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35039-Z
Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 12/5/2012 CERTIFICATE OF OCCUPANCY No: 36070 Date: ! 2/5/2012 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 2404 2404 Camp Mineola Rd Ext, Mattituck, SCTM #: 473889 Sec/Block/Lot: 122.-9-7.20 Subdivision: Filed Map No. conforms substamially to the Application for Building Permit heretofore 9/21/2009 pursuant to which Building Permit No. Lot No. filed in this officed dated 35039 dated 10/1/2009 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: one family dwelling on pilings with second floor balcony and attached deck with hot tub, sink and storage as applied for. The certificate is issued to Sterling Harbor Inc (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 7/29/11 R10-05-0206 11/24/10 35039 10/6/I0 Cutchogue East Plumbing ~Si~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 35039 Z Date OCTOBER 1, 2009 Permission is hereby granted to: DAVID & JILL SHAMOON P.O. BOX 446 BRIDGEHAMPTON,NY 11932 for : CONSTRUCT NEW SINGLE FAMILY DWELLING WITH ATTACHED DECK PER NYS DEC, TRUSTEES #6620 AND APPROVED PLANS AS APPLIED FOR./ FLOOD PERMIT REQ'D at premises located at 2404 CAMP MINEOLA RD EXT MATTITUCK County Tax Map No. 473889 Section 122 Block 0009 Lot No. 007.020 pursuant to application dated SEPTEMBER 21, 2009 and approved by the Building Inspector to ex~pire on APRIL 1, 2011. Fee $ 1,138.00 Authorized Signature ORIGINAL Rev. 5/8/02 Porto TO~ 0~ TOWN RALL 765-150Z ~pLICATION ~R C.~T~ICATE O~ OC~ ~ ~catio~ mus~ be ~led ~ by t~fit~ or ~ ~d ~b~R~ to ~ Bu~mg ~p~ent wt~ ~e followm~ new buffing or new ~e: . · ' s~, ~d ~ For _., ...... ~i~ae~wi~a~tol~ationofailb~pwp~lmes, 1. F~*~,~ ~-~-~ --- '- · . .mpo~phic f~- 2. F~I~Pro~l ~°m H~I~ D~t' °f water supply ~d s~e~isp°~i (~:9' ~)' 4. Swomsmt~gnt~m~,~r.~.~ ~i~ ...... ~s~buRd~s~d~smllations, a~n=~ of Cod~ ~mpIi~ ~m ~t~ or cagier ~po~ibIe for ~e b~. ' · · ' ior~oA ri19,1957)'n°n~c°nf°Vm~us~'°rb~iffmgs B. For exmRng bu~ngs (pr . P . ~-. --~ ~t~ hnildine d:~ua~ ~um~ or topo~phw f~t~. · - ' ro ~1 complete, app~i~6on ang c0ns~nt- to ~. Ap p Y '. .... ~ ...... tethcr~o ~ Fees . · I. Sw~mi~ p~I $50.00, A~o~ ~il~g $50.00, Ad~t~ to a~so~ ~l~g $50.0Q, gus~es$~ $50.0~ 3. Cdpy ofCc~ificag ofOccu~ - $.~ 4. Upd~t~ Ce~if~ of Occupancy - $50.00 . 5. T~mpom~ Ce~ifi~tg 6f Occup~cy - R~idential $1~.00, Co~r~ial $t 5'00 ,7'/5- / How Con,~ucfion: / ,_ Old or prc--crAsting BuRding: ' Ho~e No. - · 'Suffolk ~ty T~ Map No 1000, H~I~ ~ Approval: Und~tc~ Appm~: Plandng Boar//Approval: Request for: T~mporary Certificate FinalCcrtificate: ~// Hamlet Lot_ '7: Lot.: (check one)' Applicator Signature 'l'o;x n Hall Annex 1375 Main Road l'.O. Box 1179 S(~tdhoM, NY 11971-05),5!~ Tt Icphonc (631) 7{;5-1802 Fax ((;:41) 7t;5-!)502 ro.qer, richertC, town.so uthold, ny. us 1½! !II,I)IN(; 1)EI~AI/TMI'~N 1' TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Paul Pawlow~ki Address: 2404 Camp Mineela Rd Ext City: Mattituck St: NY Zip: 11952 3uildingPermit#: 35039 Section: 122 Block: 9 Lot: (."~.~,~'~ 720 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Sontractor: DBA: MD Electric Inc LicenseUo: 4925-e SITE DETAILS Residential Commerical New Addition Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Office Use Only Indoor ~ Basement ~ Service Only ~ Outdoor 1st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Heat ~ DuplecRecpt ~ Hot Water GFCI Recpt A/C Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures ~~[~ HID Fixtures Wall Fixtures 121 Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixtun ~ Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS Notes: 2 combination smoke/co detectors, 2 arc fault circuit breakers, 60a disconnect for self contained hot tub Inspector Signature: Date: Oct 6 2010 81-Cert Electrical Compliance Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765~ 1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLr~ CERTIFICATION Date: (Please print) lead. I certify that the solder used in the water supply system contains less than 2/10 of 1% Sworn to before me this ~)'%~& day ot~ ~ , 2011 Notary Public, ~.~4 T~?~ County ///(p ~m~b ~s -g ilnat ure) CONNIE D. BUNCH Nota~/Public, 61ate ol New Yon~ NO. 01BU$185060 Commieato~ Expire~ Apd.! 14. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] F~l~Ojm~l~r~ [ ] INSULATION [~/] FRAMING S~U~PI~____~ [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: [ ] FIRE SAFETY INSPECTION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT_ ION [ ] FOUNDATION 1ST [.-~ROUGH PLBG. [ ],~Q~ATION 2ND [ ] INSULATION [,/~-F~AM. ING~STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESIST~ ~1' CONSTRUCTION [ ] RRE RESISTANT FEk.-,.ATION REMARKS:"': ~J~2~ ,~_//.~,9 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~/~INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: .~ DATE ~'-/~-/~ INSPECTOR~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) .~] ELECTRICAL (FINAL) REMARKS: 3_5-o3 q TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] ~E.~r~'r,o~m~u~ [ ] ~1~ RES.T~T ~..ETRAn0. REMARKS: ~ DATE / ~ ~ ~7 "-/0 INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~/~'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE /////~'' ~//0 INSPECTOR TOWN QF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 76S-1802 FAX: (631) 76~-9~02 SouthoidTown.NorthFork. net PERMIT NO. Disapproved a/c Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you ~y~or need ~ following, befor~ applYing? I/Board of Health ~qs of Building Plans L~e~g B~ard approva~.~ .E.C. Flood Permit [,,~a~'m:Water Assessment Form Contact: Building Inspector PLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS ~lctcly filled in by typewriter or in ink and submitted to the Building Inspector with 4 'ee according to schedule. b. Plot plan showing location ofint and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. o. Thc work covered by this application may not be commenced before issuance of Building Pcnnit. 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 alter 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, thc extension of the permit for an addition six months. Thereafter, a new permit shah be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, OrdinsnceS or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, honsmg code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) ~ ad'dr~"~ofapp~cant) ~/'~//~(~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises C~/~Lh~/( (As on the tax roll or latest deed) If applicant is a co~poration, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. ElechScians License No. Other Trade's License No. ~Q. Locelion of land on whi,~ prop~ work ~vill,he, done:/ Ho~e~ber - ~t' ' - ' ' S on Su~sion Lot Filed Map No. Lot 2. State existing use and occupancy of premises and intended ~e and occupancy of proposed construction: a. Existing use and occupancy I,",4<~c~x_5~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number &dwelling units0 / If garage, number of cam Addition Other Work Fee Alteration (Description) (To be paid on filing this application) Nuraber 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 Height Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth Height (~Dimensions of entire new construction: Front '7 (o Height ~"~, . Number of Stories ize of lot: Front. 'c~). ate of Purchase 11. Zone or use district in which premises are situated Number of Stories Rear 76 '7__ Rear Depth Name of Former Owner Rear Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES , NO ~ 13. Will lot be re-graded? YES__ NO ,/" Will excess fill be removed from premises? YES__ NO v/' 14. Names of Owner of premises Address Phone No. Name ofArchitecl~'fv~?l.v~m ~'~933'~-'~1~: Address ?~ rye-r/, ce~- ~PhoneNo ~3 / a 1~2 2~50.-._ ~-Name of Contractor Address .~o ~r~ ~ ,~ v-~ 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. Isthispropertywithin300feetofatidaiwefland? *YES ~ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate founda6on 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) X- ~f--~ [d'~ ' ~f~/./~t~'~ being duly sworn, deposes and says that (s)he is the apphcant (Name of individual si~ening coaIlact) above named, CONNIE D BUNCH Nofa~y Public, State of New Yor~ No. 01805185050 (S)He is the ~ c,~ ~_~__,0 ~ Oualifi~ in Suffn~k (Contractor, Agent, Corporate Officer, etc.) ~ornrnisslon Expires April ~, ~'0 of said owner or owners, and is duly authorized to perform or have performed the said work and to make and f'fle this application; that all statements comained in this application are ~rue to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application fled therewith. Sworn to before me this ~ [ Notary Public Signature of Applicant BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6620 DATE: MAY 16~ 2007 ISSUED TO: DAVID SHAMOON PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD, EXT, MATTITUCK SCTM# 122-9-7.20 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 16, 2007, and in consideration of application fee in the sum of $250.00 paid by David Sl~moon and subject to the Terms and Conditions as stated in the Res61ution, the Southold Town Boai'd of Trustees authorizes and permits the following: Wetland Permit to construct a single-family dwelling, deck, driveway, and sanitary system With the condition that the dwelling and deck be on Pilings, installation of gutters and drywells to contain roof runoff, no fill except for the sanitary system, no additional aud/or ,nor further expansion to dwelling will be permitted, a pervious driveway, and a line of staked hay bales to be installed prior to construction, and as depicted on the survey prepared by Nathan Taft Corwin III, last revised July 12, 2007, and received on August 20, 2007, IN WITNESS WHEREOF; the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Peggy Dickerson ' Absent Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hail 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 CERTIFICATE OF COMPLIANCE # 0585C Date: September 24, 2010 THIS CERTIFIES that the construction of a single-family dwelling with deck on pilings, pervious driveway, and sanitary system with gutters to leaders to drywells on the dwelling At 2404 Camp Mineola Road, Ext., Mattituck, New York Suffolk County Tax Map # 122-9-7.20 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 10/28/05 pursuant to which Trustees Wetland Permit # 6620 Dated 5/16/07 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a single-family dwelling with deck on pilings, pervious driveway, and sanitary system with gutters to leaders to drvwells on the dwelling The certificate is issued to STERLING HARBOR, INC./PAUL PAWLOWSKI owner of the aforesaid property. DN.ew York Sta. te Department of Environmental Conservation Ivision of Environmental Permits, Region One SUNY @ Stony Brook, 50, Circle Road, Stony Brook, NY 11790-3409 Phone: (631) 444-0365 FAX: (631) 444-0360 Website: www.dec.state.ny.us Alexander B. Grannis Commissioner PERMIT MODIFICATION October 29, 2007 Mr. David Shamoon P.O. Box 446 Bridgehampton, NY 11932 Re: Permit it 1-4738-03533/00001 Shamoon Property ~ Kreh Road, Mattituek, SCTM No. 1000-122-09-7.20 Dear Permittee: Your recent request to modify the abovepermit has been reviewed pursuant to Uniform Procedures Regulations (6NYCRR Part 621). It has been determined that the proposed modifications will not substantially change the scope of the permitted actions Or the existing permit conditions. Therefore, the permit is modified to authorize the following: Construct a single family dwelling, deck, sanitary system, and drywells. All work shall be done in accordance with the survey prepared by Nathan Taft Corwin III, last revised on 10/20/07, and stamped NYSDEC approvedon 10/29/07. Special Conditions 12 and 13 are deleted. This letter is a modification to the original permit and, as such, shall be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Sincerely, George W. Hammarth Perrmt Administrator cc: Suffolk Environmental Consulting Marine Habitat Protection, NYSDEC File DMG NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER I EFFECTIVE DATE 1-4738-03533/00001 I June 15, 2006 FACILITY/PROGRAM NUMBER(S) P E R M IT ~xP,RATiON DATE(S) Under the Environmental June 14, 2011 Conservation Law TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate [] Article 15, Title 5: Protection of Waters [] Article 15, Title 15: Water Supply E] Article 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Certifica- tion [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO David Shamoon TELEPHONE NUMBER (631) 537-2177 ADDRESS OF PERMITTEE P.O. Box446, Bridgehampton, NY 11932 CONTACT PERSON FOR PERMITTED WORK Bruce A. Anderson, Suffolk Environmental Consulting, P.O. Box 2003, Bridgehampton, NY NAME AND ADDRESS OF PROJECT/FACILITY ITELEPHONE NUMBER (631) 537-5160 Shamoon property, Kreh Road, Mattituck COUNTY TOWN Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: SCTM # 1000-122-9-7.2 NYTM COORDINATES IWATERCOURSE Jones Creek Construct a single family dwelling, garage, pool, decking, sanitary system, drywells and pervious driveway. Place 400 cubic yards of flit and grade. All work must be done in accordance with the attached plans stamped NYSDEC approved on 6/15/06. 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 (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ] ADDRESS George W. Hammarth (DMG) I Region 1 Headquarters, AUTHORIZED SIGNATURE BIdg.#40, SUNY, Stony Brook, NY 11790-2356 DATE Page 1 of 4 June 15, 2006 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and/or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 4. All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or pdor 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. The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales / silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 7. All fill shall consist of "clean" sand, gravel or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 8. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary. 9. A row of staked haybales or other approved erosion control devices shall be placed at the landward edge of the buffer area or 50 linear feet from the tidal wetland boundary, or as per the NYSDEC approved plan, prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 10. Necessary erosion control measures e.g., staked haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed areas. This sediment barrier is to be put in place before any disturbance of the g round occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 11. Roof runoff shall be directed into dry wells a minimum of 75 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 12. Dry wells for pool filter backwash shall be located a minimum of 100 linear feet landward of the tidal wetland boundary. 13. There shall be no draining of swimming pool water directly or indirectly in tidal wetlands or protected buffer areas. 14. Driveway must be 100% pervious (no asphalt or oil and stone surface.) 15. Driveways and parking areas shall be constructed of NYSDEC approved pervious materials. 16. Roads, driveways and parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 17. Sanitary systems (bottom of the tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. DEC PERMIT NUMBER 1-4738-03533/00001 PAGE 2 of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) If future operations by the State of New York require 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 unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards 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 Conservation may require, remove 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 future 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. All necessary precautions shall be taken to preclude contamination of any wetland 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 refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 5. 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. 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 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 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 survey was prepared by Joseph A. Ingegno on 7/24/04 and last revised on 4/10/06. DEC PERMIT NUMBER 1-4738-03533/00001 PAGE 3 of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, 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 attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities 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 permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent 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 and Rules or any citizen suit or civil rights prevision under federal or state laws. Item B: Permittee'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 permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS 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 authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee 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 Department's representative during an inspection to the permit area when requested by the Department. 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 determination. 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 requires. Any renewal, modification or transfer granted by the Department must be in writing. 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), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg ~0, Stony Breok NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. 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 permittee 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, relevant technology or applicab[e 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 Department related to the permitted activity. DEC PERMITNUMBER I PAGE 4 OF 4 I 1-4738-03533/00001 U.S. DEPARTMENT OF HOMELANd) SECURITY Federal Emergency Management Agency National Flood Insurance Program Building.Owner's Name ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION A2. Building Street Address (including Apt,, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Cy ~ , State A3. Propedy [~escdpt[on (Lot and Block Numbers Tax Parce Numbe .......... ~ - ~ u~' OMB No. 1660-0008 Expires March 31, 2012 ZiPCode II ~ ~- ~ A4. Building Use (e.g., Residential, Non-ResidentiaL Addition Accesso e c ~-~ 3j '~." ~ · ~ , o ry, 3 A5. Latilude/Longdude: Lat. Z~O ~ ~ ,~/ Long. A6, Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number ~-' A8. For a building wilh a crawlspace or enclosure(s): a) Square footage of crawlspace or encJosure(s) b) No. ofpermanentfloodopeningsinthecrawlspaceor ' ' enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openiogs in A8.b d) Engineered flood openings? [] Yes [] No Horizontal Datum: [] NAD 1927 /L}on(. sq fl ~sq in AD 1983 A9. For a building with an attached garage: a) Square footage of agached garage J~e-~- sqft b) No. of permanent flood openings in the a ached g.~rege within 1.0 foot above adjacent grade ~ c) TotalnetareaoffloodopeningsinA9.b ~ sqin d) Engineered flood openings? [] Yes [] NO SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP C,~munily Name & Communfly N/zmber e2. Coooty me /h I I B7 FiRM Panel B4. Map/Panel Number B5. Suffix B6. FIRM Index Effective/Revised Dale -J--B 3. State B8' Fl°°d I B9 Base Flood Elevation(s) (Zone1 Zone s) AO~se,base flood depth) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item B'g. [] FIS Profile [~ FIRM Community Determined [] Other (Describe) Bll. Indicate elevation datum used for BFE in flem Bg: [] NGVD 192g ~NAVD 1988 []Other(Describe) B12. ~sthebui~dingl~catedinaC~asta~BarrierRes~urcessysem(CBRs)area~r~therwisePr~tecedArea(~PA)~ Designation Date: [] CBRS [] OPA ' [] Yes [~No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C 1. Building elevations are based on: [] Construction Drawings* [] Building Under Construction* [~Finlshed Construction *A new E~evation Certificate will be required when construction of the building is complete. C2. Elevations- Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO. Complele Items C2.a-h below according to the buildino diagram specified in gem A7, Use the same datum as the BFE. '~'/'~[/~ /?,~ Benchmark Utilized ~.~j~ Vertical Datum Conversion/Comments a) Top of bottom floor (including basement, crewlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (lop of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe lype of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support I( , ~ J~/feet 2-1 · /'~ ~::~feet .~.~. [J feet /~.~ ~eet ~.~ feet .~ feet Check the measurement used. Fm'eters (Puerto Rico only) meters (Puerto Rico only) [] meters (Puerto Rico only) [] meters (Puerto Rico only) [] melers (Puerto Rico ooly) [] meters (Puerto Rico only) [] meters (Puerto Rico onfy) [] meters (Puerto Rico only) ,SECTION D - SURVEYOR, ENGINEER, OR ARCHiT~-C¥ CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or ar,.hil~ct authorized by law to certify elevation informalJoo. I certify that the information on this Certificate represents my best efforts to interpret the data available. I~_~d~e. rstand that any false statement may be punishable by fine or imp~sonment under 18 U.S. Code, Section 1001. [~] Check here if comments are provided on back of form. Were latitude and longitude in, i,.in_~ection A provided by a licensed and surveyor? P~Yes [] No Certifier's Name FEMA Form 81-31, Mar 09 City J -- State . * , · ZIP Code' ale Telephone Se~ reverse side for continuation. Replaces ail IMPORTANT: In these spaces, copy the corresponding information from Section A. [:~ Building Street Add~e~ (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ;., City ~4¢a¢..~ ;/..~/(..k State /O/~.~,v/ ~/_~ ZlPCode SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Sigoature ..,,,U /~//~==~ L'~j ' Date /~../~'~'/Zo: Z/ [] Checkhereifattachmentsr~ V SECTION E - BUILDING ELEVA~ON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, S, and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropdate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG), a) Top of bottom floor (including basement, crawispaca, or enclosure) is __ []feet []meters E~above or []below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is . [~eet [--']meters [~]above or []below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in SectfeEA terns 8 and/or 9 (see pa¢les 8-9 of instructions), the next higher floor e evat on C2.b in the diagrams) of the building is · [] feet [] meters [] above or El'below the HAG. E3. Attached garage (top of slab) is . __ [] feet [] meters [] above or [] below the HAG. E4. Topofplafformofmachineryand/orequipmentservicingthebuildingis .__[]feet []meters []aboveor r] below the HAG ES. Zone AO only: if no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? [] Yes [] No [] Unknown. The local official must certify this information in Section G. SECTION F - PROPI::I~¥¥ OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or ov~er's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community-issued BFE) or ZoneAO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Cede Signature Date Telephone Comments [] Chec~ here if attachn =ni~ SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, I~, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. Gl. [] The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor engineer, or archi ect who is authorized by law to certify elevation information. ( nd cate he source and date of the elevation data in the Comments area below.) G2. [] A community officia~ completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. [] The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number I CS. Date Permit Issued I G6. Date Certificate Of Complianca/Occupancy Issued G7 This permit has peen issued for: [] New Construction [] Substantial Improvement CS. Elevation of as*built lowest floor (including basement) of the building [] feet [] meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site [] feet [] meters (PR) Datum Gl0. Community's design flood elevation [] feet [] meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments [] Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and/er Bldg. No.) or PO. Route and Box No. If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View," If submitting more photographs than will fit on this page, use the Continuation Page on the reverse, Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and/or Bldg No.) or P.O. Route and Box No, C~ty ..... /. /. /~'~---- ~ * State ,, ~ '-" ,, , ZIP Code I If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. Building Photographs See Instructions for Item A6 IBuilding Street Address (including Apt., Unit, Suite, and/or BIdg, No.) or P,O, Route and Box No. ' State ZIP Code If using lhe Elevation Ce~ificate to obtain NFIP flood insurance, affix at least ~o building photographs below according to the instructions for Item A6, Identify all photographs with: date taken; "Front View~ and "Rear View"; and, if required, "Right Side View" and "Le~ Side View," If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. VIeW Building Photographs See Instructions for item A6. Building Street Address (including Apt., Unit. Suite, and/or Bldg. No.) or P.O. Route and Box No. Cityer, .1 ,4/~ q J-/.~.'L~/b State ZIP Code If using the Elevation Certificate te obtair~ NF!P flood insurance, affix at least two,,build?.g photogr,,aphs below accord,!ng to the instructions for Item A6. Identify al! Ph6i°graphs with: date taken; "Front View and Rear View; and, if required, Right Side View" and "Left Side View.~ f submitting mole photographs than will fit on this page, use the Continuation Page on the reverse, U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION Al. Building_Owner's Name A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ci,y State OMB No. 1660-0008 Expires March 31, 2012 A3. Properly Description (Lot and Block Numbers, Tax Parcel Number, Legal,Description, etc.) .f~C.C~_ C,,~. ~' L,.~ *)o. /0~- I~-z- O'/''~,~'° A4. Building Use (e:g., Residential, Nol]-Resid.~nfialj Addition, Accessory, etc.) AS. Latitude/Longitude: Lat. ~o'~'~ ~"~' ~ Long. "~.°~I'.~Z.'~ ~J Horizontal Datum: [] NAD 1927 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number ~ A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) ~-,,' sq fl b) NO. of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings In A8.b sq in d) Engineered flood openings? [] Yes [] No NAD 1983 a) Square footage of attached garage b) No. of permanent flood openings in the attacheld~larage within 1.0 foot above adjacent grade c) Total net area of flood openings in Ag.b ~ sq in d) Engineered flood openings? [] Yes [] No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I Bt. NF,. Community Name & Community Number B4. Map~a~lNumber I B5. Suffix B6. FIRM Index B7. FIRM Panel B8 Flood Effective/Revised Date ~o~e(s) B10. indicate the sou~ of t~ Base Floed Elevation (BFE) data or base flo~ depth entered in flem Bg. D FIS Profile ~FIRM Community De[e~ined ~Other (Describe) Bll. Indi~te elevation datum used for BFE in Item B9: ~ NGVD 1929 ~NAVD 1988 ~ Other (Describe) B12. Is the buildi~ located in a Coastal Barrier Resources System (CBRS) area or Olhe~se Protected Area (OPA)? Designation Date ~ CBRS ~ OPA I B3's'a'e d' ,' B9 Base Flood Elevation(s) (Zone AO. use.base floccl depth) [] Yes ~No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C 1. Building elevations are based on: [] Construction Drawings* [] Building Under Construction* [~Finished Const~ucfion *A new Elevation Certificate will be required when construction of the building is complele. C2. Elevations - Zones Al-A30, AE, AH, A (wilh BFE), VE, V1-V30, V (with BFE). AR, ARIA, AR/AE, ARIA1-A30, AR/AH, ARIAO. Complete Items C2.a-h below according lo the building ,,dia_gram specified in Item A7. Use the same datum as the BFE. Benchmark UDized ~ ~/...~ Vertical Datum /~ ~"~ I?~ Conversion/Comments a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and Iocaflon in Comments) f) Lowest adjacent (fin[shed) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. '~ .~ L~feet ~,.~ []feet Io. q [] feet 6.0 []feet m'eters B meters (Puerto Rico only) (Puerto Rico only) [] meters (Puerto Rico only) [] meters (Puerto Rico only) [] meters (Puerto Rice only) [] meters (Puerto Rico only) [] meters (Puerto Rico only) [] meters (Puert(! Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authodzed by law to certify elevation information. I certify that the information on this Certh3cele represents my best efforts to interpret the data available. I~cerStand that any false statement may be punishable by tine or imprtsonment under 18 U.S. Code, Section ~001. heck here if comments are provided on back of form. Were latitude and Iongitudei..~..in~ecU°n A[]providedNo by a licensed land surveyor? C~panyName ~ . ~ . ~ ~ ' ' Ci~ / ' ~ State , L , / ~IP Code Signature ~1~~ Date I Telephone I,/~g/~,~ FEMA Fo~ 81-31, ~ar 09 Seal reverse side for ~ntinuation. IMPORTANT: in these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bid§. No.) or P,O. Route and Box No. ZIP Code SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner, ~gnature~/~,~..,~)/j .,.----'"J Date ii/~..~/Z~i~,,,~ FI Check here if attachments SECTION E - B~IILDING ELEVATION INFORMATION (SURVEY NOT REQ01RE[~) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items BI-E5 If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C For Items El-E4, use natural grade, if available. Check the measurement used In Puerto Rico only, enter meters E1 Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is E]feet E~meters E]above or E]below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is r~feet E~meters r-labove or r-]below the LAG. E2 For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see p~es 8-9 of Instructions), the next higher floor (elevation C2,b in the diagrams) of the building is __. [] feet [] meters [] above or E] below the HAG, E3 Attached garage (top of slab) is __ [] feet [] meters [] above or [] below the HAG, E4 Topofplaformofmachneryand/orequipmentservicingthebuildingis . [~feet E~meters []aboveor [] below the HAG ES. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? [] Yes [] No [] Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge, Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Cate Telephone Comments [] Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9 Gl. [] The information in Sect on C was taken from o her documenta ion that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to cedlfy elevation information. (Indicate the source and date of the e evat on data in the Commen s area be ow. G2 [] A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO G3. [] The following information (Items G4-Gg) is provided for community floodplain management purposes, IG4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy ~ssued G7. This permit has been issued for: [] New Construction [] Substantial Improvement G8 Bevation of as-built lowest floor (including basement) of the building G9. BFE or (in Zone AO) depth of flooding at the building site Gl0. Community's design flood elevation [] feet [] meters (PR) Datum [] feet [] meters (PR) Datum [] feet [] meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Cate Comments [] Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Town of Southold _Erosion, 8edlmentatlon & Storm-Water Run-off A88ESeMENT FORM .. m.f. oWI.~ C11ON* MAY RBQUm TH~ SIJBM (NOTE: A Che~k Mark (~) for on~ Qu~on Is Re~ ~3-a Complete App~atlon) Ye~ No 1 3 4 5 6 7 8 9 Will Ul~s App~eaflon Require Land Disturbing A~vlles ~ an Area In Exce~ ~' ~ Thousand (§,00O) Square Fed of Ground 8u~me? Is thee a Natural Water Course Rurmlng ~hrongh Itm Sile? is this Pm~ect within the T~ Jufls~1ctio. or wRhln ~ Hundred (1~0') feet o~ · WeUand or Beach? Will ~ be $[~e prepara~on on E.~ Grade Slop~ whloh Exceed F".'~=. (15) feet of Ver6cal Rise One Hundred (100') of Hc~b~=n~l Dls~nce? W'~ Driveways, Pa~ Areas m- olher Impewk3a$ Surfaces be Sloped lo D~ect Sto~n-W~.~TM f~mOff in~o ond/ot in the direction of a Town right-of-~ W~ Ut/s Pr~ect Require ~he Pi~cemeflt of MaMd;I; R~nov;d of Ve~eb~G~ and/or I~ ~ ~ any Rem Wiihin Ihe Town F~ (~ol'-W~, or Ronc~ ~noulder Area? (11fl$ item w{# NOT In~ude the I.~t~ll~iofl of Ddvew-dy Apron) NOTE: IfAnyAnswartoQtmsUonsOne~hro4ighNFoebAneweredwithaCheekMn~lntheBex, aSto~ra-Wat~r, Gradlng, Drainage & Erosion Control Plan is R~qulred mid Must be 8ubmgFod For Review PHor to I~tmnon of Any BulMIng Perralt] · XEMPTION: Ye. ~o Does this pm~aat meet the minimum ~:l~uds I~r c~k~ton as. an Agr~ ~ Not~: ff You Answered Yes FO Ihle QuesSe1, a 8FOmI-WMer, OrmJln~ Dlilnnge & Erosion Con4/ol ptml le NOT Req4drmjl __ .~ Sworn m be[om me this;, FORM - 06/07 P.O.!~ · So~lokl, NY ! 1971419,~9 Tde~ (mit) ~65-180~ BUILDING: D~'ARTM]~T TOWN O1~ ~OUTI~OLD JOBSITE INFORMATION: (*lndibates required information) CATION OR E CT ICAL PECT ON :~NO.: ~l ~'~c/ ,.~ , ~ ;'l ~' . ~'~' ~v. 7 .. *Name: *Ac~dYes8; *Cross Street: *Phone No.: Permit No.: Tax Map Diarist: '~BRIEF DESCRIPTION OF WORK (Please Print Clearly) ?~.,~ . . ~ . .. .. '_' ~ t,,~. .~oo ~ --.' . (p~~ ~~y} · · . *Is. JOb ready for inaped~n: ."I)o you need a Ternp cer~oate: NO Rgugh In' Finel ?emp. 'lnforma6on ~__~_.~ded}. mrormatmn. PAYME"T ...... ,-.r,~ > · . ,c ~I UUE WITH'APPLICATION /} d'UDITH T. TERRY TOWN C LETCK PO. Ro× 1170 ${lulhl~ld. New Yor~ Fax (5161 765-1923 Tcleph(mc (516~ 765- [ROI OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93)], and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93)]. TOWN OF SO'.JTHOLD. , . Southold Town Clerk August 25, 1993 TOWN OF SOUTHOLD APPLICATION PAGE I o1' 4 FLOODPLAIN DEIFELOPMENT PERMIT APPLICATION This form is to be tilled out in duplicate. SECTION I: GENERAL PROVISIONS (APPLICANT to read and si~n): 1. No work may start until a permit ks issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit ks 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 ks commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulf'Lll local, state and federal regulatory requirements. 7. Applicant hereby gives con.scat to thc Local Admktistrator or his/her representative to make reasonable inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO SECTION 2: PROPOSED DEVELOPMENT (To bc completed by APPLICANT) ~,..~/~-~ ~-~,~/7~" NAME ADDRESS / TELEPHONF BUILDER ENGINEER To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to thLs application showing the proiect location would be helpful. o_r . 9 -do .... FDP(93) A~PLICATION ~ PAGE 2 OF 4 DESCRIPTION OF WORK (Check aB applicable boxes): A. STRUCTURAL DEXrELOFMENT ACTIVITY STRUCTURE TYPE ~ew Structure [2] Addition [] Alteration [] Relocation [] Demolition [] Replacement ..~:esidential (1-4 Family) [] Residential (More than 4 Family) [] Non-residential (lqoodproo£mg7 [] Yes) n Comb~ed Use (Residential & Commercial) [3 Manufactured (Mobile) Home (In Manu- factured Home Park? [] Yes) ESTIMATED COST OF PROJECT $ B. OTHER DEVELOPMENT ACTIVITIES: [] Fill [] Mining [] Drilling [] Grading [] Excavation (Except for Structural Development Checked Above) · [] Watercourse Alteration (Including Dredging and Chmmel Modifications [] Drainage Improvements (Including Culvert Work) [3 Road, Street or Bridge Construction 13 Subdivision (New or Expansion) [] Individual Water or Sewer System [] Other (Please Specify). After completing SECTION 2, APPLICANT should submit form to Local Admizdstrator for review. :~ECTION 3: FLOODPLAIN DETERMINATION (To be comoleted bv LOCAL ADMINISTRATOR) The proposed development is located on FLRaM Panel No. , Dated The Proposed Development: I-I la NOT located in a Special Hood Ha:'ard Area (Notify the applicant that the application re'flew is camplete and NO FLOODPLAIN DEVELOPMENT PERMTT IS REQUIRED). [] L~ located in a Special Flood Hazard Area. FIRM zone designation is tOO-Year flood elevation at the site is: Ft. NGVD (MSL) [] Unavailable [] The proposed development is located in a floodway. FBFM Panel No. Dated [] See Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3 OF 4 SECTION 4: ADDITIQNAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: [] A site plan showing the location of all ex, ting structures, water bodies, adjacent roads, lot dimensions and proposed development. Fl Development plans, drawn to scale, and specifications, including where applicable: details for anchoring structures, proposed elevation of lowest floor (i~duding basement), types of water resistant materials used below the first floor, detaiks of floodprooFmg of utilities located below the tn'st floor and details of enclosures below the rust floor. ALso, [] Subdivision or other development plans (I[ the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevatio;ns if they are not otherwise available). Plans showing the extent of watercourse relocation and/or landform alterations. [] Top of new Fdl elevation Pt. NGVD (MSL). [] Floodproofing protection level (non-residential only) Ft. NGX, rD (MSL). For floodprodfed structures, applicant must attach certification from registered engineer or arc~tect. [] Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this £mding must also be submitted. Fl Other: SECTION S: PER.MIT DETERMINATION (To be comoleted by LOCAL ADMINISTRATOR) I have determined that the proposed activity:. A. FI La B. t'-I Is not in conformance with provisions of Local Law # , 19 attached to and made part of this permit. __. The permit is issued subject to the conditions SIGNED . DXTE If BOX A is checked the Local Administrator may issue a Development Permit upon payment of designated Il' BQX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. APPEALS: Appealed to Board of Appeals? C) Yes [] No Heating date: Appeals Board Decision --- Approved? [3 Yes Condition~. [] No APPLICATION # PAGE 4 OF 4 SECTION 6: .4.S-BUILT ELEVATIONS (To be submitted bv APPLICANT before Certificate of Compliance i~ issued) The following i~formadon must bc provided for project structures. Tlxis section must be completed by a registered professional engineer or a llce~ed land surveyor (or attach a certification to tkis application). Complete 1 or 2 below. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Area~;, bottom of lowest stnictural member of the lowest floor, excluclhag pilixtg and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproo£mg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLL, MNCE ACTION (To be comvleted bv LOCAL ADMINISTRATOR] The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ~nsure compliance with the community's local law for flood damage prevention. INSP]ECT1ONS: DATE BY DEFICIENCIES? [] YES [] NO DATE BY DEFICIENCIES? El YES [] NO DATE BY DEFICIENCIES? [] YES [] NO SECTION 8: CERTIFICATE OF COMPLIANCEfTo be comr~leted bv LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIA/gCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD I-IAZAJU) AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: [] NEW BUILDING [] EXISTING BUILDING [3 VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # ,19 SIGNED: DATED: COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19__, AS MODIFIED BY VARIANCE # DATED ' SIGNED: DATED: C/C(931 iGoo.~z~..~.,/,.a~TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~. ~ ('~ ~ VILLAGE DIST. SUB. LOT : I E ACR. J FO~ER OWNER N ~(~ I~ ~ O,~ J ~t~ ~. ~ s w ~,E OF BU~LDIN~ RES. SE~AS. VL.~ ( ( FARM COMM. CB. MIC~. Mkt. Value LAND IMP. TOTAL DATE REMARKS Tillobl~ FRONTAGE ON WATER W~land FRONTAGE ON ROAD M~d DEPTH H~ PI~ BULKH~D Total M. Bldg. ! Foundation Bath Extension Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place Heat Porch Pool Attic Deck Patio Rooms 1st Floor Breezeway Driveway Rooms 2nd Floor Garage O.B. Tim n ! lull Annex 3137,5 Main I/md P.O. Box 1179 Soull~old, NY 11!}71-09.59 B1 i1LI)ING DI';PAI/TMI';NT TOWN OF SOUTHOLD November 16, 2010 Sterling Harbor Inc PO Box 783 Mattituck, NY 11952 Tclclih{nlc (631) 76.M802 Fax (63 I) RE: 2404 Camp Mineola Rd Ext., Mattituck NOTE: Because this parcel is in a flood zone, a final elevation certificate from your surveyor is required. ~ ~:-~l i I i ~ ~ C (' (t / ) TO WHOM IT MAY CONCERN: lhe Following Items Are Needed To Complete Your Certificate of Occupancy (- Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00 ~'~ Final Health Department approval. ~'- Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35039-Z new dwelling Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ NY 11971 0959 Telephone (631 ) 765-1802 Fax (63 l) 765-9502 November 18, 2011 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mr. Paul Pawlowski PO Box 37 Southold, NY 11971 Re: 2404 Camp Mineola Ext., Mattituck TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: *NOTE: Because this parcel is in a flood zone, a final elevation certificate from your surveyor is required, __ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 35039 - New Dwelling REScheck Software Version 4.3.0 Compliance Certificate Project Title: Shamoon Residence Energy Code: 2007 New York Energy Conservation Coflstructlofl Code Location: Suffolk County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazleg Area Pementege: 23% Heating Degree Days: 5750 Construction Site: Owner/Agent: Kreth Road Mattituck, NY Designer/Contractor: Stephen Rossetti Stephen Rossetti - Architect 28 Turtle Cove Drive Southampton, NY 631-283-5352 Compliance: Maximum UA: 454 Your UA: 432 Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame:Double Par~e with Low-E Door 1: Glass Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Spaoe 1210 30.0 0.0 42 2787 19.0 0.0 129 596 0.320 191 39 0.330 13 1210 19.0 0.0 57 The proposed building represented in this document is consistent with the building plans, specifica~ons, and other calculations submitted with this permit application. The prop<~sed systems haw peen designed to meet the 2007 New York Energy Conservation Construction Code requirements. When a Registered DeS~ Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, be(ief, and professional judgment, such plans or specifications are in compliance with this Code. Name - Ti~e Signature Date OCT - ~ 2009 BLDG. DEPT. TOWN OF SOUTHOLD Pro~ect Title: Shamoon Residence Report date: 10/01/09 Data fllenamu: C:~Preg~am Files~Check~REScheclGShamoc~.rck Page I of 4 REScheck Software Version 4.3.0 Inspection Checklist Ceilings: [] Ceiling 1: Flat Ceiling or Sales~T~ues, R-30.0 cavity insulation Comments: Above-Grade Walls: Ct Wall 1:Wood Frame, 16" o.c. R-19.0 cavity insulation Windows: I~1 Window 1: Wood Frame:Double pane with Low-E, U4*acthr: 0.320 For windows without labeled U-factom, descnhe features: #panes Frame Type Thewnal Break? __ Yes [] Door 1: Glass, U-factor~ 0,330 Comments: Floors: r-i Floor 1: Nl-Woed Joist/Tress:Over Unconditioned Spaes, R-19.0 cavity insulation Air Leakage: I-I Joints, penetrations, and all other such openings in the building envelope that are sources of air leekage am sealed. Recessed lights am 1 ) Type lC rated, or 2) Installed inside an appropriate air-ti~t assembly with a 0.5" deeranse from combustible materials. If nan-lC rated, fixtures are installed with a 3" clearance from insulation. Vapor Retarder: [] Installed on the warm-in-winter side of all non-vented framed ceilings, walls, and Materials Identification and Installation: [] Materials and equipment are installed in accordance with the manufacturer's installatld~ instructions. I-I Insalafion is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. I~ Materials and equipment are idantffmd so that coml~iance can be determined. C] Manufacturer rnanuald for all installed heating and cooling equipment and sewice water heating equipment have been p~ovlded. [] Insulation R-values and gtazing U-factors are clearly marked on the building ptans or specifica§ons. Duct Insulation: ~1 Supply duc~ in unconditioned attics or outside the building are insulated to at least I'-IReturn ducts in unconditioned attics or outside the building am insulated to at least R*4. r-I Supply ducts in unconditioned spaces are insulated to at least R*~. [] Ratum ducts in unconditioned spaces (excep~ basements) are insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [] All joints, esan~, and connections are securely fastened with welds, gaskets, ma~tk:s (adhesives), mastic-plus-embedded 4abrtc, or tapes. Tapes and mastics are rated UL 181A or UL 181B. Except~s: Continuously welded and Jocking-type longitudinal joints and seams on duc~s operating at lees than 2 in. w.g (500 Pa). [] The HVAC system pr(wides a means for balancing air and water systems. Tempemturs Controls: Project T~Je: Sham(xm Residerme Report date: 10/01/09 Data filename: C:~Pro~am Files~Check\REScheck~Shamoon.rck Page 2 of 4 ~1 Each dwelling unit has at least one thermostat capable of automatically adjusfing the space temperature set point of the largest zone. Electric Systems: ~-I Separate electric meters exist for each dwelling unit. Fireplaces: I~ Fireplaces are installed with fight fit'dng non-combustible fireplace doors. F-I Fimp~a~s have ~ s~ur~e ~f c~mbus~J~ air~ as req~red by the Firep~ace c~nstnJc~n pr~V~s~ns ~ ~ Bu#~ng C~ ~ ~w Y~ State, the Residential Code of New Y(~K< State or the New York City Building Code, as al~licable. Service Water Heating: Water heaters with vertical pipe risers have a heat trap on both the in!et and outlet unless the water heater has an integral heat trap o¢ is part of a circulating system. Circulating Hot Water Systems: F-I Circulating hot water pipes am i~.~ulate(I to the leveJs in Table 1. Heating and Cooling Piping Insulation: I~ HMAC piping conveying ~luids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Swimming Fools: J-I All heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non~epletab!e sources. Pool pumps have a time clock. Project Title: Shanxxm Residence Report date: 10~1/09 Data fllename: C:',Program Files\CheckkREScheck~Sham~on.rck Page 3 of 4 Table I : Minimum Insulation Thickness for Circulating Hot Water Pipes I~,.L~lor~ 11~fekn~ ia In~h~ by Pilm SIZ~ Non.Ci~-~bel~g Runouts Clmulatlng Mains and Runoots Heated Wate~ Up to 1" Up to 1.25" 1,5" to 2.0" Over 2" Temperature (°F) 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes InsulMIo~ Thickness in Inofms by Pipe Sizes Fluid Temp. 2" Runouts 1" and Less 1.25' to 2.0" 2.5" to 4" Piping System Types Range(OF) L~W Pressurerremperature 201-250 1.0 1.5 1.5 2,0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0 Bdne Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Project Title: Shamoon Residence Report date: 10/01~9 Data fllename: C:t.c~ogram Files\Check\REScheck~Shamoon.rck Pnge 4 of 4 Watkins Manufacturing Corporation congratulates you on your decision to enjoy the finest spa available... Welcome to the growing family of Hot Spring® spa owners. HotSpring Pori ble Spas OWNER'S MANUAL This Owner's Manual will acquaint you with the operation and genera[ maintenance of your new spa. We suggest that you take some time to carefully review all ten sections. Please keep this manual available for reference. If you have any questions about any aspect of your spa's set-up, operation or maintenance, contact your authorized Hot Spring dealership. They are trained professionals who are familiar with the product as well as new spa ownership concerns. Their expertise will facilitate the enjoyment of your new Hot Spring spa. The serial number label is located within the equipment compartment of your Hot Spring spa. IMPORTANT: Watkins Manufacturing Corporation reserves the fight to change specifications, or design, without notification and without incurring any obligation. DATE PURCHASED: DATE INSTALLED: DEALER: ADDRESS: TELEPHONE: SPA MODEL/SERIAL NUMBER: COVER SERIAL NUMBER: ACCESSORY SERIAL NUMBERS: In most cities and counties, permits will be required for the installation of electhcal circuits or the construction of exterior surfaces (decks and gazebos). In addition, some communities have adopted residential barrier codes 1~ ! which may require fencing and/or self-closing gates on the property to prevent unsupervised access to a pool (or ~t! spa) by children under 5 years of age. Your Hot Spring spa is equipped with a locking cover that meets the ASTM ~1~ ~,~ F1346-91 Standard for Safety Covers and as a result, is usually exempt from most barder requirements. As a ~ general practice, your local Building Department will inform you of any applicable barrier requirements at the time a permit is obtained for the installation of an electrical circuit. Your Hot Spdng dealer can provide information on which permits may be required. 8. Refer to illustration, Step 2. Remove the power cord wires from 5, 7 and GRD (not illustrated). 9. Unscrew the power cord strain relief and remove the power cord from the access hole in the control box. WARNING: Do not allow rers to contact any electronic components inside the control box. Conve~ng from 115 volts to 230 volts changes the vcttage supplied to the heater from 115-volts to 230 volts. The jet pump wi~l continue to operate at 115 volts. Prodigy® (Model H) and Jetsette¢ (Model J J) 230 volt converted models ,~ WARNING! The exact physical location of the terminals on the GFCI breaker will vary between manufacturers. Connecting the hot wire to the neutral terminal will cause irreversible damage to the control box. / - 23OVAC. 50 Amp 2-POLE ~ra* A~ GREEN, GRO~JN[L ~/ -- CIRCUIT BREAKER (NON GFCI) [~]L2 ] ~]L1 L1, HOT, ~.12 AWG SLUE #8 AWG RED, L2 I GRD N, NEUTRAL, iff2 AW(; ~g~TE ~o[~] GROUN0, Il0 A~G GREEN* *AVAILABLE FROM DEALER. NOTE: ALL WIRING SHOULD BE COPPER. 2. Locate the IQ 2020 spe control box. Lecsen the screws on the front of the control box. Remove the screws and the contr°l b°x cover' 3. Route the electficel service from the subpanel into the spa equipment compertment Peeiti°n the conduit in the recess pr°vialed babveen the frame and the dcon NOTE: The subpaeel must be placed in sight of the spa, at a minimum distance of 5 feet away. 4. Connect the supply conduit to the bottom of the IQ 2020 spa control box, using a minimum of 3/4" liquid-tight flex conduit titlings' i, C:?~ {~!;:;, 1. Identify the TB-1 terminal block, located at the lower left-hand comer of the control box. 2. Connect the #12 AWG, BLUE wire from the subpane120 amp breaker, terminal L1 to TB-1 terminal 5. 3. Connect the #12 AWG, WHITE wire from the subpaee120 amp breaker, tarminal N (load neutral) t° TB'I, terminal-7' NOTE: The WHITE neutral wire must be attached to the load neutral on the 115 voit, 20 amp breaker (not the neutral bus bar in the subpanel). The WHITE pigtail (neutral) wire from the 20 amp breaker is already connected to the neutral bus bar. 4. Ceenect the #10 AWG, BLUE wire from the subpane130 amp breaker, terminal LI to TB-1, terminal 2. 5. Connect the #10 AWG, RED wira from the subpane130 amp breaker, termieel L2 to TB-1, terminal 4' ~ ~ ~ VOL/~" OI:~E ~¢ ~ ~x}? GFCt orotected, grounded c mu,t. The tan'n deal,cared, ..... nn~cted to a d~dicated 115 vo~t,?0 a~p; ..... ~m~ ~nafio lights, appliances, garage dmuits, etcj. The spa must uu 7~,:.,:~ · ~:-~ ,.~ ar ~hared for any omer elecm~ ~,,.~ .~- means the elect~t clr~a is not uu~.9 u ....... . ' · ~n~ tr ping" at ~e ma n panel. This ~uires fr~uent .... "~";-~*-d circuit, overloading will result ~n nu_ .~ --~;~,;~, of damaoe or falure of spa equipment. the spa is ....... ~ ..... ectd~t breaker panel aed intr~u~s toe woo,u rese~ ng of the breaker switch at t[t~ .uuo~ ~ . ' ' be ro d wired; that is, itmusthavea20-ampGFCtdrcuit ~NiMUMDiST~CEA~ERSPAINSTAL~TION:~ Thededt~tedc~rcu~tmus~ P-~2AW ortargerwire(thdedingthegr°undwire) breaker in ~e house bma~er pa.~ ..... G and ~e ~"e~ P°tariW through°ut the circu'" ' 's mvid~ on the e~efior suffa~ of the ~ntr~l b°~, thside ~e A ressure w~re ~nnector ~ P _. . ....... ~ ~n inQ wire be~een ~ls point and any s~;. This is to pe~t t~e connecoon o~ ~ 9,~ .... ed , reinfor~ Cncrete pad, pipe, or condu~ within 5 ?et of the meal equipment, endosu?S,. ~. ~,-- ~ .... irements. The ~edtng w~m must be spa (if ne~ed to ~mp¥ with Io~.ou,u].9 ~ .~u at least a ffl0-AWG solid ~pper w~. Bond the spa to all ex~sed me~t equipment or ~ures, handrails, aed ~ncrete pad ~r N.E.C. A~ide 680 and al~ Io~1 c~es. Ali 115 voit Hot Spdng® sp~ m~els ~me equip~d with approximately 15 feet of u~able power ~rd (this is the maximum length altow~ by Unde~fiters ~borato~ aed the National Ele~dC Code). When the spa is ins~l~ed, the ~wer cord will come out of the bosom of the r For our safety when the elect~cian is installing the 20 amp e ui merit ~mpa~ment doo. Y ..... ,~, ~.]~ ~ loser than 5 f~t (1.5 s~g~ ele~d~l oufiet and wate~r~] ~ver, ~ne ouu~, ........ no c meters) and no fa~er than 10 feet from the spa [reference National Ele~cal Code 680-6a(1 aed 680~1a]. - ~' ~-vice is for -our protect on tt is ve~ impo~nt The Ground Fault Circufi Inte~pter (GFCI) is lo.ted at the end of the power ~re. m~s eu ~ ' to prote~ it from rain and other moisture. Test once a month, with the ptu9 ~nne~ed to the ~wer supply, 1. Push~e '%ES~ bu~°n °n ~e GFCI breaker' The spa shoold st°p °peking and ~e GFCI ~wer indi~t°r will g° °ut' 2. Wait3~nds~enp~sh~e~`RES~"bu~n.P~erw~i1~rest~r~t~espaand~eGFC~wer~nd~t~rwi~tum~n. r s a ma have an elect~] malfunction, and you may be ~sking electd~l shock. Turn off ..~ ~c~ ~ ~ ~n o~mta n this manner, you p Y -H~d by an authorized sewi~ agent. WARNING: Removal of the GFCI from the spa's power ~rd will result in an unsafe spa and IMPORTANT: Should you ever find the ne~ to move or relo~te your Hot Spring® spa, it is essen~al ~at you undemtand and app¥ these installation requirements. Your Hot Sp~ng spa has ~en ~re~ty engineer~ to provide maximum safe~ against ete~c shock. Remember, ~nne~ng the spa to an imp~periY wir~ circuit will n~ate many of its safety features NOTE: Long wiring runs may require larger-gauge wire than stated. We recommend using a maximum 3% voltage drop when calculating w~re gauge requirements, Refer to the following instructions to convert a 115 volt spa to a 230 volt spa. NOTE: Converting the spa to 230 voit operation should only be done by an authorized service agent or a qualified electridan. Required Part: A Subpanel (230 voit Convertable). 1. Disconnect the p°wer cord frem the h°use receptacle' 2. Open the equipment compar[rnent door. 3. Remove the screws on the front of the JQ 2020® spa control box. 4, Open the control box cover. 5. identify TB_i, located in the lower lef[-hand corner inside the c°ntr°l pax' 6. Refer to iJiustretion, Step 1. Remove the 2 pin jumper attached t° terminals 4 and 5' 7. Refer to illustration, Step 1. Remove the wire jumper from terminals 2' and 6' A. Smart Jet® system lever B. JetStream®jet Comfort Control® system Fever C, Precision~ jets Comfort Control system lever D. Hydromassage jet with directional nozzle E. Hydromassage jet with rotary nozzle F. Precision jets G. Soothing Seven®jets H. JetStream jet I. Heater retum and spa drain J, Light lens K. Filter compartment L. Main control panel M. Auxiliary control panel N, Cup holdefl Speaker cap 1. Wavemaster® jet pump 2. No-Fault® heater 3. Silent FIo® 5000 circulation pump 4. IQ 2020® control box 5. Ozone injector 6. Main drain valve 7. Secondary drain A. Smart Jet® system lever B. Moto-Massage® jet Comfort Control system lever C, Precision® jets Comfort Control® system lever D. Pillow E, Hydromassage jet with directional nozzle F Hydromassage jet with rotary nozzle G. Moro-Massage DX jet H. Precision jets I. JetStream®jet J. Heater retum and spa drain K. Light lens L. Cup holder/Speaker cap M. Filter compartment N. Main control panel O. Auxiliary control panel P. Cup holder Q. Water Feature R. Water Feature lever ® 0 1. Wavemaster~ jet pump 2. No-Faul¢ heater 3. Silent FIo 5000® circulation pump 4. IQ 2020® control box ©® 5. Ozone injector 6. Main drain valve 7. Secondary drain 8. Bonding terminal Leveling Points NOTE: All dimensions are approximate; measure your spa before making critical design or pathway decisions. 74" (188.0 cra) ~15" (38.1 cm)- ~15" (38.1 cm)~ ~ · ~<~o~o~,° · 703/4 (1787 cml Door Side · 10 leveling points (place shims approx. 15" in from edge, then center middle shims). L ¥ li j P i t$ NOTE: All dimensions are approximate; measure your spa before making critical design or pathway decisions. 38" (96.5 cra) 38" (96.5 cm) 80" (203.2 cm) Door Side · 15 leveling points (place shims approx. 18" in from edge, then center middle shims). BEARING CAPACITY (tons): PILE TYPE: Treated Timber PILE DIAMETER iN INCHES~: TIP 8 2/3 up HAMMER DATA: MAKE/MODEL MKT9B3 15+ t0 SOIL MECHANICS DRILLING CORP. 3770 MERRICK ROAD SEAFORD, NY 11783 (P) 516-221-2333 (F) 516-679-4373 CLIENT: .Terr,/Construction PROJECT NO.: 10-387 12 PROJECT ADDRESS: 28 Turtle Cove Drive Southampton, NY ENERGY 8,700 Date Pile # GSEL 06/22/10 1 06/22/t0 2 06/22/10 3 06/22/10 4 06/22/10 5 06/22t10 6 06t22/10 7 06/22tl 0 8 06/22/10 9 06f22/10 10 06/22/10 11 06/22/10 12 06/22/10 13 06/22/10 14 06/22/10 t5 00/22/10 16 06/22tl 0 17 06/22/I 0 18 06/'22/10 19 06/22110 20 06/22/10 21 06/22110 22 Driven 19.00 17_00 17.00 18.00 1700 18.00 17.00 17.00 17.00 17.00 16.00 17.00 16.00 18.00 18.00 16_00 17.00 17.00 17.00 17.00 14.00 17.00 PiJe 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 Blow Count 26 27 27 26 27 34 28 26 32 33 26 30 31 34 29 28 35 32 3~ 31 43 26 Page 1 of 2 Elevation (fi) at Ti -t9.00 -17.00 -17.00 -18.00 -17.00 -18.00 -17.00 -17.0O -1700 -17,00 -16.0O -17.00 -18.0O -18.00 -1800 -16.00 -17.00 -17.00 -17_00 -17.00 -14.00 -17.00 TTCO 19.00 17.00 17.00 18.00 17.00 18.00 17.00 17.00 17.00 17.00 16.00 17.00 18.00 18.00 18.00 16.00 17.00 17.00 17_00 17.00 14.00 17.00 Comments BEARING CAPACITY (tons): I5+ PILE TYPE: Treated Timber PILE DIAMETER IN INCHES~: TiP 8 2/3 up SOIL MECHANICS DRILLING CORP. 3770 MERRICK ROAD SEAFORD, NY 11783 (P) 516-221-2333 (F) 516-679-4373 HAMMER DATA: MAKE/MODEL MKTgB3 Date 06/22/10 06122/10 06122110 06/22/I 0 10 C.O. 12 ENERGY 8,700 Driven Pile ~ Ler~gth (ft) 18.00 25.00 16.00 25_0"-'------6-- 8.o o 18.00 25.00 446.00 650.00 Coun._____Lt 25 27 32 30 Elevation (ft at TiL -18.00 -16.00 -18.00 -18.00 -446.00 CLIENT:. Terry Construc~on PROJECT NO.: t0-387 PROJECT ADDRESS: 28 Turtle Cove Drive Southampton, NY TTCO 18.00 __ 18.00 18.00 446.00 Comments Page 2 of 2 ISOtL MECHANICS DRILLING CORPORATION 3770 MERRICK RO,A.O - SEAFORD, L J, NEW YORK- (516) 221-2333 __ SHAMOON RESIDENCE- KREH ROAD F PILE ID PLAN / MATI3TUCK. NEW YORK FCA~: 1~10'-~ J DATE: JULY 15, 2010 ~oB NO. 10-,387 SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. lAX No. 1000-122-09-7.20 SCALE 1 "=30' JULY 24, 2004 JUNE 5, 2005 ADDED TOPOGRAPHICAL SURVEY SEPTEMBER 21, 2005 ADDED SITE pLAN NOVEMBER 29, 2005 REVISED AS PER N,Y.D,E,C. NOTICE OF INCDMpLETION JANU~qY 15. 2006 ADDED PROPOSED WAI~R LINE MARCH 21 2006 SEq' LADq FOR SITE INSPECTION MARCH 50, 2006 F~EMOVED RET, WALL ALONG DRIVEWAy ~c GARAGE APRIL 10 2006 REVISED PROPOSED DECK · POOL JUNE 7 2006 REVISED ORYWEIA~ PER NYSDEC NOT[CE DATED 5/25/06 OCTOBER 26, 2006 LOCATE WETLAND FLAGS A-4A ~ B-SD J~NUARY 15, 2007 SET lATH FOR SITE INSPECTION MARCH 5, 2007 REVISED PROPOSED HOUSE &: SET LATH FOR SiTE INSPECTION JULY 12, 2007 REVISED AS PER SUFFOLK ENVIRONMENTAL CONSULTING, INC. LETCFR 05/14/07 AREA -- 40,816.90 sq. ff. 0,957 ac. CERTIFIED TO: DAVID SHAMOON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK HOUSE PROPOSED SEPTIC SYSTEM DETAIL I~B' '1 -- I'1 ,?t ''1 KNAU $ ROAD CROSS-SECTION OF PROPOSED CONC. RETAINING WALL FOR SEPTIC SYSTEM WALL SEPTIC TANK (13 LEACHING POOLS (6% NOTES: 1, ELEVATIONS ARE REFERENCED TO N.G.V.D, 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: ~ EXISTING CONTOUR LINES ARE SHOWN THUS: ....... 5 2. AREA OF WETLANDS = 762 sq. ff. UPLAND ADJACENT AREA = 40,055 sq. ft. 3. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8) FLOOD INSURANCE RATE MAP No, 3610SC0482 G ZONE AR: BASE FL0OD ELEVATIONS DETERMINED 4. SEPTIC SYSTEM STRUCTURES SHOWN THUS: PROPOSED EXPANSION POOL PROPOSED LEACHING POOL PROPOSED SEPTIC TANK PROPOSED S' DIA. 2" DEEP DRYWELL 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD ~' OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 6. APPROXIMATELY 400 cu. yds. OF CLEAN FILL TRUCKED IN FROM AN UPLAND SOURCE SHALL BE NEEDED. APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE / ,~ / / / / / / / S 84'50'50" W 130.00' LOT COVERAGE DATA DESCRIPTION AREA % LOT COVERAGE PROPOSED HOUSE 1,210 sq, fl, S.o~ PROPOSED DECK 490 sq. ff. 1.2% TOTAL 1,700 sq, ff. 4.2% TEST HOLE DATA (TEST HOLE DUG DY McOONALD CEOSCIENCE ON MAY 11, 2005 AT 12:00pm) 23' THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. N.Y.S. Lic. No. 50467 Land Surveyor PHONE (651)727-2090 Fax (631)727-1727 ~4-~44M SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 SCALE 1"=$0' JULY 24, 2004 JUNE 5, 2005 ADDED TOPOGRAPHICAL SURVEY SEPTEMBER 21, 2005 ADDED SITE PLaN NOVEMBER 29, 2005 REVISED ~S PER NY D,E.C. NOTICE O? INCOMPLETION AREA = 40,816.90 sq. ff. CERTIF£ED TO: DAVID SHAMOON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK PROPOSED SEPTIC SYSTEM DETAIL 7,1' ROAD CROSS-SECTiON MJN. OF PROPOSED CONC. RETAINING SEFTIC SYSTEM WALL WALL FOR NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D, 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: ~ EXISTING CONTOUR LINES ARE SHOWN THUS: ...... 2. AREA Of WETLANDS = 762 sq. ft. UPLAND ADJACENT AREA = 40,055 sq. ff. S. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8) FLOOD INSURANCE RATE MAP No. $6105C0482 G ZONE AE, SASE FLOOD ELEVATIONS DETERMINED 4. SEPTIC SYSTEM STRUCTURES SHOWN THUS: ~ EXPANSION POOL PROPOSED O PROPOSED LEACHING POOL (~ PROPOSED SEPTIC TANK SUEFOLK COUNTY DEPARTIVI~kq' OF I-~ALTH SERVICES PEP,MIT FOR APPt~OVAL OF CONSTRUC~ON FOR A 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD Z~O' OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS ~,~-~ 6. APPROXIMATELY 400 cu. yds. OF CLEAN PILL TRUCKE~ IN FROM ,~ ~ AN UPLAND SOURCE SHALL RE NEEDED (~)~'~ ~o,/ \ P.E. OR R.A. C tNgTALLA'r[o~ U.~ FORM WWM-0/73. / / ~ 5~j INSPECTION R · ~?~v~4vl~° / / W / / / z~ / 1SO,O0' S 84'50'50" LOT COVEI~GE DATA (OVER UPLAND ADJACENT AREA 40,045 sJ fL) DESCRIPTION AREA % LOT COVERA6 PROPOSED HOUSE 1.210 sq. ft. 5.0~ PROPOSED DECK 490 sq. ff. 1.2% TOTAL 1,700 sq. fi. 4.2~ TEST HOLE DATA 23' THE £XISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD. IF ANY, NOT SHOWN ARE NOT GUARANTEED· N.Y.S. Lic, No. 50467 Nathan Taft Corw n III Land Surveyor PHONE (651)727-2090 Fax (631)727-1727 ~4-~44N' ROAD SURVEY OF PROPERTY S~TUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 SCALE 1"=$0' JULY 24, 2004 JUNE 3, 2005 ADDED TOPOGRAPHICAL SURV~' SEPTEMBER 21, 2O05 ABDED SITE pLAN AREA = 40,816.90 sq. ft 0.957 cc, NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: EXISTING CONTOUR LINES ARE SHOWN THUS: 2. AREA OF WETLANDS = 762 sq. ff. UPLAND ADJACENT AREA = A0,055 sq. ff. 3, THiS PROPERTY iS IN FLOOD ZONE AE (EL. 8) FLOOD INSURANCE RATE MAP No. 36105C0482 O ZONE AE, BASE FLOOD ELEVATIONS DETERMINED ? BOUNDARY AS SOUTNOLD TOWN TRUSTEES ' 2~6z~4~o xxX / ,.. / // // / / / / / / / // TEST HOLE DATA (TEST HOLE DUG ~Y McDONALD GEO$CIENCE ON MAY 11, 2005 AT 12,00pm) THE EXtSTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. L[c No. 50487 Nathan Taft Corwin III Land Surveyor PHONE (651)727-2090 Fox (631)727-1727 30-1268 SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF $OUTHOLD SUFFOLK GOUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 SCALE 1"='~0' JULY 24, 2004 AREA = 40,817 sq. ff. 0.937 ac. NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM KRAUS ROAD SEPTIC SYSTEM TIE MEASUREMENTS ~ HOUSE HOUSE CORNER [~ CORNERr~ SEPTIC TANK COVER 1 70' 57' LEACHING POOL COVER 2 93' 48' LEACHING POOL COVER S 79' 42' LEACHING POOL COVER 4 77' 38' LEACHING POOL COVER 5 85" 46' LEACHING POOL COVER 6 92' 56' LEACHING POOL COVER 7 83' 50' BOUNDARY AS SOUTHOLD TOWN TRUSTEES S 84' 50'50" W 1:50.00' TEST HOLE DATA 23' THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. .... No. 50467 Nathan Taft Corwln III Land Surveyor PHONE (631)727-2090 Fax {631)727-1727 30-1~]6l 41; ~' 8:0' 0 t ,B:8' I.RL 0" © © ~¢"z/¢ 4¥ "=I"~o'. I 1 % Sle~.,pin~ ,% D~k~ ,440 · Wall e~nstru~lOn · Roof construction 11.1 Ground snow load- ' "''~ l~Omnb ~-- 45# Wind r~ a~qm~ C ' W~I ~ . ~ ;Slight tO moderate Wmm' d~ temp, 1 IH ~r, ceiling Job. and gi~e~ to be Dougl. Fir, ~ ~ ~ ~ CDX N" minimum ~ ,~ ~ ~gifl~ t~mber shaft b~ ~ ~ ~ 27. ~ ~m ~b~ ~ ~ . ~ ,..~ . . [ ~ ~ ~m ] ~ ............. .~ ~ ~M~t. tm ~ - E~ I , d~hia~mi'~ · , ~ ¢----,.~---..--~-,~--~'~, ,, · ~ I~l~[m ~ ~' ,l~i''' ' ' " I I ~~, ~ /~l :IW~. _ - ~* ~,~'~,~""~"~ . ~ , ~-~;~.,;, . ~-~ ~~~i ~-~ ~ ' .-...-~',.J .~L.'~;._~...~ ~..~-- ,. -- -, '.- .-' I ~.--) I.. ,~ ~ ....... ~~ r~_.~ ~ -._ I_--~--, _ f . vii Z '~.~Z-~.~ ~l,I t ' ' I-'~ I , -., : , ,,. /~ ~ 'lP-~ ,,[: ~ ..... · - ~ I ~' ~ d ;~?~ ~ -- . ~' ~..~ ..... ~ , ; * / ' k ' ~-- . ,- ' - . ~ ~:' - ' ' ~- ~=- ~~,~,,. ,, ~SE~ T~ ~; t lit t 0 0 7[ PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERT/FICATE OF OCCUPANCY SOLDER USED !NWA TER PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING EXCEED 2/IO OF I% LEAD. COMPLY WITH CHAPTER "46" ~LOOO OAUA~ ".EW.T~ON ~ SOUTNOLD TOWN CODE. OCCUPANCY OR ' ' USE IS UNLAWFUL ~~ff~,~,~~~ WITHOUT CERTIFICATE COMPLY'WITH ALL CODE~ OF ~ " NEW YORK"STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF SO,HOLD TOWN ZBA ~/~OUTHOLD TOWN ?L~NNiNG BOARD OLFROLD TOWN TRUSTEES ...... ~"~N,Y,S, DEC ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STAN'E. UNDERWRITERS CERTIFICA][ REQUIRED DO NOT PROCEED WITB FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. RETAIN STORM WATER RUNOFF PURSUANT 'TO 6HAP'TER 2.36 OF THE TOWN CODE. ' '1 - o' II/$'' APPROVED AS NOTED FEE://'-~' r~ BY' NOTIFY BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O ALL CONSTRUCTION SHALL MEET THE iE('~U,tf ~ENTS OF THE CODES OF NEW YORI~ r~TE..-NO-T-BE'~-ONSIBLE FOR DESIG~ (~R CONSTRUCTION ERRORS. 7'Z/zv / u'~ ',,lq.Z~~_ 11' T ~---~---- ~.0 TV~.TL:' :nv': ~ , '~7 ~. ~1. ~ , t ! ! _s/m?s o4/~ 7'> "':,, ,.~' 'T /"7; ~" ./ · Rooms o~her thin sleepl~$ dO pf · , SheplnI Rooms ~0 · Decks dO · Attica with Stortle Z0 Dead toads: · Moor construction 10,7 pst · W~ constru~on 9.~ · Roofcomtructton. 11,3 Snow load: 44~ par Seismic d#lp] cotqory byDot(* Woatherin! Fro# line depth ToneR. Winhtr dmip amp, ~o d~dd unclothe, e~ req. JfffJ Sllsht W i~or,~bslldm aid into Donllu r ,,8';s uA. ut on nlm biodd[q ~fd nd uabd, d~t #uK~rs to b Z max or bf~ ~ AH hsteaor, IMed bdow are th he h(~t dippd Idvuiud, A~ pco- enid lumber shall b Juetlbd ptr mufm