APPLICA nON CHI!dST 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: Mail to: & 0 i3 Y w:<tlIPt4t;JJz !-I 73 \rOt> /L I 'I n fJ '1 /12.- / I . Phone:~ II q 2 l.. 2. 2-r- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL t SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. '3?:'l..( hS(-7::. Examined Expiration ,20~ :~ - -~- ------- - --- -- --..~._"' if ~ ~ : 1U ~ APPLICATION FOR BUILDING PERMIT Date !h fht 2 -; ,200'7 t tku......DEPT. I...__JQ'N.., Qf.2Q' 'THOW I --.....---. INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . il1tl11 /;. ~(I A-?{ 16 (Signature of applicant or name, if a corporation) /70 l3ytitUt(;I.J1'/- ,j 11211 6I'ocJ)(/YII (Mailitlg address of applicant) iVY 1/2// State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ()wn~r Name of owner of premises /) J . . ( ar?!(/nC!/~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer f)1 a Y I' 5 ;J.. (Name and title of corporate officer) Builders License No.-fv b t. Plumbers License No. Electricians License No. Other Trade's License No. d;lcrth (f1~L II (. t. 1. Ie Street County Tax Map No. 1000 Section Subdivision 67 Block 0 () () / Filed Map No. Lot Lot OOIJ.3 (Name) . - - - State existing use and occupancy of premises and jntended use and occupancy of proposed construction: a. Existing use and occupancy ;J b M r Or) tvl Irf) 1(1'-1 AA ~ F ~ ' '\ b. Intended use and occupancy 02 b.dI y [J V I'V1 rre 5' 1 ti.t vi (.. e., v Alteration 3. Nature of work (check which applicable): New Building Repair Removal Demolition f'70/0!JD Addition Other Work ',J. S' C. ' (Description) 'h Lf Q " (p y y - - --------:. j (To be paid on filing this application) Number of dwelling units on each floor / 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars I 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7 D. . f" 'f F '71 I '7 II . lmenSlOns 0 eXlstmg structures, 1 any: ront ex IV ? Height dn ' Number of Stories I Dimension,s \If same structure with alterations or additions: Front ,;:. 10 1 3 Depth_, ~: ' ~ l' UiHeight ,32L Number of Stories Rear d& '3/1 Depth }Cf'l2- Rear d3 t.:) 8. Dimensions of entire new construction: Front d tv ' :3 II Height ;;J 2 I Number of Stories Rear_5q \12- Rear ,;) d3' Depth - '2.i I I !i (0 10. Date of Purchase :J 0 0 / Name of Former Owner ?; 00 I Uh I r? S t.1/tl fr'a I 9. Size oflot: Front sxt Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO r'< - - 13. Will lot be re-graded? YES_NO .A Will excess fill be removed from premises? YES X NO_ 5 II I' <1..7 ;.iJ.,,1L 1# t, b rf;:e.d,p'p.c., /J:j 7 u2 / ) 2 2-r 14. NamesofOwnerofpremises,tJ'}IIKI f7Ln"'-OtNKo\:Iress f3;. 'Ibb PhoneNo.'/' I ,?- Name of Architect DtJnnL( /VWlh.-lv Address . "IV. ,,~ PhoneNo &~/ C(771)<tcJO Name of Contractor I fu JU of e f e. "/1/, ff~ Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES.X NO_ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMn:S MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES X NO * IF YES, D.E.e. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) f)1 /It // I ii'\.. '~{/t7[ ( ~ duly sworn, deposes and says that (s)he is the applicant I (Name of individua signing contract) above named, (S)He is the (}}W ~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. sw~~efore me this day 20ft 11J?u lr" {P-"1';/" ~ Signature of Applicant Lily Notary p.bll" 514t' of N'w York No 01M06139356 Q!!4Iiff,d I. Q!!"'S co..ty ~,","1SJ10' EX}'tres J4' 09,2010 531f,g Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: DATE 7--7-t1K [ ] ROUGH PLBG. [ ] INSULATION [Xl FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION C- , INSPECTOR ~~ 33f'E :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 y)( FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REM~-r ~ ~e~ - .~-?- ~, E cf- DATE 0r-~7~t) 0 ., INSPECTOR ~~ ss%f+ TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. ] FOUNDATION 2ND . [ ] I~ATION ] FRAMING I STRAPPING [~INAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESrJ CONSTRUCTION [ ] FIRE RESI~PENETRATION tr ... - ( ((V REMARK. 1M ~ ,l..j... ~ DATE INSPECTOR' -I 3> '3 LfG,'t z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~INSULATION k: [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRATION REMARKS: . .J "~ rI- ~,~ ~Ok I~~, .. - - {(It b\-IE ~~ ~~~~ , :::;;..-::::: ;;;.--- DATE if-I 'f~ 0 "l INSPECTOR ~ ~ r-- .. 33t-b'b Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND p<f INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ;J~;( It A- Ie ""t:i- ~ ~'>A-, F~ J-~~-?~ ~ I ~ ~M~ ft:; ~ ~rj-~ +-~~) DATE f- frOg INSPECTOR ~~ 33 f' ~ 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND %INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION MFIRE RESISTANT PENETRATION REMARKS: ~~~, DATE sf ~ T - 0 'l INSPECTOR ~~ r ~~~~ -[;: TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ !{FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESlST~UCTION REMARKS: DATE [ri'ROUGH PlBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION I ! " ....;;:z".v INSPECTOR 33 'f'o z--- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST ] ROUGH PLBG. [ ] FOUNDATION 2ND ] INSULATION } 1 ~PPI~ [] FINAL J, ~ J. h\ ,Jt [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION 't-T-T-r-l ~ [ ] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESIST~ PENETRAnON W-iJ LLU REMARKS: U ~ .~ ~ +~, ~ Ol-- ~ ~/ ::J-- ~7-- 0 g- DATE INSPECTOR ~ ~ r - ; 3 If' 8' L TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION M FRAMING ~PPINY [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS'~ ' ~ . ~{ :J--?-h -tJ ? DATE INSPECTOR ~, ~ 3 3 ~ r<!::; TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] F~ATION 2ND [ [4RAM~PPIN0 [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: { lJ &JL / cd;. DATE ~ It lot> ! I INSPECTOR ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION 33c.f&~ TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [tOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR - FOUNDATION (1ST) DATE I CO~NTS . /II/Iy. In ,4. ',:f-;-.:.. _ /7 . /' /},c .~. 't '{ :r;, UL ' '..4L / (v ~ \ /. c\/ kh. . .">. fv., 1"IoT r.1... ..}...,:-'L . .A~_~ v- , k7/ ~'d -BS ~21 ~;; ". FIELD INSPECTION REPORT FOUNDATION (2ND) h-,~ ~ ~~ -+\fi t j I 1/ ilL h ,/,vj/I I f 7-3...0<[ 7,,__' JI, \. ft ',~ " tJ , , ~ Z Ij9/~It:.' !','d.L (A.~ JlJI:;,. -'.;J-' {{)ffJil.,a./~ ,,'i 9 I I I A n-" ,rt= . "-....J,I, , r.... ~ #,/1,;- ,1/""/ 0 '<CJff' 7 / {/ ;f7.J 0 ~ jjq/r?IIP ~^ ~ " fr-; L JI/1 r,- ,'rI-. (~L-/'( ;:;; L iJ' e I / AfT /)7/1,'-1<..' .c----i J7J;Jn '" IUJ.l' r~ . #:c~1 .., _ ",-I ..AX-:L I ~ ~ - ~ 1 .f'fr:. " /hj-- (l __ ' ",l ,"77J y~ -- /J L? ;..' J..-?-1-~<t. 'i( uok )"yL-JP..AO ,#~l-1> l,O\... 1. ~ .u. .~-./.-..' . ~ /.a J < , ... _ ..... ''''Joh ,r. --If~J()/1 y./).. 1.0 ... .A.A>s,):E1 W2Jo >7;):;'.. -,A 7I/~., - OfA.J/!";';" ('.,....-, / 7'), /l-(t~G... .L;; 'J' ".. 0 - .tf'i) /l. J I L ./.-z,p.),,,J.o' "' r- , i'2,)/:z;"Sf7;'I/ --- ~..I,.. ~ .J .:Jr /~ ~ . (" .., ~/.. ~pk PI}"'tA .. A,j:L. ~ Ii ~l.,. A ~ \ I ~... <1-( &~/.\.h ;;; ~ ,. ,. . A:X- , J- 4-_''1- () ~, '/ / 4-c:. Y ..Lf'OD dO......... 7# U' ir '+- -0 ,/1./ Q;;j P If tYL F l;, ----W-E!ii- -r;,})I \ Y 1_ .. tf_J:.-. ,...---~ _ fiL-~' ..J ~ J:::" l.N.. ('l/. () 1 ~ .1 ,~~ -II... '"' Ii If., ~ "- J. ,.jI.~,.., I" ..t~~ -/zp ~l / ~I v Ii" Il. , n, 1/. '" JI r+- /.).RJ) ,";h;.. (1. .1/ Jl. ,a.N<.. I .-l. I I. , . . I, Of''+- '.J1'h.' ./lV ('JiJJ-J- ~~"A'JJ VA' // . . iU'ClL Q' ,../7 '" '\ 1tJ-J.7,d g- ;:"'l.M . LJ (".A" t....... Jl1\).Il ,^A~ I.. L. I"~.u . ()! ~/J R-,,'L;... nnA..JL AIIA'II IU rv ..6/JI. /!'I"P7"'-b2 1-,:.0 ~l)k Wt~(), ~V'Ub Y / / ADDITIONAL CO S ." ....? "I,).... (/ rr J ~ J ,-c)..... .A r ..r/,'<" J ?. vV'"' ~ .. \ .. 'i- ' ) 0 ..,,'. "::: $' ,UrJC-~ v ~ ;ll .0 A , . o Ir .i-n 7""1,JL () '// u ROUGH FRAMING & PLUMBING INSULATION PERN. Y. STATE ENERGY CODE FINAL ;s , ..r::."' 1 ~ - - ~~ . .., C - 0 .PZ ;l 7-~ .., ~; "' "" ~ Permit Number Checked By/Date Generated by RES check-Web Software Compliance Certificate Project Title: Cardinale Energy Code: Location: Construction Type: Healing Type: Window~to-Wall Ratio: Heating Degree Days: New York State Energy Conservation Construction Code Suffolk County, New York Detached 1 or 2 Family Non-Electric 0.16 5750 Report Date: Date of Plans: Project Information: Single Family Addition Builder Information: COmpliance' Passes M.x.tnUtn UA' 229 Your Home UA 202 ..~ 11.8% Better Than Code (UA) . . . I Assembly ..... Ceiling 1: Flat or Scissor Truss Wall1: Wood Frame, 16in. o.c. Door 1: Glass Window 1: Wood Frame, 2 Pane w/ Low-E Window 2: Wood Frame, 2 Pane w/ Low-E 1202 30.0 0.0 42 1530 19.0 0.0 77 91 0.330 30 125 0.340 43 34 0.290 10 Statement of Compliance: 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 meel the New York Stale Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this e, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in c mp' nce with this Code. Date r Generated by RES check-Web Software REScheck Inspection Checklist Project Title: Cardinale Ceilings: o Ceiling 1: Flat or Scissor Truss, R-30.0 cavity insulation Comments: Above-Grade Walls: o Wall 1: Wood Frame, 16in. a.c., R-19.0 cavity insulation Comments: Windows: o Window 1: Wood Frame, 2 Pane wi Low~E, U.factor: 0.340 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 2: Wood Frame, 2 Pane wi Low-E, U-factor: 0.290 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Doors: o Door 1: Glass, U-factor: 0.330 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 \plain\f2\fs20 in accordance with the manufacturer's installation instructions. 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 R-values and glazing U-factors 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: Page 2 o All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. o Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. o Cooling ducts with exterior insulation must be covered with a vapor retarder. o Air filters are required in the return air system. 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 non-combustible 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 York 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 on/off 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"F or chilled fluids below 55"F must be insulated to the levels in Table 2. Page 3 -~ Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness In Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature ("F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Hot Water Pipes Piping System Types Heating Systems Low PressurefTemperature 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" to 4" 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: (Building Department Use Only) Page 4 . fit. 3 S W TYPE OF BUILDING V10C70-2- 7?-kE L-oc,,< ~ I Est. Mkt. Value OWNER. C . t t-'\.ti..-, ~a- 0 r. n JOhn w LJ h L:SJ." 2t () r::s FORMER OWNFR A N ); hh 'vJ Un \ Jr ~ . no He./fn[ Uh / RES. 2/0 SEAS. . DISTRICT SUB. LOT /#'-.u-r;l If, '7 ~" 3J-- ..- ACREAGE .;l.~ 2 r , . E LAND IMP. TOTAL DATE COMM. I IND. REMARKS I CB. I MISe. VL. FARM 9- I / t'r:J Jlu v ...::L2 ()-() :2- Jr C~ CJ 3 () ~ I) '"' 127(.,- no 0 /J.J..,w/ AGE BUILDING CONDITION NEW NORMAL . BELOW Form Acre Value Per Acre Value FRONTAGE ON ROAD j-fl TiJ.!9ble 1 i O/S -k C::vd/l1cde qj .3'i?"S:OtJD Tillable 2 Tillable 3 Woodland 5wampland 3rush land House Plot fotal J . - . ~ i I I I I i , I I , , , I , I I ! I I i I : I I ! i ! i , i , Bldg. ~ :;( s; ;T/~9 {, 1/ Foundation 1--',1 .1./ I ..4.'1-..~,~,;j'_ !, Both ~ 1;'l3'~~ ~ -~ ~- Q I - I ~ K"H "" :;, (;!' /.0- , I ! I-----J I ' tension tension tension ) t- <--K 1~~~2~~J~., I ~~ ,', ".s..R1 e- }..flCt ~ezeway )) -j , /cf2)/1 ml.~'_"_ Patio rage B. ) . "'" / z.. Basement I Ex~ Walls , _-r~e Place I I Driveway ----4-2 Porch Porch lw /J c '",j'~ ~, I ~--I- '\ I I ~ ! , i ! < : 1 i I i 1 I ! )~ ' -;--:-: I i I i , i : i I , I It I /Ii I , , , , I I I I I . h ()- ~ -- i FI I P ~-"-] j, oars <; .J, / : C I C (' , Interior ~_i~!t.:- __~.___ Heat ! A . c_C;J\:'__ 'Roof Type i I --------------T -------,..----- --. I Rooms 1 st Floor Rooms 2nd Floor I Dormer r-- )/1 If -"-.,-i--/---- _/:/~~____~~~~_und~t1on_____ I /J c I I · +-. I i i I H! II ~~ i I i t-! I ! I I ..--j c-+-i-J ! ~ ~-~-~-j.---! I i I I j __--;-____I,1'<'-J:...t-_ , . I , --f~'+- r i I --j /, I ?4 I I Eorh Albert J. Krupski, President Jam'l6 KiOg, Vice-President \ Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 14, 2003 Ms. Marisa Cardinale 41 Union Square West Suite 705 New York, NY 10003 RE: 500 SOUND AVE., PECONIC SCTM#67.1.3 Dear Ms. Cardinale: The Southold Town Board of Trustees reviewed the survey and plans received In the office on January 13, 2003 and determined the proposed additions to the dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and ., Chapter 37 of the Town Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above. without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier. or hay bale berm. However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. ~ .) . . 2 Sincerely, " at' 'Ao-.;l () /&,._,'~I (., I' . . I . . Albert J, Krupski, Jr. President, Board of Trustees AJK:lms New York State Depat"tment of Environmental Conservation Building 40 - SUNY. Stony Brook. New York 11790-2356 Telephone (516) 444-0365 Fecslmlle (516) 444-0360 ErJu M. CrOUy Commissioner LETTER OF NONJURISDICTION -TIDAL WETLANDS Date: November 19, 2003 Ms. Marisa Cardinale 41 Union Square West #705 New York, NY 10003 RE: 1-4738-03279/00001 Cardinale Property 500 Sound Avenue, Peconlc Dear Ms. Cardinale: Based on th~ information you have submitted, the New York State Department of Environrnental Conservation has determined that the property landward of the 10 ft. elevation contour on a natural gradual slope, as shown on the survey prepared by John T. Metzger on 7/29/03 and last revised 8/2 I /03, is beyond Article 25 jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, ~6!.#-- - ..e#y George W. Hammarth Permit Administrator DMG cc: Bureau of Marine Habitat Protection, NYSDEC File . Permit # Permit Date RES check Software Version 3.7 Release 1 b Compliance Certificate Project Title: Cardinale Report Date: 09/25/07 Energy Code: Location: Construction Type: Glazing Area Percentage: Heating Degree Days: 2000 IECC Peconic, New York Single Family 8% 5572 Construction Site: Sound View Ave Peconic, NY Owner/Agent: Designer/Contractor: Compliance Passes MaxImum UA 450 Your Home UA 345 u> 23.30/0 Better Than Code (UA) Assembly ..... Ceiling 1: Cathedral Ceiling (no attic): Skylight 1: Wood Frame:Double Pane with Low-E: 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: Door 1: Glass: Floor 1: All-Wood JoistfTruss:Over Outside Air: Floor 2: All-Wood JoistfTruss:Over Unconditioned Space: 1284 10 2712 86 32 98 322 962 15.0 0.0 34 0.500 5 0.0 192 0.340 29 0.340 11 0.350 34 0.0 8 0.0 32 38.0 38.0 30.0 Compliance Statement: Statement of Compliance: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in REScheckVersion 3.7 Release 1b and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. / -- /.' ..:.J,~~s-.:.i ~,;>V0- Builder/Designer Company Name '1/2- dO') Date I ""'ic.l,', ~.. . /".', ..'. '", '. . ,'c, , ,,',' , /-," , ~ ,:; :.~" ,'/,>-'\, ~r' ~- '~'~'. 't.", \'1 ,""~~' ,.- ,~ Cardinale Page 1 of4 RES check Software Version 3.7 Release 1 b Inspection Checklist Date: 09/25/07 Ceilings: o Ceiling 1: Cathedral Ceiling (no attic), R-38.0 cavity insulation Comments: Above-Grade Walls: o WaUl: Wood Frame, 16" a.c., R-15.0 cavity insulation Comments: Windows: o Window 1: 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: o Window 2: 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: Skylights: o Skylight 1: Wood Frame:Double Pane with Low-E, U-factor: 0.500 #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Doors: o Door 1: Glass, U-factor: 0.350 Comments: Floors: o Floor 1: All-Wood JoistfTruss:Over Outside Air, R-38.0 cavity insulation Comments: o Floor 2: All-Wood JoistfTruss:Over Unconditioned Space, R-30.0 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 IC rated, or 2) installed inside an appropriate air-tight assembly with a O.5~ clearance from combustible materials. If non-IC 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. 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 R-values and glazing U-factors must be clearly marked on the building plans or specifications. Cardinale Page 2 of 4 ...., -- Duct Insulation: o Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: o All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 1816. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. o The HV AC system must provide a means for balancing air and water systems. Temperature Controls: o Thermostats are required for each separate HV AC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. 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 on/off 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. Page 3 of 4 Cardinale . . Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature (OF) Up to 1" Up to 1.25" 1.5"102.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-189 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Piping System Types Heating Systems Low PressurefT emperature 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"to 4" 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: (Building Department Use Only) Page 4 of 4 Cardinale -"'1 ItECISrnM or VlTtJ, ST^llSl1CS M^nnl^or-: OFFICE:n ru:CORIJS W\/'IAGEMENT OITICell f'nEEDOM OF INFOI'lMATION OFFlCEIl 8f 33'-1log , rn"CArcLV1~ Illwn Hall. 5JOl!:; '...talll P.O. no., 117!) Suulhold. Ncw l"llrJ..: II FJ>: (.')1(11 7()."-IR"', T c1cphonc (-" I (, I 7(1.c:.~i I ,... . ." . ,t .' , . . ,J'tJP'I1'fl T. TERRY , tOWl'l CLERK OFfICE Of THE TOWN CLERK TOWN OF SOUTHOlD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southofd hereby adopts two (2) new forms to be used under tHe Flood Damage Prevent regulations .- of the Code of the Town of Southold: "Floodplain Developmen.t Permit .) ) Application" (FOP(93)]. /~nd "Certificate of Compliance for Development in Special Flood Hazard A;ea (C/C(93)). -'l ~ J iH 'a<;7'__~. 6w~. Oc.r: TOWN OF SOt./THOLiJ ;L~~ ~~~ Southold Town Clerk August 25. 1993 ,-- '. " ., APPLICATION N P^GE I of 4 TOWN OF SOUTHOLD fLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be (j[led out in duplicate. ~ \ SECTION I: GENERAL PROVISIONS (APPLICANT to read and sil!Tll: 1. No work may start until a permil is issued. . 2 The permit may be revoked if any false slatements are made herein. 3. If revoked, all work must cease until permit is re.issued. 4. Development shall nol be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if DO work is commenced within six months of issuance. 6. Applicant is hereby informed L1lat other permits may be required to fu][illlocal, stale and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable . inspections required to verify compliance. . 8. l, TIlEAPPUCANf, CERTIFYTIlAT ALL STATEMENTS HEREIN AND IN ATIACHME)'ITS TO _ TIllS APPUCATION ARE.]JJ)1FE ~EST OF MY R'OWll~~ AND ACCURA7 TEl ." (APPUCANrSSIGNATURE/fIft1l?t^ ~ DATE (0 If _'7 . SECTION 1: PROPOSED DEVELOPMENT (To be comDlcted bv APPLICANT) NAME ADDRESS TELEPHONE APPLICANT M ' /) -In-. /J. r710 r ,,/ A. ~ IrJqll- /'1 A f?-I J /A. (ra YV't.f ~ '-.I V J () f/f, (/ II~ (!@f./[. '1;' bUj- BUILDER (\... r A . r A /. q' , " ) I lVl ..J..6{r1..P-- LC -( V II CJ-1) {.;U..- <P ~ I - 2..~ - Fo { ( ENGINEER j' A . ( c. 1M /U.J/c/{ O;fl-[J PROJECT LOCATION: To avoid delay in processing tbe application, please provide eDough information to easily identUy the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, tbe distance to the nearest intCfsecting road or \ltCU-loowu landmark.. A sketch attached to this application sbowing the project location wouJd be belpfuJ $'"V () S' oV ~ ~ ) P.e OcJvt--, Co- / /1 r Y we Sf-rid (YuJ I L.&i IU..- FOP(93) " . \. ;\. .' . .' APPLlCA TIOl" ;; PAGE10F' DESCRIPTION OF WORK (Chock all appucoblo boxos): A, STRUCTURAL DEVELOPMENT ACTIVITY o ~w Structure ~dditioo o Alleratioo o Relocation o Demoutioo o Replac:cmoot STRUCTURE TYPE ~esjdeotial (1-4 Family) o Residential (More than 4 Family) o Non-residential (Floodproofwg? 0 Yes) o Combined Use (Residential & CommerciaJ) p 0 Manufactured (Mobile) Home (In Manu. factured Home Park? 0 Y 05) ESTIMATED COST OF PROJECT S (fOJ rn-o , B. OTHER DEVELOPMENT ACTIVITIES: o Fill 0 Mining 0 Drilling 0 Grading o Excavation (Except Cor Structural Development Checked Above) o Watercourse Alteration (Including Dr<:dging and Channel Modifications) o Drainage ImprovemenL<i (Including Culvert Work) o Road, Street or Bridge Construction o Subdivision (New or Expansion) ;tA~ o Individual Water or Sewer System o Otber (Please Specify) ,J Alter completing SECTION 2, APPLICANT should submit form to Local Administrator for reviev.'. SECTION 3: FLOODPLAIN DETERMIN....TlON (fo be completed bv LOCAL ADMINISTRATOR) . Dated The Proposed Development: The proposed development is loca(cd 00 FIRM. Panel No. o Is b!QI located in a Special Rood Hazard Area (Notify the appucant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). o ls located in a Special Flood Hazard Area. RRM LOne de...<;ig:nalion is loo-Year nood elevation at the site is: Fl. NGVD (MSL) o Unavailable o Tbe proposed development i5 located in a floodway. FBFM Panel No. Dated SIGNED o See SectIon 4 (or addilional instructioos DATE .' . .. .. APPLlCA TION >'I PAGE) OF 4 SECTION 4: ADDITIONAL INFORMATION REOUIRED (To he comnlcted bv LOCAL ADMINISTRATOR) The applieact must submit the documents checked below before tbe appliGluon can be processed: o A sile plan showing lbe location of aJl existing stfuctUIcS, waler bodies, adj;'lcc[)( roads, lot dimensions and proposed devdoprncDt. o Development plans. drawn to SGlIc. and specifiGlt;"ns, iocluding where applicable: details lor ancboring structures, proposed elevalion or lowest noor (including basemcat), types or water resistant materials used below tbe rust Ocar, details of noodproorwg oC ut.i.lities located below the Cust Ooor and details 01 eoclosures below the first OOOL Also. o Subdivision or other developmeot plans (II tbe subillvisioo or otber development exceeds 50 lots or 5 acres, whicbever is the lesser, the applicant must provide tOO-year fiood elevations if they arc not otherwise available). o PI= showing the extent of watercourse relocation and/or landform alterations. o Top 01 oew fUI elevation Fe NGVO (MSL). .. o FloodprooCmg protection level (non-residential only) Fl.' NOVD (MSL). For Ooodprooled structures, applicaot must allaeh certifiGltino lrom registered engineer or L: ; arcwlec1. / o Certification [rom a registered eogineer tbat tbe prOp0&~ acGviry in a regulatory Ooodway will DOl result in ,~ increase in the heighl of the lOO-year flood. A copy of all data and calculations supporting this rrnding must also be submitted. o Other: SECTION 5: PERMIT DE"TI:RMINATlON ITa be comolcted bv LOCAL ADMINISTRATOR) I have determined thaI the proposed activity: A. 0 1< B. 0 Is not in a:m[ormance with provisions o[ Local Law '" . 19 The permit is issued subject to the conditions attached 10 and made part o[ this permit. -- SIGNED . DATE J[ BOX A is checked. the Local Administrator may <ssue a Development Permit upon paymeot 01 designated fee. If ~OX B is checked, tbe Local Adminislrator \AliJ1 provldc a "',TineD summary of deficiencies. Applicanl may reVIse and resubmit a11 application to lhe Local Administrator or may request a bearing from (be Board of AppeaJs. .. -. " " '.. APPLICATION H PAGE40F4 APPEALS: Appealed to Board of Appeals' 0 Yes 0 No Hearing date: Appeals Board Decision _n Approved7 0 Yes 0 No Coad.itioo.s SECTION 6: AS.OUlLT ELEVATIONS (To be submilled bv APPLICANT before Certwcate of ComDliance is issued) The foUowiog information mUSt be provided for project structures. This section must be completed ~y a registered proCessiooal eogineer or a tieensed land surveyor (or attach a eertlfication to this apptication), Complete 1 or 2 below. 1. Actual (As.Built) Elevatioo or the top or the lowest Ooor, including basement (in Coastal Hi"h Hazard Areas. bottom or lowest structural member or tbe lowest Ooor, excluding piling and columns) is: FT. NGVD (MSL). . J 2." Actual (As.Bu~t) Elevatioo or OoodprooflDg protectioo is FT. NGVD (MSL). 'J l NOTE: Any work performed prior to submiual of the above information is at tbe risk of the Applicanl. J / . SECTION 7: COMPLIANCE ACTION ITo be comoleled bv LOCAL ADMINISTRATOR) The LOCAL AD~ilNlSTRATOR will complete this sectioo as appticable based 00 inspectioo oC the project to ensure comptianee with the community's loc.aIlaw Cor Oood damage preveotioo. INSPlocnONS: BY BY BY DEFIClENClES? DEFICIENCIES? DEFICIENClES? o YES 0 NO o YES 0 NO o YES 0 NO DATE DATE DATE SECTION 8: CERTIFICATE OF COMPLlANCEITo be comoleted bv LOCAL ADMINISTRATOR) Certlficate o( Clmptianee issued: DATE: BY: " '. .' A " Attaclunent B "I / / Sl\J{PLE CERTIFICATE OF COMPLIANCE for Development in a special Flood Hazard Area .... .. , . , If ,... , , ,. TOWN OF SOUTHOlD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZ.ARD AREA (O'NNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO, PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: o NEW BUILDING o EXISTING BUILDING o VACANT LAND .J THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH TIlE REQUIREMENTS OF LOCAL LAW #_,19 SIGNED: DATED: B. CO~;IPLIANCE IS HEREBY CERTIFIED WITIl THE REQUIREMENTS OF LOCAL LAW # I 19_. AS MODrFIED BY VARIANCE # DATED SIGNED: DATED: C Ie (93) ~1~/-~ Erosion. Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No K EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. Note: If you answered Yes to any of the above, a Storm.water, Grading, Drainage & Erosion Control Plan Is not required. ------------------------------------------------------------------- ACTIONS REOUlRING THE SUBMISSION OF A STORM-WATER. GRADING. DRAINAGE & EROSION CONTROL. PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (J) for each question is required for complete application) 1. Will this project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site clearing and/or construction activities. as well as all Site Improvements and the permanent creation of impervious surfaces.) Yes No 2. 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? ~g G]~ g-/(' [;]X [d~ g){ [;]~ G]X Note: If any answer to questions one through eight 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. 3. Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? ------------------------------------------------------------------- 4. Is there a Natural Water course running through the site or is this project within One hundred (100) feet 'ofwetlands or a beach? STATE OF NEW YORK, ( COUNTY OF u>O~fbLCu . ss That I, ./llaf./':'ul{,uc..t:l.v.dlk.W.l-<..c uu being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owner's, 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 belier; and that the work sill be performed in the manner set forlb in the application filed herewith. 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? 7. Will this application 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 does not include the Installation of driveway aprons.) 8. Will there be site preparation within the one hundred (100) year floodplain of any watercourse? And that He/She is the ddUUdddddd dffw~. Sworn to ben me this; . ...... ..?5.H~"" t......;. ..day ~f '~I V~.. j...... 20.0) NotaryPubhc: ....v~...... ......... ...C.......................__. MELANIE DOROSKI NOTARY PUBLlCbState of New'lllk No. 010 4634870 Ouallfied in Suffolk County ,., n I 0 Co/mlissiOII Expires September 30.~ /j2at:n.Lr:UwLt(~ (Signature of Applicant) .-, - '. , .~ SURVEY SHOWING SETBACKS AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y: 1000-67-01- SCALE: 1'-40' JULY 17, 2007 ~ I I I I I I ~ I I I I I I I /1000-67-01-03/ v / / / I / ~~ a~ I ! ~I; HOUse ~ I I I I I ---;~ I I I I I I ~~ / I HOUSE: I L9 I ~! HOUSE: I HOUSE: r:'lC) PARKING <:.~ HOUSE DeCK LOT I ~ I " ~ 0; I ~ ~ I !'> I ". I ~ I '-I !:l ~ 'i t3 . SOUND VIEW A VENUE ANY AL TERA TlON OR AODITlON TO THIS SURVEY IS A WOLA TlON OF SECTION 72D9OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 72D9-SU8DIWSlON 2. ALL CERTlFlCA TlONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES SCAR THE IMPRESSED SEAL OF THE SURVEYOR KHOSE: SIGNA TURE APPeARS HEREON. ;; ONte SU~VE:YORS, (631) 765-5020 FAX P. O. BOX 909 1230 TRA VE:LER STREET SQUTHOLD, N. Y. 11971 AVERAGE HOUSE SETBACK- 24.4' 03-185 Jul-28-00 11:27A Park Ridge A H L ~uc, /~t.AAlP ;,/,;o',,w, ,,/,,%./,,'" .1: ," , ~ I -~Z7T~6~ r' /0 riO' ~ ~ r-C ~ Il\ '-'f""'~ . /7,': ~ f) 1'Io'C, z~,;' .. '<'I I ~I&.c>', Q K\ ~ .F_..."I ~ ~ !~ ~~ 'll ..:fat/v 0 l//ew .' 201 391 4407 P,Ol -jCU,uIP ;(../ , 0.- '<'I J\ L' b<r';"'::I ,P......... r.........p,H....P "<-. ~ ~ ~ ~ ~ '""- 1/~~. 98 ' AVc,.(./t/c J L L <:.! re'~. L. I,.(/. ~O ~dt:!1f7/a.v. 'pc/1'dUI& u,WA/tPP~r~PMy, " .... Lar~. /1."n5 tJ';:'-,,("T9,/"...~~c ~hbR~ ##p1Of//7 o,~...Iv.(/~~ ZO:X> ~'4./"- :!kJ' 't: "~'~7-"~--':J o./~____ ."~c:'.~ <? ~~Q ,,0 ~Q ~,,~ ~c, .~. o 00. " .*>1 ~~ 'J' ~ *>l!! ~. ~ / / / / I / ,0 / lIS> .~ "'. ~ 'b . ~ SURVEY OF PROPERTY AT PECONIC TOWN OF SOUTHOLD , SUFFOLK COUNTY, N Y 1000 - 67 - 01 - 03 SCALE: 1// = 30/. JUL Y 29, 2003 A"5' 2/{ 2003 (r'",/~ It.-,,) .$.pf". Z~, 'Z-cos/'prop~+) OCT. 24, 2005 (TEST HOLE) Noll I'~, 'ZOoS (re>'l.>l",>$0) ~t.cI, ZOoc"(p/Dp. h.s~ I "'" /3 2D07/pn. C""..'-I NOV. 15. 2007( '( FO'/N LOO.) . ~ / -0 -0 <"0 ~ 1- ~ . /~ / . o 00 , . . .' -0 -0 <"0 ~ -0 -0 <"0 ~ ^ , -0 -0 <"0 ~ / ~6 /' ~/ 6 , @,- .- - , , ~- -- - "ALE _ FIlE TO t:llMSI!' _ 8lt .-- .- - ~ - / . tlpJ~ - - - - - , / ,0 ~~ ~t-j, ,,~ ~ fJ ~ ,>> ",pi' 1/'tSt , (4PoD / ,. TEST HOLE .10/5/06 BY McDONALD GEOSCENCE 10.5' IrA,7ER Ii PALE BROlIN Fl€ TO COARSE SAM) SIr 17' CONTOURS 8. ELEVA TlONS ARE REFERENCED TO N.G.V.D. \ \ \ NOTE' LOT NUMBERS REFER TO . MAP OF PECONlC SHORES . FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON AUGUST 5,. 1924 AS MAP NO. 1/7 FLOOD ZONES FROM FIRM 36103COl61 G May 4, 1998 COASTAL EROSION HAZARD LINE FROM COASTAL EROSION HAZARD AREA MAP Photo #57-559-83 AREA' = 21,155 sq. ft. to tie line ANY AL TERA TION OR ADDITION TO THIS SVRVEY IS A VIOLA TION F SECTION 7209 OF T}IE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECT/6N 7209 - SUBDIVISION 2. ALL tERTlFlCA TIONS HEREON AM VALID FOR nIS UAP AND COPIES THEREOF ONL Y IF AD flAP OR COPIES BEAR THE WRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. ADDlTIONALL Y TO COWL Y WITH SAID LAW TERM' AL TERED BY . /JUST BE VSED BY ANY AND ALL SURVEYORS VTlLIZING A COpy OF ANOTHER SURVEYOR'S IlAP. TERIIS SIJCH . INSPECTED . AND , BROUGHT - TO - DATE' ARE NOT IN COWLIANCE WITH THE LAW. I 03 - 185