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Home My WebLink About36096-ZFORM NO. 4 TOWIq OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: z-34806 Date: 01/19/11 THIS c~KTIFIES that the building ADDITION/ALTERATION Location of Property: 155 FAY CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Co%unty T~x ~ap No. 473889 Section 123 Block 5 I~Dt 16 subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 16, 2010 purs%~ant to which Building Perm/t No. 36096-Z dated DECEMBER 16, 2010 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 NEW FOUNDATION, COVERED ENTRY AND DECK TO EXISTING ONE FAMILY DWELLING AND NEW FOUNDATION FOR EXISTING ACCESSORY GARAGE AS APPLIED FOR. · ~ne certificate is issued to RAY~4OND E & JACQUELINE M FEDYlqD~K (OWNER) of the aforesaid building. SoFMOI~KC~)I~I~fDEPART~TOF}~E~J~THAPPROIK~J~ ~-rKIC3%L C~K'rIFIC~%~ NO. PL~ ~TIFIC~%TION DAT~ 03/24/10 ~/A 133060 12/10/10 H2M L/~BS, INC Rev. 1/81 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. 36096 Z Date DECEMBER 16, 2010 Permission is hereby granted to: RAYMOND & JACQUELINE FEDYNAK 2337 WEBSTER ST NORTH BELLMORE,NY 11710 for : CONSTRUCT NEW FOUNDATION,ADD. ALT FOR AN EXISTING 1 FAMILY DWELL. & NEW FOUND FOR EXISTING ACCY. GAPJkGE AS APPLIED FOR. REPLACE BP # 32799 at premises located at County Tax Map No. 473889 Section 123 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 155 FAY CT MATTITUCK Block 0005 Lot NO. 016 16, 2010 and approved by the 16, 2012. Fee $ 527.80 Authorized Signature ORIGINAL Rev. 5/8/02 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. 32799 Z Date MARCH 13, 2007 Permission is hereby granted to: RAYMOND E FEDYNAK 2337 WEBSTER ST NORTH BELLMORE,NY 11710 for : CONSTRUCT NEW FOUND., ADD & ALTER TO AN EXISTING 1 FAM. DWELLING & NEW FOUND FOR EXISTING ACCY GARAGE. THIS PERMIT REPLACES BP 26080. at premises located at County Tax Map No. 473889 Section 123 pursuant to application dated MARCH Building Inspector to expire on 155 FAY CT Block 13, 2007 Fee $ 527.80 MATTITUCK 0005 Lot No. 016 and approved by the Rev. 5/8/02 ORIGINAL 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. -~Z60.~8,0 Z Date OCTOBER 27~ 1999 Permission is hereby granted to: RAYMOND FED~AK & WF. 2337 WEBSTERST NORTH BELLMORE~NY 11710 for : CONSTRUCT NEW FOUNDATION~ ADD.~ & ALT. FOR AN EXISTING 1 FAMILY DWELLING & NEW FOUNDATION FOR EXISTING ACCESSORY GARAGE AS APPLIED FOR. at premises located at 155 FAY CT County Tax Map No. 473889 Section 123 pursuant to application dated SEPTEMBER Building Inspector. MATTITUCK Block 0005 Lot No. 016 7 1999 and approved by the Fee $ 527.80 AuthBri ~'ed Signature Rev. 2/19/98 ORIGINAL 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. 26080 Z Date OCTOBER 27~ 1999 Permission is hereby granted to: RAYMOND FEDUNAK & WF. 2337 WEBSTER ST NORTH BELLMORE~NY 11710 for : CONSTRUCT NEW FOUNDATION~ ADD.~ & ALT. FOR AN EXISTING 1 FAMILY DWELLING & NEW FOUNDATION FOR EXISTING ACCESSORY GARAGE AS APPLIED FOR. at premises located at 155 FAY CT County Tax Map No. 473889 Section 123 pursuant to application dated SEPTEMBER Building Inspector. Block 7 99 MATTITUCK 0005 Lot No. 016 and approved by the Fee $ 527.80 / Authorizedv Signature Rev. 2/19/98 COPY Form No. 6 TOWN OF SOUTHOLD p~ BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCU This applicatiOn must be filled in by typewriter or ink and submitted to the Building A. For new building or new use: & Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal (S~9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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 ofOeeupancy - 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 ofOeeupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 12- / New Construction: v// Old or Pre-existing Building: (check one) LocationofProperty: ],~'~ " .7~'/~r~ F'~qc/lor fl/tl~ TUt'-Fl~[<. / ~ ~1'/ t t ~ X House No. Street Hamlet Owner or Owners ofProperty: ~Od~lA<0~tC{ ~?~--~¥tAOt~.- ~ '~J~/~,tA.~[~X~ Suffolk County Tax Map No l000, Section 475 gfr SarlZ3Block 0OO5' not Subdivision ~.J c-,~ / Filed Map. Lot: Permit No. ~-~. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Issue Date 12110/2010 Electrical Inspection Certificate Electrical Inspection Service, Inc. 375 Dunton Avenue Application Number East Patchogue, NY 11772 133060 (631) 286-6642 Issued To: Raymond Fedynak Street: 155 Fay Court Village: Mattituck Zip: 11952 Town: Southold Section: Block: Lot: Contractor: Above Lic. #: Was examined and found t9 be in comp!!~nce with the Residential and Building Code of New York. i Commercial ;~ Indoor ~_~ 1st Floor LI Atticl3rd ~ Pool ~V! Survey l~J Residential ~ Outdoor ~ 2nd Floor !~ Basement ~ ] Hot Tub [ CSST Bond ~ New Bldg ~ Renovation L~ Addition L~J Out Bldg. !~ NoVisual Defects Switches Receptacles Fixtures GFI Fans Smoke Detector CO/Combo CAC 2 31 37 31 8 7 Furnace Oil Gas Circulatom Heaters Range/Amps Oven/Amps Dishwasher 2 3 I Gas 1 Microwave Washer/Amps Dryer/Amps HydroTub Meter/Amps Phase UG IOH i Photovoltaic Systems i Size: ' Panels: i Invertem: Bldg. Permit: Other Equipment (1) 200A Meter Main, (1) 200A Sub Panel, (1) 1OOA Sub Panel Grace A. Surdi President ~i~l inspection: 12/872010 I jr~spector: John Mc Mahon III This certificate must not be altered ifia~y manner. H2M LABS, INC. 575 Breed H~ow Read, ~ NY 11747 (631) 694~040. FAX: (631) 420-8436 NYSCOH ID # 10478 HARRY GOLDMAN WATER TESTING 8700 MAIN ROAD MA3q'ITUCK, NY 11952 Attn To : Federal ID Collected : 3/8/2010 3:30:00 PM Point No: Received : 3/10/20103:22:00 PM Location: Collected By : JS99 Copy : Original CC Parameter(s) Results Lead 0.02 LABORATORY RESULTS For the submitted sample Lab NO.: 1003424-001A Client Sample ID.: RAY FEDYNAK 155 FAY COURT,MATTITUCK SOURCE(COLD WATER PIPE-BASEMENT) GRAB (1000-123-5-161STP-32799) Qualifier D.F. Units Limit Method Number I % 0.2 SW6010B Sample Information Type : Solder Origin: Distdbution Routine Analyzed 03/23/2010 2:14 PM Result(s) reported meet(s) NYS Regulatory Limit(s). Resuit(s) flagged with . Exceed NYS Regulatory Limit(s). Limit noted. Qualifiers: D - ReSults for Dluti~3~ D.F. = Dilution Factor H = Sample r eceivedlan a~yz~d outside of analytical hOlding tjn.~ Laboratory Manager Date Reported: 3/24/2010 Page 1 of I 765-1802 BUILDING DEPT. SPECTION [~/~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM~.~ · DATE INSPECTOR~~/~ 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ /~ FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL INSPECTOR 765-1802 BUILDING DEPT. [ ] INSPECTI/ON FOUNDATION 15T [ '/1 ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [,~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOII/~ ~~ / 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY INSPECTION [ ] INSULATION ] FINAL REMARKS: DATE INSPECTOR [ ] [ ] ROUGH PLBG, [ ] 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE&CHiMNEY ~ REMARKS: ~~ 765-1802 BUILDING DEPT. ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING ] FIREPLACE & CHIMNEY REMARKS: INSPECTION [ ~~ROUGH PLBG. [/~'~NSULATION [ ] FINAL DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [/.~NAL [ ] FIREPLACE&CHIMNEY [ ] FIRESA~-,.~INSPECTION [ ]FII~R~L~r~'r~:~I~'rRI~ll~ [ ]Rl~l~"r~l~l'rl~iEll~110~ DATE~~--~ INSPECTOR REPORT INDATION (IST) ~NDATION (2ND) FINAL ADDITIONAL COI~IEWYS: £LDG. DLPT. I TO\',":'~ QF SQUTHOLD FORH NO. I TOWN OF SOUTltOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, N.Y. l]97[ TEL: 765-1802 INSTRUCTIONS BOARD OF BEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... a. This application mst be completely filled in by typewriter or in ink and anhmitted to the Building Inspector wi~ 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 giving a detailed description of layout of property mint be dr~an on the diagram which is part of this application. c. The work covered by this application may not be cmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pemit 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 whatever ~mtil a Certificate of Occupancy shall he~ been ~,ted by the Building Inspector. APPLICATI(It IS ~Y 14bJ~ to the Building Departnmnt for the issuance of a Building Pemlt pursuant to the Building Zt~ Ordinm~ of the Tm of Southold, Suffolk County, Ne~ York, and other applicable Laws, Ordin~ees or Regulations, for the construction of buildings, additions or alterations, or for reraoval or demolition, as herein described. The applicant agrees to comply with all applicable lin, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on praises and in building for necessary inspections. ' {/(Signature of apli~cant, ~Sr ~ if a corporatiod5 State whether al~lic~mt i* mr, les~, agent, architect, engineer, geceral contractor, electrician, plumber or builder ..... ..c~.. S..~. ...................................... -. ................................................................. ~ of ~ of ~ses .~.~..~.~t~....~...~.s. ~.¥.~ ..................................................... (as on the tax roll or latest deed) ? If applicant is a corporation, signature of duly an~horized officer. (Name and title of corporate officer) Builders License m. T Plt~ber~ License No ....................... . . . Electricians License No...Z..~...~. ............ Other Trade's License No..~..~. ........... I. Location of land on which proposed turk will he done .............................................................. .... /.f..5.... 7T~...¢~ ...... z~...ztr~..r.z~..~ ............... ~ .~ ............. /. L Y..~.~ ................ Banse Nu~r Street l~et ~tyT=.~No. ,~ ~:ion ..... /.~.~ .... Bl~ ......... .R. .... ~t ...... ./.~ ..... Subdivision ..................................... Filed Map No Lot (~) 2. State ex~st~ng use and occupancy of premises and intended use and occul~ of proposed construction: a. ExJstlng use and oecul~ .......................................................... ~. .................. F~ture of ~rk (d~ck ~hid~ applicable): ~ Building .......... ~ddition ..... ~.. ~teration ~ l~ir ............ ~al ............. l~liti~ ............ Otlmr ~ .................................. ~ ~ripti~) Esti,mt~ ~st .... ~.9.~9.~.. ~:~' ~ f~ .............................................. -~to ~ ~id ~ fili~ this a~li~ti~) If ~lli~, ~tmr of ~111~ traits ...~ .... ~r of ~lllng ~its ~ e~ fl~r ................ If ~r~e~ t~r of ~rs ........... ~ .......................... If I~i~mss, ~rcial or ~ ~, s~i~ ~Cure ~ ~tent of ead~ ~ of ~ ...... ~ ............ Di~nsims of ~isti~ st~s, if ~: ~t ....... ~.~ ..... ~ar ...~ ....... ~pth ..~.t. .......... I~i~t ......................... ~r of Stories ....... [~ ........... Di~i~ of ~ st~e ~th alteratf~ or ~iti~s: ~t ............... ~ar ............... ~pth .................... ~i~t .................... ~r of Stories ............... Diu~nsi~ of entire ~ ~sc~ti~: ~C ..... ~.~f ....... ~ar ...~.~f ....... ~p~ .~.~ ........ ~i~t ......................... ~ oV s~0~i~ ..... I.~ ............ t si~ o~ ~o~: ~t. ......... ~0o~ .......... ~ ....... L~t. ........ ~pth ...[~ ............ ........... ................... ~ or ~ district in ~i~ p~i~s a~ s~t~ .............................................................. ~s pro~ ~t~ti~ violate ~ ~i~ 1~, o~i~e or re,latin: .... ~ ................. ~ill lot ~ ~ . .~: ............. ~ill ~ss fill ~ ~ ~ ~s: ~ ~ ~ of ~tr~tor ......................... ~ress ' . ............. ~ ~ ............... Is fl~is p~r~fldn ~ f~t of a ti~l~tl~? ~ .... ~ .... ~ .......... PLOT DIAGRAH I~cate clearly and distinctly ail buildings, ,.heCher existing or proposed, and indicate all set-back dimensions f-r~u property lines. Give street and block ntsuber or description according to deed, and sho~ street nmos and indicate vt~ether interior or corner lot. (~tr<tor, %ent, cor~rate officer, etc.) of ~id ~r or ~rs, ~ is ~ly ~tl~ri~ to ~rfom or h~ ~rfo~ Om ~id ~ mg to ~ ~ file this a~licati~; ~at all stat~nts c~ta[~ in ~is a~li~tion are t~ to ~ ~St of his ~l~ ~ ~liefl a~ JU qram LECHNE~ (~mre o[ A~tic~ ' JO ANN LECHN~I~ NOTARY PUBLIC, State of ~[ev/ No. 4837813 Q~alified in Nassau County Commission Expires April WO]~Y PUBLIC, State of Ple',V ~ No. 4837813 FORM ~O- I TOWN OF .qO~ffllOl,I) I~ ] 1,1) ] i~1(; I)E P^R'I'tlF. NT T()IiN Il^U, s()lJ'rllOl.I}~ N.¥. 1197 I 'rEt,: 76~- 1II(}2 3 sE'rs OF I'I.AFIS ............... SIJIIVE¥ ........................ (;IIECK ......................... .SEPTIC FORFI ................... TtOII F ¥: n. 'lhi.', al~llcat:i~i nur. t Ix. c(~l~lelely fillr~l in by lyl~,~riter or in i~dt *~1 m~l~nil:l~l I:o b. l'lot: pla[] ~K~Jng I~ati~l o[ lei: aal o[ lxlihlhlgn ~ l~rOai~, rdal ir~ship to ~ljoi.hig Ihi~ alii d. II1~ ~ll~n~al o[ Ihk nl]~lirtati(~, lho Ildl{li.l~ I.~Jl~dOr uill i~ a I~lildJng e. ~) I:lildilg rJlall I~ (rO*l)id or tir~] i. ~)lo or h: [mrl for n~ l:lrlx:So ~:at~r :nltil n AI'Iq,I(~'FI(~ IS 1[1~51~ }~E to tie l~,ilding l}R3rl~nt rot the km*am'e o[ n hlildin8 Pomit ixlrm~a.f: I~) tho Ih~ihli.g 7~ Ordh~r~ of tl~ '1~ of ~1~1~1, ~ff[ol~ ~an~ly, ~, Yolk, hal other aR~l l~l~ulol:i{~*, for 1.1~ e~stnrti~ o[ I~dldi~}~, a~llri{~s or alleral:i~ or for m~al :: yAC~ELINE FEDy~ ' ~ ~ :. . . ................... ....... * , ..... Stale ~[l~r n~llcant is m~r, les~, a~nt, nrchit~L engl*~r, go*~r~l c~trnct'oh O~NER I~dldern l,iee.~e I~) .......................... I~h*~l)er.0- l.i,.:e.r,e fie .......................... Eleel:rlci,'mn I.icenr. e ~] ...................... Oil}er 'rr;~le',. I.{cense~ I~ ..................... I. Ir~nli~ of kal (m ~ich Im~l~r~l ~)tk will Im (k~ .............................................................. FAY COURT ~TTITUCK Iks*~e ~=~r St r~t (hn~ly Tax ~'tI) ~). IIXX) ~rt;(~l . 123 Ilhrk 5 Il>iS 15 & I6 ~lxllvisir~ ...................................... Fild Fi1i) ~) ................ I~1: ............... (~) n. Exint i~ .r~ a~l (rO~l}mry ....................................................... I~l~Ji~ ............ I~[~1 ............. I~lK)l il io~) ............ OIh~z (l~:ril)l i(,O I~1 i.~Jle(I (~)51 , ........................ f~e .............................................. I1: tKa~lli~l;, ~t;~tet I)l; tk~lli[~g t,dla ............ li~der of tk~lliug un ira ~,~ each flix}r ................ I)i~l~mdLxl~ ()f eximin[ ~lnK:Lule~, if m~y~ Lq~(~ll ................ I~m- . .............. I~l)Lh ................. IMI)lh .................... I~i~k[ .................... ~Jll~r of ~l()[ie~ ............... I~il~ll ......................... ~J~t~[ o1~ ~1ol i~ ..................... :~ .~ ~,,~ ,~',,,,~ .~..~T~P.PP.C~ .................... I~lnh .................... 3-20-80 RUTH M. ~O WJJI Jot J~ lel~rm[~J .................... ~lil] esceti~ [:ill J~t i~,~l frtl~l pl~nJfie~: YES ~ll: o~ Ardli[~cl: .................................... ~lr~ .............................. J]~ ~l ............... J'~. 15 lids IJ[Ol~:[ty vithJn :~K] f~l: o~ a til~lJ I~[JilliJ? ~ Yin21 .......... ~) .......... *11~ YES, ~IIIliID '1[1~ '11~J~11]~ l~[1~1'1' t~Y Ii& I~l~lll~l). PI.OT I~:ill~ clearly llliJ disti~l:ly nil I~sihli~, ~lher exisl inB or i. Ol~Sed, illil i~Jlic~l:e ull se[--I~ck SEE ATTACHED SURVEY & TAX MAP · ~H'A'II~. OI~ lJ')4 (IlINI¥ iX,' NASSAU ~OND E. & JACQUELINE FE~.YN~ they are they are · ~-,~ ~u,, ..~ .......................................................................................... ((2~nl~clor, ~l[em:, cmtx~rate officer, ~iPl~l ical io~l; Ilml. all slale~[, c~)l~lai~K~d i~ lids ~q~plicnl lo. n~e I~ [. the I~.1 Ilml Iht ~.k ~i[l I~ i~[l:ou~l i. Iht ,[..~[' ~e[ I:orlh i. Iht ~q~plicnl:iou l:iled II~'~i[h. 27 ~ DECEMBER ~96 (,~il~ll;Ih,le Ol: APPj icl.il ~ RAYMOND E. FEDYNAK JACQUELINE FEDYNAK Electrical Inspection Service, Inc. 375 Dunton Avenue, East Patchogue, NY 11772 -~ 2 / ] t 631-286-6642 Fax#631-286-6683 www.electinspsvce.com Date: Town of Southold Building Department 53095 Main Road Southold, NY 11971 Attention: Chief Building Inspector Permit # / Section Block Lot Dear Sir: With regard to the above mentioned subject, please be advised that there were violations on the job. I am submitting this letter to you to place in their file. Should you need to discuss the violations, please contact ~g~ ~ . who was the inspector on the job. If you have any questions with this please feel free to contact me. Sincerely, Electrical Inspection Service Inc. Fran C. Richards Assistant Vice Presidem *****With Us - You Are Not Just A Number- You Are Our Future***** John Cronin, P.E. P. O. Box 130 8hoiter Island, NY 1t9640t 30 Voice: 63t-252-1167 Emall: ~imum.net December 11, 2010 Mr. Ray Fedynak c/o Jim Rich Hand Delivered Re: Fedynak Residence Camp Mineola MaUituck, NY Dear Mr. Fedynak: This is a ~port of my findings pursuant to two visits to the cited residence made on December 9 and December 10. The purpose of these visits was to gather sufficiem data to enable a slructural analysis of the full span support beam located in the living room ceiling. FIELD WORK During the first visit I conducted an observation of the encased area of the beam, including taking measurements for span and approximate deflection. In addition I reviewed various materials in your possession concerning the beam's installation including a set of architect prepared plans, information about the beam as installed by the contractor, and an invoice for the sizing of the beam by a licensed professional engineer. We also discussed and planned a means to access one end of the beam (i.e., the north end) which you then arranged with a conUactor. Access was to be gained by removing sufficient exterior wood shingling and sheathing to access the north end of the beam. Such access would permit measurements to be taken to coxflinn exactly what type of beam was used. My subsequent visit on December 10 found the north end of the steel beam appropriately exposed and I secured the necessary measurements. In addition I confirmed that the beam is supported on top of steel pipe colunms embedded in the wall structure. ANALYSIS AND CONCLUSIONS Field measurements permitted determination of thc beam as a W 12 x 22 (i.e., a W section, 12" deep, weighing 22 pounds per foot). Attached is a copy of my structural analysis for this beam, suppoffing the fact that the beam is more than acceptable for the loading conditions currently being applied. Analysis demonstrates that the section is adequate by 29.3%. Please feel free to contact ma with any questions. No copy of this report and its attachinents is to be considered valid wi~out the original inked seal of undersigaed licensed professional engineer. Very , N~S Licensed Professional En~heer ~'\\ C~rtkfied Structural Engineer ~ C~erfified Building Inspection Engineer ~// BLDG, DEI)]. TOWN OF SOI]THOID Uniformly Loaded Floor Beam[ AISC 9th Ed ASD ] Ver: 7.01.14 By: John C Cronin Jr PE, John Cronin PE on: 12-10-2010: 7:27:48 PM Project: Fedynak Residence - Location: Camp Mineola Rd Mattituck NY Summary: A36 W12x22 x 26.0 FT Section Adequate By: 29.3% Controlling Factor: Moment of Inertia Deflections: Dead Load: Live Load: Total Load: Reactions (Each End): Live Load: Dead Load: Total Load: Bearing Length Required (Beam only, support capacity not checked): Beam Data: Span: Unbraced Length-ToP of Beam: Live Load Deflect. Criteria: Total Load Deflect. Criteria: Floor Loading: Floor Live Load-Side One: Floor Dead Load-Side One: Tributary Width-Side One: Floor Live Load-Side Two: Floor Dead Load-Side Two: Tributar~ Width-Side Two: Wall Load: Beam Loading: Beam Total Live Load: Beam Self Wei~lht: Beam Total Dead Load: Total Maximum Load: Properties for: W12x22/A36 Yield Stress: Modulus of Elasticity: Depth: Web Thickness: Flange Width: Flange Thickness: Distance to Web Toe of Fillet: Moment of Inertia About ×-X Axis: Section Modulus About X-X Axis: Radius of Gyration of Compression Flange + 1/3 of Web: Design Properties per A~SC Steel Construction Manual: Flange Buckling Ratio: Allowable Flange Buckling Ratio: Web Buckling Ratio: Allowable Web Buckling Ratio: Controlling Unbraced Length: Limiting Unbraced Length for Fb=.66*Fy: Allowable Bending Stress: Web Height to Thickness Ratio: Limitin¢l Web Height to Thickness Ratio for Fv=.4*Fy: Allowable Shear Stress: Design Reguirements Com0arison: Controlling Moment: Nominal Moment Strength: Controllin~ Shear: Nominal Shear Strength: Moment of Inertia (Deflection): DLD= LLD= TLD= LL-Rxn= DL~Rxn= TL-Rxn= BL= LLI= DLI= TWI= LL2= DL2= TW2: WALL= wL= BSW= wD= wT= Fv= E= d= tw= bf= tf=- k= Ix= Sx= rt= FBR= AFBR= WBR= AWBR= Lb= Lc= Fb= h/tw= h/~N-Limit= Fy= Mx Mr= V= Vr= Ireq= I= 0.37 0.64 1.01 3643 2107 5750 0.73 26.0 0.0 360 240 30.0 15.0 4.92 30.0 15.0 4.42 0 28O 22 162 442 36 29000 12.30 0.26 4.03 0.43 0.73 156.00 25.40 1.02 4.74 10.83 47.31 106.67 0.0 4.25 23.76 44.04 63.33 14.4 37374 50292 5750 46051 120.61 156.00 IN IN =L/490 IN =L J310 LB LB LB IN FT FT PSF PSF FT PSF PSF FT PLF PLF PLF PLF PLF KSI KSI IN IN IN IN IN IN4 IN3 IN FT FT KSI KSI FT-LB FT-LB LB LB IN4 IN4 Page 2 W 280 PIf 140 PIf 22 P~f 442 PIf Uniformly Loaded Floor Beam[ AISC 9th Ed ASD ] Ver: 7.01.14 By: John C Cronin Jr PE, John Cronin PE on: 12-10-2010 Project: Fedynak Residence - Location: Camp Mineola Rd Mattituck NY Summary: A36 W12x22 x 26.0 FT Section Adequate By: 29.3% Controlling Factor: Moment of Inertia SHEAR, MOMENT, AND DEFLECTION DIAGRAMS Load combination shown: Controlling Shear/Moment/Deflection Diagrams 6000' ~ 3000- Shear (Ib~) 0 -3000 -6000 40000 20000 Moment (R-lb) 0 -20000 -40000 -2 -1 Deflectior (in) 0 1 2 ,37374 ~-I_~_bs ~ 13 ft · 1.005 in ~ 13 ft Span = 26 ft Controllino Load Cases: Shear: Critical shear created by combining all dead and live loads. Moment: Critical moment created by combining all dead and live loads. Deflection: Critical deflection created by combining all dead and live loads. LOADING DIAGRAM W Span 26 ff Reactions Live Load Dead Load Total Load Uplift Load A 3643 Lb 2107 Lb 5750 Lb 0 Lb B 3643 Lb 2107 Lb 5750 Lb 0 Lb Span Uniform Loading Live Load Dead Load SelfWei,qht Total Load .L '! C)WN ()F ~(21 rlff Ilt Ill. I)IN¢; I)I}:I'A l( l tM [;.NF 'IOWN CI.,ERI('~ (HH:ICI'; $011'I'1101 ,I). lxl.y. Suhlllvision .............. Filed M~p No ................ Lot No .................. i~ ,d,,,,,m,, ,~,,,,i,,, :,,,,, ,,i~ :,, ,,, ,,,,,,, ,,,, ,,, ,. r,,,,,,,,,i,,~ ,,., ,,,, ,,,,, . ~.~.d.. ~ .~ .... .......... , ..... .-~ ........~- ~'~-. ....... ~:~, .... ~ ........... .............. ~ ........~ ............ b~T~. ZT. ~.~.~. ........ /~ ¢ .~ ~ / ~ ~ - P,V t /ilo .APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen James Dinizio, Jr. Lydia A. Tortora Maureen C. Ostermann BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 1197t Fax (516) 765-1823 Telephone (516) 765-1809 FINDINGS, DELIBERATIONS AND DETERMINATION REGULAR MEETING OF AUGUST 14, 1997 Appl. #4469 - RAYMOND FEDYNAK PARCEL: 1000-123-5-15 as one lot (1000-123-5-16 as remaining lot) STREET & LOCALITY: 205 Fay Court (and 165 Fay Court), Mattituck DATE OF PUBLIC HEARINGS: April 24, 1997 (postponed); May 19, 1997 (postponed); June 19, 1997; July 24, 1997. , FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: This property consists of a combined area of property as identified on the County Tax Maps: District 1000, Section 123, Block 5, Lots 15 and 16, for a total combined area of approximately 22,000 sq. ft. (.51 of an acre), with 150.0 ft. combined frontage (lot width) along a 30.ft-wide right-of-way referred to as Fay Court, and lot depth of 150 ft. dee, all as shown on a survey dated May 15, 1980 prepared by Teas, Barrett, Lanzisera & Frink, Surveyors. The property is improved with a single-family, two-story frame dwelling shown to be set back at 59.8 feet from the most northerly property line (almost cel.~ter between the two side property lines. An accessory gar'age is shown to be situated at 51.5 feet from the northerly property line and 38.2 feet from tile rear (westerly) property line. Applicant's attorney has also submitted a copy of an enlarged County Tax Map of Section 123, showing Parcel Lot #15 at a size of 50 ft. wide by 150 ft. deep; Lot #16 at a size of 100 ft. wide by 150 ft. deep. RELIEF REQUESTED BY APPLICANT: (1) Approval of Waiver under Section 100-26 for a single nonconformiug lot identified as 1000-123-5-15 of a size 50 ft. by 150 ft. deep, leaving 1000-123-5. 16 at a size 100 ft. by 150 ft. deep; (2) Alternative relief under Article Iii-A, Section 100-30A.3 by variance for approval of lot sizes, as originally created by deed conveyances and which have insufficient lot area, depth and width in this R-40 Residential Zone District. BASIS OF APPEAL: Building Inspector's Action of Disapproval daled January 14, 1997, wlfich reads as follows: under Article II, Seclh,n 100-26, "...Lot S.C.T.M. #1000-123-5-15 and Lot S.C.T.M. #i000- 123-5-16 have merged pursuant to Article II, Section 100-25A, as they have been held in common ownership at some time since July 1, · ~Page 2 - Appl. #4469 August 14, 1997 Regular Meeting Re: 1000-123-5-15 (and 16) (Fedynak) 1983. Both lots were created by deed prior to April meet the requirements of Section 100-24A(1). REASONS FOR BOARD ACTION, DESCRIBED BELOW: 9, 1957 and Lot 1000-123-5-15 is vacant land and consists of approximately 7,500 square feet. The remaining merged land, 1000-123-5-16, consists of approximately 15,000 square feet and is improved with a two-story, singie-family dwelling and accessory garage as shown on the May 15, 1980 survey map. The lot, as originally created, was acquired by Mendo on September 26, 1960. Later, on September 26, 1980 the current owners (Fedynak) acquired the property. Common ownership for both lots has existed under the one-acre zoning requirement for 14 years, or since 1983 (and longer when including former one-acre zoning ordinance which dates back to 1971). The property owners acquired the property knowing that the survey showed the property as a single lot, and used for title and other purposes in the acquisition of the property. Tile record does not provide adequate proof to show that the properties have been owned or kept separately during the years under consideration. WAIVER RELIEF STANDARDS 1. A grant of a waiver for Lot #15 of .17 of an acre will result in a significant increase in tile density of the neighborhood because the majority of the lots in the area are significantly larger than the subject lot and tax lot numbers 1000-123-5-15 and 16 have existed in common ownership prior to July 1, 1983 (acquired by present owners June 1980). 2. The waiver does not recognize a lot that is consistent with or which exceeds the size of lots in the neighborhood because there are lots in the immediate area larger than the subject parcel (Lot #15): Lots #36.11 at 1.6 acres; #36.10 at .25; #36.9 at .21; Lot 18 at approximately .20; lot 19 at .25; #20 at .31; Lot 11 at .23; Lot 36.2 at .31; Lot 13 at .12; Lot 15 at .17; #18 at .12. In fact there are only two other parcels which are of the same or similar size Lot #13 of .12 and Lot #17 of .12 of an acre. 3. No survey has been submitted or other documen[ation to confirm the location of the original Iot lines created by the former deeds. 4. The land will not require a change or alteration in contours or slopes, or substantial filling of land. · Page 3 - Appl. #4465 Angust 1,t, 1997 Regular Meetiag Re: 1000-123-5-15 (and 16) (Fedynak) AREA VARIANCE CONSIDERATIONS 5. The granting of the area variance will produce an undesirable change in character of neighborhood or a detriment to nearby properties because lots #15 and #16 were purchased together under Liber 8824 page 33 recorded June 6, 1980. Owners in title made no attempt to divide parcels from 1980 until present, nor did they atte~npt to secure a building permit to construct a single-family dwelling on #15 since 1980. The reasons given by the attorney for the property owners is related to estate purposes. 6. The benefit sought by the applicant cannot be achieved by some method, feasible for applicant to pursue, other than an area variance. 7. The requested area variance is substantial in relation to the code requirement of 40,000 square feet, representing only 17%. 8. The proposed variance will have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because the creation of a lot at .17 of an acre is substantially smaller than twelve (12) lots in the immediate area which lots average approximately .375 of an acre, and on an average are 45% larger than the subject parcel. 9. The situation bas been self-created and there has been no a/tempt to divide tile merged parcels from 1980 until present, nor did they attempt to secure a building permit to construct a single-family dwelling on #15 since 1980. 10. A grant of the area variances would create the need for additional variances, including side yard relief for both the d. weliing and garage for the 1.5' proposed nonconforming setback and dwelling at a 9'5" nonconforming setback. 11. In summary, the denial of this application protects the character of the neighborhood and does not violate the health, safety, and welfare of the neighborhood. RESOLUTION/ACTION: On motion by Chairman Goehringer, seconded by Member Ostermann, it was RESOLVED, to DENY the Waiver as Requested under Section 100-26, and to DENY the Area Variances, as noted above. ~ECEIVEI~O~,~F..TJiE~: AYES: Members Goehringer, Dinizio, T,,p, ..T. ortora, ~1~O~,~Y q l~ d~y_~~4-0). aa bOUTIiOLD TOWN ~ ,~c~ ~tnbll~hod }~relnaf~er referred to as the no~th ~nd.s~th ~'r~f'-~'- ~-e-ro est~,bllshed, hereinafter referred to as tns eas~.en~ w~st right 'of way which extends westerly from tho easterly llne Gl p~ooert~ o~ Leone D. Howell, heretofore conveyed to him by ~abel Hol~ister Houghton, by deed dated November 17, 1925 and recorded in ,I the office of the Clerk of the County of Suffolk on January 11, 1926, in Liber 1164 of Deeds at page 180; said north and south right of way upon which the premises herein conveyed front being parallel to and one htmdred (100) feet distant wssterly from the westerly side of the 2§ foot right of way estsbltshed by an agreement between George B. Reeve, Florence B. Reeve and Phoebe M. Hollister, recorded geptember 5, 1907 in the office o£ the Clerk of S~folk Cott~ty in Libe~ 699 of Deeds ~ pa&e 168 and he~e~nafte~ ~efe~d %o ~s the Reeve-Hollis~ ~tEh~ of ~a~, the weste~l~ side of ~hfch ~Eht of ts the e~s%e~ly 11ne of land.purchased b~ 5eons D. ~o~ell f~om Msbol Hollls~e~ HouSton b~ Deed ,d~%ed Novembe~ 1~, 1995; , BEGINNING ~ ~ s%one mon~n% s~ In the ~es~e~l~ side of ss~d '~: no~%h and south ~f~h% Of ~ and dtstan~ one h~d~ed (100) fee~ north- erly from the intersection of the westerly side of said north and of w~, ~hich poin~ of be~Inn~nE Is also ~he nomtheas~ co~ne~ of l~nd heretofore conve~d ~o Edith G. West; ~unnlnE thence ~es~l~ 81on~ the no~the~l~ line of s~fd l~n~ of s~d Edith G. ?~es~ f~fty (50) fee~ and thence ~es~e~l~ alone ~he no~the~l~ line of 18nd no~ of W~b.ch fif~ (50) feet and ~hence alone the s~me course fift~ (50) fee~ beyond ~n~o ~he land of Leone D. Ho~e11, meklnE the total dist.nce f~om the ~es%e~l~ s~d~ of s~td no~th and sou~h PiEh~ of ~ one h~d~ed and fif%~ (150) fee~; ~hence no~the~l~ parallel ~t~h the weste~l~ side of said no~%h and south ~fgh~ of way one h~d~ed (100) fee~; thence eas%e~l~ ~nd pe~llel ~t~h the fl~st desoPibed coumse one h~d~d and flf~ (1~0) feet to tho ~est~l~ s~de of s~d no~th 8nd sou~h of way; thence southe~l~ alon~ the ~esto~l~ s~de of s~Id no~th south ~1gh~ of wa~ one h~d~ed (100) fee~ ~o the point o~ place of be&i~n&~ maktnE s plo~ one hundred (100) fee% In wtdth tn f~ont on ssld nb~h and sou~h ~i~t 'of ~a~ b7 oh6'5~d~ed-~-nd flf~ (15o)' 'TOGETHER. witH the. right to pass and.repass over_th~_sald Re,ye- I $Hollister right of way extending from New Suffolk Avenue southerly to ~the southerly side of said east and west right of way which extends from the said Reeve-Hollister right of way westerly 90° O' east, as far as the s~e Is now or may later be laid out. It isunderstood that the rights herein granted in and to the said Reeve-Holllster right of way shall not include any rights over the. said right of way extending south of the intersection of said right of way with the southerly line of said east and west right of way, that is, that part of said Reeve-Hollister right of way running from the southerly side of said east and west right of way to the Bay. The point of intersection of the southerly side of the said east and west right of way and the westerly~side of the Reeve-Hollister rt~t of way is distant one hundred and seventy (lVO) feet northerly as measured along the ~esterly side of said Reeve-Holllster right of way from the bulkhead line on the shore of Peconic Bay-as heretofore established b~ Leone D. Howell. In lleu of such access to the Bay, a right of way to the shores of PecontC Bay is hereby granted over a s trip of land lying west of the premises heretofore conveyed to F. M. Jones, which said strip of land is 60.05 feet in width on the southerly s~de of said east and west right of way and 95 feet In width on the shore of Peconic Bay at the ~khead line heretofore established and mentioned In said deed to Jones, with full and free access to the shores of said Peconic Bay; this strip of land being set a'side for the use of purchasers of lots from Leone D. Howell, which purchasers have no other access to the waters of Peconic Bay and which said strip shall be used in co,on by such purchasers and which ri~ts shall be construed as running wi~h the land herein conveyed and which may not be separately conveyed by the parties of the second part hereto. TOGETH~ with the right of way over said north and south ri~t of way extending northerly from the east and west right of way to the northerly line of the laud herein conveyed, said right of way, however, to continue northerly as said north and south right 'of way may be ex- tended. The property herein conveyed is part of the property conveyed by Mabel Holllster Houghton to Leone D. Howell by deod dated November 17, 1925 and recorded in the office of theClerk of Suffolk Co~ty in Liber 1164 of Doeds at page 180. subject to covenants and restrictions contained In and being and l~tended to be the same premises conveyed to the parties of the first de~<~ v~e~vded ~n T, fber 2350 of Dcods at paMe 183; said covenants, and restrictions being as follows: The parties of the second part for themselves, thetr hetrs, successors and assigns, hereby, covenant to and with the p~rties of the fir~t part, their successors and assigns, that they wfll not erect or permit or cause to be erected on the above described ~ premises, any outside toilet. That no building shall be erected ~. within twenty (20) feet of the westerly side of the right of way %~ upon which this property fronts except that a small open porch may ~ __~-~ ~h~ line ~d any residence erected on this lot shall ~.:..;ll,,i..~;l~l~iex ;]~ M.'ll:!.'Ltue!c. :[ti tho 'no?;rl o~ ~outhold) Com'r.y oF .:,~J.'fo]k) State of New York, O~ tho westerly ~(1c of a certain '~O-foot rl~ht-of-way hercby estsb].lshcd rL%ilnJ. HS ~or:,herly from a certain right-of-way heretofore eotabl~soed extend' '- westerly from the · ea'sterly line of the )~',~perty of Lco~,e D. Howell as conveyed by ~.~bel Hollister ~oughton by ,h~.d dated November 17, 1925, and recorded in the OfFice of the C~erk of the County of Suffolk January 11, 1926, in Liber 1164 of Deeds at Page 1~0, said right-of-way hereby esta- blished being parallel to and 100 feet westerly from the right-of-way established by an azreement between Ceorge B. Reeve, Florence'B. Reeve a~d Ph~be M. Nollister, and recorded September 5th, 1907, in the 0ffic~ of the Clerk of Suffolk County in Liber 629 of Deeds at Page 116, and more particularly bounded and described as follows: BEGINNING at a cor~crete monument set in the westerly side of the right-of-way hereby established and at the southeast corner of the premises hereby conveyed, distant 200 feet northerly from the inter- section of the said westerly s~de of this new right-of-way with the northerly side of the east and west right-of-way mentioned herein, as heretofore laid out; runninz thence westerly and at right angles to the new right-of-way at~d along land now orned by Anthony J. Mendo, 150 feet to a concrete monument; thence northerly along land owned by I~one D. Howell, 50 feet to s qoncrete monument; running thence east- erly at right angles to the new right-of-way, 150 feet to a concrete monument set in the westerly side of the said new right-of-way; running thence southerly along the westerly side of said new right-of- way, 50 feet to th~ point or place of DEG!NMIN~. TOOE~ER with the right to pass and r~D~.~so.~ over the 25-foot right-of-way established by George B. Reeve, F].orence B. Reeve and Phebe M. Hollister, recorded September 5th, 1907, in tine Office of the Clerk of Suffolk Cotnty in Liber 629 of Deeds, Page 168, extending from New Suffolk Avenue southerly to the southerly side of another right-of-way 30 feet wide established by Leone D. Howell, extending from the first named right-of-way westerly 70 degrees North 0~ East as far as the same is now or may later be laid out; TOGE~ER with the right to pass and repass over a right-of-way 30 feet wide established by Leone D. }{owe~l~ extending from the first named-right-of-way westerly 70 degrees North~O' ~st.~s far~s-.the same f~ 'h~ ~may ~ater be laid out; [ R~VSD~ _ ~] ' T0dE~ER with a right-of-way to the shore of Peconfc Bay over' a strip of ladd lying tg.:the.]49~t_of ~emises conveyed by Leone D. Howeli and Lens F Howell, his wife, to Fred M. Jones, being 60.5 feet on the southerly side of this last-mentioned right-of-way and 95 feet tn width on the shore of said Peconic ~y at a bulkhead line heretofore established and mer~tioned in the deed to Jones and others, with full and free access to the waters of said Peconic Bay; TOGETHER wltb s right-of-way, over a 30-foot strip of land 'which is referred to herein as the new right-of-way extending northerly from the second mentioned or East and West right-of-way northerly to the northerly line of the land herein conveyed, the'said right, however, to continue automatically northerl~ as the right-of-way may be extend- ed. BEING the same premises conveyed to the parties of the first part by Leone D. Howell and Lena F }lowell,. his wife, by deed dated December 17, !951, and recorded in the Office of the Clerk of the County of Suffolk in Liber 3337, Page 292 of Deeds on April 4, 1952. The party ~ the second part for himself, his heirs an~ assigns, hereby cormorants to and with the parties o~ the first part, their heirs and assizns, that he will not crecy or p~rmit or cause tobe erected on the =bove-a~o~.~xb.~d premises any outside toilet. That no building will be erected within twenty (~_0. feet of the westerly s:~de of the new right-of-way hereby est3blished, except that a small open porch may exte~d over this line, and any residence erected on this lot shall face the said r~n~.-o~-~;aN. Sb~JECT to..on%.,~ '~'- ~'~e~.a~'~ ~ *-,lone and ordinances ar:d building rc- strtctions and regulations of the ~.~, Tcwn br Village in which the premises lie. SUBJECT to ~.ny state of facts an accrk~ate survey /.tar show. o~EC~ to easemen!s, covenants, p:~ree~uen5n and restrictions of record af~ecL].ng said premises, if The parties of the second part for themselves, their heirs, successors and asslgns, hereby covenant to and with the parties of the fir§% part, thetr successors and assigns, that they wtll not erect or permit or cause to be erected on the above described premises, any outside toilet. That no building shall be erected within twenty (20) feet of the westerly side of the rtght of way upon which this property fronts except that a small open porch may ~ lime amd ar~v residence erected on this lot shall TOWN OF SOUTHOLD PROPERTY RECORD CARD /~/- OWNER FORMER OWNER VILLAGE J DI SUB. W LOT ,' ;! TYPE OF BUILDING COMM. CB. MISC. ~rJ J'~) ~,ES. ~q/~) SEAS. Mkt. Value LAND IMP. REMARKS NEW AGE FARM Tillable 1 Tillable 2 Tillable 3 Woodland NOR~/~AL Acle VL. FARM TOTAL DATE BUILDING CONDITION BELOW ABOVE Value Per Value Acre Swampland Brushland House Plot FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD Total DOCK COLOR Bldg. <tension dension xtension arch ]reezewoy ;arage ~) i Foundationi Basement Ext. Walls Fire Place Type Roof Recreation Roorr Dormer Driveway 6" Both Floois Interior Finish Heat Rooms 1st Floor Rooms 2nd FIo( Dinette 4~R~ / ¢'~. DR. BR. FIN. B. Patio total ,/ ~CO~)S ~AG~ME~ OI~ICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To~,n Hall. 530~5 ~'l'Jm Road P.O. Rox I Soulhold. N¢',v York I 1~7 I Fax (516I Tcicphimc (5161 765- IX(Il THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 2~,, 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 [C/C(93)]. Special Flood Hazard Area ' - TOWN OF SO.?it'IOLD Southold Town Clerk August 25, 1993 TOWN OF SOUTHOLD APPLICATION # PAGE I of 4 FLOODPLAIN DE rELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. ~;E~I'IQN I: GENERAL PRQVISION~ (APPLICANT to read a~d $i~n~: 1. No work may start until a permit is issued. 2. The permit may be revoked if any fah¢ statements are made hcr~in. 3. If revok~ct, all work must ceuse until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. 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 rulE, II local, state and federal regulatory requirements. 7. Applicant hereby gives cousent to the Local Administrator or his/her representative to make/easonable inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO . THIS APPLICATION ARE, TO ~ BEST OF MY ~K~OWLEDGE, .~TRUE AND ACCURATE. NAME ADDRESS TI~LEPHON£ PROJECT LOCATION: To avoid delay in pr~esalag the application, please provide enough information to easily ideutifT the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest i~terseeting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. FDP(93) APPLICATION # PAGE 2 OF a DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT A~TIV1TY [] New Structure [] Addition ~'~Alteratioa [] Relocation I-I Demolition [] Replacement ~TYPE [~eaidential (1-a Family) [] Residential (More ~an 4 Family) [] Non-residential (FloodprooFmg? [3 Yes) El Combined Use CReaidential & Commercial) [] Manufactured (Mobile) Home (Ia Manu- factured Home P~k? [] Yea) ESTIMATED COST OF PROJECT $ ,~ B. OTHER DEVELOPMENT ACTIVITIES: [] Fill El Mining [] Drilling I!~Grading [] Excavation (Except for Structural Development Checked Above) · [] Watercour~ 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) A~ter completing SECTION 2, APPLICANT should submit form to Local Administrator for revlc~. SECTION 3: FLOODPLAIN DEI'I~RMINATION (To be comoleted bv LOCAL ADMINI~fRATOR) The proposed development is located on FIRM Panel No. , Dated The Proposed Development: [] la NOT located in a Special Flood H,Turd Area (Notify the applicant that thc application review ia complete and NO FLOODPLAIN DEVELOPMENT PF_RMIT IS REQUIRED). [] Is located in a Special Flood Hazm-d Area. FIRM zone de.4geatinn ia 100-Year flood elevation at the site ia: Ft. NGVD (MSt) [] Unavailable El The proposed development is located in a floodway. FBFM Panel No. Dated Fl See Section 4 for additional instructions. SIGNED DATE APPLICATION PAGE 3 OF 4 SECTION 4: ADDITIONAL INFORMATION REQUIRED (To be comvleted bv LOCAL ADMINIf~rRATOR) The applicant must submit the documents checked below before the application can be processed: r-I A site plan showing the location of all existing structures, water bodies, adjacent roads, int dimensions and proposed development. Vi Devnlopment 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 fLrSt floor, details of floodproof'mg of utilities located below the ftrst floor and details of enclosures below the ftrst floor. ALso, VI Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 ac:res, whichever is the lesser, the applie..ant must provide 100-year flood elevations if they arc not otherwise available). [] Plans showing the extent of watercourse relocation and/or landform alterations. [] Top of new l-all elevation Ft. NGVD (MSL). [] Floodproofmg protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant mu.st attach certification from registered engineer or asdxitect. [] Certhqcation from a registered engineer that the proposed activity ia a regulatory floodway will not result ia any inca'ease ia the height of the 100-yeas flood. A copy of all data and calculations supporting this Finding mnst also be submitted. [] Other: SECTION $: PERMIT DETERMINATION (To be comvlet~d by LOCAL ADMINISTRATOR'~ I have determined that the proposed activity: A. Vi Is B. [] Is not in conformance with provisions of Local Law # , 19__ attached to and made part of this permit. · The permit i~ issued subject to the conditions SIGNED , D~,TE l{~aQ~~, the Local Administrator may issue a Development Permit upon payment of designated fee. ~ BOX B is checked, the Local Administrator will provide a written summary of deficiencins. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPEALS: Appealed to Board of Appeals? E3 Yea [] No Hearing date: Appeals Board Decision --- Approved.'? [] Yes Conditions E] No APPLICATION PAGE 4 OF 4 SE(TI'ION 6: AS-BUILT ELEVATIONS (To be submitted bv APPLICANT before Certificate of Comollance is issued~ The following information must be provided for projecl structures. This section must be completed bY a registered professional engineer or a licensed land surveyor (or attach a certilication to this application). Complete 1 or 2 below. L Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal Hilzh 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 floodproo£mg protection is FT. NGVD (MSL). NOTE: A~ay work performed prior to submittal of the above information ia at the risk of the Applica.ut. $ECTIQN 7: QQMPLIANCE ACTION Fro be completed bv LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete th~ section aa applicable baaed on inspection of the project to casurc compliance with thc community's local law for flood damage prevention. INSPECTIONS: DATE BY DEHCIENe,51/:.S? [] YES [] NO DATE BY DEFICIENCIES? [] YES [] NO DATE BY DEFICIENCIES? I~ YES ~ NO SECTION 8: CERTIFICATE OF COMPIelANCEfTo be completed bv 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 O~fNEARS NAME AND ADDRESS: CHECK ONE: Y~Ltvt~tr~d ~. ~g~ ~X~CLI~. ~k~ ~ BUILDING ~7 c~ Ja6~ ~ ~XIS~NG BUILDING ' 0 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) Town of Southold 360813 ZONE X ZONE X~ ZONE X ONE COASTAL BASE FLOOD ELEVATIONS iL 8) APPLY ONLY LANDWARD OF 00 NGVE) BUILDING PERMIT REVIEW CHECK LIST Date Owners Name: ,q'l ~or> ..e., Reviewed: Architect/ r-' Date Engineer: 'Do ~v a~.O l-o' tgeg-- Submitted: SCTM #: District: 1,000 Section: }~'~"~ Block: ~ Lot: IQ:> Location: Single & separate Requil.~' certffication: (Yes/~No~ ~ [From Y~d Pro~: ~ Project Description: 0,0 0 Itrr ~t~ IfITt~ SubdivisionN~¢: Actual: [Side Yard Pro~s~: / AGENCY PERMITS REOUIRED FOR REVIEW N.A. NO Suffolk County Health Dept. 5o0 New York State D.E.C. y,, ~ ' ' Town Trustees Town Zoning Board approval: Town Planning Board approval: FlbodFlood Plane Elevation ??? Zone: . A{~,) ~ ~ . Notes: [Lot coverage S00 Proposed: Req ] [Rear Yard ~-0 Proposed: YES Number Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD MAY 8th ,2OO6 Raymond Fedynak & WF. 2337 Webster Street North Bellmore,NY 11710 RE: 155 Fay Ct. S.C.T.M. # 123 0005 016 Dear Mr. Fedynak, Please be advised that your Building Permit # 26080 issued Oct. 27th 1999 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $527.80 At that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. Town Hall. 53095 Main Road P.O. Box 1179 Southold, New' York 11971-1)959 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD Fax (631 ) 765-9502 Telephone (631 ) 765-1802 February 13th 2007 Raymond Fedynak 2337 Webster Street North Bellmore, N.Y. 11710 RE: 155 Fay Ct. (addition/alteration) NOTICE SCTM: 123 5 16 Dear Mr. Fedynak, Please be advised that your Building Permit #26080 issued October 27th 1999 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $~5'~7~0 at that time we can schedule an inspection by one of our Building Inspectorq3~ If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765- 1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD ,Tanuary 20th, 2010 FIRST NOTICE Raymond & ,lacqueline Fedynak 2337 Webster Street North Bellmore, N.Y. 11710 RE: 155 Fay Ct. (ADDITI. ON/ALTERATION) SCTM: # 1000-123. -5-16 Dear Mr. & Mrs. Fedynak, Please be advised that your Building Permit # 32799 issued March 13th, 2007 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $ 527.80: at that time we can schedule an inspection by one of our Buildin9 Inspector's. If you have any questions, please coil us at 765-1802. Respectfully, 5OUTHOLD TOWN BUILDING DEPT Towll I fall Annex 34375 Main 14,*td P.O. Box 117!) Southold, NY 11971-09.59 '1 clcphonc (631) 763-1802 Fax (631) 76.;-9.;02 November 16th, 2010 BI III,I)ING I)EPAI/TMENT TOWN OF SOUTHOLD FINAL NO'FZCE Raymond & Jacqueline Fedynak 2337 Webster Street N. Bellmore, N.Y. 11710 RE: 155 Fay Ct. (at>bl ~ iON/ALTERATION) SCTM: #1000-123.-5-16 To Whom It May Concern: Please be advised that your Building Permit # 32799 issued March 13th, 2007 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before use of the structure. To renew your Building Permit, please submit a fee of $527.80; At that time, we can schedule an inspection by one of our Building Inspectors. If you have any questions, please call us at 765-1802. Respectfully, 5OUTHOLD TOWN BUILDING DEPT. TITLE NUMBER ~ -.~.~'~c~ / BUILDER'S NO. PLOT PI./~, N LOCATION FINAL ENT~ME~ PROTEC~ON FOR SWimMING duce ci~cul~ion ~roughou~ the pool or spz. Singk outlet terns. ~uch ~ automatic vacu~ c~eaner gysl=ms, or ~her guch AG1~.Z Suction fltti~. ~I P~] and Spa suchon oml~ inches ~l~' ~ m~um o~uo~ WalCr level or ms ~ ~ ~ ~ N~h' , ~ 'm 5: .T.-v,-:UT Al' ~ ~ USE,_ - ' P6~ , , WITHOUI ~E~i IP CATE ~l~~~ ~ 1 ~ "~' ~C~PANCY ALI. CONSTRUOTION SHALL MGET THE R~OUIREMFNTS OF THE CODES OF NEW , ~ ~ A4k ~d,dE NOT RESPONSIBLE FOR ~ ~ ~ DESIGH Oq C~N~FRUCTION ERflORS. ~ ~ECT,O~ ~ ALL CONSTR~ 'OT "'9 ~L~E ........... '7'.' i. I. , ~ .~ ~ ~ · v~. ~, ~ ~.oc ~ ~ - IMMEDIATE~ 'f~tw ~ I~" ~. ~ i~m ~ ~H ~ ~. ,) UPO COMPLETION ' ' BEFORE "WATER" ~ C~ ~ - WALU OgTAIb~~~ -'~ ' t 761 COATES AVE. 'SUITE 1~ ' '~~ ~ '~ 631 285-7870 _,. ~ WITHOUT CERTJBC~DO ~ ~: % ~ ~J''~ ~ -.~~'-~.' ~ ~" A~.M,~"~ SOLD,,US,~,i,W~,~ .,.~:,-Z~-~,..,~ ~m~ ,, ~" 4 ' , lt.~l.! ~ SUPPLYSYST~ ~N~ F FEE:~ ~ ~ x~ --, ] ~ UILDING DEPAR1 ~ ~' I',1~ .' =~= A~---~~ .....i ~ ; ~,.,..~,~?,.~ ._~_ ~ , .,., F':~ L~ F-. W ~ T / cz> i I iI ,I _ L ~,' ~ ,,~ , - = , ~ ~ , ~ ': ' ~/"~I~'~:P!I~mE:,II~,~I~ .- .,.- ~/~ OuTb~ ~P~C~C~7~oN~ ZO'_4"(~b -- "i' ~'~;~"~:~'~ · ' ' ' ~ ~ ~c ~. 14"~delight~u¢~F~ ' Bu~dl~g~ign byThe~al Rating,Method. , : . . "~ ~"' r'Y~P~nd~hB~a~ 'Compliancewil require'~hat ~'e fatel therma ~ng ef~e ~ building envelope design shell be ho ~ ~an zero. 1. ~ERIOR ~RJM: I pnme ~t, 1 ~at ~fln enamel lat~ ~i~ 2, ' INTERIOR WOOD TRIM: 2 ~ ~r~en~ ~fin fml~ Area u-Value ' Rating Table ~ Glazing ~53 ~ ~.~b -~ ~ .~ 5 ~TR ~UST FANLIGHT: Nutone, ~ ~pare~, du~ e ~eaor. Floom , z ~5s¢ o, o ~ o 6 - 3 Total Thermal Rating of Buildi~ EnvelOpe + 55 ~o ~ z~ a, ~, To the best of by knowledge, belief and professional judgme~. , ~10 d~s F. a~ ~ ~ Is 15 MPH, 3, EQUIPMEN~ C~r, Trane, G,E. or .ual