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HomeMy WebLinkAbout35261-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34440 Date: 07/08/10 THIS CERTIFIES that the building DECK ADDITION Location of Property: 2460 2 SHIPYARD LA (HOUSE NO.) (STREET) County Tax Nap NO. 473889 Section 38 .2 Block 2 subdivision Filed Map No. Lot No. EAST MARION (HAMLET) Lot 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 16, 2009 pursuant to which Building Permit NO. 35261-Z dated DECEMBER 30, 2009 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 DECK AND STAIR REPLACEMENT FOR AN EXISTING CONDO (UNIT 5A2) AS APPLIED FOR. The certificate is issued to MIRIAM B CONANT ( OWN E R ) of the aforesaid building. SuFMOLK COL~qTY DEPART~gNT OF HEALTH APPROVAL N/A ELE¢'r~ICAL CERTIFICATE NO. 34440 07/08/10 PLUMBERS u~TIFICATION DA'r~d3 N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mUSt be fired in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: Final survey of property with accurate location of all buildings, pmporty lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of watex supply and sewerage-disposal (8-9 form). 3. Approval of electrical imtallation from Board of Fire Underwriters. 4. Sworn statement fi'om plumber certifying that the solder used in system contalm less than 2/10 of 1% lead. 5. Commeroial 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 requn~-ments. 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 $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. ' Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.013, Commercial $15.00 Date. -New Construction: Location of Property: Owner or Owners ofProperty: X~'~_X ~'~\ OX(Y'X ~ % · Suffolk County Tax Map No 1000, Section c~ ,. Subdivision Old or Pre-existing Building: (check one) House No. x t Street Block- Filed Map. Underwriters AppmvaI: Permit No. % ~ ~-~:~ Health Dept. Approval: Hamlet Lot 'Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~-~ · C~/D Final Certificate: (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~]ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35261 Z Date DECEMBER 30, 2009 Permission is hereby granted to: MIRIAM B CON~T PO BOX 234 GARRISON,NY 10524 for : DEMOLISH EXISTING DECK/STAIRS & REPLACE DECK/STAIRS PER DEC & TRUSTEES AS APPLIED FOR. UNIT 5A2 at premises located at 2460 2 SHIPY~qD LA County Tax Map No. 473889 Section 038.002 Block pursuant to application dated DECEMBER 16, 2009 Building Inspector to expire on JUNE EAST M3~RION 0002 Lot No. 002 and approved by the 30, 2011. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 Nigel Robert Williamson Architect P.O. Box 1758 Southold, NY 11971 Phone 631.765.4156 July I, 2010 Mr. Gary Fish, Building Inspector Southold Building Department 53095 Main Road Southold, Ny 11971 Re: Cleaves Poim Condominiums, 2820 Shipyard Lane, East Marion, NY 11939 Dear Mr. Fish: Based on site observations of the footings, framing and strapping of the decks and stairs of buildings 5 & 6 during constmction they are in compliance with the construction documentation and the New York State code. . /.- If any additional information is required please do not hesitate to contact me~L~ Your's faithfully, ~A,~x~ Nigel I[°bert williams°n ~x JUL 1 ~:'~.r~ INspECT!0N~ REPORT DATE ,,, C MMENT$ j_ ~ FOUNDATION (lS~ ~ FO~A~ON (2~) ~ ROUGH ~G & r' ~ PL~G / ~S~ON PERN Y ~ STA~ E~ CODE / , 7~--~ .~ ~D~ON~ COUNTS 5' 2, 0 TOV~q OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Exm a, /2/>4 , 20 0 r Approved · 20 ~ · .Disapproved a/c Expiration L t"'DEC ]6 2009 BLDG. DEPT. TOWN OF $OUTHOtO BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Cheek Septic Form TrusteesN'Y'S'D'E'C' Contact: 3/~q1~6 ~a~V.~ Mail to: ~o. go, lT~g .C,~ ~t~ rl~i71 Phone: $21. '/bf. 4t$~4 J ~ ~L.....~ / Building Inspector PPLICATION FOR BUILDING PERMIT Date /~')r - ~','~ ~C.~.~ g.r~. ,20 ~9 INSTRUCTIONS ~. Thi= uppitcanon MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or 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 p~t Sfiall be re~tuired. . . . ~liLICATtON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance 0fthe Town of Southold, Suffolk County, New Ydrk~ ~m~t other app'l~{cable Laws, Ordinances or Regulations,. f~ the construction of buildings, additiOns, or alterations or for removal or demolition as herein described. The applicant agrees to qomply with all appltc~bl~ laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. f 'gnature of applicant or name, ifa eorporaaon) (Mailing address of applicant) State whefher applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~.~E~gJ 3/,~r ~--~2./~ f /14~.,.[z~ (As on the tax roll or latest 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: House Number Street Hamlet County Tax Map No. 1000 Subdivision (Name) Section 392. Block ! Filed Map No. Lot -4~' ~ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy C~o~),u,~S b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. E~ti.inate. d Cost 5. If dwelling, number of dwellflag units 'If garage, nf~nber of ca?s Fee Addition Other Work Alteration.. (Description) (To be paid on filing this application)' Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front /~-f-,l' Rear 12f'.-.4~ Depth 72 Height $/'-'~ ' ~ Number of Stories 7%o , i Dimensions of same structure with alterations or additions: Front i 1 !-~ %' Rear Depth 7'~-/? Height. 71'- ~," ~ Numbe~oTStories 8. Dimensions of entitle new construction: Front Kl/.~ Rear /A .... :Depth ',~ Height to/,A Number of Stofie~. ~j,/~ ...... v~. '_._.. ~2_ 9. Size of lot: Front .Rear Depth .. 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~, ~., 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. W~II lot be re-graded? YES NO al-iVill excess fill be removed from premises? YES NO 14. Names of Owner ofpremises C~ f t-at~ t4c~ Address_~ar ~3 ".7 lty3q Phone No. NameofArchiteet ~1~. E,g~r /,/,,~.~..~ Address~PhoneNo t?/, NameofContractor~.'14. ~Atr~cr~,~ k~. Address~ '~PhoneNo. ~'/t,. 15 a. Is this property within 100 feet of a tidal wetland or a fi.eshwater wetlanff? ,YES NO ~ * !F y.E,S., SOUTHOLD ZOWN T USZ S & D.EC. P RMrrs REQUmED. o. ~s tins property within 300 feet of a tidal wetland? * YES ~ NO * IF YES, D:E.C. PERMITS MAy BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. ¢TATE OF NEW YORK) SS: :OUNTY OF ) · ,~. ;_~: ,e~,.,.) being dulY sworn, dePoses and says that (~the is the applicant (Name of individual signing contract) above named, (Contractor, Agent, Corporate Officer, etc.) ~e sa/d 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 ~'rformed in the manner set forth in the application filed therewith. vorn to, before me thii I~[[h day of ~12J~f~;~&rx_ 20 0 -' otary Public Notary PubliC.State of New No. 01806185050 ' ~ ~ualffi~ n S~lk ~untv , ~mmlssion ~ir~ April 14 20~ gnature of A~plicant - OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD To: Nigel Robert Williamson January 15,2009 From: Vicki Toth Upon the initial review of your application it has been determined that the fee will be for each individual unit, which equates to $250.00 times~8_units. Plus one flood permit fee of $100.00 that will cover the entire project. The plans will need to be revised to reflect the guard height of 42" for all decks over 30" in height, which is per code. Also page A-8 should show what is only pertaining to building 1 & 2. If you have any further questions please feel free to call me. Thank you Nigel Robert Wflliamson Architect P.O. Box 1758 Southold, NY 11971 Phone 631.765.4156 January 14, 2009 Mrs. Patricia Conklin, Building Inspector Southold Building Department 54375 Main Road Southold, NY 11971 Re: Proposed alteration to Cleaves Point Condominiums (&,, 2820 Shipyard Lane, East Marion Dear Mrs. Conklin: I am applying for a building permit for Buildings 1 & 2 on the above mentioned property. As of this time we have not selected a builder. When we have chosen a contractor we will submit their license and insurance information prior to conslmction. I trust that this is acceptable to you. If you have any questions please do not hesitate to contact me. Your'$ faithfully, Nig~ Robert Williamson Nigel Robert Williamson Architect P.O. Box 1758 Southold, NY 11971 631.765.4156 March 30, 2009 Ms. Vicki Toth, Building Inspector Southold Building Department 54375 Main Road Southold, NY 11971 Re: Proposed decks & stairs replacement to Cleaves Point Condominiums at 2820 Shipyard Lane, East Marion, NY 11939 Dear Ms. Toth: I am submitting a copy of a letter from the Town Trustees which shows buildings 1 & 2 to be out of the Wetland jurisdiction under chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. I am also submitting a permit from the DEC together with a site plan that was submitted to them for buildings 1 through 6. As of this time we are only requesting a building permit from your department for buildings 1 and 2. Should you need additional information please do not hesitate to contact me. I thank you for your consideration of this matter. Yours faithfully, ...... Nigh'Robert Williamson APPLICATION pAGI= I of 4 TOWN OF SOUTHOLD FLOODPLAJ:N DEVELOPMENT PERMIT A.PPL[CATiON This form is to be filled out in duplicate. SECTION I: GENERAL PROVISIONS (APPLICAHT ~o rcad and si~nl: L No work ma)' start until a permit b issued. 2. Thc pcrmlt may bc rcvokcd if aa}. faLsc statcmcntS arc madc hcrcLu. 3. If rcvokcd, all work must cease until I~rmit is rc-lssucd. 4. Dcvclopmcz~l. sh~ll not be. u.scd or oc.c~picd until a Certilicalc of Corn APR 8 2009 BLDG. DEPI. TOWN OF SOUTHOLI) 5. Thc pea-mit will expire if iio work is commcuccd within six moatb~ of issuance. 6. Appllc~ot is hereby iz~ormcd that other permits may be rcquitcd to fult'dl Ioc31, state a~d fcdcral regulatory rc. qukcmcnt~* 7: Applicant hcrcby g~vc~ con.~nt to thc Local Admlnis[ra~or. or his/her rcprcscntadvc, to makc /casouablc inspections required to yea'lb/comp[ianc~ 8. I, THE APPLIGa, NT, CERTIFY THaT ALL ~TATEMIENT~ HEREIN AHD h~ ATTACI-IMHNT~ TO _ rms ~i, uc~ot~ ~ ~o 'r~E ~Es-r oF ~ KNOWLEDGE. T~UE ~ ~,CCUe,~ ~ a. ,-- SECTtQN 2: PROPQSED DETVELOpJi'~ fTo be comvlcmd by APPLICA/TFI ADDRESS TELEPHOHE s-t6 .'~,lo. 552 t. ~sk "'//,.c, 4tS-& ,pROJECT LOCATION: To avoid delay iD proccasing the appBcadoa, plc~sc pro~d~ ~unu~ ~omation ID ~B~ ident~ Ihe project I~tiom Pro'de ~e ~ea addr~ lot numar or le~ d~ption (a~a~) ~d, ouaide ~ ~, the db(~ to ~c a~ ~t~sc~g road or ~U-~o~ A sEct~ arrayed to ~ appB~tion sbo~g ~hc projc~ 1~6on wo~d bc helpS. FOP(o]) APPLICATION # PAGE 2 OF d DESCRIPTIOH OF WORK (Check aJJ applicable boxes): ^. ST'RUCTUR~ DEV'E-LO?~EIxrF ACTIVITY RU UR TYPE {:::] Hew Structure [] Addldoo ~l~/Ot~ratioo C] Relocation ID DcmdlRioo' ' e ID Replacement E.Tt-tMATED COST OF PP, OSECT $ I, ~ /-4~/.c~,~J ~ R~idcndal (1-4 Family) ,~Resideatial (More duan 4 Family) [] Noo-ccsidendal (FloodptooFmg? [] Yes) [] Combined Usc ('R.~idential & Commercial) C] Manufactured (Mobile) Homc (In Manu- faclure, d Home Park/. [] Ye.s) B. OTHER DEVELOPMENT ACTIVITIF_.S: $ruclural' ' ' ID DHlliug ID Grading' Development Checkeat Above) -- · [] Waterco ~ e AR~au'o~Imt~Q~]Dredgh~g and Cha. rmcl Modifications) [Z] Dralnagc [m~ 0.nr./udln~) kl C1 Sub<b'vi~ioe (New or F_.~aesioo) . {~ [ndNidu~ Wat¢~ or Sewer System C] Other (Please Specify) completing SEctION ~, A. PPLIC-AJ'~T' should submit form to Local Adaministrator for reJvic~v. ~EGTIOH 3: FLOODPLAIN DE'i'ERMIHATIOH I-FO bc complctcd 135' bOCAL ADIvfINISTRATOR.) Thc proposed dcvelopmen[ b located on ~ Pamcl No. , Dated Thc Proposed Dcvclopmcm: ri ~ ~ located [u ~ Special Ftood Hua~trd A.re.a (Notify th~ ~pp§cant that ~hc app{ication review i.s complete and NO FLOODPLAIN DEVELOPMI~Nq' PERMTF IS REQUIRED). C} ti located in a Spexia[ Flood Hazard Area. FIRM zone designation ii 100-Y¢~ flood elevation at tbc site ii:" FI. NOVD (MSL) E3 Uuavailabl¢ ~r~ Thc propoi,.d d~-,clupmcnt is lu,.~lcd lo a flu~adway. FBFIvl Pa. ocl {qo. Dated O Sec Section 4 foe additional instructions. SIGNED DATE APPLICATION PAGE 3 OF 4 t SE(~TFIOI~ 4: ADDITIOINAL INFORMATION REOUIRED (To hc complctcd by LQC~ ADMINISTRATOR} Thc app~t must submit thc documents checked below belorc thc app~fon ~ bc proc~sed: ~ A site pl~ sbo~g thc [o~tion of ~1 c~tbg struct~cs, wa~cr bodies, adjacca~ ~oads, Io~ d~e~sio~ ~d proposed development. ~ Developmcn~ plans, ~a~ to s~lc, ~d spedfi~c~, including where app~blc: det~ls for ~chorlng structure, proposed elevation of lowest floor (Mdud~g b~e~ent), ~ of water resbt~t materifls used below the f~st floor, det~ of floodprooCmg of u~ties lo.ted below · c [~st floor ~d dcl~s of cndos~cs below thc f~st floor. ~ Sub~io~ or other development pl~ ~f thc sub~ioa or other development exceeds ~0 lots or 5 z~, whichever b thc lesser, ~c ~pp~t must pro.dc t~-yc~ flood clcv3tions ff ~cy ~c not othc~sc av~ablc). E] Top of new f'dl elevation Ft. NGVD (MSL)- [] Floodproo£m§ pro(cclio~ level (non-residcutial onJy) Ft.: IqGYD (MSL). For lloodprool'ed strUclures, applicaot taus{ attach certificat o. [from rcglstcred engineer or C] Certificatiora [rom a registered engineer that the propo~/d acti¼ty in a regulatory floodway will not result in .an~ bacrcasc in thc hclght of thc t00-year flood. ^ copy of atl data and calculatio~ support~g this Finding m~st also be submitted. Other: · .qE(ZFI01~I 5: PERMIT Db-TERMINATION fTo be completed bY LO(~AD ADMIIqI!~'TRATQRI I have detea'mhacd that thc proposed activity: A. C] Ls B, C] Is not in conformanc~ ~th provblons off Local Law ~ . L9 . The permit is bsued subject to the conditionS attached to and made part of thLs permit. f B~_~Q~_A i~ checked, thc Local Admi~.btralor may issue a Development Permit upon paymcnl o( designatc;d If BQ)~ B i~ checked, thc Local Administrator will pro'Adc a wcillen summary of dcficscncics. Applicant may re¼sc and resubmit a.n appbcati0n to thc Local Administrator or may request a bearing from the Bo~d of Appcidr, APPE~M~: Appealed to Board of Appcak? E] Yes E] No H ¢ ~'Log date: Appeals IBo~rd Decbioa---Approvcd? [] Yes ConcLitio~ [] No APPLICATION PAGE 4 OF 4 $£CTION 6: ~-§UILT ELEV^TION$ fTo bc submilled by ^PPLICAHT before CertLfic~¢ of Comoliance Ls issucd'~ The following isfformadoa mu~t be provided for projea structtu'es. This scaioo mU~t be completed bY a registered pro&-ssioa, al eaglneer or a licensed land iu_r~¢¥or (or ac[ach a ccr0ficadon to this application). Complete I or 2 below. Actual (As-Built) Elevafioo of ibc top of ~hc lowest floor, iadudi~g b~scmcat (in Coastal Hieh Haze'rd ' Asea& bottom of lowest structural member of iht lowest flo~r, excluding piling aJad column.s} is: Fr. NGVD 0~$L). 2- Actual (As-Built) Elevation of floodproo£mg protcctioa ii FT. NGVD (MSL). NOTE: Amy work performed prior to st)bmittal of thc above iolormadon ii at the risk of the Applicant. SECTION 7: COMPLIANCE ACTIODI {To be completed ~v LOCAL ADMIlqlSTRATQR'I The LOCAL ,KDMINISTRATOR vdJl complete thJz sctaion ~ applicable ba6ed on b~spcction of the project to ensure compliance with ibc commtmky's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICFIEbICIES? ~ YT=.S g NO DATE BY DEFICIENCrES? CI YES g NO DATE BY DEFICIENCIES? [] Y1ES C] NO ~ECTION 8: CERTIFICATE OF COMPLIA3qCECTo bc compleled bv LOCAL ADMI1NI:~;TRATORI C~rtilicate of Compliance i~ucd: DATE: BY: EAST ION Terr. v P~ ORIE Orient 0 R I Ei N T H A R B; 0 I LOCATION,k"! xp,~, James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January30,2009 Nigel Robert Williamson, Architect P.O. Box 1758 Southold, NY 11971 RE: CLEAVES POINT CONDOMINIUMS 2820 SHIPYARD LANE, EAST MARION SCTM#38-7-15 & 38.2-1 - Bldgs. t & 2 BLDG. OEP[ TOWN OF SODTHOLD Dear Mr. Williamson: The Southold Town Board of Trustees reviewed the plans prepared by N/gel Robert Williamson Architect dated January 12, 2009 and determined the proposed replacement of the existing stairs and decks with new decks and stairs of equal dimensions to be out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111 ) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff and/or wetlands jurisdictional boundary, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary best management practices 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. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Jam~, Preside~' Board of Trustees JFK:lms . Town o_ f Southold Eros,on, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: $.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE 8UBMI881ON OF A ._~ ~l~(t~ STORM-WATER, GRADING~ DRAINAGE AND EROSION CONTROL iO0~0is~rlct ~-0~-Sectlon ~ '~ CERTIFIED BY A DESIGN PROFE~i0NAL IN THE STATE OF NEW Item Number: (NOTE: A Check Mark (.~) for each Question is Required for a Complete Application) Ye._~s N~o Will this Prejecf Retain All Storm-Water Run-Off Genemfad by e Two (2") Inch Rainfall on Site? ~/ r'~ (This item will Include all run-off created by site cleating am:l/or construction activities as well as all Site L Imprevemen~ and ~ permanent crp..~tion of I~perviou~ surfaces.) Does the Site Plan and/or Surdey Show All Propbsed Drainage Structures Indicaang Size & Location? This Item sl~all include all Proposed Grpde Changes and Slgpes Controlling Surface Watad=lowi Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Naturel Existing Grade thvolvin~l mom than 200 Cub c Yards of Matadal within any Parcel'~ I.,----I -- Will this Application Require Land Distufl:,ing Activities Encompassing an Area in Excess of Five Thousand (5,000) SqtLare Feet of Ground Surface? Is there a Natural Water course Running through the site? [~l Is this Project within the Trustees jurisdiction or within one Hundred (I 00') feet of a Wetland or Beach? -- Will there be site preparation on Existing Grade slopes which Exceed Fifteen (I 5) feet of vertical Rise to r~ one Rundred (100') of Horizontal Distance? ~,t,frlO$' ~'e /_. Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Watar Run-Off into and/or in the direction of a Town right-of-way? J5 ~(, .( ~ t ~ f' ,J'~ ./__ Wtil this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of r~ any Item within the Town Right-of-Way or Road Shoulder Ama? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: tf Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Pennltl EXEMPTION: Yes Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requlredl No STATE OF NEW YORK, COUNTY OF ........................................... SS ThatI /k~ ~l.- ~Pg'gr IJ~.t.~l~,,c~.0 - ~, ....... ~ .................................................................. ~ nu y sworn deposes ~d ~ys ~t h~ h &e app~t [or P~n[~ (Na~ of individual sign~ D~men~) ~d ~at hd~is ~e ....~!ff.t~.~ ................ / (~ner, C~actor, Agent, C~e O~, etc.) O~er ~or mpresen~five of ~e Owner of O~er's, ~d is duly au~orized to perform or have performed ~e s~d work ~d to m~e ~d file ~is application; ~at ~1 smtemen~ con.ned in ~is applimflon are ~e to ~e best of ~s ~owle~ ~d belief; ~d · at ~e work will be ~fformed in ~e m~ner set for~ in ~e application filed here~. Sworn to ~fore me ~is; ................... ......... No. 01~061906~V~ (S,~alure of ~li~n,) ............. I ~ Quailed in Rf~nlk O~.4~ ~ FORM - 06~07 ~0mmissi0n ~pir~ July 28~20~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN?.~.LATION [//] FINAL FRAMING / STRAPPING FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION F~Rr~ST~TCO.Sl'.~'~ [ ] F.~R~Sm'~T~E.L=TRA'nO. DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. ~ 7,-;-t 'i: - BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans x~ Planning Board approval : Survey Check ~ Septic Form ~ N.Y.S.D.E.C. Examined, ./y/~r ,200 ~ Approved P~2~, 20cO~ ,Disapproved a/c Expiration / Building Inspector Trustees Contact: Mail to: Phone: ~I" `~ EC ! 6 7009 PPLICATION FOR BUILDING PERMIT Date /1"~ ~.~,-tgir~._ ,20 ~ ~*:~ ~STRUCTIONS BLDG. DEPT. a;;~i;;;::; ~T be completely filled ~ by t~ewnter or m ~ and sub~,ed to ~e B~dmg ~p~tor wl~4 sets ofpl~, acute plot pl~ to sclc. Fee accor~g to schedule. b. Plot pl~ show~g location of lot and of b~l&gs on presses, relatio~hp to adjoi~g premses or public s~eets or ~e~, and wat~aYS. c. ~c work cov~ by ~s a~hcation ~y not be co~mc~ before iss~ce of B~d~g Prat. d. Upon approvM of~s a~lication, ~e B~l~g ~p~tor will issue a Bulldog Prat to ~e a~lic~t. Such a p~t sh~ be k~t on the pr~ses available for ~p~fion ~on~out ~e work. e. No b~g ~M1 be oceupi~ or us~ ~ whole or ~ p~ for ~y p~ose w~t so ever ~til the B~l~g h~ector issues a C~cate of 0c~p~cy. L Eve~ b~l&g pemt s~l expire if ~e work au~ofiz~ Ms not co~c~ wi~ 12 mon~ aa~ ~e ~te of iss~ce or ~s not been completed wi~ 18 mon~ ~om such date. ~no zo~g mm~ents or o~ re~lafiom ~ect~g the prepay have been reacted ~ ~e ~teri~ the B~l~g hspector ~y au~o~zg ~ ~ting, ~e extrusion of~e pe~t for ~ addition s~ mon~. ~, a new p~t 'stOl be r~ed. . . ~ · ' ~LICATtON IS ~BY ~E to'~e B~g D~t for ~e issu~ce of a B~&g Pe~t pm~t to ~e B~l~gzone 0r&n~ce of~e Tom of Sou~old, SUffo~ Co~ty, New YdrK ~d o~er applicable Laws, Ordinances or Relation,' f~ ~e commotion of b~l~s~ ad~tiom, or Mteratio~ or for removM or d~ofition ~ h~ein describe. The applic~t a~s to qomply wi~ ~1 apphc&ble laws, or&~ces, b~&g code, hous~g code, ~d re~atiom, ~d to a~t au~o~z~ ~spectors on pre~ses ~d in b~l~g for necess~ ~spmfiom. ~ ~i~amw of app~e~t or nme, if a co~ora~on) ~ling a~ess of apphc~t) State whe&& applic~t is o~, lessee, agent, ~chitect, ~n~r, gen~M ~n~actor, elecMd~, plmb~ or build~ Nameofownerofpremises ~_~gtWgJ' b/,b'- ~t~' f /Vg~,,,j~ (As on the tax roll or latest dded)" 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. Location of land on which proposed work will be done: 2820 S~t? v/~.~ /~- House Number Stree{ Hamlet County Tax Map No. 1000 Subdivision (Name) Section Block / Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy. C--,ob~O~o~ r 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. E~t'.nnate~d Cos~ .. Fee Addition Other Work Alteration (Description) 5. If dwelling, number, of dwelling units Number of dwelling units on each floor If garage, nfirhber of ca/'s 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front /%$'-,{ ' Rear Height $/;~ ' ~ Number of Stories '7"~,,~ Dimensions of same structure with alterations or additions: Front Depth 7~-/? Height '~l'- ~ (To be paid on filing this application)' Numbe~ 0t' Stories 8. Dimensions of entire new construction: Front /of-4 Rear Height to//~ Number of Stodes ~J/~ 9. Size of lot: Front Rear Depth Depth 7z'-/iT' Rear 10. Date of Purchase Name of Former Owner 1 I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO ~l--Will excess fill be removed from premises? YES NO 14. Names of Owner ofpremises Name of Architect N ame of Contractor ~4. C~r~art~A L~t~ Address t ~iz~i~_Phone No. 15 a. Is this Property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD .TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a:tidalwefland? * YES f NO * IF YES, D:E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. : 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COLrNTY OF ) /~t e'~- ]~o t~ ~-~'- k~, t,~'~,,) being duly sworn, deposes and says that ~g~he is the applicant (Name of individual signing contract) above named, f~He is the ~: 6~ /- (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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn tc~before me Notary Public - No. 01BU6185050 Commission gaature of A~plicant NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-00784/00010 FACILITY/PROGRAM NUMBER(S) PERMIT Under the Environmental Conservation Law EFFECTIVE DATE 3/25/2OO9 EXPIRATION DATE(S) 3/24/2014 TYPE OF PERMIT B New ORanewal OModiflcatJonOPermittoConstmct O Permit to Operate [] Article 15, T~e 5: Protection of Watem [] Article 15, Title 15: Water Supply [3 Article 15, Tele 15: Water Transpo~ [] Article 15, Tele 15: Long Island Wells [3 Article 15, Tele 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Ce~tifice- tiofl PERMIT ISSUED TO Cleaves Point Club and Marina Inc. [] Article 17, Teles 7, 8: SPDES [] Article 19: Air Pollution Cantrol [] Article 23, Tele 27: Mined Land Reclamation rq Article 24: Freshwater We{lands · Article 25: T'~al Wetlands [] Article 27, T'ele 9; 6NYCRR 373: Hazardous Waste Management [3 Article 34: Coastal Erosion Management [] Article 36: Floodplain Managemant [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control [] Adicle 27, T~e 7; 6NYCRR 360: Solid Waste ~ TELEPHONE NUMBER (631)477-8657 ADDRESS OF PERMI3-FEE 2820 Shipyard Lane, East Marion, NY 11939 CONTACT PERSON FOR PERMITTED WORK Nigel Robert Williamson Architect, PO Box 1758, Southold, NY 11971 NAME AND ADDRESS OF PROJECT/FACILITY Cleaves Point Village Property, 2820 Shipyard Lane, East Madon, NY 11939 SCTMff 1000-38.2-1-1 through 44, 1000-38.2-2-1 through 18 COUNTY I TOWN I WATERCOURSE Suffolk Southold Gardiners Bay DESCRIPTION OF AUTHORIZED ACTIVITY: ITELEPHONE NUMBER (631)765-4156 INYTM COORDINATES E: 723.2 N: 4554.7 In-place and in-kind replacement of the existing decks and stairs associated with buildings one through six. Residing of existing buildings one through six, administration building and garages. All work shall be done in accordance with the attached plan prepared by Nigel Robert Williamson, Architect, last revised on March 18, 2009 and stamped NYSDEC approved on March 25, 2009. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified and any Special Conditions included as part of this )ermit. DEPUTY PERMIT ADMINISTRATOR: Susan ~ Acke~man (GRZ), AUTH~I~IZED}~IGNATURE .... I/ Circle Road, Stony Brook, NY 11790 - 3409 ~ATE I Page 1 of 4 12512009 I NEW YORK STATE DEPAm~IENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1, Concrete Leachate During construction, no wet or fresh concrete or teachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 2. No Construction Debris in Wetland or adjacent Area. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas. 3. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 4. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 5. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 80 linear feat from the tidal watiand boundary. 6. Temporary Mulch, Final Se~ling If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather favors germination and growth, but not more than six months after project completion. 7. Install, Maintain Erosion Controls Necessary erosion control measures i.e., straw bales, silt fencing, etc. are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good functional condition until thick vegetative cover is established. 8. Notice of Commencement At least 48 hours pdor to commencement of the project, the permittea and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of, and understand all terms and conditions of, this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. DEC ~R~rr.u~E. Page 2 of 4 1-4738-00784/00010 NOTIFICATION OF OTHER PERMll ~ cE OBUGATIONS Item A: Permittes Accepts Legal Responsibility and Agrees to Indemnification The permittes, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC') for all claims, suits, actions, and damages, to the extent aflflbutable to the permittae's acts or omissions in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the pesmit. This indemniflcaUon does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's ow~ nagligont or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws arid Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permlttee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittse's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of Ihe Environmental Conservation Law as those prascHbed for the permitten. Item C: Permittes Responsible for Obtaining Other Required Permits The permittes is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that ara authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittes any right to trespass upon the land s or ints~fars with the ripedan rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, flue, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDmONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an au~ofized raprasantative of the Department of Environmental Consenrafien (the Department) to detormino whether the pennittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401 (3). The permittee shall provide a person to accompany the Depadment's representative during an inspection to the permit area when requested by the Depa~enL A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in. such order or detsonination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department mquiras. Any renewal, modification or transfer granted by the Depedment must be in wriflng. The permittee must submit a renewal application at least.' a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), mejor Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification ara to be submitted to: Regional Permit Administrator, SUNY ~ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department resewes the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Pa~t 62t. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittes to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, ralevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Depa~ment related to the permitted activity. ADDmONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 (TIDAL WETLANDS) If futura operations by the State of New York requira an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unraasenable obstruction to the frae navigation of said waters or flood flows or endanger the health, safely or welfare of the people of the State, or cause loss or destmcben of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or h~rds caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservatiqn may require, ramove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from futura operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. Alt necessary precautions shall be taken to praclude contamination of anywafland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large rafuse piles, ridges across or along the bed of a waterway or floodplain, deposits within any regulatory floodway, or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 7. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 8. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and retum the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a surVey. 9. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Nigel Robert Williamson, Architect, last revised on March 18, 2009 and stamped NYSDEC approved on March 25, 2009~ DEC PERMrF NUMBER 1-4738-00784/00010 ~ Page 4 of 4 ACORD - 'CERTIFICATE OF LIABILITY INSURANCE - : PRODUCER 516. 872 · 9500 FAX 516 · 872 · 2021 THIS C=~'i iFiCATE IS ISSUED AS A MA'rrER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GROBER-TMBEY AGENCY TNC. HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ONE SUNRTSE PLAZA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. VALLEY STREAM NY 11580 INSURERS AFFORDING COVERAGE NArC # ~NSUP. ED RONALD HTNDERHOFER, TNC. ~NSU~.A: UTTCA F/PST TNSURANCE COMPANY RH CONSTRUCT/ON ~SU~*~E: TNS. CO. OF qlJE STATE OF PA 189 pHTLTPS PLACE tNSURa~C: THE HARTFORD TNSURANCE CO. OCEANS~DE, NY 11S72 INSUR,E~D: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD iNDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WiTH RESPECT TO WHICH THIS CERTIFICATE MAY BE iSSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR I,$PJ TYPE OF INSURANCE POUCY NUMBER DATE (MM.~DD/YYYY~ DATE ~MM~DD/YY~Y) LIMITS GENERALUAI~UW ART136951500 02/01/2009 02/01/2010 EACH OCCURRENCE $ I CLAIMSMADE [] OCCUR MED EXP(Anyonepeman) $ 5FOOC A PE~ONAL & ADV INJURY $ -- ~ENEP.~_ .~ P-SC~'m $ 2. 000.00( WORK~-P~COMP~NSAT~OI~ V~C6969583 05/01/2008 05/01/2009 X WGSTATU- B )FFICF.~UE~3ER EXCLUDE~? ~ ~L. EACH ACCIDENT $ 100 ~ 00( C~HRE U~'616278001 01/01/2009 01/01/2010 STATUTORY Lm2l~ IN NY STATE )ZSABTL1-TY BEN EEl-rS C DESCRIPTION OF OPERA~qON$ I LOCATION8 ! V~qlCL~81 EXCLUSIONS ADDED DY ENDORSEMENT I SPECIAL PROVIELO#S THE FOLLOt~NG ARE TNCLUDED AS ADUIiIONAL TNSURED: CLEAVES POINT CLUB & IqARTNA, TNC.; CLEAVES POT~ CERT,F,C^ HOLDER O=CEL TION ' / SHOULD ANY OF THE ABOVE ~/ESI RIBED POL pl~ BE DANC?-~D BEFORE THE EXPIRATION DATE THEREOF, THE ~6~UIN~ I1~ RER W~LL E ~ :-AVOR TO~J~L 30 DAYS WPJTTEN CLEAVES POTNT CONDOMTNTUt4S ,::oT~::::e"AT~ :O~L~):O:~ 2820 SHTPYAR9 LANE REpRESeNTATIVES. / //~/~ EAST f4AIL~ON, NY 11939 '~'°'="""T7 ¥/ The ACORD name and logo are registered marki of ACORD tJ biOTES: U · AS' 9'°' ~ I I / Bldg. 6 Bldg. 5 MAR 3 0 2009 BLDG. DEP[ TOWNOFSOUTHOLD SITE PLAN GARDINE PROPOSED RE-SIDING DECKS, & STAIRS REPLACEMENT AT POINT VILLAGE CONDOMINIUM ASSOCIATION ~,. ~__jA,~RD_..LA_____~, EAST MARON N : __.=-~ .... · . ... Admin=~=~== Bldg. Tennis Bldg. 3 NYSDEC APPROVED AS PER TERMS AND OONDI'I1ON OF F-.-XIGTUQ& RI3G~. RS BAY FIRST FLOOR PLAN NOTE: All existing decks, stairs & footings to be removed before installation of new decks. / · I x, / D~..r-J ~. "' / I / Ir' , EXISTING BUILDING NOTE: All exterior material to to plywood substrate. be removed PROPOSED RE-SIDING DECKS & STAIRS REPLACEMENT AT CLEAVES POINT VILLAGE CONDOMINIUM ASSOCIATION 2820 SHIPYARD LANE. EAST MARION N.Y. 1193g NOTE: ~ relocate lights. by owner, fixtures supplied ALL CONSTRUCTION SHALL MEET THE REQUIREt'4ENTS OF THE CODES.OF NEW YORK 8 FATE A[: ] LdVED A,~ NOT~.D FOR POURED Co,~rJ,',ETE ~ BE COblPLET. E FOR C.O, ~l ALL CONSTRUul'ION SH/\LL MEET [HE ~ REQUIREMENTS OF TFIE C:ODES OF NEW ~ El YORK SLATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRIJCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CER'FIFICAT~ OF: O(.,c', 'F ",!,'C v RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. E NORTHEAST ELEVATION NOTE: NO TRIM TO WINDOWS & DOORS-CORNER BOARDS ONLY DOOR SCHEDUI F Z I ----qF ..... 9 It II Il II I1 I 122 '- o" SOUTHWEST ELEVATI0__N ~ RE-SIDING, ~820 SHIPYARD LANE, EAST SOUTHEA DECKS & ST ELEVATION (NORTHWEST E STAIRS REPLACEMENT AT VILLAGE CONOMINIUM MARION, N.Y. 11939 ASSOCIATION LEVATION SIMILAR) i FIRST FLOOR PLAN FOUNDATION PLAN (PARTIAL FRONT DECKS) scA~ v.". ,'-o" FIRST FLOOR PLAN (PARTIAL REAR DECKS) so~L~ ~": ,'.~' ils" / ./~/ / ,". HACH~kHg ESOL.T,.% ~/ NUt ~ UA~HE:]P.~ I I 2% I1" AOX. 8 /:Z~ ~,~, FOUNDATION PLAN (2 UNIT BAY s~.~ ~.' : '''O'[ PROPOSED RE-SIDING, DECKS & STAIRS REPLACEMENT AT CLEAVES POINT VILLAGE CONDOMINIUM ASSOCIATION 2820 SHIPYARD LANE, EAST MARION N.Y. 11939 TYPICAL SECTION REAR DECKS (UNITS 3 THRU 6) &P.~_ 7"z ~.THP EXISTING NOTE: All to BUILDING exterior material to plywood substrate. be removed 30' - 0'/~-" ~ 3;2" ' IRST FLOOR PLAN 9_9' 3o'- lib" NOTE: All exterior decks, removed ROPOSED RE-SIDING, DECKS & STAIRS REPLACEMENT AT LEAVES POINT VILLAGE CONDOMINIUM ASSOCIATION 120 SHIPYARD LANE, EAST MARION N.Y 11939 DATE Il"" 3-A}JuA~.t~ 9.oo~ 4 Note: ~ rel0cote by owner stairs & footings to before installation of new decks. lights, fixtures supplied F NORTH EAST ELEVATION NORTHWEST ELEVATION 12O..' - 9" SOUTHWEST ELEVATION ~amOz~ ~ SOUTHEAST ELEVATION ?82O RE-SIDING DECKS & STAIRS POINT VILLAGE CONDOMINIUM SHIPYARD LANE, EAST MARION NY. 11939 REPLACEMENT AT ASSOCIATION 4 0 NOTE~ All exterior decks, stairs & footings to be removed before installation of new decks. EXISTING BUILDING NOTE: All exterior material to be removed to plywood substrate. FIRST FLOOR PLAN )SED RE-SIDING, DECKS & STAIRS REPLACEMENT AT ES POINT VILLAGE CONDOMINIUM IPYARD LANE'. EAST MARION N.Y 11939 ASSOCIATION ,~C,ALr DA"rl~ 12_'~ ~A~I U ~F~ Note~ relocate lights, fixtures by owner supplied 0 To EXISTING BUILDING NOTE. All exterior material to to plywood substrate. be removed NOTE: All existing decks,Calfs & footings to be removed before installation of new decks. Note~ relocate lights, fixtures supplied by owner. FIRST FLOOR PLAN NDOIvlIN IUM ASSOCIATION .Y. 11939 NORTHEAST ELEVATION NORTHWEST ELEVATION SOUTHWEST ELEVATION SO)JTHEAST ELEVATION L~EA~vSED RE-SIDING, DECKS & STAIRS REPLACEMENT AT ES POINT VILLAGE CONDOMINIUM ASSOCIATION PYARD LANE, EAST MARION N,Y 11g3g ~UI-DH4C~ 12K IILO" 9~.o,, iL8'' L ONE CAR GARAGE- z, No. TWO CAR GARAGE - 6No. SIDE ELEVATION (typ.) FRONT ELEVATION FOUR CAR GARAGE - 2 No. FIVE CAR GARAGE-2No SIDE ELEVATION (typ Garage PROPOSED RE-SIDING & TRIIvlWORK OF GARAGES AT CLEAVES POINT'VILLAOE CONDOMINIUM ASSOCIATION 2820 SHIPYARD LANE, EAST MARION N.Y. 11939 ] op~ T~ ~o~ NOTE All before ~nstollotion of FIRST FLOOR PLAN EXISTING BUILDING NOTE--All exterior material to to plywood substrate. 1o8'- 5" be removed b N o~t_e; ~ relocote lights, bi' owner. LAW FOE ANY PERSON, UNLESS AC'~ING UNDER 't'R~ fixtures supphe,. © b) PROP..~.~ED RE-SIDINO, DECKS & STAIRS CLEAVES POINT ]LLA.~E CON[.'0UIIPalUhl REPLACEMENT AT ASSOCIATION 2820 SHIPYARD LANE. EAST MARION N.Y. 11939 .f,E,AL6 ~.~¢,,' = I'-O" 3o'- 8%" 07 ,1 - [ MAI&. L FIRST FLOOD_ PLAN PROPOSED RE-SIDI[qG, DECKS & STAIRS REPLACEMENT AT gLEAVES POINT /ILLAGE CON[-)OI'qINI,JM ASSOCIATION 2820 SHIPYARD LANE, EAST MARION NY 11939 60~[[ ~"~ ILo`' DhT~- EXISTING BUILDING NOTE' All exterio materinl to lo ply~((:d subsfrate. be removed .27' ? I 3o'-5?+" lo'T- 7~" NOTE: All existing deuks, st, tirs& fi, l'if~s tr t~ before instnllation of new decks. Note~ ~ relocale licit ~ts, by owner: fixtures supplie 1 NORTHEAST ELEVATION IL_~I , L ,l NORTHWEST ELEVATION T SOUTHWEST ELEVATION [3 II I II II SOUTHEAST ELEVATION ~D RE-SIDING, .DECKS VILLAGE & STAIRS REPLACEMENT AT CONDOMINIUM ASSOCIATION Hto" ONE CAR GARAGE- z, No. TWO CAR GARAGE - 6No. SIDE ELEVATION (typ._) FRONT ELEVATION FOUR CAR GARAGE-2No SIDE ELEVATION (typ Garage ~ & 5) FIVE CAR GAkAGE - 2 No. LAW FOR ANY PERSON, UNLESS ACTING UNDERTHE ARCHITECT, TO ALTER ANY ANYWAY. ANy ALTERATION MUST ME NOTED, SEALED, AND WITH 'mE LAW. L PROPOSED RE-~,DIr.Ib :s TRI,",IV,'ORt< OF GAk,&G?.? AT · ,-~\;r-c POINT VILLAGE CONDOt'.tlNIUiX'I ASSOCIATION CLE ~\ ~ 2820 SHIPYARD LANE, EAST MARION NY 11939