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HomeMy WebLinkAbout37682-Z Town of Southold Annex 1/2/2014 P.O. Box 1179 54375 Main Road I$ Southold, New York 11971 s6i~*A CERTIFICATE OF OCCUPANCY No: 36683 Date: 1/2/2014 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 2305 Park Ave, Mattituck, SCTM 473889 See/Block/Lot: 121-3-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this otficed dated 11/26/2012 pursuant to which Building Permit No. 37682 dated 12/10/2012 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: laundry/office addition and two tier deck addition with hot tub as applied for. addition and two tier deck addition with hot tub as applied for. The certificate is issued to Canton, Grace & Samigate, Maria Elen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37682 12/23/12 PLUMBERS CERTIFICATION DATED A riz ignatur TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $q SOUTHOLD, NY 1 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 37682 Date: 12/10/2012 Permission is hereby granted to: Cantone, Grace & Santigate, Maria Elen 58 Kenilworth Rd Mineola, NY 11501 To: construct a laundry/office addition, two tier deck addition & hot tub addition as applied for At premises located at: 2305 Park Ave, Mattituck SCTM # 473889 Sec/Block/Lot # 121-3-21 Pursuant to application dated 11/26/2012 and approved by the Building Inspector. To expire on 6/11/2014. Fees: SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $698.00 SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - ADDITION TO DWELLING $50.00 CO - SWIMMING POOL $50.00 Total: $1,048.00 Building Inspector OY Form No.6 " Q17 ` TOWN OF SOUTHOLD o t_;O' 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to 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. k606D466AL ZS Zoi`z- New Construction: V Old or Pre-existing Building: (check one) Location of Property: ~ 3 ( ) ~ ('L1 ~ ( tL Lr L House No. 1' Street Hamlet Owner or Owners of Property: I/,ij- ,OL 1 I~ G?t t (41 1 ~y tr Gl l l ? s lti Suffolk County Tax Map No 1000, Section Block Lot Z Subdivision Filed Map. Lot: Permit No. 71p ac;[ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: v (check one) Fee Submitted: $ r7 `/Y_ Applicant Signature pF SO!/lyolo Town Hall Annex Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 Southold, NY 11971-0959 • ~O roger. richert(~town.southold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Cantone / Santigate Address: 2305 Park Ave City: Mattituck St: NY Zip: 11952 Building Permit 37682 Section: 123 Block: 3 Lot: 21 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Hubbard Electric License No: 4709-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 Garage INVENTORY Service 1 ph Heat Duplec Recpt 8 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 9 CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 4 Twist Lock Exit Fixtures TVSS Other Equipment: 1-electric wall heater, 12-recessed deck stair lights, 1-GFCI protected disconnect for self contained hot tub Notes: Inspector Signature: w. Date: Dec 23 2013 81-Cert Electrical Compliance Form.xls 3 V ~o-o%F S01/lyo6 y~bUNfF I TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 SPECTION [ OUNDATION 1 ST [ ] 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 INSPECTOR o~aoFSOUryO6 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: _ " t~ DATE INSPECTOR G F2_ SAY, TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] F NDATION 1ST [ ]ROUGH PLBG. [ ] OUNDATION 2ND [ ] INSULATION [ FRAMING / RAPPIN [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRIC (FINAL) REMARKS: DATE INSPECTOR 1 OF 8O&P TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOU ATION 1ST [ ] ROUGH PLEIG. [ ]'FOUNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE 13 INSPECTOR o~,~,OF SO(/l~ r~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1NSPECTI [ ]FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ] FI SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Q DATE INSPECTOR i owl Of SOl/,* 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: DATE INSPECTOR V FIELD N REPORT DATE COMI m'm . ro FOUNDATION (1ST) 9J # s7 ~ y FOUNDATION (2ND) ' z e Zoe-, J) .44 Cz/ ROUGH FRAMING & PLUMBING 7 INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 1 a I~ 5 i _ z o. - mss ~z d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans ? TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey ? SoutholdTown.NorthFork.net PERMIT NO. 376 Check ? Septic Form N.Y.S.D.E.C. ? Trustees ? Flood Permit Examined ~D 20h~- Storm-Water Assessment Form Contact: Approved 20 ` 1' Mail to:' - r- Loi 1q) Disapproved a/c tai -z tgvuP-feW eE CA R Nq I1q`IS _ Phone: G31-2-5P3-504q Expiration 6 ~0 20 Building Inspector APPLICATION FOR BUILDING PERMIT Date /UOU64 P4M /p ,20_(-ZL 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 before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new 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 Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatio and to admit authorized inspectors on premises and in building for necessary inspectio1,-. i (Si ature of appli or name, if ration) l q 3 PR-ES'70u A~ EASY YKGA'bow NEW Yotztc 1154/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OWNER.. Name of owner of premises r"P2tAxLC-0A sP,wyt GA7E GIZKC-E V L- 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: 2305 PR(Zlc 111 Va1000 ykA~71 yuclc House Number Street Hamlet County Tax Map No. 1000 Section I Z3 Block 03 Lot Z l 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 S 1 k)(;, F- I:Arw I V -pu)c-LLjj)g Ara Ag-A /b rzckc b. Intended use and occupancy Ao o i-r t t7IJ (o FFI C6 /LAu 0b tk() UEGG ADD 17 /nU PAyr-Ax 3. Nature of work (check which applicable): New Building Addition . Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost_ -4 75 600 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units puE Number of dwelling units on each floor ,t//k If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. MA 7. Dimensions of existing structures, if any: Front q 8.3 Rear Q 8. 3 Depth 3S.g Height Number of Stories n /3(- Dimensions of same structure with alterations or additions: Front 96,'6 Rear q 6.3 Depth Go Height Number of Stories e),)6 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 117- 3Z Rear i Depth z (v 6, 70 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 91--410 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NOX__ 13. Will lot be re-graded? YES_NO_.&_Will excess fill be removed from premises? YES_NO_X_ mRtuA F K&)-1I GK7! 7Q3 -s7at-1 (LoRj> C~57 /KC-A0ovJ 14. Names of Owner ofpremises _caACECAu-rouc- Address l Phone No. 51&-156-Z35-1 NameofArchitect •-oIpur- k6ttnLa Address~°X Phone No 631-7-88-Sb4[q Name of Contractor -3 m N taut LvNerts I N c. Address -sRgw3_°,a mz-sporz-f Phone No. (o 31- - z-- 3 -z 1 .vV It970 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X 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 K 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 X * IF YES, PROVIDE A COPY. THOMAS J.UHUNGER STATE OF NEW YORK) Notary Pt b lo, State of New York SS: No. 01 UN4739086 COUNTY,OF-R kflkI ) Oualftd in &ftk cm* - CortxNakn 6ga Feb. 28, 2oL //~y!~ !(YI a' 2 nG Sn 7 S &-k being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contr) above named, (S)Heisthe OWUGIL (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are 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 jb day of (JoJC-z42~A 20/ 2. Notary Public Signature/o Applicant e" James F. King, President ~oF S0 Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen[ * Southold, New York 11971-0959 John Bredemeyer C4 ~c Michael J. Domino %2 i~ Telephone (631) 765-1892 ~y lOUNT1,~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7920A Date of Receipt of Application: September 25, 2012 Applicant: Maria Santigate SCTM#: 123-3-21 Project Location: 2305 Park Avenue, Mattituck Date of Resolution/issuance: October 17, 2012 Date of Expiration: October 17, 2014 Reviewed by: Jim King, Trustee Project Description: To construct an addition to the existing one-story residence; a deck addition with steps; an 8'x8' spa on deck; and install pavers at grade. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by John T. Metzger, last dated on September 27, 2012, and stamped approved on October 17, 2012. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees James F. King, President of so~ryo Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen # Southold, New York 11971-0959 John Bredemeyer H Michael J. Domino Telephone (631) 765-1892 OOUNi Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0944C Date: December 23, 2013 THIS CERTIFIES that the construction of addition to the existing one-story residence; deck addition with steps: and 8'x8' spa on deck At 2305 Park Avenue, Mattituck, New York Suffolk County Tax Map # 123-3-21 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 25, 2012 pursuant to which Trustees Administrative Permit #7920A Dated October 17, 2012, 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 addition to the existine one-story residence; deck addition with steps; and 8'x8' spa on deck. The certificate is issued to Maria Santigate owner of the aforesaid property. Authorized Signature New York State Department of Environmental Conservation Division of Environmental Permits, Region One 9WIding 40 - St1NY, Stony Brook, New Yak i IIW2350 Phone: (631) 444-0385 • FAX: (831) 444-M Webske: www.dec.stete.ny.us Jdo P_ C" Camtnknw Jeer of NomJurisdiction - Tideses Att Crraoe Carton April 7, 2000 58 Kematworth Road Mineola, NY 11501 Re: Cann Property, Park Avenue, MaWtuck SCTM# 100-123-03-21 Application M 1-4738-02599/00001 Dear W.Cantme: Based an the infimnation you have submitted, the New York State D%wunent of Favironmental Conservation has determined that: The property landward of the 10 foot elevation contour as shown on the survey preparod by John T. Mehger dated 10/27!97, last revised 10/27/99, is beyond the jurisdiction ofArtcle 25 (-'alai Wetlands). Mwe&M in accordance with the cutTa t TxW Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no conshueUM sedaoaaaoion, or disturbance of any kind may take place seaward of the tidal wedands jurisdictional boundary, as indicated above, without a permit. 1t is your responsibility to e mm tbat all necessary precautions are talron to prevent any aodimenletion or other alteration or disturbance to do ground surface or vim within Tidal Wetlands jurisdiction which may result fear your Project. Such precautions may include adequate work aria between the dotal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide oonstruction area) ora oft a temporary fauce, barrier, or hay bale berm. Please be Auther advised that this letter does not relieve you of the responsibility of obtaining any n y permits or approvals faro other agencies. Sincerely. Mark C. Carrara Permit Administrator x BhW T. Lumow, Ludlow Homes File ho~~Of SO(/ryo~ To" Han Annex 54375 Main Road Telephone (631) 765-1802 (631)3-9502 Box 1979 • rogecrichertCa fownsou76o nV US Southold, , NY 11971-0959 !~//yyqq~~,,,,~~ ~ "WIt11~ ~ BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. Date: q-13 Company Name: ~oG Name: M V) License No.: 'I Address: v f AN I G Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: CCc n San+l afc "Address: ~n(~ ate f~t1~P *Cross Street: *Phone No.: 6WO - Permit No.: a -3 7 Tax Map District: 1000 Section: / Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) j i (Please Circle All That Apply) *Is job ready for inspection: YES NO Rough In Final *Do you need a Temp Certificate: NO O I Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Diane Herold, Architect P.O. Box 884 Westhampton Beach, New York 11978 631-288-5049 phone and fax Date: December 28, 2012 To: Building Department, Town of Southold Re: Building permit application Santigate project, 2305 Park Avenue, Mattituck SCTM 1000-123-03-21 The pavers at grade on the east side of the proposed deck addition have been eliminated from this project. Therefore, I have attached four prints of the revised drawing. Also attached are 4 prints and the paperwork for the required stormwater management for the construction. A check for the additional $798 for the permit is included. Please contact my office if you have any questions or need additional information. U )UI JAN - 2 2013 .2/ TOWN OF SOUTHOLD PROPERTY RECORD CARD . =yo- OWNER STREET Z^ G VILLAGE DISTRICT SUB. LOT C-wwce- R. asarus-fossc27" I r,'a ~ San , Qf FORMER OWNER N E ACREAGE / A 1 /V $,Ua k42-6 S W TYPE OF BUILDING L ro cw c~, GLr , A-e l o 12c RES. SEAS. VL. FARM COMM. I'ND. CB. MISC. LAND IMP. TOTAL DATE REMARKS CGlI fD/7e s inn aa~ o~~ TO (2 3 D o u j ~Q O a rf)Dr C !ESf- J v / c~dv G^G' 45 0/ a76 T 1 n 22 0 G 3S o o S $ 46 d D / b 113 -"0 fin ter, F 5 Z30o PA6u, 3;)00q1 ap BP3k32'f71o tiws add I~iwS• 2~ ~qoo fl"o~/T 7 #353 X32 2(~, 5006GE 4000PAR BUILDING NDITIO 230JIOO NORMAL 03 B W 7 ABOVE 0 2l C / 02/$ Farm Acre Value Per Acre Value R N OA/ d p / c Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland r- House Plot Total ~ i~ 0 17n 4 x I i v Foundation t3, Bath M. Bldg. 2- '1 t? - G U I ! Floors Basement Y I U Interior Finish Extension q p ~ Eict. Walls t. . Extension J //v Heat' b i ' Fire Place Extension Porch Attic 1 Irv C e c tL s~ G 2 , C~ 1,1"` Porch Rooms 1st Floor Rooms 2nd Floor Patio Breezeway rivewoy ,r (C 6 Garage Z 0. B. x'980 '~z ` IK5 6 b' 4, ct COLOR ~YP~1w1 33 W 77 r - - -I I z Now a- D, 2• TRIG "7171 11 1 1 ,te 20 1 3fol 2 57 I 7 D G to 121-3-21 11/07 123-3-21 3/03 L G.uey 1 St 4 Bldg. t5 x - 3Qo 3 7 Foundation PC Fin. B. Bath Dinette COMBO Extension 17 Kip = 510 3 r Basement sLAeL PARTIAL Floors FM~1 Kit. C(16 V Extension Ext. Walls Y ` Interior Finish c~ L. R. 2-2 Extension IZ K 1 i~ Fire Place 11/07 Heat < (~C~ D.R. N¢o7 y I ZXIy = 1 6 $ 3, 5-0 S Woodstove BRA 3 ? Baths Porch & x33 c 1919 , $0 c1 Dormer Deck 7 \4 goe7 ZS 200 Dock Fam. Rm. A.C. Garage Ma"^ GaY lu Xz1 =336 7l7 1,25. 9~6 duo 7x q 13-5 o ~Itjo7 S~oT 1 o O /o 8'0/ 7 g/0 7 e Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT NAME: oem. art Coroulam-eantrs0orer0dw (Olds Ons) P,717NE0. ryDSANtINlemm wse Ite.nq ~o mAluA CAIr~ BP/I cuES7 VKP or?SEacNN 715 P2ES VoAO QW DOw A )y T Fac4 Teaplwnee a8s: °a"1o Z88-SU4Q ZS -.So 6- zs E-M.a' ,sCYZAa7 WO0os @ AOL• COrw E-1181: weP•a Ad°°"`z3cas i'Rit_ic AGUE MAT71rL)dC Bri D-ripfion of Construction Aceiq, hwoted s"on 1WDk, Sea S.C.T.M.R 1000 IZ.3 _ 3ahatiatioa BMPa, PtgjxtscoPs and/" Segoeoce of Construction Acdviq ¦ ra ry WdeAaeerPnPeee levee Qh Nema or COntreearmar«cenan Pai.on Rupen.ma ro.apan»naaon o/awPPP: E 14ALLOok J ILDERS 10C Aaa 3OZ SOU7 C5 P Tewpn axrk .._~~S217JA~------------------- E-we: Ebf571.Js?Sa_~ES1G__-- Nsms or PereonsRupopN11er«awllenonB Weasrneeo/EmNwhCenba l4utlss NIgY'~?QLG lSIL7 fd~E------------- ~E LO c H EUILDC-Its I me H lattttSPOft N ll O TeapAOM R Fab NONc- E-YYI: PlgeaAM OFAI Paveh: X07. Taal GAnn of nmd LOW closing z qcx) ends Chantl Dhertsrce: ~4~ (BF.f~) WF.fwne ' Pmlea Durallm: SM End (AhtlkbMaq qo oA~fs D~RC-cEhPf Dow PMnrra OF'~7N'P~' WIII this Project D4turbe gw (S) or Non Acres at AnyOneTime During theProposed Development? yes ® V I. YE& Please Mnserthe FalaM:pl i a. Does the Applicant have a Qualified Inspector On - Staff To Conduct the Required Inspections ? O No b. Does the SWPPP Indicate How Frequently the She ~ 0 List the MANES eranalptlm ofap POanmrybnpaedweadedbaadbrwepsaaa: inspectors; will Occur and for What Period of Time? -YSS No c. Does the SWPPP Adequately Identify AN Temporary r-7 0 and/or Permanent Sot Stahalizatfon Measures? Yes No d. Does the SWPPP Adequately Identify a Complete Q Project Phasing Plan ? Yes No sub" Of 6npeaw wetwWO: (so. T110L, ses(a) us1e4 enpelmn..J e. Does the SWPPP Indicate Additional Site Specific O Q Practices that WIN be UMhed to Protect Water Quality ? Yes No I. Has the Applicant Submitted a Completed DEC Notice Of Intent and SWPPP Acceptance Form for Review ~ Q Type of knpa~d w.ahlnay: (p' em.rc eip'' Pena, seun4 fmhwrrwatlek..) by the Town of Southold? Yes No ____CrgC2rZ -K S1'A7'F.OF NF.W YORK Notary Nublic, ale or Nw YO COUNTY OF - Q...Na SS ~1 e Qualified in Suffolk County I' That L ~ M!&= beingduly sworn, deposes and~ffex$IfP@ Ok" poF r6> (Name alndMdwl epnta Domeroxv) And that he/she is the ...........................A(2 ic !!K.......................................................................................-.......................-...-. (Owner, Cawxlor. Agent. Cohpwete OMwr, erc) Owner and/or representative of the 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 herewith. Sworn to before me this; ........-,9-v..J day Of 201i. - Notary Public:....~t-X......Xl......... (slo carve aQ~J SWPPP Assessment FORM: 03-12 11 Mra['p a n For D rtmelft Use On . ® T.O.S. SWPPP Preparation - Chapter 236 epa Storm Water Pollution Prevention Plan sc.T.M.s proWlYAdd"u: Review Checklist Checklist # 7 7000 REQUUtED PLAN INFollifx ioN AND IMPLEMENTATION DETAILS: 1 Plan Does the SWPPP Adequate) Provide for and/or Indicate the Foliowin : I YES ; NO ; NJL ; Explanation for NO or N.A. n (pg. U) 1. Drainage a s & Starmweter MPs Desl b corftasf a Two kith ' LooaaoSheet 1_- 2. onstructlon Phaein Plan Indl uencedP .._..tl!f@$99_ npcegd C-------Acgv-Ues. IQ1J~;ml General Locatlon Mep,,---- I (IQ I O 1 4. D e Site P----------- We n Urawn b §204# S' .C l -feet b the bah a. - er Indketing-- - theFollowrg_ - _ax- -----iQiQiQ~ - - - - - - - - a. Location and Des Uon d Boundades• - _ h:. Slle_Acreage;-- ImrO1Qi o, Af Exiatlny, Natural andla Man Made Feabuea an and wehln 5g' d the Pro Bounds 1 mIQ I Q I _ cF -t Hot e..- - eat_-eDalein icating Sog Charoctertstlcs&Deptlf to SaesonaiN Water Tebla; 1mIQ1Q1,_,----._--,. Contours l'ndie_stlii - - _ - _ - Q ~-oriavonsfor_-_- _ ®iOiQ f. Spoi ~aiade AFinish Floor Elevations for ExlstMg and Proposed Structu res ~ 1 1 If -g. LocabonoF-W`oodedAieasl lsoTaledTreeswkh"aFdTnlmumbPmen"sfonoffe'Diemete~; Q~Q'Ljc:3i _ 5. Background lnfonnadon about the Scope d the Project, Lacetbn & Desafptlan of the Site I , r IC] 1 ~ . Chan es b the SUe and Ag ExxkU Dawl ° on Ufa site Ind Ufa q G2 1011171 Pipposec! 8-- ----@ peent -udkp owing•_~ L a... attionalnr dingSng&.Anna,inroposaanenT~ataclea...._.__._._.._..,m~~--,------------.-- b. All Excavation. Filling, Stopping & Gracing Proposed and Identified as to b de pth, Volume ._._.........$_Natufe of.Materlaishi wd Q ®I1i al_A~.rz~air(r,gaea~t~~erorcnmwr~~----,------ 1 1--- 1 r d All Areas Where Topsoil Is to be Removed, _i r ately ately ~ Stockplkd and where Topsoll will ultimately - 1 I 1 e. Ali empore rxB T. All Tem &Pemfanad Storm Water Runoff SMPContol Measures Proposed;QiQ'''--"..._..___._._._.._......._...._._._---.__._.. Theo,tciQatedPettemofSurfaeeorairiepeoulrQt?eifodaofPookRawU - -1®iQIG7 - - - - _ _h_ The Location ofall Roads. Driveways. 3`IdewaW, Pagos, 3truc4ires, FAR ii S Oilier- ~ -'-'--1 1 I 1 iovemeni"s,lnduBfn Yam w 7SeceseBCorie6u'di"an$IagfngAieas : ...................im1Q1Q1 6 SPOt EfevaUae oftfie ------.....__im'0'~1------.__...__---"~---'----------....__.._....-.___------._...._.....--•----- 8. A Schedule d Ne Sequence for the Installatbn dFW Planned 3og Erosbn,`3edinfentetlon _ i i _ & Slorrrlwater Runoff Control Measures. 1 1 Q 1 1 _....1 I I L.__........._ 7. DDe_s_rx_ipt_b_n_d_P_og_u_tl_an__Pre_ven_tl_o_n_Me_a_su_r_es_I_hat w_Ili b_e lT ,~lem_e_nte_d.____________..__...-._i1 ml IOl 1 1 _.l P_ rb... 8. ADesalptbn of the Minimum Erosion&8adiment Control Predlcesbbe tnntelbd andhr 1 r 1 , Implenlanted for Ee Canshuttl_ai ActiWYUfatwtl rewitin Sag Disturbance. ;©;Q;Q 9. DesatptiondConsNx•1bn&WastemahrlahFVeitedtobeStaredOnSMe. f 1 I-----.--....__•._.-- 0. Temporary & PemfanentSofit bilhiego'n Plan that meets the Cunt Verelonof the I 1 I i"`_"' - NewYork8-- Slone Water Dest Ms-u_el--r--- l 11. General Site Planq!L_ggq!!Mjqq Drawl 'torn ECL "-'-"-'-`-'--'--'i 12 DircerobnsyMatedal 3QedtlceUme~6 13. TemQoro prattle---that will bO CW-W-W-WbPennan Iic-)Measures. ~~y,,y,, _ 74. Imp_le_m_en_t_tl_on_3chedule_f__S'_t_a' _T ry, _F_ro_don _CO_n_trol_Prx_tlce or_BM_P._________1QIQIQI 15. Maintenance Srheddeb Enauro Cominuous&Effaetlve t]paaUonofErodori8 I 1 1 1 Sediment Control Prodlcea, 16. NemesdPdential'Slaface Wetero dtha State of New York end/or MSa that may i i i r ---~RI~HC~Bd a.~_ 1' .~•1Q IQ1 - - -----------a - 17. Degneatlon of Storm Water Control Pian lm IemenmUon R es'e° Ilftl-_ for Each rtpfUre 1 e - Conetnxdlonstle i 1 1Qr-------- - - 18._All other Etdsting Date that Descn'hes 8iorm Water Runoffarld/or NriWrol Drekfe-•Svalas. , 1 ~ ~ ie. Ideinnt-na;o7A"gcoah-dri s isua-aohtis -------a8•------__ L°J Q O rt) dar(e) Rroson dimenaNng, olactlng, Re , Replacing, InspectIng and Maintaining the Erosion & & Sediment Control Proo Practlcea. Storm Water Management Control Plan Checld let # 1 1 03-12 - ,yP,•var¢T DEC "SWPPP" Preparation - Chapter 236-19 For Department Use Only: $ Storm Water Pollution Prevention Plan s.C.T.M t: Property Address: Review Checklist Checklist # 2 ,goo (Additional Items to be included with Checklist # 1 when Article III is trigered.) D1h1" aZ L REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: S Y r 1 I Plan Sheat Does the SWPPP Ade uatel Provide for and/or Indicate the Folltwrln . 'om' ' N.A. , F~lanatlon for NO or N.A. Must the Approved by SMO Location (pg. III) oes the ran lrhdlcatea art owe hems Reyul___1 ink Pe ...-,..-i 2. Does the Plan Indloate and/o Show a Descdptiah of Each Post-ConsbuWian Stormwater Management Practice ? 3. Do esthe Site PtsNCons WCtlon Drawing(s) Indicate endlor Slaw the Location & 9lze of Each Post-Construction Stormwater Management Practice ? 4. Does the Sae Plan/ConaWdlon Drawing(s) Intlicale and/or Show Hydrdogia 8 HydreuYa Analysis For All Steadman Components of the Stomiwater Management System forAp_kabla Stones? 'OI OI~I 5. Does the Site Plan/Couuatructlon Drawing(s) Indicate and/or Provide a Comparison of-Post- 1 I 1 , DevelonenlStormwater Runoff conditions with Pre-Development conditions? -'..__._.P' 8. -Does the Site PtsNConslrircdon Drewiihp(sj Indloate am7lor Show All DTmeneTons, hielerWj~ I ' - ~ - Specifications & Installation Details for Each PosFConshuclion Stormwater Pmcdco? 7. Does the Sup Plan/Conatnuctlon Drawing(s) Indkate a Malmenanoe Sdnedule Provided by a 1 I I the Contractor(s) to Ensure Continuous & EffectiYe Operation of Each Post-Construction i I=i ~i IBC i Stamwater Management Paatice? 8. Does the Sile PIanlConstructlon Drawing(s) Indicate and/or Show Maintenance Easements to Ensure Access to All Stomhweter Management Practices aline Site for the Purpose of Inspection and "ILI 1 I 1 I awl . 9. Does the Site PlenK;onstnuafbn Drng(s) Indicete Agreement(s) that are Binding on AN Subsequent Landowners ? Il l l~hl~ I l._......._._._._._._._______.____..__. 70. For All Adlvltiea meeting the Threshaid in 236-79(8)(7), the SWPPP shall be Prepared & SI ned I ' r I ey a Professional in the Principles and Practices of Stormwater Management & Treatment Who !jam! Q!m 1 Who Shell Certl§!that he DeanMeets the Revd ofgmpMr238. _ __---T - _ 7 t. Does the Plan Indicate and/or Identify All Potential Sources of Pollution which may a~ac't the I ~ ~~I r Quality of Stomwater Discharges ? 1 ~ 1I-II IGJ I 12. Does the Plan Provide Documentation Supporting the Determination of Approval with Regard 1 1 ' I _toHisWcPlaoesorAntjpoopt@Resources that Includes theF. dbwirh.____ I~I~I I , I r------------------------ . a. Infonnetion whether the siormweter discharge o lend development activities would have I 1 I 1 an effect on a property that Is listed or eligible for biting or eligible for tstng on the !17-111=1=31 S_f_at_e_o_r_N_atio_n_al Regist~of_ttabdc Plecea• b. IIt' The Results of Historic Resources ScreeniMpaterminatlons that have been Conductsdd--ir__1i=iQi-___________-------------______________-------_______ ` o. Description of Measures Necessary to Avoid or Minimise Adverse Impacts on Places Listed, i 1 I 1 or Eligible for Llsft. on the State or National Reglstar of Historic Places; and - - i i of Where Adverse Elfecla Trey 3ecur, Auiy Nhiteri Apoanlerde In Piece wGli ti-ie FJS'§ Oltice of Parks, Recreation and Historic Places (OPRHP) or other Govemrtromd Agency to Mitigate Those Effects. I h 1 1 W. '--XNYsWi T'- --`--------i i i r____-_-_.._-_-_____---------_--------_-__--`--_---- -A DescrlpGon oiNe Soil(s) Present et the W. Irieluding W IdenOflcetlon of the , IQ,©, H reulla---`-'r Soo GroUe. 101 1 , ----------------------------------------J t I 74. Identification of Any Elements of the Design that are not In Con(onnence with the Design manual, Including Reasons for the Deviation orAltemative Design and a Desaipdon i0 iQim oitheEgulvalancyyftjtphnlcelStandards 16. A Hyrologic'end Hydraulic Analysis for All Stmcorel Component of the-~ Stormwater Manegemgd_Conbd Syslern. Sla§hg ---+y_-`--- dW6ail--`__---J I 1 L----------------- 16. A D Post-C Sum oon, with CeTafatllinu, of the Cdtsda teat was Used ro Design All Pos4Cor Wiu ccFnMelntenae1ntsmater napemem F9i Practices. 17. AnOperatkhn and nce Plan that Induda InspectorendM eaMerrance I 1 , , Schedules and Acton to Ensure Continuous and EffecOve Operation of Each Post-Construction Storm Water management Practice. I 1 I 1 1 Storm Water Management Control Plan Checklist # 2; 03.12 C n of So uthold - Chapter 236 - Stormwater Management ONTRAC Pto Tow TOR CERTIFICATION STATEMENT e commencement of construction activity, the owner or operator must Identity ALL contractor(s) and sub-contractor(s) that will be responsible for Installing, constructing, repairing, replacing, inspecting and maintaining the erosion and sediment control practices Included in the SWPPP; and the contractor(s) and sub-contractor(s) that will be responsible for constructing the post-construction stormwater management practices Included In the SWPPP. The owner and/or operator shall have each of the contractors and/or sub-contractors identify at least one person from their company that will be responsible for implementation of the SWPPP. This person shall be known as the trained contractor. The owner and/or operator shall ensure that at least one trained contractor is on site on a daily basis when soli disturbance activities are being performed. i The owner and/or operator shall have each of the contractors and subcontractors identified above sign a copy of the following certification statement below before they commence any construction activity: CERTIFICATION "I hereby certify that I understand and agree to comply with the terms and conditions of the SWPPP and agree to implement any corrective actions identified by the qualified inspector during a site inspection. I also understand that the owner or operator must comply with the terms and conditions of the most current version of the New York State Pollutant Discharge Elimination System ("SPDES") general permit for stormwater discharges from construction activities and that it is unlawful for any person to cause or contribute to a violation of water quality standards. Furthermore, I understand that certifying false, incorrect or inaccurate information is a violation of the referenced permit and the laws of the State of New York and could subject me to criminal, civil and/or administrative proceedings. " JEFF NALLOCAe rnfnaac7ofL IZ/z-7 /12. N6 Tilc In addition to providing the certification statement above, this page must also identify the specific elements of the SWPPP that each contractor and/or sub- contractor will be responsible for. Specific SWPPP Element: c. ~ Zr"' 1 _ (PleaeeDecerlhaHare) V ".H=J.....__ I ` NAME and TITLE of the Trained Contractor(s) + responsible for SWPPP Implementation; e,,, ~I n~j (~W ? ( 2 HAM: na. ors: I NAME, address and telephone number I I of the Contracting Firm; ~ t j a. _ ch . LL 361 _ - Property Address and Suffolk County Tax Map Number of the site; 1 s.c.r.M.#: f]lE~7Z1 T_V_CA{ 1000 -Z_ I_ Dish-lct Seetlon Bloek Lot The owner and/or operator shall attach All certification statement(s) to the copy of the SWPPP that Is maintained at the construction site. If new or additional contractors are hired to implement measures identified in the SWPPP after construction has commenced, they must also sign the certification statement and provide the information listed above. For projects where the Department of Environmental Conservation requests a copy of the SWPPP or inspection reports, the owner and/or operator shall submit the documents In both electronic (PDF only) and paper format within five (5) business days, unless otherwise notified by the Department. SWPPP Corti flcation Statement FORM: 03-iZ OP ID: V13 ACORN OAIRMLU ffM CERTIFICATE OF LIABILITY INSURANCE 11130/2012 THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICES BELOW. THIS CERTIFICATE OFINSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING MNSURER(Sh AUTHDROW Bill BE TATIVE OR PRODUCER; AND THE CERTIFICATE HOLDER. IMPORTANT: N ft Cardllcats holder is an ADDITIONAL 1 SURER, the po ky0es) must be andonLad H SUBROGATION E WAIVED, tu*K:t to the tams and conditions of the pocky. eNfaln potkies may require an andomement A statement on this c$MfieaM does not confer rlylds to the arOScaq holder In Ilsu of such ' s . PJmo11CeR Phone: 5IIS-932-81100 III are Brong v~~ Fax: 818.832-M Ea. IVAN* Sol 0 &AAAgewi 11 4onamprold ift. JEFFH•1 anumo JHN BtRNdara Ina ooveAAaE 110 e PO Box ox 302 nJwRaA:CHARTIS INSURANCE 8242110 So J 302 rt NY 11870 w w alts : Hartford Insurance Cana 30104 aOUNMC: _ MIU M0 InURON: COVERAGES CERTIFICATE NUMBER: R NUMBER: THIS S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE DORM NAKED ABOVE FOR THE POLICY PERIOD INDICATED. N07WRTHSTAM N6 ANY REOU REMENT, TERN OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSM OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERJA 86aI19I BIS 00 CONDITIONS OF SUCH POLICES LIMITS SHOWN MAY HAVE MEN REDUCE) BY PAID CLA A& LWI TYMOFMgUMNCB POLICYNUNM 1.1111311 GBRRAL LUWMAr EACNOCCUnneNCE • COMMERCIAL GENERAL LIASURY CA*u4AAM a OCCUR MEDEW " i PERSONALaADVMJAMY i GENERAL AGOREGATE i GNn I POLICY F-1 JdDGRECIA7E laM APPLES PER PRODUCTS-COMPIOPAGG a Loc $ AMIOMO/MaLLWM COMBINED SINGLE IoM S 600 B X ANY AUTO' 12UECUIS242 07/141212 0211412013 mo BODILY INJURY MP,PR~o:a i MLOIAMEDAUTOa BODILY Prf aCdeMA) a sc1EDULEDAUroa PROPERIYON0VIAGE HREDAUTOS (pK~gy.yi i NObOYMEDMJTDS i a OCCUR EMJI OCCURRENCE OW7at LMa Ia"eBlAL8 a E AGGREGATE i DEDUCTIBLE a A JMealaLars mi m rrN X A s e (aNldMrrr4laS~T MIA 88876D 07/1/12012 02M4/M3 E.L EACHACCOBJr a 100 E E.L. DISEASE-EA S 100 EL OISPASE.POLICY LAST a oomn MOPOPBM7INMJLocA= SIrEHCM~A001N1M.AtlAtlpW RMWUa NRMW4 tllwwp+N bmpWSq SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF SOUTHOLD THE ExP5UknON DATE THEREOF. NOTICE WILL BE DELIVERED IN PO 80XWO-83098 ROUTE 26 ACCORDANCE WITH THE POLICY PROVIaIDNL SOUTHOLD, NY 11971 AUTHORMEOREPRSBENTADVE V r?acAvvf- 4t4AI 01988,2009 ACORD CORPORATION. AN VO reserved. Aryllm in J'AaeORWt .....ow - C~J( REScheck Software Version 4.4.3 Compliance Certificate Project Title: Santigate Addition Energy Code: 2010 New York Energy Conservation Construction Code Location: Suffolk County, New York Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 5750 Climate Zone: 4 Construction Site: Owner/Agent: Designer/Contractor: 2305 Park Avenue Maria Santigate Diane Herold Mat ituck, NY 11952 793 Preston Road Diane Herold, Architect East Meadow, NY 11554 P.O. Box 884 516-236-2354 Westhampton Beach, NY 11978 631-288-5049 muskratwoods@aol.com Coil 1 p41fice. Passes Compliance: 10.5% Better Than Code Maximum UA: 57 Your UA: 51 The %BeRar or worse Than Code index reeecfs h m dose to cooplianco ft house is based on code tradeaa rides. It DOES NOT povide an estimate of energy use or cost relative to a minimum o hare. Gross Cavity Cont. Glazing U A Assembly Area • • r•• Perimeter U-Factor Ceiling 1: Flat Ceiling or Scissor Truss 44 19.0 0.0 2 Ceiling 2: Cathedral Ceiling 161 19.0 0.0 8 Wall 1: Wood Frame, 16" o.c. 384 19.0 0.0 21 Window 1: Wood Frame:Double Pane with Low-E 21 0.290 6 Window 2: Wood Frame:Double Pane with Low-E 13 0.270 4 Floor 1: All-Wood JoisUrruss:Over Unconditioned Space 205 19.0 0.0 10 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2010 New York Energy Conservation Construction Code requirements in REScheck Version 4.4.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. ~l AIUE bIERCJt_~pRcl l -Te--c7 ~fI .UUt fu WLz Name - Title Signature Date Project Notes: G\StERED AROy7r Energy calculations are for addition only ~4, O t JO`O FpT o~ S 14061 qTF OF Nli.`N A Project Tide: Santigate Addition Report date: 11/25/12 Data filename: Untided.rck Page 1 of 1 I am familiar with the STANDARDS FOR APPROVAL SCDHS REF. # R10 - 01- 0126 TEST HOLE AND CONSTRUCTION OF SUBSURFACE SEWAGE Dark brown DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES sandy laam OL. and will abide by the conditions set forth thereln and on the 0.5' permit to construct. Brown loamy sand nd SURVEY OF PROPERTY ' The locations of wells and cesspools shown hereon are from field observations AT M A TTI TU C K Pals brown and or from data obtained from others. TOWN OF S 0 U TH 0 L D line to medium sand SP DEEP SUFFOLK OUNTY N.Y. ID LE CREEK ' PoN brawn yyk'y ~ t row sand sp 40 d,/ 2.8 II.P' v water k, ale r. m \ ~t brown nhs N g Scale 1" = 40' sand ~E N I duo- eei, ,,n Oct. 22, 1997 ' /7 j OEC. 23,1998'( prop. oddlflony flood zomiv) Q~' I \ Af` y~?s~ OCT. 22, 1999 t fopo ) 'MAY 21, 2001 ( new addlflon ) .ME P71,' rm gtvT HOLE) JULT 24, 200f QfEVISIONS! hm a, 1001 r REVOM ) aAl >(5S I _ x Y f QINII I CIRA eerr. n, f!a: r..w.na MTia • - _ _ _ \ - _ _ 1 O 01 per. ~ 1 Low z O >o-K ssv dtfX'P, Ie. \ d4Aq,ry„ y sa>cr--tA PIPa 2 ~G ALr Y • C0Lfi 0 S1 'no AREA=35862 sq. ft. so` v~NUE to tie line P Ct% 9~F DARK ~.<or ~.PS FN MADE el 14 • ,r,e11 C ~ acrri,~ eu' _ CERTIFIED Tot ~arsc p,s-, sa-M EO NEyyr~, GRACE R. CANTONE - _ - T - - - - c' Oz MARIA ELENA SANTIGATE 410fO '"7Ot 1, O GRADING PLAN 5 FLOOD ZONES FROM FIRM INAVDI MAP NUMHER 36103CO462 H 49618 SEPT. 25, 2009 ANti ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION PECONIC SURVEYORS, P.C. OF >CTION 7209 OF THE NEW YORK STATE EDUCATION LAW. (631) 765 - 5020 FAX (6311765 -1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS P. 0. BOX 909 CONTOUR LINES ARE REFERENCED TO N.G.V.D., HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 1230 TRAVELER STREET SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR SOUTHOLD. -N.Y. 11971 WHOSE SIGNATURE APPEARS HEREON. 97 - 310 T i ~I-0 41 S Ri aEa ct7" . _ s t y~Sif y4Yi,4 _ _ i _..'.LUS ~R c7G K °1 } r`i t M. , y UPr'L~ Cs E GL ~ f N4`f L~ . to RM~,CJE -7c VYT y~,-±,~_I-l ~Xt.S7 ,N C -f11v~~C-.2TEC. 71'~EC.t<tNG, ._[~-E_ Sy A`i!{ig ~ _ . r # ~ ,r ocuo ~3 ti. NkL. - Z lh3il L2 C-X !5710' Nvs Bids $ fd~ Fig )VS i SU PP,LIEp T: ~I fl l'fT~L.L GE_l Una) -i;,F_C,4C 2 S2~C1sG QL+?fJG,fC._. ,~-,3 c14 Iwsrr~-LF.~aa~y Gu~.c~i ~41Q 4 L-Wf- OF F YCL`T NC C L4 S C3J IM~~ rcN -E.A. 5-r t, 0G, 71 Nnlt?~ ER7E C. ~ES?7E Ck~ LE$,ktr)G Iwo, EG+ 4 1t~5 LL NCLil F C~ I n!'G ELECTRICAL CYO 11; ' r lNS7e3LL dGu'c .Clcsr?(, - I 4f( 41 00 Ex. LS(I NG z [.Ca• INSPECTION ,a:.~tIIsECI ~ SLR, r~cjj _ -----------------I--- - - - 0CCU4~'P4 - - USE g'UH4 ,JVFUL 'ICATE_ TE- S~RQPQ3Eh _5E~' CC~+>a57c~,~G.Z[cNJ, ' uavl ltAir: i --SLVKAs 1i baC^ O o\A"OVED PrS NOTED , r { - } _LI_V_I N C~ C~Ow1rv'~ PhTE. o 6.P.#3 (JQR7(~ Fez BY _ NQTIFY BUILDING DEPARTMENT FT 1 THE E 76,5-1802 '8 AM TO 4 PM FOR Th'E p _ FOLLOWING INSPECTIONS' D 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Trv V 2. ROUGH- FRAMING, PLUMBING, All STRAPPING, ELECTRICAL 8 CAULKING KING 3. INSULATION dlCi L r i .F i r -Y{Hn f?f 4. FINAL- CONSTRUCTION B ELECTRVL ,41 MUST BE COMPLETE FOR C 0 Tuc dMi, "'w{` " matJfi l.RE zac.as,Q~c'•NL ~EU4-ltzi YS - . ALL CONSI KUC UN Orn - rir_w REQUIREMENTS OF THE COVES OF NEVI YORKSTATE. NOT RESPOU'oICLE FOR DESIGN OR CONSTRUCTION ERRORS R 1 t~, RETAIN STORM WATER RUNOFF F t PURSUANT TO CHAPTER 236 OF THE TOWN CODE. I~ ry r-~ u] ~ 'rL r~ fJA1'X,IhLSI.QSJ_.n,I.F~nds.fY1...__, ..._-..!`Lr 2j4i~-~1n1GS ~ y G, I t 15 r 21 uric - ~ l . FoY'~_ 1'+ C~t-Yroti C~ S'Y 10 /J I f /p F rl` _ r s - A n n J i 1.1V I n _ n a+n . qva r i Ft~YrCQLl.fLn ..W S. X5,44 4'M , C C C t .oF E -n,v..05 .xts7,,O .WI tL i~ e t .L 7 Gly(EPED ARpy,T ytEPED ~R~9i J_11~12iJ '`~,qE HBgoC TFn ~ ~tw~i ~ ~ ~ '`CAD-W.!) ldlLXlk'~-. 'V•.C+~~-+u w v d*i._ r''i,ae'P a a'y~r N HD0 ~F N SDP . 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'I k Ilz° CX>4 PLTWCM--5 -PoFLOQ&~ - C VA, "03-'t tLe oN z.~gs Ifa-~_ns.,,Frrx~lr-~]t5T3' 1 U-uPFSCI.AY~?~N'i_ _ n r S~j~` ~ r . -S.,nS?.Q.E{E...,,0.5C~~7 f; YL,Yr,SYG Lil- o~. tJ'~~a.SY.1.QIJ . Ac7D4Ttc2ra_. EXl--IING -Gpl-kGe '~?!at}~LA+~ FE~...M A.rrtfir $~7T~~R--. _ t'.~4lt~[s .~n~cRLYC c R ~3 - ~ - G`5(ERED AR-y'I?ISs C>P.un' ris-rn. XL~ GC? rc- . _ p h 4 .EX1,~7fniG_~4C7G~?-,IS,7SL., :ES`slwg,„.AVY'LVRFE~I- ?k.S..-: _ 1.4.'x-&--'CQ41[7..ECQ ..C,s:3hJt:.l 1-007, fNG _S11N Yc. s;i'¢3ia15a ES4><.[ES.'t ._tjz C.QX.FtY,WA41ri 5.k{;~P.'~k41~16~ --~1,~~~~--~-5 IZLs~+IL1e5sy, ~t.~c~o-Sind - . lk.I(oy-~d~~~~~s.. tnzsu~>~'Unt~,-. rsn~c,~s~txc~bscia_, ~4T~o~iJt. _ - s 24061 __._1z'_.S,Y35~m.ot4K2Sf~ 71GP/PAC<s.,s..lk1Q.P.li-NTL_.. -FIx;L-IasS~~r' YY~l~2tbnUm._.~~LCt4~_ _ ~Tf OF N I - i ' ~ ~ RODF sllcn'r YIIYJG AriAaHlAlfilt{ . m±+~Iy,~ k+- ~I ^-+r~ d'1) COMMON 144113 OM Will Wave N144US 1MM~1'W IiI '.I I wM/N I I M i 15p0.11NBTCf-6 b6iGi .7.Ct1G Yf1 - MI r r i P "'3 }m Lgld -WWI. Z%'vt mall. spil6mG AY PANEL EO665_ 6:qu PIr II' I+O ii~t AUy P"16 42"ors NINV- %V pLING' M WI6II.fA110L Y DVPPEMLYS vis -rf 'PN*L Fwx . gWllyl.MUmnfiY R':Nlfll - ~)M . M ~ [ 60",6 lW+1W1~yIIi~yy111N MWN~' '•Y//16+ LpIL1G'? INYt0.14R TONE i kill A.f IA«.ai1wl•, d Zi 4aA NA1l SPACING AV"EL rzb4ES m Nir~ Mp t - ~ ~.I - 12 OL NAN. 51' 4IN6 W IAMlEV-w4AIAYE ~SvppmT51N ?Ar• PANELF16Lb - i A 'tA1}LE "5.10 Wp0'O Vg~ WNt70.VC'rlvN MANUALS ZAOI VIM, -~«~fL 'Mfa.Yml ~Il Jaw i~Nd" - - M1NY Na YIN- SP ne - IIM«ImIWlf6d'Y1,4J IW IfmnNAal«', ~ ~ , TYaIr41 NMpYW aggool, 24" NN IaL!«iJ, "I - - X44 ' w.,«w I I ZONE I ~ _ 'tl«m M«IE RI~NMF aA ~ ~ a+rWln PIS"' Anal I ~ - . \~tv6F w{iimoil Y*stlm parwn I au• MFN IiA41YM,' ITMJWIdI 'PW atlnXl - . 4.'rAI«~1~y~IfA+ayM~~~6r1 ~ i h rI HIn M' IF.~mRI ray" owOiwrAMw aa PiW Mw prN- - aplym,*If,j'y iow LN qll 5F1EA'IHIp50111,d0.gM NOSCALE ~x ZONE AfM+ EY . P r~ ~~,1 n er ":cUAU., iNEATHINt ANO G.AVtlI NG MTAflNMES)I . ~ 5 6r yI 1 'Jw_ 8d COMM061-NAILS -CLIOd BOA NAIIA :~i, ,1 .1 " L0N6-9 LVA1.4. SIIF.P'(HIN6 W17H111 aJ' OF CORNC-icS, _ j -("(I YYf'Ir.H~ , rv Plcr~,.L I ~ e N~ ,}ee UD vat NAIL6PAGIN6 A7P0N6L IS'OQ S ~arv N - o•ayrrl'tN 4eC oa NAIL. sPACW6 AT IN'rtiLGllEOIAYE SUPPon7s IU tiHE DANIEL FIGLP >m• Y rw'mnN ZONE L/' Itl'(gR1DR TANS - - „1, WtlWfa - NfY4 'r nMOY AaA __GI".OE.NAIL SP ACIIJG AT PPIJEL ErOGe!S bill 01& IJAIISPAEAUG' P'f IuYa;ILfVIEp1A7E SUppU0.75 IN 7NE Pf"Ma_ F16Lb I yN_ w _.'f A6LE g:11 WOOV VRNNE ' U06'E4wL1100.MANU11,LZ00I T 1. MINMUM Wall UVl L"TA allClfol EquM!' .s ^N e. e A . ` f of M/ IIYw+ N 1w~j"ya lw '<n A N oft ll. Ow I. a+vl„IW+ sW 14+n IIOp"MOfI lo! m I I If pf NI '11Nn 'IeNawMwl II . tiau:iia•we«n«r ~Ir _ i le:"q~wIYA~IMw«N!6+r,+^~"I"'«I 19ilarlw1ar 11routLICIIHper boa - w rrarrlfYpir411w uwlw Na - I,2) 20 .16 12 - 1 ":'1>AryaNitlaM+!~IaWwylwq w!41~ii,MMa+ilwlll+iAlwl.l«wwmr4Wwel.iM.nwf y T~Al11Cfbt fuwhd)16 hp 16 16 12 Ir l1 MrEIIAIII: )N4 12 12 - I i ROOF SREKTH ING P,-T7 KC-N71<YIE- ri "r't.>I\0 WOY_-70 SCI F-_ M1111MM1 •M aY Srfa. taw - - ~'a' :9" - '.alYnllyn Yk a {i'?f.~ It gpwbv . 2,/1!1#NY?d I~,- t'. X16 12 _ SawY' s'v cull `l lira, uG t{ (asz~ F ~ •i.N TM~,Mw+vM'MA4 T'IMM4aww~1~4Nar,t]0 f «pAwllr..aMlwpl }EMiI - " - 7/(i'. Wall L /1m) _ wnyr«rll.w lrlM~al^ItyM1.f+M~•bbEwal«a (In pr not 6o1 /6nW11 m+4rhASMMa+~'«a+a..6F644gw~tiWaXa r«raaprlAw+l«- - r ~m LSTA 2t4 A7'iUep:Y 9AFT4R . MaMrmEl~Ararka~ 1 - ~ ' a. P7p.`d? ~7 t7A7. ©•~.'Q'Fi)E k1'4i{1;6~a ~ty19A y~eJ)'N\760R p)E ?GESS,16 1A~NE2 t-V ' : WbQq' 31'2;UCTl/RL>L, pPN. M1pLS ~171~': 1111 h11 MUN+ ~ ' TKI(ZX1;)Ea5 O$.Y ~/IG! 'rAvi p ,,yti AW M~'WM1,m P~~..rh?L 1) f L) P , AN6L5 SH PLL 1E P)~.G•C-Ut TO WWt•IER 1AE. GLA2~•b _ xt M/ulhlm. .,.~iPE~Lti1G wJ~K {47`FA~,Y( M@t;~7 {.tp,Rtpfi)AItE S~RpV10EL~ A7 fU~aY 0.AFTY1s0. I 4p k\j ( I w PQN18?AGsC GAEL-E7q [„ltkl..LOCta7lou 0~ - 'D'J-N GJASZL'- Lrti1C- _ W[hSZE (.1f.J~._. , _~pif}(Z.c-(tLIrJ OF Al.r-cam WLI~~sau., rVan ~~I1".ZE.'r.~ Gcc~•.LS - LJITAIIIF- a32•' P: nr i6TAM a ~SZUoC., 1 NG~ PA . .\SSERED ARCy/T Q~6Q~PNE NEgD I.. O ' i, 14069 ,P - - yoQ Figure 5A.8 Figure 5A.9 Strew Bale Dike Details Silt Fence Details 5 R- I J` YWIH Y111F IENIF INN L IR 4WLf VERTICAL \ Xu Y X[91 4[Clx[, II FACE E~ ]L' Nl C. ro L \ nIN. HE.. 'ToS 1 tlI m. IT- 1.10 THOTHO B EOO SNG UOETi,3L 1 SLOE AREA NO NG MAN 111 AC. PER lAE FEET BF STRAY BALE DINE FOR SLOPES LESS THAN 25I j ~ ANGLE FIRST STAKE TOWARD PREVIOUSLY LAID BALE r ~ W r~rJ , r' - 9 FLOV - d PERSPECTIVE VSEN w t _ I I t BOUND BALES PLACED ON CDNYOIIR P4[ 1 \ 2 RE-BARS, STEEL PICKETS I J[' HI. 'ME I OR 2'x2' STARES 1 TO 2'I j IN GROM IXnE STAKES YWEN Vlnf ICME INN. Il lR LlU[E' u1o151ulYfLO QoiO _ - xu L• .1[IN[] I - YI1N "It. t. IIT n01X WET, li• Nry- f nr+c..or+xtiG of roxL FLUSH SH VI Y1T11 BALES S ' f=W NOT TO SCALE i Y Nx i Iro[x Horn nom i Nx r Ixro [nouo -J r ~ ~ I CONSTRUCTION SPECIFICATIONS i secrxoPl i I BALES SHALL BE PLACED AT THE TOE OF A SLOPE OR ON THE CONTOUR AND IN A RDW WITH ENDS TIGHTLY ABUTTING THE ADJACENT BALES. - 1 ewslwcrlel WEES FOR Flnlnrm SEE FINCE 2 1 V.T. nu IIME ]o {f F[STexfo IECIEIELT To IMIE i . Vf IT rows. sTM EIT1E, 'T- Th •u 2 EACH BALE SHALL BE EMBEDDED IN THE SOIL A MINIMUM OF 11! INCHES,I AND PLACED SD THE BINDINGS ARE HORIZONTAL • Y11N YyE LIES S1 EkES. IIPE W IIYIdC4o 1. TILEM .1. 10 EL r0 W 1.1MO S(LIIRt to VIDE IM, .1. ,HE Il IR L\. 3 ,I 'ME WITH TIES Y1E0 EVCI[r [i loF THo Xlo SEIrJM C HEM W.M. 3. BALES SHALL BE SECURELY ANCHORED IN PLACE BY EITHER TWO STAKES OR RE-BARS DRIVEN THROUGH THE BALE. THE FIRST STAKE IN EACH BALE S114LL BE DRIVEN TOWARD THE PREVIOUSLY LAID BALE AT AN ANGLE 1. VXET TW SIETIOW TV IILTCO 40TH {WO)" E101 oIMX 111,14 ROm IIITM ] TO FORCE THE BALES TOGET11FR. STAKES SHALL BE DRIVEN FLUSH WITH '.ET 9U1L Or OVCrY?FEO EY I'. IHM, oHo'FLOP,, 4.3 1{Y. Sf 1ESUWa 7I1W . ..'a C411L. , THE BALE. I x11NIM VTI .1 EE ITYNLO 6 HE". Ylo n11 M11L 'H".' J(i1 1Nli. LD.W 1 INSPECTION SHALL BE FREQUENT AND REPAIR REPLACEMENT SHALL BE j MADE PROMTLY AS NEEDED. j 1WPETT U.I.'RRS- 1111OF I. mE 511 11TTE MJHHFM4. oI Y`.U E.L. 5. BALES SHALL BE REMOVED WHEN THEY HAVE SERVED THEIR USEFULNESS SO AS NOT TO BLOCK OR IMPEDE STORM FLOW OR DRAINAGE V 5 pUUIYIMI pi [fA1[LLILL9f d S NPARTIENI B AGRi CIAIVRt I I SIINDAIO SIK891, N., .YL 9f501 E[5 [a 5[p'%rnp SE.NVI:f I SIL i FENCES, A iumt RISIAYIUS CONSERVATION SERVICrI STRAW BALE DINE SBO iYRAOIEF MTV IORY New York Gwdelincs for Urban Page SA 20 April 1997 - Fourth PrlNing New New YorEGmdelims CaT Urban Page 5A.18 Apnl 1997, Founh Pnntmg i Emsim End Sediment Coonol &osr E ms= and Sediment Control ,I it I j I i Town deshmated Slormwaler Mattaeenrenl Tone Boundaries shall be subject to the folloirine conditions: 1 i I. Any work or disturbance, and storage of conslmclion materials shall be confined 4. Slra 4. Straw bales shall be recessed two to four inches into the ground. I to the limit of clearing and/or ground disturbance shown on the approved plans. 5. Silt 5. Silt screen shall be recessed by trenching six inches into the ground. 2 Prior to the cmrlmcncemenl of any construction activities, a continuous line of silt 6. Lea 6. Leaders and gutlers that empty into drywells shall be installed on the proposed I screen (mexbnum opening size of U S. Sieve 1120) shall be staked at the limit of rest residence clearing and ground disturbance shown on the approved plans. The screen shall 7 All 7 All proposed swimming pool discharges shall be duetted to drywells. be maintained, repaired and replaced as often as necessary to ensure proper 6. Pro] 8. Proposed driveways must be constructed of permeable materials or if paved, be 1 function, until all disturbed areas are permanently vegetated. Sediments trapped equ equipped with drainage sufficient to prevent runoff from being discharged onto by the screen shall be removed away from the screen to an approved upland the the road or off-site. _ ! location before the screen is removed. 9. All 9. All areas of soil disturbance resulting from this project shall be seeded with an , 3. Prior to the commencement of any conshUction activities, a continuous row of app appropriate perennial grass, and mulched with straw immediately upon otal-,.d ~1F,w h,v hales sh,ll he staked end to end at the base of the required silt con completion of the project, within two (2) days of final grading, or by the expirationdate of the building permit, whichever is first. Mulch shall be screen at the base of the required silt screen. The bales shall be maintained, exp maintained until a suitable vegetative cover is established. If seeding is i repaired and replaced as often as is necessary to ensure proper function, witil all mai impractical due to time of year, temporary mulch shall be applied and final - disturbed areas are pa mmently vegetated The average useful life of a bale is 3-4 imp seeding performed as soon as weather conditions favor germination and growth. months Sedimeols trapped by the bales sliall be removed away from the bales to seal 10. Suitable vegetative cover is defined as a minimum of 85% area vegetative cover an approved upland IOCAnUn before the bales themselves are removed 10. Suil will with contiguous unvegetated areas no larger than 1 square foot in size. 11. All 11. All construction access ways shall be raised sufficiently at their site access \stetran ARe~,r loci locations with the existing roads, to prevent runoff of water, silts and sediments ~~.r' NE'eR\Fo fear from being directed or discharged onto the road. A non-loam base material, such as c as crushed stone, gravel, or recycled concrete base, shall be placed across the J' + 3 driv driveway or construction access way at the access point along the road. i I Sr Z406~ y- ~ ~ arc 0 N ~0~ 1 i I'1 i I ' ' c~ fZi ~GQ.S t?~( - E-lh.tito~glL _ A t 7 ees ' bi~-' ~Gu/~szLU i LQ.WE~i_ D r 7 LL11,1(•`C-k- 2 e;, LAWE(2 -TH 3 1 EOiT OC -7 L, eiLLVw- AG i „ UFPC~_ CE C-4, 1 E12.v~~1._C ~~.pPt=~C9~7J1J.N_ ytn w~-t~. eyUS'r~ r)G,-f'l IL~2~C R.TF,cN cJ~c- tNG - 3 T K2Efzy .Gl d l P,IFs1L r~-y ~ .ate 3 NtC~N- St~{~{y_' 'S'iU IL. s~UP rc.~f.LSTlf~6 . ~Q ~4L CL)f3AQ Wiz _«E 5U \ 1~P_uez: Z'Y U~ t\L-L kZ-«Er_.At OWfJG2._ r3~ 1-IlG(A _ GJ Yttt24 - f l ~v 1 ! l.4-Ca - A) K),(-, 12`~(} 7 ln1,V~7C,k- EX i. X71 N G -T Vr\ R ES Tk C- v~,ES~,7F-QLH mr- Fit,3G z'* Ir37o ~1n.Sa1, tLIs7 P'.LL NGtLl L C~L 10 G - I ]To" 0~1 E x.157•t tJG ~r.cJt F_S3 1G . Ps3.f1Ps7~C~t~ c~tt . t-lu~.~ ~ _ ,K .1c~_Y e: E c1=~) - QFFIC.E A?XSa"`;r;i> ?',~-[_.l`.~U\-'W`C-S ' i - ~~P4~>~. 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