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HomeMy WebLinkAbout37625-Z Town of Southold Annex 9/18/2013 P.O. Box 1179 ~e 54375 Main Road ~ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36512 Date: 9/] 8/2013 THIS CERTIFIES that the building ALTERATION Location of Property: 3360 Minnehaha Blvd, Southold, SCTM 473889 Sec/Block/I,ot: 87.-3-66.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofiiced dated 10/25/2012 pursuant to which Building Permit No. 37625 dated 11/9/2012 was issued, and conforms to alt of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: alterations/repairs to an existine one family dwelling as applied for The certificate is issued to McCoyd, Sean &McCoyd, Jennifer (OWNER) of [he aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37625 9/3/13 PLUMBERS CERTIFICATION DATED 9/12/12 Cutchogue East Plumbing oriz~ Signat re TOWN OF SOUTHOLD W~~ B1,11LDING DEPARTMENT ` TOWN CLERK'S OFFICE * ~~,9 SOUTHOLD, NY ~,,,~„mm BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37625 Date: 11/9/2012 Permission is hereby granted to: McCoyd, Sean &McCoyd, Jennifer 85 Kenwood Rd Garden City, NY 11530 To: alterations/Repairs to a Single Family Dwelling; Kitchen, Bath (Water Damage, Rot 8~ Mold), as applied for. 3/15/13 -Permit amended to include rasing of the house, new foundation, and reconstruction of an existing attached garage as per Trustee approval. C[~lh'13 I~rn~.d.~~ A(an5 ~o r~i~ ~,ati~ c,~,r~i~ At premises located at: 3360 Minnehaha Blvd, Southold SCTM # 473889 Sec/Block/Lot # 87.-3-66.4 Pursuant to application dated 10/25/2012. and approved by the Building Inspector. To expire on 5/11/2014. Fees: CO -ALTERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $276.40 AME T TO PERMIT $242.81 loo it $100.00 To $669.21 i - - - - Buildin In ector . , . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 't'+ SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37625 Date: 11/9/2012 Permission is hereby granted to: McCoyd, Sean &McCoyd, Jennifer _ _ _ _ 85 Kenwood Rd Garden City, NY 11530 To: Repairs to a Single Family Dwelling; Kitchen, Bath (Water Damage, Rot & Mold), as applied for. At premises located at: 3360 Minnehaha Blvd, Southold SCTM # 473889 Sec/Block/Lot # 87.-3-66.4 Pursuant to application dated 10/25/2012 and approved by the Building Inspector. To expire on 5/11/2014. Fees: CO -ALTERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $276.40 Total: $326.40 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 _ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I . 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 [he applicant. C. Fees ~Z'ertificate of Occu anc -New dwelling $50.00, Additions to dwellin $50.00, Alterations to dwelling $50.00, wnnmmg pool $50.00, Accessory building $50.00, A drtions [o accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. [ O' Z5 ~ ~ Z New Construction: Old or Pre-existing Building: ~ (check on~7e) , A Location of Property: 331oO K'1't`^2-~e.~ Q~ ~Q • Se~^,~,0 ~~JC l (~Q7 ) House No. ~t Street Hamlet Owner or Owners of Property: aQtw~ C~`~ ~ 'E- ,~Q~ N ~ ~ ~~y~~ Suffolk County Tax Map No 1000, Section ~ 7 Block 3 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature ~o~~pf SO!/Tyolo Town Hall Annex yy yy Telephone (631) 765-1802 54375 Main Road T T Fax (631) 765-9502 P.o. sox I t79 roger.richert(~town.southold.nv.us Southold, NY 1 1 97 1-0959 ~ o1~00UNT1 N~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Sean McCoyd Address: 3360 Minnehaha Blvd City: Southold St: NY Zip: 11971 Building Permit 37625 Section: $7 Block: 3 Lot: 66.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Safe Way Elec License No: 5160-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic X Garage X INVENTORY Service 1 ph Heat Duplec Recpt 40 Ceiling Fixtures 6 HID Fixtures Service 3 ph Hot Water GFCI Recpt 8 Wall Fixtures 10 Smoke Detectors 3 Main Panel A/C Condenser 1 Single Recpt Recessed Fixures 20 CO Detectors Sub Panel A/C Blower 1 Range Recpt 40a Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 38 Twist Lock Exit Fixtures TVSS other Eguipment: 1-combination smoke/co detector, 3-exhaust fans, 4-paddle fans, 6-ARC fault circuit breakers Notes: Inspector Signature: ~r.>y,ct_ L~ y~ Date: Sept 3 2013 81-Cert Electrical Compliance Fonn.xls ~OF SO(/ry °~o Town Stall Mnex ~ ~ Telephone (b31y755-1802 54375 Main Road Fax (631).765-9502 P.O. Box 1179 - G ~Q Southold New York 11971-0959 ~ BUILDING bF:PARTMENT TOWN OF gOUTHOLD CERTIFICATIQN Date: l l ~Z \ ~3 Building Permit No. S~I~ 2-`(~Y Owner: ~ ~ v ~ (Please print) II I r Plumber: ~c~ ~`~J h'l0 ~ L~~iI'l~f/e fl~-IT l"`G (Please print) ~ q ~ "7_ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. GG (Plumbers Signature) Swom to before mIIe this l ~-`~l dayof~2cv~1, 20~ ^ Notary Public, Su Cotutty CCNNfE o. BUNCH Notary Public. State of New York No.OiBUfi185050 (]u~Gtied in Suffolk Cou Commis:en ~:~af~ices Ap.i! t~~~ 3 ~ ~c%~[,~ 8i,,,s 'r6 TOWN OF SOU BUILDING DEPT. 765.1802 INS ION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] flRE RESISTANT CONSTRUC110N [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMA KS: ~ ~ ~ ~ ~ a dZ- 1~ r' ~o~ - Gam, ~p ~ ~lc~'„~5 ~i 11 ~c-~~ DATE INSPECTOR ~O ~ ~ ~ o~~,OF SWty~ +IF®# TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPEC ION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION [ FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: `~~k~?~ ~~1 1 % d ~ ~ c,~ DATE L INSPECTOR O~~,OF SO4Ty~ f TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]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: DATE 7 ~ INSPECTOR i 37 ~ z~~ o~~oFSO~,~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROU LBG. [ ]FOUNDATION 2ND [ ' SULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: `7 C ~~~c,~ DATE INSPECTOR - / o~.~Of SO(~r~ ~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]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: ~ - a(< DATE ~ INSPECTOR 3 ? ~ ~o~"oeso~ryo6 TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ATION ( ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) MARKS: c~ DATE ~Y INSPECTOR \ ~ _ 3~ ~Z~~ .~~oFSO~,~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUG -PLBG. [ ]FOUNDATION 2ND [ ] ULATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: r DATE ~ INSPECTOR ' • cog V . x~ v~ vA~°r~ cl~ . p ~p^~oPj CND) 4 • ~ Gov ~ K ~is'[IL~'`~~ CoA~ STA'~ ti ' L t 1 ~ ~ TS p ~ Iir~ ~ , G ~ b~ n ~ ~ ~ r 3 -~C ` ~ ~ ~ ' o - TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOLITHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 / Planning Board approval FAX: (631) 765-9502 3 7~ ~S Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined i 9 , 20~ Single & Separate Storm-Water Assessment Form Contact: ~j2c,~,~ Mc-Z:,}icQ Approved I ~ - ~ ~ , 20 ~ °Z Mail to: 3?(0 K ~'"~,,ctt~a.~r- QGc Expiration S ~ ~ , 20 ~T Y~~//(yA , ~ D Ih lf, 1~ II° Building Inspector D Q~ g 5 ~ ~ PPLICATION FOR BUILDING PERMIT Date / O ~ ZS 20~ tit~~c o~~l. > m~a-~~~. r,r ~n~nN~to INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced befa'e issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. £ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been canpleted within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the TBwn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions. or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ ~ p / c - ~~~7y`E-~N (Sig`nature of applicant or name, if apcorporation) (Mailing address of applicant) Sa>ft,~ fce N Y l c 5' -i r State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises S' 1 ` n~ ~y~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 33~~ ?t,w~l,t~ ~I.bP soy-fti..o~al N`( Il5'`7 House Number Street Hamlet County Tax Map No. 1000 Section $1 Block 3 Lot , Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 2es~~-~-,~ \ b. Intended use and occupancy 1~-s~c~'~'.~~ 3. Nature of work (check which applicable): New Building Addition -Alteration RepairRemoval Demolition Other Work (Description) 4. Estimated Cost ~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor_ If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N(A 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories l _ Dimensions of same structure with alterations or additions: Front 28 ~ s r{~ Rear Z9 • 7 ~l- Depth 'Z3 • f Height Icl Feat- Number of Stories t~clT3 8. Dimensions of entire new construction: Front Urn e~ Ream _0 Depth ~9~,.~ ~.R Height u~oC~~ Number of Stories r ~ n____Q 9. Size of lot: Front y9 • ~ Rear (2-S ~L Depth 12~ 10. Date of Purchase 7 (10 ~ IZ~ Name of Former Owner S{-~~aa~ 11. Zone or use district in which premises are situated l0 ~o 'pi34~t4c. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ? 13. Will lot be re-graded? YES NO r/Will excess fill be removed from premises? YES NO ~ 14. Names of Owner of premises N~Coyo~ Address 33(0o k„~•a.l..~h~ &,t('hone No. (SI b~~`t o - ~ 1 S~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES. SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) IL - ~ beine duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) a ove named, CONNIE D. BUNCH Notery Public, Mate of New York No. Ot BU8185050 (S)He IS the C1unlNiarl in Suffolk Gounty _ (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14, 2L7 b of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ day of ©C~` 20~ Notary Public ~ Signature of Applicant , BOARD OF SOUTHOLD TOWN TRUSTEES SOUTIiOLD, NEW YORK PERMIT N0.8059 DATE: FEBRUARY 20.2013 ISSUED TO: SEAN MGCOYD PROPERTY ADDRESS: 3360 MINNEHAHA BLVD.. SOUTHOLD SCTM# 87-3-66.4 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Boazd of Trustees adopted at the meeting held on February 20.2013, and in consideration of application fee in the sum of $250.00 paid by Jennifer & Sean McCovd or authorized waiver of Town Board and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to elevate the existing single-family dwelling and garage I % (1,360sq.ft.f) and deposit/grade clean fill (115 cubic yards f) thereon; the dwelling is proposed to be elevated to 9.0' and the garage is proposed to be elevated to 8.0'; with the condition to install gutters to leaders to drywells; and the use of haybales with silt fencing 15' landward of retaining wall; and as depicted on the site plan prepared by Joseph Fischetti, P.E., last dated on January 21, 2013 and stamped approved on March y 12, 2013; and as also depicted on the survey prepared by John T. Metzger, Land Surveyor, last dated February 21, 2013 and stamp approved on March 12, 2013. 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. ~gUffQlfic 50 ~i~~ l~ ~ o~~- v~- ~C~ ~.Ns ~-ee s `ro (-y-~,,,,, sue-.-, McC~~Q F~~~ 3at~a ~,~,ti~l,~t~.B1~f l ~ a./~ G'-c=-~~ roc 0.~-~e.!• ~•e c.~ i J t~ m ~ p~ 2 ~E~ ~ 2S~-( Ccn,-~'~r~~~~ ?t~L J G-- -~q / Y'~+ ~ 5[~~/ w~ ~-/T ~A.~~ 9r- a~~ I ` '~O ~c7 1 ` ~1~n,~~C... a'~-G- .lC l~ l 1 J~-~C~y,~6 -~+A~-- 1 t~ S 1~ ceXe t,~,~ Cett 57~- 9~5~ ~-1~-13 o ~~~a~~ ~ ~ ~ ~ SEP 1 1 2013 C.~ sou down i oa'~ w o r-l ~"°~t°~ Town of Southold -Chapter 236 - Stormwater Management ;yu SWPPP -Storm Water Pollution Prevention Plan Assessment Form GENERAI. INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT NAME: Owner •Agant-ConeWMnt-Contractor err ONa (tarok Oro) Property OWNER: I%DI%amM then ApplleeM) ' Address: „ ,/7~ r1 ddrasa: YtMtn~ .li •f7~ ' ro ~ ~ _ ~ Fu p: eMphoro is Faxik E-Ma : ~dYt - o4 Q~j~ E-Matl: S Propery Addmsa: I"t min ~G Q ctrX Bxie(1)exription of Conewcaon AcRvity, ~P~ Stn¢twal BMPa, Soil , Stabalintion BMPs, ProjeU Scope andlor Sequence of Cpnstruction Activity 5.4.T.M. M: 1000 IPrerNe Medmo PaaeamwMrat ebhkl Npbn kd bl Nana or COn4:0or anNar Contact Parson Rw robb brlmpkmmmaon M9VIPPP: ' ~l l`C ' Addrss: 3 ~ l t t TaNplroro as 1F i, E -Mril: N^ ` Nems M Psrsana RsaponslMa la InstMlelbn 8 Nsinhnance or Eroelan Conbol Practke: I I ddrxa:~~~ V I r E-Mail: ~ I TMaI Area M N Trial Area M land Clearing Protect Paceh: mtller Ground Dhhnbarre'. ($F.IMaM) (4 f IAmul Proied Duration: Srart EM (MddPa1W) Date: Date: twme«ac.ond.rogy Wlll this Project Disturbs Nve (5) or More Acres at _ Any One Time DurMg the Proposed DavelopmaM2 Yes No /YES: PleaseArowa tM Feaowi,tgl e. Dom the Appllcant have a Qualified Mlspl>dw On Q Q Sfe%To Conduct the Required Irepeclions ? Yes No r b. Does the SWPPP Indicate How FfegDently the Sile ~ ~ Det the NAMES or desuiptlon or all Pofanlhlly Impacted Watarbodka andbr Wetlands: Inspections will Occur and for What Perbtl of Time? Yee No c. Does the SWPPP Adequately Mentify All Temporary ~ _ andlor Permanent Soll Stebalizatlon Measures ? Yes No d. Does the SWPPP Adequately ldentifya Complete Q~ ~ I'~ Project Phasing Plan ? Yes No sows or tmPaeaa wanroody: Ns~ TMOL, 9osldl Lisard.ImpalM..,) II e. Does the SWPPP Intlicate AddRlonal Site Specific Q Predlce5 that WIII be UNlizetl to Protect Water Duality? Yes No f. Has the Applicant Submitted a Completed DEC Notice TypeM Ynpeetad Wauroad ~ (~~GI~k,~~NPpod. sound FraehwatarwMmM_) Of Intent and SWPPP Acceptance Form for Review C] Q Notary Public, t:Fl by the Town of soDtnoid a Yes No State of NeW_York. . _ _ _ it S7'A"I'F. OF NFW YORK, ua ed In Suffolk County COUNTY OF SS Commission Expires April 14, 2 C7/.6 r n U r ~Q r That I, ~er11:'.:\....1`a....l..`.~:."" ~~1..7......... tieing duly sworn, deposes and says rite[ he/she is the applicant for Permi[, (Name of intlhidwl algning Dowmen j. And that he/she is the O,wier, ontraitor, Agent, Corporate OMCer, etc.) Owner and/or representative of the Owner or Ovmen, and is duly authorized to perform or have petfomred the said work and to ~i,. make and file this application; that all statements conhained in this application aze true to the best of his knowledge and belief and that the work will be per[otTrred in the manner set forth u~ the application filed herewith. Sworn to before this, _(l S lI^ n i --.........t~.S daV ot\_.l./. ~hr`-7"~~ L..... , 20.~~ .......M.~. Notay Pubtic: / ~ ~ i (SignaWre of Apptlcan0 SWPPP Assessment FORM: D3-12 ~ f~ ~ Town Half Annex ~ J~f Tel~erpahxone ()637q~7.y65~18~2 54275 Maio Road v+ ~ roast ilbtterf(C~[~YI n ~SOUV1~.nW.U& P.O.Bosi179 Soudrold, NY 11971-0959 /yy~,.~ ~w(`~' . "vYfll>•~" BUIIDII36 DEPAR1~fEN7' z~owrf os sov~rxorn APPLICATION FOR ELECTRICAL INSPECTION REGtUES`[ED BY: Date: Company Name: Name: Lioense No.: Address: - Phone No.: JOBSITE INFORMATION: ('`Indicates required information) `Name: 5~..~ F1C. `L,~y~~ - Address: -79~~a....~t-~~n C~ (vaQ `Cross Street: ~wc~: 5sG` 'Phone No.: (Sl ~~(.a 9 ( Permit No.: ~ > ~ Tax Map District: 1000 Section: Block: 3 Lot: Cad, *BR(EF DESCRIPTION OF WORK (Please Print Clearly) (L~ ~1~-e e,,c,~ ,re.~,~.~~_ lc `~r,E~ e~ (3c.~-h(. ,T a~.~Q_ °^c a ~ ...cg.Q .a,,,,~~ .p {Please Circle Ail That Apply) . *is job ready for inspection: YES / NO Rough In Ftnat *po you need a Temp Certificate: YES / NO Tela~tp Information (If~ needed) ' *$gryi~@ Size; 1 Phase 3Ptlase 100 150 200 300 350 400 Other "New Service: Re-connect Underground Number of Meters Change of Senricz Overhead Additional Information: PAYMENT ©UE WITH APPLICATION la-~ ~ ~ ~t~ ("~0~n~-5~ 1~- 82-Request for Inspection Foan ~ ' " T.O.S. "SWPPP" Preparation ~ Chapter 236 FcrOeperbnentuseonly: - Storm Water Pollution Prevention Plan S.C.T.M./: Property A<Idfess: '~u ~ Review Checklist Checklist # 1 7°0° or'm~i ~ sea, Lar REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETALLS; ;YES ; NO ; N.A. ; Er~lanallon for NO or N_A, Plan Sh¢et Does the 3NIPPP Ad Uafel Provide for endlor lndleate the Foliowin , , Location (pg.#) 9 ~4 ~ D 1 . D ~ Lcoal.~ _p Stormwater BMPs Deal ne to cordam a Two Inch Raln al On da 0, d; 2 Cormtructlan 9 plan lndlcating Sequence of Proposed Construction AWNtles _ ~ C7'IS~I' H~_'~'•"~ 3 Ge ref _ ~ , ' 'D' , 4 _Orelange SIt6 p1,4tt Drawn to Scale al SIMy (60') feet io the_Inch or larger indicating the_Following: _ a L,o,Fagun tgttlpeau)p9oryQf Property Boundaries ;OiQiC], _ c. All Existing, Nehaal artd/or Man Matle Features on and wahrn 50 of the Properly Boundary i d i0 t . _ _ _ . , d. Test Hole Dale Irrdicatlng Soil Characteristics & Depth to Seasonal Wgh Water Table ~ Q' Q iC] _ . _ a. Contours ItWloatlirg Property Elevations (M,n 2 ) _ C7;O , i , . _ f. gent Oradea Flnlsh Fbor Elevations (or Existing end Proposetl Structures ' [7 Q _ , , r a- g. ~ddai~(On o7WoodedArea6 8 Isolated7rees with a MTmmum Dirtrension of 18 Olzmeter - O Q' h..SogC'oiiservalfenbfefnaSodSurv-: ,Q~,Q, O Q, 5. Beckgreund httormagon about the Scope of the Proe_t, Location 8 Description of the Site, O iO i _ Proposed Chertfyss to die Slte and All Existing Development on the s@e InGudmg, the Following. , t b:../lII~CODreY4°1lUls lricl4ldi°9 Total Area_pf Land Dislurbartpa d Total $Ile Ar4a _ - . O QO; _ . b. All Excavator, Filling, Shipping 3 Grading Proposed and klentified as to depth, Volume ; O;Q' 0' 8 Naturepf-~I,gterl}Ue InYOlvetl: ~ _ _ __c._l411Areasfjggy4ingClearingand/or Grubbing; _.___..___..iDiQ(Q d. All Areas Where Topsoil Is to be Removetl ,Stockpiled end wnere Topsoil will ultimately ~ Q,Q i Q,' _be plan-arhi___ _ , e. All Tamp°rerx& Perm_,anent Vagetatlon io be Placed on Slle, ~ 0 O i O - _ f. All Temporary$PermaneM Storm Wafer Runoff BMP Control Measures Proposed; ,D,Q,O` g. Mt°gra _ f'arem of Surace Drainage Dudng.Penods of Peak Runoff, ,C]i~ iDi. ~ _ _ h. "I'tre Laatlon o~ellltoe0s,brlveways, Sidewalks, Patina Structures, Uhhhes 8 Other _ ~lfnprovemep(R fncftid(hg Temporary Access 8 ConshuGbn Staging Areas, . _ _ - : Q i Q ~ 0, _ _ _ _ _ _ _ f. ~-7fia Exlstfrgl$Ftilal~onFours and or Spot Eievatfons o/the site.- ~ . _ - ) Q ~ 0 ~ 0 - ~ - - (i. ASdtedule oftlts puence forthe Installation of Ali Plennad Soil Erosion Sedimentation , 8 3tOrmwater Runoff ConWl Measures. ' Q d O' 7 Degcription ofpgUutlon_Prevenhon Measures that wail be Implemented _ ,,;OiQiC]„_ 6. A Daccriplbn of trs Minimum Erasion & Sediment Control Practtcea b be Instatted andtor i Q ; 0 i 0 _ Itn~emeMed for Fje_d_r Construction AchvitY That will result in 3011 Disturbance. _ ~ l ~ 9._Dggadption o'/CogsWction&Waste matedals Expected t°_be Stored OnSlte _~.,~Q;C]r]r._ ~ _ eMporery & PermeneM Soil Stabilization Plan that meets the Cuvent Versiwi of the ' NeW York Stets 80orm Water Desi n Manual Technical Standard i Q+Q i~ 9_____..__ .__1 ~ _ 11,_GenerelSltoF'IsttandConstrugfonDrawingsfortheProject:____.-____ 'Q'Di0' _ _ _ 12. _ DlmensWnsiMakAY 8gedreations 8 Installation Details for Al Eoson & Sediment Control Practices_ ~ Q i O;Q ~ ~ _ _ _ 13 Temporary_P_wcltass dtatvrid be Cornertt}dbPermanent cordrol Measures. . ,_;QiQi~-]i. 14, Im~lamenteton8 edule for Staging Temporey Erosion Corrtrol Practice or BMP. __-!D;Q'C7 _ . 15 Me1n'toaanrs$dteddefo Ensure Continuous&Effecdve l~eraGon of Erasion& ~ 'DiC]i Q _ Sedknent Coraroi Fradlces. _ ~ ~ , , i6. Names of Poyntlal Surface Waters of the State of New Vark andlor MS4 that may be ~ ( ; 1.7._DeWfeetion of ~B!Water Control Poan Nnelementation ResQonsibilitios for Fachparl oFthe __.iO~Q~Qr _ P ConahuWat Site _ ~ i i 18. All other Existl~Date ttat Desrnbes 3Wrm Water Runoff ardor Natural Drainage Sv_ales__~_~_.~~];Q~Qi. 19. IdeMMc'atbaofAll~Contrector(s)/Sub-Contractor(s) Respadsible for lnslalting, ConsWCting, ,Q,Q iO~ - - n , Ins ctl and Malntaini the Erosion & Sediment Control Practices. ' Storm Wafer Management Control Plan CheeWfet # 7 : 03-12 rnone: has i ~ vwru,soo • FBX: \b:S I) 444-U3bV - Website: www.dec.ny.aav LETTER OF NO JURISDICTION Sean McCoyd February 20, 65 Kenwood Road D ~ ~ ~ ; ~ ~il Garden Ciry, NY 11530 Re: Application #1-4738-04206100001 ~ ~ ?Ob McCoyd Property, 3360 Minnehaha Blvd., Southold SCTM# 1000-87-3-66.4 eior DEPT. TOV->; Of ~OiRHDLD Dear Sirs or Madams: Based on the information you submitted the Department of Environmental Conservation has determined that the existing bulkhead is functional, more than 100 feet in length and was constructed before August 201977. Therefore; the property landward of the bulkhead is beyond Tidal Wetlands Act (Article 25) jurisdiction and no permit is required for work landward of this structure. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional bqundary and your project (i.e. a 15' wide construction area) or erecting a temporary fence, barrier, or hate bay berm. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, Rog Evans Reg nal Permit Administrator cc: Suffolk Environmental Consulting, Inc. BOH-TW File r ~ ~ ~ • ilifp47"H T. TARRY I~~ ~ -T 11x11. S ltlyt klam town cLeRx ~ ~ ~ r o nr~.c 112a neasrnnr~ or ~nrti srnnrncs ~ ~C~, ~ f F,. ~ S u,r ~ns.l nin(inlnGl-: OrrIC I(I7 ' ~ Trl ~~hun~_ 1 SIPi 7f,C q (tE C00.US HMl4C614ENT OITICEII 7•{ I FREEDOM OF INfOfiMnTION OFFICER O~F[CC OF TFIE TOWN CLGRK • 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 (Z) new forms to be used under the Flood Damage Prevent. regulations -1 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)J. 6~:i ~i. GIFT _ TOWN OF SOtIniOLD ~~~~~_~~:~i Judi[h T. Terry C/ Sou [hold Town Clerk August 25, 1993 I~ ~ ~ ~ APPLICATION a . PnGF I of a IOIYti ~F SOl1TilOLD FLOODPL.AIN DL~~'GLOPMLNT P~CtMIT AJ'PLIC~AT]ON This Corm is to be G(led out in duplicate. SECTION L• GENERAL PROVISIONS (APPLICANT to read and sigdr 1 1. No work may start until a permit L issued. 2 The permit may be revoked if any Cake statements are made hcrcin- 3. [f rcvokrd, all work must ceaze untJ permit is re-issued. 4. Development shall oot be used or occupied until a Certificate of Compliance is issued. S. The permit will exp've if iio work is commenced within siz months oC issuance. 6. Applicant is hereby informed that other permits may be required to fiilf"df Io~al, state and federal regulatory requirements. 7. Applicant hereby gives cotucnt to the Local Administrator-or his/her representative to make reasonable ' iaspcaions required to verify compliance. B. I, THE APPLICANT, CERTIi,' THAT ALL STATEMENTS HEREIN AND W ATTACHMENT'S TO _ THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE ~ - C S / SECTION 2• PROPOSED DEVEIAPMEN'T (To be comolctcd by APPLICANTF _ NAME _ ADDRESS l'ELEPF-F E APPLICANT -(,S/~l3 (p C~-r kt~~fl`~~33~~ K~n,a.e~.~~.~.,'gl.tP ~f~tA(~L IJYlr4~~ BUILDER ENGINEER PROJECT LOCATION: To avid delay i? processing the nppGcatioq please provide coou¢h inform atioo to easily identify the project loettio¢. Provide the svicet address, lot ?urnbcr or Icgal description (attach) and, outside urban areas, lbe distance to the nearest intersecting road or wctJ-known landmark A sketch a(tached to this application showing the projcG location would be helpful FDP(93) . _ . APPLICATIOn ~ _ PAGE Z OF e DESCR.IP"IIgN OF uJORK (Chc~k all applie.~blc borr_:) A. STRUCTURAL DEVELOPMENT ACTIVITY TRU ~ URE TYPE O New Structure Residential (l~l Family) O Addition ? Residential (Mort lban 4 Famly) Aheration O Nov-residential (Floodproofmg? O Ycs) ? Relocatio? O Combined Use (Residential & Commcrdal) ? DemtiGtioo' R ? Manufactured (Mobile) Home (Iv Manu- ? Replacement [actured Ho~mSe Park? O Yes) ESTIMATED COST OF PROTECT S ~~c/~OOD B. OTHER DEVELOPMENT ACTIVITIES: ? Fill O Mining O Drilling ? Grading ~ Excavation (Except for StruUtual Development Checked Above) - ? Watcrtoursc Alteration Qndudivg Dredging and Channel Modifications) O Drainage Improvements (InrJuding Culvert Work) ? Road, Street or Bridge CotuwUio? O Subdivision (New or Expansion) O Individual Water or Sewer System O Other (Please Specify) After mmplcting SECTION Z fLPYLICAt`tf should submit form to Loyal Adm inisv ator (or res~ccv_ SECTION 3: FLOODPLARN DETERMINATION fTo be camplctcd by LOCAL ADhIIN1STRATOR) The proposed dcvclopmcnt is located on FQLM Panel No.___, Dated The Proposed Development O Is 1(92 located in a Spedal Flood Hazard Area (]Notify the applicant that the application review is complete and NO FIAODPLAIN DEVELOPMENT PERMIT IS REQUIRED). Is located iv a Spcdal Flood Hazed Area. FIRM wnc design anon ~ 100-Year flood elevalio? al lbc site is:-- R. NGVD (MSL) O Uoavailablc O The proposed dcvclopmcnt is totaled iu a ~oodway. FBFM Panel No. Dated i O $ee Section 4 (or additional iosiruaioos. i SIGNED DATE •r ~ - APPLlCAT]ON ,a PAGE J OF 4 _ ) _flt>PlnL IIlF UIU~1-~ I lON liLQU1kF D f fo I~c comt~lcrcd b•~ LL t)t~Al,_ADFllNI5i-ItA"fOR] Ec r rr n' ,t ~.rn~r,_ The applicant must submit the documents chcckcd below before the apphcaUon can be procured: ? A site plan showing the lowtioo of all posting structures, water bodies, adjaeeot roads, lot dimcosiorss and proposed developmcul. O Development plans, drawn to scale, and speci(catipns, including where applicable: details (or anchoring structures, proposed elevation of lowest floor (including basement), types o(water resistant materials used below the first floor, details of Doodproofmg of utilities located below the first floor and details of codosures below the first Ooor. Also ? Subdivision or other dcvclopmcnl plans n[ the subdivision or other dcvtlopment exceeds 50 lots or 5 acres, whichever L the lesser, the applicant must provide 100-year flood elevations if they azc pot otherwise available). O Plans showing the extent of watcrcoursc relocation aad/or landform alterations. ? Top of new Qll elevatio? Ft. NGVD (MSL). ? Floodproofmg protcuioo Icvcl (ono-ruidcntial only) Ft: NGVD (MSL). For goodproofed structure, applicant must attach arit[ication from registered engineer or architcu ~ O Ce~catioa from a registered engineer that the props ~ acUviry in a regulatory tloodway will not result ur an increase in the height of the 100-year hood. A copy of all data and calcr}lations supporting this (coding cons( also be subroiUcd. O Other- SECTION 5• PERMIT DE7~RMINATION fTo be cornplctcd by LO(-AL ADMINIS'hRATORI [have determined that the proposed activity. A. O Lc • B. O Is pot in conformance with provisions of Local Law 19 The permit is issued subject to the conditioru atlechtd to and made part of ttus permit. SIONED ,DATE j( BOX A i,~ chcckcd, ~bc Local Adrniuistraior may issue a Development Permit upon pa ymeui of designated (cc. (f BOX 8 is chcckcd, 16c Local AdmirJstrator w01 provide a writtco summary of deGcieneiu. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from lbe Board of appeals. ~ 1 I ~ I ' I APPLICATION a _ PAGE=: ~ CF v nFPEAL.; Appwlcd to Eoad of A.pl,~cals' (7 'frs ? Ito Nearing dale: Appeals Board Dccuioo Approvcd~ ? Ycs ? No Conditions SECTION 6: AS•HUfLT ELEVATION (To be submitted by APPLICANT before Certificate of omp'anee ' i ued The following information must be provided for project structures. This scuioo must be completed by a registered protcssioaal engineer or a &ccnscd land stuYCyor (or aaach a certification ro this application). Completa 1 or 2 below. f. Actual (As-Huilt) FJevauon of Use top of the lowest floor, including basement (in Coastal Hieh Hazard Area bottom of lowest swuural member of the lowest floor, ezdutiing piling and columns) is: FI'. NGVD (MSL). J L - Actual (As-Huilt) Eltvalioo of (loodproofmg protcuion is ~ Ff. NGVD (MSL). NOTE: Any viork performed prior to nebmiual ri[ the abuve iuformatio? is a( lbe risk of the Applicant. SECTION 7: COMPLIANCE ACT10N~bc complctu7 by L,OCAl, ADMINISI'RATORI The LOCAL AD hiINISTRATOR will complete this union as app Gcablc bascJ o? uupcaioo of the project to ensure compliance with (hc community~s local law (or flood dam age prcvcntion. WSPl=CT10NS: DATE_ BY DEFICEENCIES? Q YES ? NO DATL- BY DEFICIENCIES? ? YES ? NO DATE HY ~ DEFICIENCIES? OYES ONO SECTION g• CERT)FI('A TE OF t'OMPLIAN EfTo be comnlcmd by L(~t'AI ADht[NIS'T RATO RI Ce~~ate of Compliance issued: DATE BY: _ _ _ Attachment 6 ' ~ 6AMPLE / CERTTFICAT F. OF C014PLIA-t1CE Lor Dev elop[nent i_n a Special Flood Hazard Ar e_a _ _ _ _ . ~ ~ TOWN OF SOUTHOLD C'[sR'I'1[~(i r1"I'Is OI~ (;OMYIJATICL; FOR DEVELOPML+N"C Ir! A SPECIAL FLOOD [Il+'C.ARD ARLA (OVi'NER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ? NEW BUILDING ? E7CISTING BUILDING O VAC/+N"I' LAND TiIE LOCAL ~~DMINISTRA"TOR CS TO COMPLE'CE A. OR B. BELOW: A. COMPLIANCE 1S HEREBY CERTIFIED WITFI THE REQUIREMENTS OF - LOCAL LAW # , 19 SIGNED: _ DATED: B. CO`~IPLIANCE IS HEREBY CER•1'IFIED WITH THE REQUIREMENTS OF LOCAL LAW 19, AS MOD[FIED BY VARIANCE # , DATED SIGNED: DATED: CIC)93) e. P ~ 3 76 BUILDING PERMIT EXAMINn~ER CHECKLIST kDate Submitted: ,~Q~, ~~-s~ ~°~A,/Date Reviewed: ~ ~ ~ 9- ~ "L Applicant• / "l c C ~ Owner _ / - l C ~ C 000 d o ArchitectlEngineer: Estimated Cost: SCTM# 1000 - g7 - 3 - ,~i~C,`f' Subdtvisio ~ ' Zone: . - ~ Conforming? Property Address: 3~ ~ O ~ ~ City:..~'~~'t'~""'O ~ Pre COs? Building Permits (Open/Expired): BP "--Z / Go Z- --Info: - BP -Z / Go z- ,Info: BP -Z / GO Z- ,Info: BP -Z / C/0 Z- Info: BP -Z / GO Z- ,Info: _r Single & Separate Search Required? Y o>~Determination: SToRMW~-T~R_RUN q,FF 1~-~~~• REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. dam ACT: Lot Cov. REQ. Front ACT. Front REQ Side ACT. Side REQ. Reaz PROP. Rear .CT. Height REst. Bo~'H SIDES ~ p/J A. CT l p - ~p oject D~scripDt out. 'lEo~d-Mo~Q ~_u. ~t~*~,~ ~'~j w.u-r-r~~-Q~i.- ~a~+-ice .(''~c. a-a- R'aterfront?®or N? p If yes, water body: Panel# Flood Zone: - Bullchead/Bluff Distance: Q~\ ADDITIONAL APPROVALSREOUIRED eLRNS(y~) SiGNED,SEnLED=SuRVeY ~ b~ Suffolk County Health: Y o~ If yes, *Bed#: *Date: *Permit#c Town Septic: Y• N - If ?o, certification required: Y or N Received: Y or N By: NYS DEC: e~,~oscvnns Y or V~ Date: Permit or NJ Letter -Notes: Southold Trustees: Y o I`~- Date: Permit or NJ Letter -Notes: Southold ZBA: Y of (N)- Date: Permit -Notes: Southold Plauning: Y or~-Date: Permit -Notes: Town Landmark C of A: Y o ~N TE: / *NYS CODE compliance (page 2): Y or N CoNTR/FCTQR l1cE.V5~ ~ISAB/LITy LIRBILITyi-W°!:lC/'fE NS coMPENS.gTlon/~ oK Notes: Fee Structure: Calculation: Foundation: SF ~ ~ X $ , `rv=$ ~p. / ~ First Floor: ~~SF + Initial Fee: $ 0 8 , 0 d Second Floor: SF + Additional Fee $ Other: SF SF X $ , Total: SF + Initial Fee: $ + Additional Fee ( $ C oFo FeE~~S0.00 r/ A S BUILT FEE --e' TOTAL: $ a-7~ ' NEW PORK STATE CODE COMPLIANCE CHECICI,IST CLIMATIC/GEOGRAPHIC pESIGN CRITERIA: Ground Snow Load: 20 J Wind Speed: 120MPH _ Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: M-H _ Decay: S-M Design Temp: 11 I¢e Shield Underlay: YE5 ~ Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGIiT/FIlZE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCKIPTIVE FULL FRAMING DESIGN ELEMENTS: YIN IIEADERS: Y/N WALL ST17DS: Y/N GII2DERS~ Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RATTERS: Y/N LUMBER SPECIES AND GRADE: YIN WINDOW AND llOOR SCHEDULE: NIBBLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N TENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQU]PMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N ~RESCHEcK~ TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) ~ - There is a lot of construction taking place at 3360 Minnehaha Blvd., Laughing Water in Southold - There doesn't seem to be any permits visible. Date ~ d 3 I a- File # " TOWN OF SOUTHOLD COMPLAUT REFERRAL FORM ~ Cc Location of Complaint: SCTM # ~ , ~ " b(o' l Property Owner. ~ W`C.„~ ntAF Phone Address: „ ~ E U~ ~-~'y \ ~O~-p NATURE OF COMPLAINT: ACTION TAKEN: I ~,r31p G~ o!t!c .Gb}- C~wrr,~u.~ L~-?~Ti~~ ~ c~~ ~6 ~ c3~w.,1 ~ - Optional: Complainant: Q ~ By Phone_Mail In Per.on_ Address Phone: Report Taken By: Date Date Referred to Code Enforcement: CODE ENFORCEA~NT REPORT SITE INSPECTION REPORT/DATE: ACTION/DATE: 10/25/2012 12:37 FAX 15182488550 McCOYD,PARRAS&RONAN LLP ¢j 001 McCOYD, PARKAS FI RONAN LLP ATTORNkYS AT LAW 1.70(1 Franlelin Avenues - TIJe Pentl.ovae Gnztlen City, New Yorlt 7.1530 l'el. No,: (516) 877-x000 Fax No.: (516) 248-8550 LDW ANO A, McCOYD NIISAN M. DA[[GALOPO RII.L P. PAARA5 CHRI9TOPNER P. RONAN ORIGIDA D'AMaRORIO, PARALEGAL MARC[IS COCAGIACOMO KNT.Nn'A SNETRR OLNMS WILlY LOU6 A. CANNa2AR0 MM.NAEL M. SCH W EL JONATHAN PEIIIUSLLa MIPIRLLY, A. DANTUONO Telecopier Transmission Cover Skeet To• George Gillen FAx No• 631-765-9502 From: Robin Misiti Date of tl'azismission• October 25, 2012 Number of pages including this page• Two (2) Client/Matter name Sean McCoyd - 3360 Minnehaha Blvd.. Southold. NY 11971 Hard copyto follow: YES: NO: ? Additional Comments. if anx JD~aasa sJZa altat~ac~ suruay for abova ipremisas, NOTR: IF YOU DO NO"I 12ECEIVE Ai,,t. PAGES, PLEASE NOTIFY RRIGIDA, JANINE, CYNTHIA or DIANE IMtv>EDIATELY VJA TELEPHONE. THANK YOU. THL 1NF'ORMATION CONTAINED IN'fHIS MESSAGE IS IrvTP.NDED ONLY FOR THE USE OF NC INDIVIDUAL OR ENTTrY NAMF.n ABOVE. IF THE READER OF TNIS MES$ACE 1$ NOT THE INTENDED Rru(aFIFNT, YOU ARE HEREBY NOTIFIP.D'PHA'1' ANY DI53EM[NATION, DISTRiR[rr10N OR COPYDiG OF THI$ [YJMMUNICATION IS STRiCTLV P0.0HIHITEO. IF VOLT HAVE RF..CEIVED'fN13GOMMUNICATION IN ERROR, pLEA$F. IMMEDIATELY NOTIFY US HY 7F,LEPNaNE, AND RETURN THE ORiCINAi. MESSAGE TO US AT THE AROVE ADDRESS VIA FOSTAL$ERYICE. THANK YOLI, K ~~z ztlR~~ ~ 17bWVYp/Y p>~~.. " i C~• Rc r sxsr,coac ° ~VE'raFP~g' ~J9 $es~,~ ~ ~ ~RE~k ,,.m T0~ Sf~~~~~~'Y / m SUf~~'~_4E6.6W ~ ~ ' r II7• ro iooo- a~ ~~p. to ~~atsR~~ 11~ ~ $ °`r'~m ' ~ eL' ~ ~ f j '°s € ~ ~ ~ g ~ ~ ~ • J~a/'vi6~%• ~ 7~y'as ~ ~ ~Qg4X~~~~,NY.1179d J a 4,.'~ X ~ P.n.~~y9~~ O :;f v r~~ tip 3 A SCYM _ ~gtwm~+~ "n 'r' .F ,.e~Q ~d"'~gnvM~". ~ B~ y~ ~ ~ p~ ~ N , .a P N N APPROVED BY BOARD OF TRUSTEES SURVEY OF PROPERTY TOWN OF SOUTHOID A T LAUGHING WATERS ~E 3 ~ z ~ 3 TOW1V~ OF SOUTHOLD SUFFOC,K COUNTY, N. Y. Na9~4s'orE 1000-87-03-B6.4 s.3s' ~ SCALE.• 1'=30' ~ ~ ~ ~ ~ ~ o,~cnuse~ ~a zo~z ~ Pv~v F UNE Ss JAN. 23, Lp3 isdppsr ~ S• .u~c z9, zas arsia~r ~L ~\O Q~~' eG 0~ e \ \ \ `~~g, f o-~ FEe. a, taa c.aro~rl F E B 2 7 2013 J 2Y Q QJ 't f,- ~r l;.A~'O~i.~ ~ )2~ Bard~[Ims:e., ~v w ~ .p3. _ ~ ~ CS ''•e• ~ c ^ ~ fs \ '+R \ r~ ~ vtd~ s'~, 4, ~ `e ~ F Fi Gyp' Fsr j 2°' ~ '>F' _ y,.,. K,y R fC e~ ge-tee q. 'a• BO ~ *Q'`f ,~ph' ~¢\~O rrs ~iL UGC e/ ~ 115.7 n Z• i( ~ Q ~ k V' Q rN011V® OONIMR v~ '~'sf~3 x ~ \ ~ 'G ~ ~c Q~~ ~P _/oErr°o eE QEVA~rm -~`Fw.:~.$i e .f~~~H' ~ei ~,~pLP~~ Q`~eJ RF10US~E~i ~8lRA9E A I~N ~.It. '+fil ~ cSF ~ ,~j~ 1371 • 1 • 0.1T + 23J au.tf. fp ~ ~ .{J' O b. yl` 233/22.3 +10.3 VF (7B</ ~9 8_~ P E' PROVIDE 3 DM'S - 6'1 ~ 3.3' DEEP C Wq ~,~"~S~ ~ ,SI f~Qc \ G~k~ ~~OP~O~y~ UY't TO SE COfIiECTED BY LEADERS t GUTTERS ~TJ P~~~r ! am iomllror with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE TEST HC!£ DATA (D~CLiNC ~ er DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES BY MaOQVACD GEOSpENQ' hy~ and will abide by the conditions set forth therein and on the /z7r;/IZ pu permit to constru e</C pF NEky EL 4.6' OAfM BnOMq EDAM a wgTF The locotio ~ Y & public water shown hereon are o.s' R~ from field tf3 qps o from data obtained from others. eltowN slur sAato sM o ~ ~-r;.~i 'P s' ELEVATIONS REFERENCED TO N.A.V.D. ~x is 9ROMN CUYEY SANG SC i cw. ~ EL -O.Y WATER 4.T _ s [ _ wATER :N BROwt+ cuter sANO sc FLOOD ZONE FROM FIRM MAP NUMBER 36103C0166H ~ ;a-:e%~~, z~ ~ a, r SEPTEMBER 25, 2009 ~~~~V`,;; s~~a N.Y.S. LIC. NO. 49618 ANY ALTERATION OR ADDl7?ON TO il-lIS SUR I~£Y lS A KOLA 77AN \~(~=,t•.'0 ~ CONIC YORS, P. C. wA>ER IN PALE BROYM F~1f to uEwuu sANO sP OF SECTION 72090E THE f~EW YCRK STA TF EDUCATION LAW - X631) 76,5_5020 cAX (63?) 765 - • 7.97 EXCEPT AS PER SECT7GW y09-BUBO/ NSICN 2. ALL CER7/FlCA 71QNS ''7~ HEREON ARE VALID FOR 7H/$ MAP AND CCPlES THEREC~ ONLY IF P.O. BOX 909 SAID MAP OR COP/ES BEAR THE /MPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 2_305 M7-lOS£ SIC,YJA NRE APPEARS HERELIV. SOU THOLD, N. Y. ) 1971 Generated by REScheck-Web Software Compliance Certificate Energy Code: 2010 New Yorlt Energy Conservation Construction Code Locatton: Suffolk County, New York Construction Type: Single Family ProJed Type: Alteration Heating Degree Days: 5750 Climate Zone: 4 Construction Stte: Owner/Agent: Designer/Contractor: Compliance: O.ON. Better Than Code Maximum UA: 287 Your UA: 267 Tlie % Bever w worse Tnan Cafe eafex rdlem hex rloso b mrtpfanre tlb Wane is beaed m mm dada-ort ri6~e. a DOES NOT proWde an esgmare of energy uae a Doer reletlve to a niinimuniwvAa lame. • • •~a• Flow: All-Wood Joistlrruss Over Uncond. Space 1070 30.0 0.0 35 Ceiling: Cathedral 630 13.0 0.0 46 Ceiling: Flat w Scissor Truss 440 30.0 0.0 15 Watl: Wood Frame, thin. o.c. 1325 13.0 0.0 85 Window: Wood Frame, 2 Pane w! Low-E 190 0.300 57 Door. Glass 74 0.310 23 Door. Solid 20 0.280 6 Compliance Statement: The proposed building design desgi re is consistent with the building plans, spedficafions, and other caiculatlons submitted with the permit application. The proposed ilding has been designed to meet the 2010 New York Energy Conservation Construc0on Code requirements in REScheck-Web and to comply ' h the mandatory requirements listed in the REScheck Inspection Checklist. _ Josophhs~~¢ f~7~ ~C t ~ I r3 Name - 7"ide Sig ature Date ~(~F NSW Z` 4tSC/~ , ~ It ~ t » ~r ~ W ~,r` 0 0525~~ rG . FFCSIONP~ Project Title Report date 01/21/13 Data filename: Page 1 of 4 ~e volving Leading Practice Soluntions • 3~Cjr ~ ~ "L ~ p ~ ~1oQ Making Technology Work' APPROVED AS NOTEpD I-l~- 37,6~-s f ,1 ~ _ _ t~, ~s g¢~~,,..` NOTIFY BUILDING DEPARTMENT AT 7fi5=t8D2'"a~AM 70 4PM FOR THE _ FOLLIIYJ1NG-iNSPEGTION&: T67~F~. '~t 1. U~N~~16N -TWO REQUIRED L~-- ~ --'FOR POUE'~FD CONCRETE _ "I~"` ~ 1~ L_~1`(~~FixSMIN&-&.P~UM}BING_ 3. INSULATION ~ 9 _ _ _ s/x 7 4: F1NAC CONoTRUCTION MUST }~_~J~~- 1 - BE COMFY€T€ ~1~R -C (3 X ~ ~'F ^ [ty¢~,.~~~,..i ALL CONSTRUCTIO'V SHALL MEET_THE J~ ~ _ - - _ _ RUIREMENTS OF THE CODES OF NEW ~ / r , / 0 F@R - DESIGN OR RUCTION ERRORS. ~ 0 . v O _ _ _ w. _ . _ _ _.~~6. . _ a~~~o ~ . _ t~d~- _ ~ _ _ _ ~L~CT~I~I~L (moo ~ -~w I~ ~;'K°~ ^~"°~,~A _ . _~aai~ ~~~s~.,~ ~s,~e~~--~__~~~~~ck~-u~-~c PLUMBING _ _ _ _ R WATER LINPS'NFF? . ~ . ~ w .~._~~SL w._._. ~ TESTING BEFORE COVERING _ _ _ '~w~:~`. ~._OLDA~tPLg*.ki~L~-~:4~63F _ SO , es O _ _ NEW YORK ST~aTE & TOWN C_ ODES AS REQUIRED ~L~ "TI~IV ~ ~ ~O ~ SO OLDTOWNZ5 CERTIFIQQIEpFQ,rQt',tp_,gyCy r SOUhOlD Pu~NNINGBOAAD SOLQER1JSEp1NWAT€!~_ _ SOL-~ UTQWN'R - SUPPLY SYSTEM CANNOT ~qq ~F~ EYCFcD 2i 1 ~ OF 1 % LEAD. l'PV~'iPt~v~tidTi'T,76 p 39 01d Ridgebury Road, Suite P4 Danbury, CT 06810 T 203.743.6000 F 203.743.6003 www.tigplc.com gas 0 M U ~ a U } ~ Z Q U ~ O C N L Cfl L C'j ~ ~ (D { O c~ ~ L(J / G / NO CHANGE TO EXISTING ~ N FOUNDATION i ~ ~a m ~ I ~ ~ SLAB ON GRADE a 1 I of a` 6'-6~2 r Z I TVP SLAB ON GRADE _ ti NEW 2X6 FLR>JT$ TO D.O. ~ u W REPLACE EXIoST~ " I r ~ V U ~ N 6 Z W F O 3 n ,n Z 2.-0.. 9.-0.. 3.6.. Z I i w W N N N 12" 0 SONOTUBE - FOOTINGS. TVP o m I I o ~ O o ~ a ~ ~w I ~z I o c~ M M E`\S[ERfG s p RE6hY QQ A i 1d•-0- 1r-z" 1~'-z° 1s'-z- i m GENERAL NOTES ~ ~ ~ 1 ° oz.ss.zo~a NEW FTGS: 12"~J SONOTUBES, 36" DEEP ` zesoa^ 1ST FLOOR FRAMING PLAN GIRDERS: (2) 1-3/4" X 7 '-q" 1.9e LVLS'S atexi scale 3/ is° _ ~•-o° EXISTING FLOOR JTS -NEW 2X6'S TO REPLACE A oA EXISTING /'1 1