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HomeMy WebLinkAbout29102-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34113 Date: 12/03/09 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 1725 VILLAGE LA ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 25 Block 3 Lot 8 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 25, 2002 pursuant to which Building Permit No. 29102-Z dated JANUARY 15, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATIONS AND ADDITIONS, INCLUDING SCREENED PORCH AND ROOF DECK, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KATHLEEN E SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N/A ELECTRICAL CERTIFICATE NO. 1183212 01/22/04 PLUMBERS CERTIFICATION DATED 12/31/03 KING PLUMBING & HEATING Aut ori ed Signature Rev. 1/81 Form No.6 { TOWN OF SnrrTHO n - _ BUILDING DEPARTMENT a' I TOWN HALL „�3 765-1802 /S 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 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing”land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.06,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. 01 l3 /D New Construction: Old or Pre-existing Building: _(check one) V Location of Property: ('72 11,(,A-G r_ Li4a rie tEy T House No. Street Hamlet Owner or Owners of Property: �A !_Lj e l G A4Jo Suffolk County Tax Map No 1000, Section Z.S Block 03 Lot 08 Subdivision q Filed Map. Lot: Permit No. 2 ✓ O Z Date of Permit. D t 10 — Applicant: /�/��JJ���ec 1y JC Fh✓AtTL AIA Health Dept. Approval: /( A Underwriters Approval: Planning Board Approval: /✓/lq / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ 2 0 0 n Applicant Signator ►CrZ , �- P�„ 4 -RZ)r- !Z, c (oS9 S- o�gUFFO[,�c� coo x Town Hall,53095 Main Road • Fax(631)765-9502 P.O. Box 1179y 0� Telephone(631) 765-1502 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ��t�3 Building Permit No. 'X/ ` o/Z- Owner: elf (Please print) Plumber: t�� Nh �r�c�` � � 1 (Please pri ) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. c ( (Plumb Signature) ' Sworn to before me this day of ��� 200 4�1 Claire L. Glow Notary Public, State of New York J NO.OIGL487950b sndpcAo CommisioExis Dec. a. Notary Public, County crrJ�rJ�rJ�rJ�rnrJ�rJ�rJ�rJ�rJ@rrJ�r�crrlrJ�rJ�r�rJ'rJrJ�rJ�crrfrJ�rJ�rJ�rJ'�Pr�r��PcrrJ�crrJ�r�r1rJrJ�rJrJ�rJ�r.1'rlrJ�rJ�rJ�rJ�rJ�cnr�crrJ�crr�r�rJ�rJ�rJ�t.P 0C 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS S Cj BUREAU OF ELECTRICITY S 40 FULTON STREET — NEW YORK, NY 10038 5 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 JIM SAGE ELEC. INC. TAZEWELL SMITH S 5 P.O. BOX 38 1725 VILLAGE LANE 5 GREENPORT, NY 11944-0038, ORIENT, NY 11957 C5 Located at 1725 VILLAGE LANE ORIENT, NY 11957 5 cl Application Number: 1183212 Certificate Number: 1183212 reSJ Section: Block: Lot: Building Permit: BDC: nsl 1 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: 5 First Floor,Second Floor, Outside, 5 5 5 was inspected in accordance with the National EI ctrical Code a�td the d tait of the installation, asset forth below,was 5 found to be in compliance therewith on the 22nd Day of January, 004. 5 5 Name QTY Rate Rating Circuit Tyne Amoun 5 5 Alarm and Emergency Equipment 5 Sensor 2 0 Carbon Monoxide $1.5 555 Sensor 3 0 Smoke $2.2 5 Appliances and Accessories 5 CI Exhaust Fan 3 0 F.H.P. $6.0 5 Dish Washer 1 0 1.2 KW $5.0 5 SFurnace 1 0 Gas $5.0 5 Air Conditioner 1 0 30.000 BTU $5.0 5 5 Air Conditioner 1 0 36.000 BTU $5.0 5 Wiring and Devices 5 Receptacle 27 0 General Purpose $6.7 5 Switch 32 0 General Purpose $8.0 5 Fixture 18 0 Incandescent $3.6 5 5 Receptacle 1 0 20 amp Laundry $0.2 5 5 GFCI Circuit Breaker 1 0 15 amp $1.0 �5+ 5 Paddle Fan 1 0 $2.0 C 5 Receptacle 5 0 GFCI seal $5.0 5 5 Service 5 1 Phase 3W Service Rating 200 Amperes $20.0 L5�' 5 Continued on Next Page 1 of 2 J 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 D rJ��n�Pr�rrrrrJrJ�cncnrJ�rJ�rPrJrJrJrJrPrrrJrJr�rrrSrJcnrrrJ�rSr�cPrrrJrJr�rlrM M WET11313IMM�cPrJMEP rJcP rJ�rJcnrJr�rJcn o 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. 29102 Z Date JANUARY 15, 2003 Permission is hereby granted to: TAZEWELL A SMITH 3 WILLARD PLACE GLEN HEAD,NY 11545 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR WITH FLOOD PERMIT at premises located at 1725 VILLAGE LA ORIENT County Tax Map No. 473889 Section 025 Block 0003 Lot No. 008 pursuant to application dated NOVEMBER 25, 2002 and approved by the Building Inspector to expire on JULY 15, 2004 . Fee $ 461 . 80 uth ized Signature ORIGINAL Rev. 5/8/02 M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REM �//�/�Cb oll T DATE _D_ INSPE M-lW2 BUILDING DEPT. INSPECT [ ] FOUNDA N IST [ ROUGH PLBG. [ ] FO DATIO 2ND [ ] INSULATION [ FRAM RA G [ ] FINAL [ IREPLAC & CHIMNEY D�✓ RE DATE INSPECTO ' M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND k INSULATION [ ] FRAMIN [ ] FINAL [ ] FIREP ACE & CHIMN REMARK DATE c(Q D� INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH. PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLA HIMNE REMARKS ( ) r DATEo g�—INSPECTO 1 1 1 • mm/ Kiln • 1 I of i FOUNDATION ■ 11 w INSULATIONPERN.Y. STATE FZqERGy CODE 1 1 • • 1 IM --- --- j 0a U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Carty Use., Al. Building Owner's Name Tazwell Smith&Kathleen Smith A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company 1725 Village Lane City Orient State N.Y. ZIP Code 11957 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Suffolk County Tax Lot Designation 1000-25-3-8 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.4108'16.3" Long. 072 18'14.1" Horizontal Datum: NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building it the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq It a) Square footage of attached garage sq It b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? Yes No d) Engineered flood openings? Yes No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name 8 Community Number B2.County Name B3.Stale Town of Southold 360813 Suffolk New York B4.Map/Panel Number B5.Suffm B6.FIRM Index Date 1 87.FIRM Panel B8.Flood Zone(s) B9.Base Flood Elevation(s)(Zone AO, 68 of 1026 H Sept. 26,2009 Effective/Revised Date AE use base flood depth) Sept. 26,2009 6 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. FIS Profile EIRM Community Determined Other(Describe) 1311. Indicate elevation datum used for BFE in Item 89: NGVD 1929 NAVD 1988 Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes Ala Designation Date CBRS OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings" Building Under Construction" Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,ARAE,AR/Al-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized Vertical Datum Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspaoe,or enclosure floor). 7.8' feet meters(Puerto Rico only) b) Top of the next higher floor 8.1' feet meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) NA feet meters(Puerto Rico only) d) Attached garage(top of slab) NA feet meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 8.3' feet meters(Puerto Rico ony) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7.1' feet meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 8.0' feet meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 7.5 feet meters(Puerto Rico only) structural support 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. l certify that the information on this Certificate represents my best efforts to interpret the data available.l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code,Section 1001. .t<i COP k Y Check here if comments are provided on back of form. tit Were latitude and longitude in Section A provided by a licensed land surveyor? Yeti No Certifiers Name License Number ' John C. Ehlers L.S. 50202 LAND Title Land Surveyor Company Name John C.Ehlers Land Surveyor Address 6 East Main Street City Riverhead State New York ZIP Code 11901 Signature 444, Date Nov.23,2009 Telephone 631-369-8288 FEMA Form 81-31,January 2003 See reverse side for cnnfinr iatinn RPnlnr q all nravinp Q PrfltlnnS Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number 1725 Village Lane City State ZIP Code Company NAIC Number Orient New York 11957 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." ir ap y . Side View Building Photographs Photo ra hs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number 1725 Village Lane City State ZIP Code Company NAIC Number Orient New York 11957 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to th 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. .a ,r -,40 of i t _ y J� Front view SURVEY OF PROPERTY 51TUATE: ORIENT TOWN OF 5OUTHOLD N SUFFOLK COUNTY, NY SURVEYED 12-I1-98 E AMENDED 09-12-02 w SUFFOLK COUNTY TAX # 1000 - 25 - 5 - 8 cJ CERTIFIED TO: TAZEWELL A. SMITH KATHLEEN E. SMITH FIDELITY NATIONAL TITLE COMPANY OF NEW YORK #FNT9818822 LOnd nOW Or POrmerl O f: �ysterponds Historical Society v� �a v 3 S700 MUM mon 0.2 f c. 0.3-N37.�� W E Stone Retaining all 0.3'N n 0.3'5 slate Ae aLla OCZ F m I �` j SIC 7.0 CO N 2 Sf �1 i-� ct! �4.q1 R /-/c) e m 28. se 3- 40 BRICK ,� fi u LLZ� O LL/ Cur � ko5Et2 ro 'ti S I'N £ 9. 6 N N63 m 0 ry4. 0 22'pp,,W 13 . CD -Zo, o� LQnd new �r rl (�oryMe�y /A thill) Flcrc hc� St rccr NOTES: v_- ■ MONUMENT FOUND C Ey omo. Poo ue,i snaii Poo m°coni 10° O PIPE FOUND ° HEDGE °: Y'a;i•LanO :9 a 7 i. iO oertlf,obtl— 1. l 1! °°•°••°. AREA = 12518 5F OR .029 ACRES p� °°^^ °y:o'^° to °°° ro �� J ua".::"..r i�.m.°e�am°°�.aa:vivio�''^on:n..- a : AREA OF BUILDINGS = 1,824 S.F. OR 14.6 S5 SFO 5^?02 uP� LAND 9 TOPO AND FINISHED FLOOR DATA IS REFERENCED TO N.O.V.D. '29 DATUM °= 20' JOHN C. EHLERS LAND SURVEYOR GRAPHIC SCALE 6 EAST MAIN STREET' N.Y.S.LIC.NO. RIVEREEAD,N.Y.11901 REFERENCE # 9B-0296 3694288 Fm 369-8287 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying TOVdN HALL Board ofHeahh SOUTHOLD,NY 11971 3 sets of Bmlding Plans TEL: 765-1802 �q I %�� Survey PERMIT NO. I l lJ Check Septic Form N.Y.S.D.B.C. Trustees Examined I � ,20 l Contact:. �j (� Approved 4 2.0-1 Mail to: /`/fl/l� J #mA-sGrZ Disapproved a/c .Phone: H .7 Building Ins1kctor APPLICATION FOR BUILDING PERMTF > 2 i 1 Date O Z —, 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale.Fee according to schedule. b. Plot plan showing location of lot 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 a Certificate of Occupanc is issued by the Building Inspector. 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• (Siguatmc o app}ican or Hama,if a corporation) &1 9313 cc- cMr a or (Mailing address of applicant) State whether applicant is owner, lessee,a(= atohite engineer, general contractor, electrician,plumber or builder Name of owner of premises f7Fu/ELL4� � � (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 42!F�7- /�Z S U/Lc-,d 6.4- LAAv 1`-7 . Hamlet House Number Street County Tax Map No, 1000 Section 2 S Block 0 ,3 Lot o 8 Subdivision Filed Map No. Lot' (Name) 2. State existing use and.oc cupency of premises and intended use and occupancy of proposed construction:_ a. Existing use and occupancy. S�.t/G b. Intended use and occupancy Srf_ l 3. Nature of work.(check which applicable):New Building Addition Alteration Repair Ftemoval Demolition Other Work (Description) 4. Estimated Cost ©(J oo Fee (to be paid on filing this application) 5. If dwelling, number of dwelling twits Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front . C Rear Depth Height Number of Stories_ Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories �E y 9. Size of lot: Front S' r Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district inwhich premises are situated 4,o 12. Does proposed construction violate any zoning law, ordinance or regulation: /V d 13. Will lot be re-graded N Will excess fill be removed.from premises: YES NO 14. Names of Owner ofpremises Address (7Z.r VIC(-+w Phone No. 3Z-3 — 12 7 1 Name.of Architect Address -A"'�. Phone No Name of Contractor Address Phone No: 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES 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. NATE OF NEW YORK) SS: 'OU,N(TTY OF ) being duly sworn,deposes and says that (s)he is the applicant (Name of individual signing contract)above named, S)He is the 9C(22 ZZ CT (C r,Agent, Coiporate Officer,etc.) f said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; ;at all statements contained in this application are true to the best of his knowledge and belief;and that the work will be erformed in the manner set forth in the application filed therewith. worn to before me this day of 20-1 I-L -Aid otary Public Si licaut JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk County Term Expires June I Z, �� T. TERRY `• ' 1-n..•n Hall. S1lWt Ntam Koa(1 TOWN CLERK..> 9 �_ r,, � P.O. Roc 117() i _ Southold. Nc�, lurk 11,171 �" ItFGI STRAR OF VITAL STAT151lCS Fax (516) 765 IR]l "'� ( �-- MARRIAGEOFFICItR - Y �� Telephone (51(.1IX()1 RECORDS MANAGEMENT 01-FICFR FREEDOM OF INFORMATION OFFICER 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 Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold : "Floodplain Development Permit Application" [FDP(93) ] , and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93) ] . ti: I = TOWN OF SOtn+0LD d��hG T. Terrf_� Southold Town Clerk August 25, 1993 APPLICATION s_ PAGE I of 4 TOWN OF SOUTHOLD rLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION I GENERAL, PROVISIONS (APPLICANT to read and sien) 1. No work may start until a permit is issued. 2 The permit may be revoked if any fake statements are made herein_ 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. S. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state 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. I,THE APPLICANT,CERTIFY THAT ALL STATE REIN AND IN ATTACHMENTS TO THIS APPLICATION ARE,TO TH OF KN DGE, TRUE AND ACCURATE. (APPLICANTS SIGNATURE) DATE 00 0 SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICAt TI NAME ADDRESS TELEPHONE p APPLICANT /I/J �i1✓�rn r-z BUILDER GG 62Z?I- � ENGINEER PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. s� Z, �,tc Z -03 FDP(93) 3FDP(93) APPLICATION PAGE 2 OF e DESCRIPTION OF WORK (Check all appbc�ablc boxes) A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE. Q_New Structure Residential (1-4 Family) Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation O Combined Use (Residential & Commercial) ❑ Demolition R ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured ome Park? ❑ Yes) ESTIMATED COST OF PROJECT —B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION Z APPLICANT should submit form to Local Administrator for review. SECTION 3 FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. . Dated The Proposed Development: ❑ Is hM located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation al the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ Sec Section 4 (or additional instructions. SIGNED DATE .r APPLICATION a PAGE 3 OF 4 SECTION 4: ADDITI NAI, INFORMATION R EQ UIRED To be tom Icted by LCAL ADMINISTRATOR The applicant must submit the documents checked below before the application can be processed: O A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑ Development plans, drawn to scale, and specifications, including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement, types of water resistant materials used below the fust floor, details of floodproofmg of utilities located below the fust floor and details of cuclostues below the first Boor. Also ❑ Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ FloodprooCmFt.NGVD (MSL . Forg protection level (non-residential only) ) floodproofed structures, applicant must attach certification from registered engineer or - architect. - ❑ CerUBcation from a registered engineer that the proposed activity in a regulatory Boodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this fording must also be submitted. ❑ Other: SECTION 5 PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A.❑ Is B.❑ Is not in conformance with provisions of Local Law tR_. 79_ The permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION s _ PAGE a OF a APPEALS: Appealed to Board of Appeals? O Yes ❑ No Hearing date Appeals Board Decision --- Approved? ❑ Ycs ❑ No Conditions SECTION 6 AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following informatiou must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual(As-Built) Elevadon of the top of the lowest floor, including basement(in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofng protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based or inspection of the project to ensure compliance with the commuai(ys local law for flood damage prevention. INSPPC-MONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING O EXISTING BUILDING ❑ VACANT LAND 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 THE REQUIREMENTS OF LOCAL LAW # 19_, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C/C (93 ) - g : JL Permit Number MECcheck Compliance Report Checked By/Date 2000 IECC MECcheck Software Version 3.3 Release lc Data filename:C:\Program Files\Check\MECcheck\SmithHouse.cck TITLE: Smith House CITY: Riverhead STATE:New York HDD: 5331 CONSTRUCTION TYPE: Single Family DATE: 12/06/02 DATE OF PLANS: 11-22-02 PROJECT INFORMATION: Tazewell and Kathleen Smith 1725 Village Lane Orient,New York COMPANY INFORMATION: Mark K. Schwartz,AIA-Architect,PLL P.O. Box 933 Cutchogue,New York 11935 COMPLIANCE: Passes Maximum UA=283 Your Home=238 15.9%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 954 38.0 0.0 29 Wall 1: Wood Frame, 16" o.c. 1594 19.0 0.0 79 Window 1: Wood Frame, Double Pane 178 0.320 57 Door 1:Glass 96 0.500 48 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 765 30.0 0.0 25 COMPLIANCE STATEMENT: 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 MECcheck Version 3.3 Release lc and to comply with the mandatory requirements listed in the MECcheck Inspectio . t. ,CO Aq ate Builder/Designer � e 120 L 61 � r MECcheck Inspection Checklist 2000 IECC MECcheck Software Version 3.3 Release lc DATE: 12/06/02 TITLE: Smith House Bldg. Dept. Use I Ceilings: [ ] ( 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: I Above-Grade Walls: [ ) 1. Wall 1: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] 1. Window 1: Wood Frame,Double Pane,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes_Frame Type Thermal Break? [ ]Yes[ ]No Comments: I Doors: [ ] 1. Door l: Glass, U-factor:0.500 #Panes_Frame Type Thermal Break? [ ]Yes[ ]No Comments: I Floors: [ ] 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space, R-30.0 cavity insulation Comments: I Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a 3" clearance from insulation. I Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. I Duct Construction: [ ] I 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 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] Thermostats are required for each separate HVAC 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. I Service Water Heating: [ ] 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. [ ] Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/offheater 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: [ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 T must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Uv to l" 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. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ran2e F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) YZ't�- Q��SUFFO(�-co o� Gy2 Fax (516)765-1823 H x Town Hall,53095 Main Road Telephone (516)765-1800 O .F P.O.Box 1179 'j.Jj01 �aQ� Southold,New York 11971 JAN 15 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION TO: Southold Town Building Department FROM: Southold Town Landmark Pres. Comm. —Herb Adler, Jr. DATE: January 14, 2003 RE: Smith Residence at 1725 Village Lane, Orient Tax Map 25-3-9, SPLIA OR 98 With the recommendation that the new windows on the rear section of the house all match the existing windows, the Landmark Preservation Commission accepts the new addition and modification of the rear part of this building. It is very concerned about the addition of the porch on the north side of this house. It urges the owners to rethink this. The Commission feels that considering its location and visibility, the porch does not belong in the place for which it is being proposed and might be considered unsuitable for the neighborhood. e�� -•mss• ® � _2 3_ TOWN. OF SOU D PROPERTY RECORD CARD OWNER STREET a VILLAGE DIST. SUB. SAT ' /4, ge � dhe . FO EllOy1/I�J,BR ` Ems, ACR. r, L A / ,;:ia SPS S W TYPE OF BUILDING Jars ,C J-4164'i .� 'ES. �0 SEAS. VL. FARM COMM. CB. SC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 51.2-41(3 - 1- 5 3 54 /off d nJrav-4 eQif S7-3-97 71 a0 �z � oo tyr n iqS-LIi�sO g� -� SSS �, pp �inracze ����ID Zoo I Soo sso� L (2-1 q i/ � � #" 530 - 00 -2;� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value J` Acre J tillable 1 rillable 2 illable 3 Noodland iwompland FRONTAGE ON WATER 3rushland FRONTAGE ON,ROAD _ — � -louse Plot DEPTH BULKHEAD rotoI IDOCK .r r — 9 2ao2 Permit Number MECcheck Compliance Report Checked By/Date 2000 IECC MECcheck Software Version 3.3 Release lc Data filename: C:\Program Files\Check\MECcheck\SmithHouse.cck TITLE: Smith House CITY: Riverhead STATE:New York HDD: 5331 CONSTRUCTION TYPE: Single Family DATE: 12/06/02 DATE OF PLANS: 11-22-02 PROJECT INFORMATION: Tazewell and Kathleen Smith 1725 Village Lane Orient,New York COMPANY INFORMATION: Mark K. Schwartz,AIA -Architect,PLL P.O. Box 933 Cutchogue,New York 11935 COMPLIANCE: Passes Maximum UA=283 Your Home=238 15.9%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 954 38.0 0.0 29 Wall 1: Wood Frame, 16"o.c. 1594 19.0 0.0 79 Window 1: Wood Frame, Double Pane 178 0.320 57 Door 1: Glass 96 0.500 48 Floor 1: All-Wood Joist/Truss, Over Unconditioned Space 765 30.0 0.0 25 COMPLIANCE STATEMENT: 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 MECcheck Version 3.3 Release lc and to comply with the mandatory requirements listed in the MECcheck Inspectio t. Builder/Designer l✓ Q draq y� ate (Z OG OZ d �oa�s w a t ���� iJ2233 SOP' ar 146 MECcheck Inspection Checklist 2000 IECC MECcheck Software Version 3.3 Release lc DATE: 12/06/02 TITLE: Smith House Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: I Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] 1. Window ]:Wood Frame,Double Pane,U-factor:0.320 For windows without labeled U-factors, describe features: #Panes_Frame Type Thermal Break? [ ] Yes[ ]No Comments: I Doors: [ ] 1. Door 1: Glass, U-factor. 0.500 #Panes_Frame Type Thermal Break?[ ] Yes[ ]No Comments: I Floors: [ ] 1. Floor l: All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments: Air Leakage: [ ] Joints,penetrations, and all other sr-h openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a 3"clearance from insulation. I Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls, and floors. I Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: ( ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. I Duct Construction: [ ] I 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 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] Thermostats are required for each separate 14VAC 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. I Service Water Heating: [ ] 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. [ ] Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) UI)to 1„ Un 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. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runout s 1"and Less 1.25'to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: N /-27�/02 APPLICANT: 15 ,j�.k-ag DATE SUBMITTED: 11 /25/02 SCTM#DISTRICT: 1,000, SECTION: , BLOCK: , LOT: 1t _' STREET ADDRESS: �,� Vt1,�.At,E L—Ay _ 'L/4 CITY: �� SUBDIVISION: PROJECT DESCRIPTION: 1jp �,� �� �c -� �.� Ui��L/� peem(j— rA ESTIMATED PROJECT COST: )O© CHITEC /ENGINEER: ��p�� FAST TRACK SINGLE & SEPARATE CERTIFICATION-REQUIRED _NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83: ZONING DISTRICT: T '4b CONFORMING? 06 REQ. LOT SIZE: 1520cV ACT. LOT SIZE:/,�'/P6 REQ. LOT COV. _ACT. LOT COV. REQ. FRONT t_ff PROP. FRONT P/c- REQ SIDE ACT. SIDE REQ. REAR 85 PROP. REAR'-��3,�j ' REQ. EIGHT PROP. HEIGHT WATER FRONT? N� DESCRIPTION: PANEL #: FLOOD ZONE:, COMPLIANCE: APPROVALS REQUIRED 6SUFFOLK COUNTY HEALTHD PT: YES or&0 BED #): DTE:_/_/_ PERMIT#:R10- �TOWN SEPTIC RECEIPT: Y o NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): 0 or NO NYS ENERGY: 0&NO : 15-1�z EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- , NOT S: r FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: Cha SF SECOND FLOOR: S SF OTHER: SF IIT OTHER TOTAL TOTAL: FEE FEE FEE 1. SF)- ( e'5-" SF)= 206 SF X$ - 3v =$ I I go +$ /75-0 +$ _$ 364 gv 2. ( SF)- ( SF)= SFX$ =$ +$ +$ _$ 5URYEY OF PROPERTY 51TUATE: ORIENT TOWN OF 5OUTHOLD N SUFFOLK COUNTY, NY SURVEYED 12-11-98 E AMENDED 09-12-02 w SUFFOLK COUNTY TAX u 1000 - 25 - 3 - 8 Cj CERTIFIED TO: TAZENELL A. SMITH KATHLEEN E. SMITH FIDELITY NATIONAL TITLE COMPANY OF NEW YORK #FNT9818822 L �,1r1G1 YIOW ��r P 7r IY'cl�'ii� U' F,] p iiY ul�Vc a ; S70°56'00"E 137 I mon wa�� .83 0.3'N � ,ane 2eEalning wou 03N os•s knc � -'.�Zn l�- �9 I u ! 17,a Pe� U�b / St F,q Or 6-7 s 1 m FF ;Use � Stor, (� 0 0 m 8• �, X8.3- Nag 9, 5 v 116 V L ke Ns Puc N6 - 3 022°40„ ryv „r 0 135.x, m /i l Itc rr so It NOTES: „..York s,.,:"ialoa,.°"°,... MONUMENT FOUND L �^Er, S vti']\ °09; o O PIPE FOUND �, mo4�o:0�^ llee r. ^. , HEDGE �� ."..Co. oR"oY'aoid,B; AREA = 12,515 SF OR .029 ACRES °" ",s€ "" AREA OF BUILDING5 = 1024 S.F. OR 14.6 % TOPO AND FINISHED FLOOR DATA 15 REFERENCED TO N.G.V.D. '29 DATUM GRAPHIC SCALE 20' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y.11901 - - - --- - 369-8288 Faa369-8287 REFERENCE # 96-0296 SURVEY OF PROPERTY 51TUATE: ORIENT TOWN OF 5OUTHOLD N SUFFOLK COUNTY, NY E SURVEYED 12-I1-98 AMENDED 09-12-02 W SUFFOLK COUNTY TAX a cJ 1000 - 25 - 3 - 8 CERTIFIED TO: TAZEWELL A. 5MITH KATHLEEN E. SMITH FIDELITY NATIONAL TITLE COMPANY OF NEW YORK #FNTG818822 Lono YIOW w for(,ler I OF. Dy5terponds Historical Society a, / Y C N c o S70056WT mon 137.83' 0.3'N woll 0.2'E F25 Stone Retaining Wall Fnc. �attio 4 9 a" 17,-o c� sE Co 7e rAD N 3t c) wry N k me otjse A � � cYri l\ J K (n OV_ 0 Z twosco S curb N Ey/ ) IN C6 l'(n( FC QC oN ry " A L� 9. 6 N630 2, ; 2 00„W � a�d c 0 13 � ��. m .5�, X02 � vl/ �an d mow l'Villicar or Fo lllc et rmphi fan FICC Cr ry t NOTE5: ■ MONUMENT FOUND '�Z'N G Eye Io p .,r,..;'..' PIPE FOUND �O HEDGE r t,2 a.., ;.9 'o"S: :s.,: Lela......re,s .L ,....a I, an- AREA = 12,515 5F OR .02G AGRES ,.°„,�,"°r r., ",.a0 e°.6llle � .,., AREA OF BUILDINC65 = 1,824 5.F. OR Ab % J �O L;t•�'0 `'..fy TOPO AND FINISHED FLOOR DATA 15 REFERENCED TO N.G.V.D. '29 DATUM JOHN C. EHLERS LAND SURVEYOR GRAPHIG 5GALE 1"= 20' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y.11901 REFERENCE # 98-0296 369-8288 Fan 369-8287 SURVEY OF PROPERTY Q� F. r AT ORIENT `Q v oo s Tossoo q� sqr TOWN OF SOUTHOLD l 3 �K, s F r SUFFOLK COUNTY, N. Y. / y�V J ° ,,vl �/ •'�'�^ 1000 - 25 - 03 - 08 S u/�' �� 4• SCALE 1" = 30 �� ,Iv' a �3je3 04 MA Y 28, 2003. sus s cw is N O^ k � `ry b � •'�4v. ,e GJ / 63200. Ale s as ®I IlkC cl �!F)A cis,A N AREA = 12519 sq. ft. ? �� ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE MEW YORK STATE EDUCATION LAW. • i5. .,, ;4 EXCEPT AS PER SECTION 7209 - SL*aVISION 2. ALL CERTFICATIONS HEREON ARE VALD FAR THIS MAP AND COPIES THEREOF ONLY F SAD MAP OR COPES BEAR THE ANWSSED SEAL OF THE SURVEYOR ti N.Y.S. L/C. NO. 496/8 W 40SE SlW TURE APPEARS HEREOK J ADOVTIONALLY TO COWL WITH SAD LAW TEW 'ALTERED BY • R EYORS, P.C. MUST BE USED BY ANY AMD ALL SURVEYORS UMMW A COPY - 5020 FAX (63/! 765 - 1797 Of ANOTHER SURVEYORS MAP. TERMS SUCH '04VECTW 'AND P. 0. BOX 909 A 'BROUGHT - TO - DATE ',ARE NOT W CA/PPLriMM WITH THE LAW. 1230 TRAVELER STREET SOUTHOLD, N.Y. 1/97/ 02 - 113 A I r✓ ' / oras' - h� SURVEY OF PROPERTY f ; � AT ORIENT Q' F 3 �`� s Tossoo F -v� sq�ry TOWN OLKOCOONTY,OND X 0'3 U, 1000 - 25 - 03 - 08 Q. SCALE.- 1" = 30: MAY 28, 2003 '+Z?k� of x 1 6 , � L eve �e "W 3 \OV C V 2c'OO.k' i Q i3s •�' jR \ 4( OO it S \ T �t�oF r,�fjy� AREA = 12519 sq. ft. S� ,�" `R tteQ ANY ALTERATION OR ADDITION TO THIS SURVEY /S A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. , ..: EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALAD FOR THIS MAP AND COPIES THEREOF ONLY IF c SAID MAP OR COPIES BER THE lA40HESSED SEAL OF THE SURVEYOR ti v, N.Y.S. LIC. NO. 496/8 WHOSE $16 AATURE APPEARS HEREON. J' ° ADDITIONALLY TO COWL WITH SAID LAW TERM 'ALTERED BY ' R EYORS, P.C. MUST BE USED BY ANY AA0 ALL SURVEYORS UT1LZM A COPY - 5020 FAX (631) 765 - 1797 OF' BRA TO WA SURV DATES ARE NOTM/N COMPL44NCE WI�THEL W. 1230 TRAP. ol BOX VELER 09 STREET SOUTHOLD, N.Y. 11971 r ,/ 14H 11,7 rJa- R L4C-K- �7yr, v o — - -- ac Cos 1 I i $s�l ob"co t,c B um — p PrF.tLS AiI b � N P40S 67YJO,) O , I C Qte) \IN Scy F� NAV SF_ V Z5-SA kA&E t.Aso E- cv a pC►X&� , NEW 7aK14 \� ¢ s'tOVAT FOVN0047-I0N a22NS .. Y_ .. .17-0 os/28/3 12 13 14 15 16 17 PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE K 1' Lc"rYTfFfCATE OF OCCUPANCY APEDASNOTED .','OLDFR USEWATER DATE / � 55 oaf aR,ar/ I, . (/T"" Y SYSTEbf CANNOT 6 =° .:' ,ua . /I OfLEAD• NO FY BUILDINGBDn EP TMENT AT 7854802 8 AM TO 4 PM FOR THE FOLLOWPLUMTdING IL FOUNDATION NG EC TWO REQUIRED ALLP l-UMBINGMBING WASTE �� FOR POURED CONCRETE 67 4 2 ROUGH • FRAMING & PLUMBING �. &WATER LINES NEED & INSULATION TESTING BEFORE COVERING 4 FINAL . CONSTRUCTION MUST ! EXI5TIN5 39`O" BE COMPLETE FOR C.O. 'r ALL CONSTRUCTION SHALL MEET f THE REQUIREMENTS OF THE N.Y. 6'-10 1/2" -6" T-O" T-O" I1 conper tubing is used STATE CONSTRUCTION & ENERGY Trjr� :aa:� distributing CODES. NOT RESPONSIBLE FOR 4'-5 1/4" 4'-5 I/4„ Syl,ewm; piping shall be DESIGN OR CONSTRUCTION ERRORS r a type s, K or L only 12" DIA SONOTUBE UNDERWRITERS CERTIFICATE GONG PIER 5'-0° DO NOT PROCEED WITH BELOW CRADE EDGE OF PECK REQ'JIRED FRAMING UNTIL SURVEY r ___------ — -------- OF FOUNDATION LOCATION 1 _ PROVIDE ANTI-SCALD AND/OR HAS BEEN APPROVED. f II THERMAL SHOCK PREVENTING 1 O J/ DEVICES AS i0 PART. 902.6(R) k (2) 2" x 10" GGA 51RDER ml N.Y. STATE BUILDING CODE. PROUIOF. GPININCS FOR _ I Ix q xl EVIRCENCY ESCAPE AS 1. 1 ^I N1 PEQLIRED BY PART. 719 OF E1 m P;.Y. ST'ITE BUILDING CODE. x L L--------- —————————- UNDERWRITERS CERTIFICATE N 3'-O" ACCESS I r_________ _______ REQUIREDl R 1L----------------- ------------�- ILOODZON ----- --- ---- ------------------------ IOCCOMPLY flE " --------------------------------------- —————————— P OVOFLOOD DAMAGE PREVENTION ' ALAWM DEVICES SOUTHOLD TOWN CODE AS TO PART. 721.1 Q 1 N.Y.S BUILDING ODE• o OCCUPANCY O,1 g I I T-11 3/4" o T-11 5/4" USE IS L;CNL,AR,1FJ' L I POCKET FOR LL 1 I I DOP FVN TO OF OCCUPANCY RKER PYP) 1 13ELOW GAVE (5) 1 3/4"_x a 1/2" I _ I I I C.O. MIOROLAM I T m L__ L__J L__J •ry j FXI5TIN5 FOUNDATION II 7/e" TJI - " O.G. I I 2'- " I i1 16 BIL PIER ON 2'IX 2XNGGONG FTS POST ABOVE ;d, -��' F LUSH EHEARTH I I 16" X 6" O J�r `m I FLOW THU VENT (i1'P) r ICS 'D Qu I I QkAWI SPA IE P (2) 2" X 6" GGA x 2" GONG SLAB _ _ J r _________ ___ _ ___ I --- ---- ----� I 17 1 __N J -______________________J N I 1. _____ ___ ______J �a I 3'-O" AGGE55 ' DOOR i E 4 11 6-4` 5 5 i EXISTING 6'-O" B'-21/2" I6'-b" 15'-11/2" I I FOUNDAT I ON PLAN SCALE. 1/4" = 1'-0" DATE : X%-X%-02 SMITH RESIDENCE (//`y����iNSCy� i*� MARK K ,SGHW ARTZ AIA REV. 1725 VILLAGE LANE ( o b �� '��• ARGHITE0IT, FLLG ORIENT, NEW YORK ' a ,; � • C PA. BOX X955 c Y GUTGHOQUS, N.1Y, 11955 GON5TRUGTION MAY NOT BE ALTERED !\jJN 6r! 651 - 754 - 41e5 FROM THIS BLUEPRINT WITHOUT ;;����� lld QU �J JJ� 1� PFIV ll QD �T NOTIFYING ARGHITEGT L'vi� SHEET I OF XX 2 3 4 5 6 8 q IQ II 12 15 14 15 16 1 -7 I K V EXI5TIN6 Il'-O" 13'-I 1/2" 14 EQUAL SCREENED PORCH 0 2" X 10" - Ib" 0.0 R.R. g (2) 3424 65MT f J DW --41 �__ _J I 2868 2868 Z II 0 i- I KITCHEN I I N 0 II 1 o T11 XII 4 II m P I iV a II fn 0 mll 1 UP I R ---- d III r FAMILY ROOM I I � PosT EXISTING STRUCTURE ---- ____ 11 l/H" Tit PO 250 - I6" O.G. BART ———— m 1 1 w 00 I m b'-O" 9' I/2" 6'-O" 3'-4" 111 STORAGE V �D O" 2640 3640 � I ✓ �/` /� N 2640 2640 T m /1 ' 4'-3" 4'-II I/2" 4'-10 3/4" b'-4 I/4" S'-5" 3'-II 1/4'�L 64, I5/16" 51-21/21, EXI5TIN6 6'-O" 8'-21/2" A FIRST FLOOR ELAN 5GALE, 1/4" = I'-O" DATE : XX-XX-02 SMITH RESIDENCE � IN SC MARK K. 5GHWARTZ A.IA ORIEN1725 T, LANE ORIENT, NEW ' YORK � ARCH TELT. iPLLG b •�� P.O. BOX 937 GON5TRUGTION MAY NOT BE ALTERED �x Y r OUTCHOWE, N.r. ug55 FROM THI5 BLUEPRINT WITHOUT `9T J2233q {O�' 681 - 04 - 41D5 d D T NOTIFYING ARCHITECT " aoRNa� �� QD Q➢ R R I A � ' _ 9NFET 1 OF XX 1, 2 � 4 5 6 7 8 G 10 II 12 I � 14 15 16 I � �I - K 614" 6'-91/2" J I I I I I I I p I b I - I � i I LINE OF ROOF I/i+ 3'-0" H161-1 RAIL l BALL ISTE 5 r ------ ---- ------� I rr I r I I rr I --� 8'-8l/H" -51/16" V U r x x DECK v N 5/4" X 4 CEDAR DECKING ON GGA SLEEPERS OVER (2) 3/4" XII 7/H" MIGROLAM RIDGE - - - POOL RUBBER ROOFING PITCHED TO OUTSIDE WALLS U 0 o � o oOM oA&M I x x EXISTING-ROOF Q ry fV N r TO REMAINJ 3'-0" MGH RAIL R BALLISTERS 1./ 2646 2646 k LINE OF ROOF n _J I LINE OF ROOF I ' i.' 4'-10 3/4" b'-4 1/4" Y4 1/6" II'-2 3/6" W-41/2" t 2q'-71/2" I 4 a a I I { SEGOND FLOOR PLAN I 51-ALE, 1/4" = I'-O" .. I onre : xx•ra•02 SMITH RESIDENCE � s ,lr+scy�, w 17'Q5 'VILLAGE LANE MARK K SGHWARTZ AIA ORIENT, NEW YORK A R G HIT"E G T. PLLG ',p� si Y P.O. COX 9E6 k CONSTRUCTION MAY NOT BE ALTERED y ` \ 7� aroHOWE, N.Y. 119'35 �7 �7 l FROM THIS BLUEPRINT WITHOUT +}¢.�?z?3 '% bel - 1�a - 4165 �q 1Jd QD QD Il� RD 1Jd NOTIFYING ARGHITEGT _-.wl"r , SHEET t OFXX J I r I . I'. F , I XIS N6 TO MATCH EXITIN6 EENEW FIN 2ND FL rEEIIH 50FFIT AND FACIA TO MATCH EXI5TIN6 NEW F0-�N 15T FL � / EXIST IST FL � l! NEWT G0N5TRUGTI0N EXI5TIN6 5TRUCTURE NORTH ELEVAT ION I� ELI —E E l., h. r i i . �I NEW FIN 2ND FL ' EXISTING STRUCTURE ,77 I` . NEW FIN 15T FL ry �I I EXI5TIN6 NEW CON5TRUCTION 4 SOUTH ELEVAT ION D°D •� I DATE : XX-XX-02 SMITH RESIDENCE Qom 9� REV. 1725 VILLAGE LANE MARK K. 5GHA Ft TZ AIA ORIENT, NEW YORK ,7 "a N sal A [,G-H I T E.C. T PLLG v K P.O. BOJC 955 • CUTCNOQUE, N.Y. 11955 GONSTRUGTION MAY NOT BE ALTERED FROM THI5 BLUEPRINT WITHOUT 4: 71939 t�,'' 651 - 754 - 405 n n NOTIFYING ARGHITEGT1-11 P(1VT SHEET 10F xx II , 2 3 4 5 C -7 8 q I O I I 12 15 14 15 16 K r 300SHIN�ILp N6 PATO T�¢JCIST I/2" PLYWOOD ROOF DECK CONT RIDGE VENT 2" X 10" - 16""O.c. R.R. EXISTING ROOF (2) 1 3/4" X 11 1/8"MICROLAM BEYOND 12 ------- PROVIDE RAPIER TO PLATE EXISTING ROOF 4 ✓ 10 i GTRUGTURE 12 TO STUD HURRICANE _LIPS BEYOND �/ BEYOND Q 4 • 16" O.G. (rYP) 12 2" X 10" RIDGE /� 10 2" X 8" - 16" OA. FACIA AND SOFFITS 5HIN6LE5 TO MATCH EXIST GLS JO15T5 TO MATCH'EXI5TIN6 12 300 oUILDIN& PAPER 107 / 1/2" PLYWOOD ROOF DECK W/ DONT SOFFIT VANTS Y' X 10" - 16" O.G. R.R. R-58 INSULATION OFFICE I OAK,RAIL 4 SALLI5TER5 '�y1 ry II "r A NEW FIN 2ND FL 4 m v N 07/5" TJI FRO 250 - 16" O.G. r J FACIA AND SOFFITS TO MATCH EXISTING 1/2" GYPSUM WALL W/ CONT SOFFIT VANTS BOARD ON WALL5 r ❑❑ O❑ AND GLA. R-Iq INSULATION 4" X 4" W 2 FOR ROOF AN GOATS OF S01 GPAIPxte 510INS TO MATCH EX15TINO /•" SUPPORT W/ 2" X 4" FRAMING SCREENED P rH AND (2) GOATS OFrPAp 7rVBK HOUSE WRAP (� FOR SCREENING KIrcHEN J �gri l � I/2" PLYWOOD SHEATHING 2" X 6" - 16" O.G. GGA 6'� R2216 2" X 611 - 16- O.G. WALL STUDS W/ T ! 6 DECKING r \-2" X 4" - 16" 0,G rJ WALL SND NEW FIN IST FL " ' PITCH J '/2" PIA A. BOLT - 4' 0.C. v- ALUM TERMITE SHIELD 2" X 6' CONT GGA SILL PLATE AND SILL SEAL FIN &RADE q I/2" TJI PRO 250 (3) X q I/2" 1 I6" O.G. F,J, MIGROLAM z (2) 2" X 10" 1 PROVIDE METAL R-30 INSULATION Q I Z Q F GGA BIRDER I CONNECTOR4 Z m 2" GONG SLAB L—J J 16" X 16" CONG PIER ON 2' X 2' GONG PTS 8" P.G. WALL ON 16" X 6" E S T E L E �/ 4 T O N 12" DIA 50NMBE CONT KL-Y FTe.v Y2 X 4 GONG PIER (TYP) (2) 05 G6NT REBAR (TYP) S E G T I ON ® SCALE I/4" = 1'-0" 5HINOLE-5 TO MATCH EXIST 300 BUILDING PAPER 1/2" PLYWOOD ROOF DECK i i 2" X I0" - 16' O.O. R.R. (2) 13/4" X 11 1/6"MIGROLAM N ; I I I I ' 514' X 4 CEDAR DECKING I ON CGA SLEEPERS OVER ROOL RUBBER ROOFING PITCHED TO OUTSIDE WALLS rR-Iq RAILIN6 TO MATCH 3'-O" HIGH RAIL12 EXISTING t BALLISTERS Fm INSULATION OFFICE 3/4" T ! 6 PLYWOOD SUB FLOORR BEDROOM 1 NEW FIN 2ND F,L �\�� SCREWED AND SLUED s 77 v \\ II 1/6" TJI PO 250 - 16" O.O. I SOFFIT AND FACIA TO MATCH EXI5TIN6 SCREENED PORN 11 T/6" TJI PO 250 - I6" D.G. P I Y ROOM I GABINET5 Q CABINETS I I EXI5TIN6 KIT N E10 5TRUGTURE rn 1 CABINETS 3/4" T ! 6 PLY 5U8 F L RR A. NSW PIN 15T FL SCREWED AND e LUED o I ON E777 q 1/2" TJI PRO 250 - 16" O.G. II 1/6" TJI PRO 250 - 16" O.G. 1 R-50 INSULATION CRAK SPA - - - SPACE (3) 13/4" XII 1/6" SEGTION ELEVATION NS 1 DE SGREENED ROOM SCALE. 1/4" = r-O" DATE : xx-xx-a2 - SMITH RESIDENCE 1725 VILLAGE LANE MARK K. 5QFIWARIZ ALS ARGHITE ,GT PLLE ORIENT, NEW YORK //pe 41 Y P.O. Box 4155 GONSTRUGTION MAY NOT BE ALTERED �� GUTOHOOUB, N.Y. IIg55 n (� j� LLSS ..L�11 �l 1Y/ e N'X .,ye 6'51 - -TS4 - 4185 I Id �d' �d �T j'11 QD 1 V 0.Y " FROM THIS BLUEPRINT WITHOUT .r. . i Y v NOTIFYING ARCHITECT L SHEET t OF XX