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TR-8481A
Michael J.Domino,President fjf so�riyo Town Hall Annex John M. Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G � O Telephone(631) 765-1892 Greg Williams 'rOUNT`1, O Fax(631) 765-6641 �y �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: /o/f// ' Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction / Y constructed V Project complete, compliance inspection. INSPECTED BY: 7K,l COMMENTS: CERTIFICATE OF COMPLIANCE: Michael J.Domino, President *QF SO(/TTown Hall Annex John M.Bredemeyer III,Vice-President ,`OO01 0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �O �� Fax(631) 765-6641 OUM� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1649C Date: October 9, 2019 THIS CERTIFIES that the installation of five(5)new exterior doors and one(1)new window onto existing two-story dwelling; At 575 Hill Road, Southold Suffolk County Tax Map#1000-70-4-29 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 25, 20,14 pursuant to which Trustees Administrative Permit#8481A Dated August 20, 2014,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 installation of five(5)new exterior doors and one(1)new window onto existing two-story dwelling_ The certificate is issued to Emma Van Rooyen owner of the aforesaid property. Authorized Signature John M. Bredemeyer Ill, President oNO�g"yFFO(/cco Town Hall, 53095 Main Rd. Michael J. Domino, Vice-President �� Gym P.O. Box 1179 James F. King N :L- Southold,NY 11971 631 hone Charles J. Sanders � � �.� Telephone( )765-1892 Dave Bergen Fax(63 l)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD " YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1St day of construction % constructed Project complete, compliance inspection �F S0 lTown Hall Annex John M. Bredemeyer III,Presid �� y� Michael J. Domino,Vice-President ,`O 0 54375 Main Road P.O.Box 1179 James F. King,Trustee 4 4 Southold, New York 11971-0959 CO- Ahc Dave Bergen,Trustee Telephone(631) 765-1892 Charles J. Sanders,Trustee COU Fax Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8481A Date of Receipt of Application: July 25, 2014 Applicant: Emma Van Rooyen SCTM#: 70-4-29 Project Location: 575 Hill Road, Southold Date of Resolution/Issuance: August 20, 2014 Date of Expiration: August 20, 2016 Reviewed by: Board of Trustees Project Description: To install five (5) new exterior doors and one (1) new window onto existing two-story dwelling. Findings: The project meets all the requirementsfor 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 site plan prepared by Berg Design Architecture, last dated July 23, 2014, and stamped approved on August 20, 2014. 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. John M. Bredemeyer III, President Board of Trustees 0 John Bredemeyer, President �%UFFUIt Town Hall Annex Michael J. Domino, Vice-President °° °° 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanderso • Southold, NY 11971 Dave Bergen o! ,p �a°! Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report ftDate/Time: 3 /( f John Berg on behalf of EMMA VAN ROOYEN requests an Administrative Permit to install five (5) new exterior doors and one (1) new window onto existing two-story dwelling. Located: 575 Hill Road, Southold. SCTM# 70-4-29 Type of area to be impacted: �altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: 4>4>e j "r- — L, o e,r. Modifications: Conditions: Present Were: -T'-Bredemeyer M Domino J. King--"C. Sanders D. Bergen Bay Constable nn Other Form filled out in the field by Mailed/Faxed to: Date: t .k d�' r,�• • r y. j . r t f 6t i f r y awwrr 'y.t +,y, s����•iv�!1G�g wF id�rf�+3i� t A.. � 1}"" �� $ � y �.. Ir.t1 C . �"A' W ✓ ,G qot ; 575 HILL ROAD, SOUTHOLCD , NY_ E)ATE : 07/23/14 TIME_ 2 .00PM VIEW FROM SOUTH - NORTH SIDE, OF HC)USE .. t t til .. u,`" �n• � y,' F 4,�- /fi _' t. �Gt, � i ;N=YC eff�k � :ir J. }`�r'fi�'' �, n • /' ! '"{r i�X, • 4 *f Sll A Of— r 'i+ a _ I 575 HILL ROAD , SOUTHOLD , NY .' DATE : 07/23/1'*4 TIME = 2.00PM ' ; VIEW LOOKING NORTH = SOUTH SIDE C)F HOUSE J xEE.ee.xo.ae]----- UNS cn.] ' A. Bp 6�e•e•wL,s.a.]♦,w8,a,5Ee„>a�.•n.N�,!.••,,E.0 a m'es•+ oyCv�ri n°e• y 'e t`aa�.k.�a°t'�p `".�a s.�•�°�� Oe'9'�J9+a,•6n�d. b.o m �p° r� Ji®y a, i�•� a..] aWrHawaLuON'y a... f..+. �W- 4 J ell, 01 13 �rtuo. 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Y .. .n Y � ,v, . ]w.w or � pyt s n s= a.• ,�.,8 a..,a=�_�+ ,j i..i...\...i-3��=•L--� Q r_+—s— _�-_ 1211 _ O ._,.. --._— ,,,. NOTICE COUNTY OF SUFFOLK © K m > SOUTHOLD secno]]Ho __ Real Property Tax Service Ager]cy r H..�,.,, u —_T-- 7D 3, Lw,n e.,,.�u..I.r,urns, e.+. n � n+. �- ---- �+ --•-- .�,�--�-- v ,OW PaOPEarr euv OFFICE LOCATION: O�*QF S�UryOl MAILING ADDRESS: Town Hall Annex h O P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) H _r Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 4UNT`I,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees AUG 1 8 2014 From: Mark Terry, Principal Planner LWRP Coordinator -- Date: August 18, 2014 Re: Proposed Administrative Permit for EMMA VAN ROOYEN SCTM# 1000-70-4-29 John Berg on behalf of EMMA VAN ROOYEN requests an Administrative Permit to install five (5) new exterior doors and one (1) new window onto existing two-story dwelling. Located: 575 Hill Road, Southold. SCTM# 70-4-29 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS items "A" and "EE" which state: A. Maintenance or repair involving no substantial changes in an existing structure or facility; EE. Upgrades to existing fuel tanks, provided that erosion control measures are implemented; Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F.King,President �QF SUUrTown Hall Annex ��� O�� 54376 Main Road Bob Ghosio,Jr.,Vice-President P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer Telephone(631)765-1892 Michael J.Domino Q Fax(631)765-6641 Mu�rl,� TRUSTEES Y}. ._. . .. t �tj BOARD OF TOWN flD TOWN OF SOUTHOLD r 'office Use only JUL 2 5 2014 I _Coastal Erosion Permit Application/ - _Wetland Permit Application V Administrative Permit i. Amendment/Transf /Ext rasion t eceived Application: �ceived Fee: mpleted Application- -Incomplete Incomplete _SEQRA Classification: Type I Type Il Unlisted Coordination-(date sent) n r WRP Consistency Assessment Form b QAC Referral Sent: j ate.of Inspection: j _Receipt of CAC Report: j{ Lead Agency Determination: __,Xechnical Review: 1/ Public Hearing Held: _Resolution: ll i.. Name of Applicant S E MN1A U�fl y`�K) Mailing Address Phone Number:( Suffolk County Tax Map Number: 1000- 6+ Property Location: 615 L e ? 2 •q 51 GTLo55 s s AVf,N OV (provide LILC Pole#, distance to cross streets, and location) AGENT: o H ) (If applicable) Address: h)Q Af,,C { !T/TUge,, l3 UA�tG�rS?� �it1 LTA �l�i, N• N`G (O O (-1Phone: L�L� ^' 1 q 11 I f i Board of Trustees Application i GENERAL DATA i Land Area(in square feet): ' Area Zoning: — 4 D ' I' Previous use of property: Intended use of property: IVO Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. —"•� i . Will this project require a Building Permit as per Town Code? ✓es No I If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes x No If"Yes",please provide copy of decision. Will this roject require any demolition as per Town Code or as determined by the Building Dept.? Xes No W-k Does the structure(s)on property have a valid Certificate of Occupancy? V Yes No Prior permits/approvals for site improvements: l Agency Date i i V/' No prior ermits/aPProvals for site improvements. i Has any permit/approval ever been revoked or suspended by a governmental agency?__K No Yes If yes,provide explanation: Project Description(use attachments if necessary): ( ��rP�,N�D11 '1D 1J OF knz44:6k) �. 212 S NSW 'g�IP,AO�`►� w L7H11J �X-ls1U�G, ��lL�l�, C-AWA ANS (14STA'KMbA) O F —Q i i Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: V�P�I� 6F tNC xTv i Area of wetlands on lot: 'TO�o square feet i Percent coverage of lot: 3.6 % Closest distance between nearest existing structure and upland edge of wetlands: Q f?1'=t}t� feet i�.. Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? I.. i No Yes I If yes,how much material will be excavated? N A cubic yards I How much.material will be filled? N A cubic yards F. Depth of which material will be removed or deposited: >A feet Proposed slope throughout the area of operations: N Manner in which material will be removed or deposited: NA i i i Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): NOME. 617.20 Appendix B s Short Environmental Assessment Form i.' Instructions for Completing f. . Part 1 -Project information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. h Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. r Part 1-Project and Sponsor Information Name of Action or Project: X75_ t tt� VOA Project Location(describe,and attach a location map): Brief Description'of Proposed'Action: R�1�OV 10N of �cC1Z�1.�N AWD 2l/Z 15ATKtTgpMS , (VT vSM14rltD, `t N 5-rA4-C,-'V WITHtX) lsTlNGI BliLI�LN�I �NV .UI� �. �NSTAA.t�D}J O F DNS 1u� i�X-�C�d>Q- BVI N�Ow '41��D �j �C -Poo" � ! Name of Applicant or Sponsor:: Telephone:6 �r E-Mail: HN Address: 'GO N Ag,( �[TW 5vi TV 4715 I City/PO: State: Zip Code: • New ofd N l Do l3 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES . administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that [I Q may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or ap royal ❑ { -tow 1J of 56ar'r '� tJSZ'G� Af'P170V,DrC� o:F 5o V L W 3.a.Total acreage of the site of the proposed action? 2. acres b.Total acreage to be physically disturbed?, y2►a$ acres c.Total acreage-(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 5 7 Zacres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban O Rural(non-agriculture) ❑Industrial []Commercial esidential(suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 1 I 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? j.. 7. Is the site of the proposed actio located in,or do t join,a state Iisted Critical Environmental Area? NO YES If Yes,identify: El G 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES I ® ❑ b.Are public transportation service(s)available at or near the site of the proposed action? ❑ i c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? i 4.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: n 7� ❑ 3 i- 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: !� 11.Will the proposed action connect to existing wastewater utilities? NO YES s If No,describe method for providing wastewater treatment:- ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES j Places? ❑ b.Is the proposed action located in an archeological sensitive area? (� 13.a.Does any portion of the site.of the proposed action,or lands adjoining the proposed action,contain NO YES vr._ wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: r• " ❑ 1 14. Ide fy the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline El Forest ❑Agricultural/grasslands ❑Early mid-successional Wetland ]Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ® ❑ 16.Is the project site located in the 100 year flood plain? NO YES L. s 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES I _ If Yes, K71 ❑ a.Will storm water discharges flow to adjacent properties? [-1 NO AYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO AYES Page 2 of 4 i 18,Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ 1 19.Has the site of the proposed action or an adjoining property been the location of an active or closed' NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? F]I f Yes,describe: ' i t j I AFFIRM THAT TETE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY i I: KNOWLEDGE Applicant/sponsor name: Jbko Date: G - Signature: I i . 4 Part 2-impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions'in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or . otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my ! ' responses been reasonable considering the scale and context of the proposed action?" I i No,or Moderate I small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the.proposed action impair the character or quality of the existing community? I.. 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action-cause an increase in the use of energy and it fails to incorporate EA reasonably available energy conservation or renewable energy opportunities? El I . 7. Will the proposed action impact existing: ❑ I . a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? LJ 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? I Page 3 of 4 I No,or Moderate j small to large impact impact {. may may r i occur occur { i 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ . problems? 11. Will the proposed action create a hazard to environmental resources or human health? s-: i. Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by f the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact ; may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. is { i i i Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ECheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trusteesl�.Date 2� rr Name of Lead A ency j/�/� I / ' � (�� h( c e ( �_- 5 ri N'l President i. Print or Type Name of Responsibl fficer in Lead Agency Titl of Responsible Officer Signature of Respddsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 i. Board of Trustees Application County of Suffolk State of New York m'^\^ \/A N BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN.THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. � 1 Signature of Property Ow r SWORN TO BEFORE ME THISDAY OF u ,20 r Notary Pub Cpnn��Ybn Pfes 4s l 120 I �r Board of Trustees Applioation AUTHORIZATION (where the applicant is not the owner) z, M i;MM A AN residing at 2-31 1'1XU Q C-_V&i R ST. V l rc L , N.j (print owner of property) (mailing address) Z3'3 do hereby authorize (Agent) J014h) Se?-6 to apply for permits)from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENT.A.TIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The nu ose o€ this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: �D1-LN -(1► (Last name,first naive,iiiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate,the other person's or company's name.) i NAME OF APPLICATION: (Check all that apply.) . Tax grievance Building v Variance Trustee Change ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship.with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest-"Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or'employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all tfiat apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant-,or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submftted this _200]4 Signature• Form TS I f Print Name JGHN 3G?n.- Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt f minor action list policies and explanations of each policy contained in the Town of Southold Local { Waterfront Revitalization Program. A proposed action will be evaluated as to its sigmificI beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will j affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing.both supporting and non- supportine facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. t. A copy of the LWRP is available in the following places: online at the Town of Southold's i. website(southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. ' B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 70 -�� PROJECT NAME ? 5 K I LL- ZDAM . The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. 2 Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: 1 NT {<J2 e6-AJD bAMON or- klrtl_XeA) Z SAIXIftAtS . NST ,A�o►� P �isAyKm-m LvtTNO) E)ustuff, BUlc,�tN� P r � Location of action: 7 1 5 14ILL- e�i �,at1gT1.CO N Y Site acreage: I a Otj SQ V- • Present land use: 51 N G7[9 fft l V,-( Oti, IDE1) ' pp �. F� C Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: I, i E . (b) Mailing address: E (c) Telephone number: Area Code( ) (d) Application number,if any: I I�. Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? I C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No KNot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes E] No X Not Applicable f. i Attach additional sheets if necessary j I. I Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria I:. ❑ Yes ❑ No Not Applicable i I i. Attach additional sheets if necessary r i. NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Not Applicable I i i i I Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold.See LWRP Section III I —Policies Pages 16 through 21 for evaluation criteria i• ❑ Yes ❑ No X Not Applicable i i I I' Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. f Yes No Not Applicable i I i i. I i Attach additional sheets if necessary r Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. f i' i Yes [:]No Not Applicable i i Attach additional sheets if necessary j E Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous ! substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. i ❑ Yes ❑ No Not Applicable i PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III-Policies; Pages 38 through 46 for evaluation criteria. ❑ YeJ:J No DKNot Applicable Attach additional sheets if necessary I i WORKING COAST POLICIES I Policy 14. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in i suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. i ❑ Yes ❑ No KNot Applicable i Attach additional sheets if necessary j i Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic I. Estuary and Town waters.See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. r1ur k 1 ❑Yes ❑ No IBX Not Applicable i. i j . i i Attach additional sheets if necessary . Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No M. Applicable i t . Attach additional sheets if necessary t. Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP f Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable i Ar /A6V PREPARED BY J ON Wil- TITLE DATE 0 2,)lLr I i. BERGDES GN ARCHITECTURE July 23rd 2014 JUL 2 5 2014 Board of Town Trustees T `" Town of Southold T `' Town Hall Annex 54375 Main Road P.O. Box 1179 Southold NY 11971-0959 TRANSMITTAL To whom it may concern, Enclosed please find application materials for an Administrative Wet Land Permit for a renovation project at 575 Hill Road in Southold , NY. • Application fee • As-built Fee • Original application packet plus photocopy • Three copies of property survey • Original copy of site plan and two photocopies • Current site photos Sincerely, John Berg Copy: file Path: 0163/Docs/trans072314 131 Varick Street Suite 913 New York 10013 917 328 3905 bergdesignarchitecture.com 4 OVERHEAD WIRES 13 / ��S'0Ogsp /11QX� / I x / Fy cx I WAXF54ETER 0 ° x x JULU L 2 5 2014 j`-7 �� / / OVERHEAD WIRES ° x CAT( 13.3 ctiox-W- X ° � x / 4 co b -NCO* ' `v / / L l l X14.3 ° ° ° °/ EX TING x° .� ° a° o ° DRI WAY °. , ° 14.5 METAL COVER•.'--O PROPOSED 500 X11-4.2 LAMP POST UN ERGROUND �� 8 pFR CONCRETE APRON a x x 14.3 x-� P R PAN E TAN K �� 4L S SAND�O / / co Q WALKWAYOO / x Lz_g / y 144 FENCE 1.2'W. JTDOO- b Ekisr 14041 S OWER / ENS / 0 1 / EXISTIN Fk/STING SHED x OFC/ ` ((� STOCKADE FENCE 24" / \ 9 AJR'COND./ NIT X� \ \ 1--$ FENCE 0.31W. d -9 / \ \ x 1 SETBACK / x�// 1 Ft0OM JOCKEY CREEK S \ \ 24„OAK / x FOGS \ FENCE 0.6W. R l 4.a \OF \ l e0 Op OF \ �� 48 M OP H� x ` X-Y/ / e W RE FENCE NOTE: NO NEW SITE WORK PROPOSED ✓O x� ► U WOOD DOCK 4 4 x_u x WOOD RAMP \ x FENCE O.L. ?\ , 3y4 / SITE PLAN FLOATING WOOD RAMP 48 1SCALE:1'=30-0" Y � BERGDES Go"N ARCH T 88 OLD STONE HIGHWAY EAST HAMPTON NEW YORK 11937 Tel: 917 39" 77 777" 7777777777777 777, DEMOLITION NOTES SYMBOLS LEGEND I1' ENLARGE OPENING 1. PROTECT EXISTING FLOOR DURING DEMOLITION. HEIGHT UP TO EXISTING TO BE o I CEILING 2. ALL GWB CEILINGS TO BE PATCHED &REPAIRED AT - - - - REMOVED REMOVALS. ALL SURFACES TO BE RENDERED SMOOTH & UP FREE FROM DEFECTS. EXISTING TO EXISTING EXISTING BATH 3, ALL EXISTING BASE MOLDINGS, WINDOW CASINGS,AND REMAIN i, CLOSET TO FIXTURES& DEN BE REMOVED FINISHES TO — _ CLOSET CROWN MOLDING TO BE REMOVED, NEW INTERIOR/ O BE REMOVED , : 4. PROVIDE STRUCTURAL SHORING DURING REMOVAL OF EXTERIOR WALL ' INTERIOR PARTITIONS AND EXTERIOR WALL SECTIONS AS REQUIRED. ROOM — EXISTING DOOR TO — — ,/, - - _ LIVING ROOM BE REMOVED � ROOM NUMBER 10 DOOR NUMBER GARAGE EXISTING DOOR TO BE REMOVED CL \ EXISTING FIREPLACE INSERT O WINDOW NUMBER /\ TO BE REMOVED. CLEAN s p \ BREEZE WAY i / \ / / \ / \/ CLOSET CHIMNEY. J U L 2 5 20]411PARTITION TYPE EXISTING A/ A/EXISTING DOOR LAUNDRY / \ /\ /\xDNTO BE REMOVEDOLOSET TO BE REMOVED EXISTING EXISTING \ / r `" " 4 A000 2 ELEVATION KEY n EXISTING WOOD G WALL TO BE TILE TO BE \ FLOOR TO REMAIN 3 h _ _ SHORTENED REMOVED p %" UP % % %i LAUI�DFtY / A000 SECTION KEY �� — � � — '' REF KITCHEN ��� - EXISTING WALL TO BE DINING ROOM j REMOVED RELOCATE fi EXISTING KITCHEN i ; EXISTING WOOD APPLIANCES SMOKE&CARBON i EXISTIING SECTION OF WALL EXISTING TILE WALL PANELING TO WASHER/ FIXTURES, &FINISHES MONOXIDE DETECTOR / BE REMOVED TO BE REMOVED TO BE REMOVED TO FLOOR TO BE01 EXISTING GARAGE ! DRYER TO ENLARGE OPENING REMOVED EXISTING TILE BASEMENT — — 7F _ _ � — — THROUGHOUT DOOR TO BE j F 77 7 SUNROOM REMOVED FLOOR TO BE REMOVED EXISTING — — — — — — — ENLARGE WALL TO BE — ——�=� — —� �i, " �i /,i ,,7 ;,, ——— _ REMOVED OPENING EXISTING DECK TO X-2" — — — 1 5'-0" REMAIN EXISTING WINDOWS TO BE REMOVED � EXISTING OUTDOOR SHOWER — L TO REMAIN \ � T_ DECK SUN ROOM v EXISTING TILE FLOOR TO BE REMOVED Z7 n FIRST FLOOR DEMOLITION PLAN 1 SCALE:1/4"=1'-0" 1 A05 NEW OPENING IN EXTERIOR WALL FOR NEW WINDOW CL CL DRAWERS % DRAWERS 'APPROVED BY \ EXISTING DRAWERS TO / REMAIN BOARD OF 'i RUSTEES_ �WN OF SOUTHOW BEDROOM EXISTING DOOR TO BE __j REMOVED EXISTING WALL TO BE REMOVED - %% j,j •' BEDROOM >�i - J. j \ _ \ STORAGE LINEN EXISTING DOOR _ _ %<,' , r ,< �� ;, "/ ��, TO BE REMOVED TO BEXISTREMOVNG OED DN EXISTING WALL TO BE EXISTING DOORS f REMOVED H EXISTING BATH TO BE REMOVED FIXTURES& / FINISHES TO G BE REMOVED BEDROOM ;> 'rte EXISTING WINDOW TO EXISTING CLOSET TO BE ENLARGE BEDROOM ! — — � > / ;� �� �� �` � ' '%, 'i REMOVED � BE REMOVED: OPENING DOWN TONv pN _ _ I ��9 CLQ FLOOR FF__ �� U \/ WC EXISTING BATH FIXTURES& "� _ - ,;, ;, r/ ��J FINISHES TO BE REMOVED ` SECOND FLOOR DEMOLITION PLAN OF , l SECOND FLOOR GARAGE DEMOLITION PLAN 3 SCALE:1/4"=1'-0° 2 SCALE:1/4"=1'-0" BERGDES GN VAN ROOYEN / ABOUYEN RESIDENCE FIRST & SECOND FLOOR DEMOLITION PLAN 88 OLD STONE HIGHWAY EAST HAMPTON NEW YORK 11937 Tel: 917 328 3905 575 HILL ROAD, SOUTHOLD, NY 11971 PERMIT ISSUE JULY 23, 2014 SCALE: As Noted ARCHTECTURE REF NO: 168 VIF ALL R.O. DIMENSIONS BEFORE ORDERING 7_7�_77 777777 7 , 77 WINDOW SCHEDULE 7 7 SYMBOLS LEGEND ROUGH OPENING FRAME SIZE NO. TYPE WIDTH HEIGHT WIDTH HEIGHT MATERIAL OPERATION MANUFACTURER NOTES Z 201A B 2'-8 1/2" 3'-9" 2'-8" X-8 1/2" TBD 23'-4" 14'-2" 14'-7" 6-6"� EXISTING TO BE ol ol 14'-5" 10 REMOVED 01 203A B 2'-8 1/2" 31-911 21-811 3'-8 1/2" TBD FOYER EXISTING TO 100 2036 7 REMAIN UP 206A B 2'-0 1/2" 4'-4 1/2" 21-011 4'-4" TBD DEN 1 112 NEW INTERIOR 207A B 2'-0 1/2" 3--1 2'-0" 3'-0 1/2" TBD CL 4'-4 1/2" 2-41 4'-4" TBD EXTERIOR WALL 1 101 209A B 2'-0 1/2" 13P-011 210A A Z-0 1/2" X-0 1/2" 7-13" X-O" LH TBD ROOM 0 ROOM NUMBER NEW BOOKCASE /'X, INFILL DOOR NOTES: DOOR NUMBER WC 1. ALL GLAZING TO BE LOW-E 109 9 NEW FPSC DOOR 2. EXTERIOR FINISH TBD GARAGE 10 WINDOW NUMBER zo 3. INTERIOR FINISH TBD 4. ORDER ALL OPERABLE WINDOWS w/INSECT SCREENS 5. PROVIDE PLYWOOD HURRICANE SHUTTERS FOR NEW WINDOW PER DETAIL �104 LIVING ROOM C? 6. NEW WOOD INTERIOR CASINGS TO MATCH EXISTING —IN REF 4 F_1-0-27 7. INSTALL NEW EXT. CASING AND REPAIR EXT. SIDING AS REQ'D AT NEW WINDOWS PARTITION TYPE ' C? 0 0� 04 PINTRY / - - - NEW UL RATED 04 BREEZE WAY : A GAS APPLIANCE F1 08 WINDOW TYPES NEW BATH Z, EXISTING VARIES KITCHEN FIXTURES BRICK HEARTH le F 1-0-57 DIN ---1 21 AND FINISHES 4 2 ELEVATION KEY it HALL \ 106A HALL NEW WOOD FLOOR 3 F1061 > EXISTING WOOD FLOOR U) TO MATCH EXISTING w INSTALL NEW FLUSH NEW TILE NEW HARDWOOD WINE DOUBLE 1 a"x 94" LVL 4 2 ce) IRS SECTION KEY TREADS AND RISE FLOOR 7 HEADER ABOVE UP 0 DINING ROOM NEW KITCHEN APPLIANCES, TYPE A TYPE B SMOKE &CARBON FIXTURES& MONOXIDE DETECTOR FINISHES NEW CASEMENT NEW DOUBLE WINDOW HUNG WINDOW 6-01" 35'-3" 2 in 0— (�bA I LARGER 1 VWIDE OPENING LAUNDRY ROOM R.O. awf I /\ EXISTING INSTALL NEW WINDOW— INSTALL NEW DOUBLE Al AND DOOR HEADERS WOOD FLOOR 777--7-1/ 11"x 9i" LVL HEADER 1056 105C I14 2 A VIE ALL R.O. DIMENSIONS BEFORE ORDERING MAKE OPENING DOOR SCHEDULE V-8 —3'-6" 2W HIGHER FRAME I 2 2 INT. EXT. SWING MANUFACTURER HARDWARE SET NOTES N 0. TYPE WIDTH HEIGHT MATERIAL R.O. RO NEW FRENCH DOORS 105A D 6-2 1/2" 8-4- EXT. SLIDING NEW DOOR CONSTRUCTION NOTES INSTALL NEW DOOR HEADER NEW SLIDING GLASS 105B D 6-8" EXT. SLIDING NEW DOOR EXISTING OUTDOOR DOORS AND SIDE LIGHTS 105C E 3'-5-1/2" 81-0" EXT. FIXED NEW DOOR SHOWER TO REMAIN 1. ALL INTERIOR GWB SURFACES TO RECEIVE PRIMER NEW WOOD FLOOR TO &TWO COATS OF BENJAMIN MOORE PAINT. (3 A MATCH EXISTING 106A B 2'-8" 6-8" INT. SLIDING NEW DOOR COLORS)WALLS: FLAT FINISH,TRIM, SATIN FINISH m 109A A 2-4- 6-8" INT. PAIR SWING NEW DOOR EXISTING 2. BATHROOMS TO RECEIVE 1 COAT PRIMER&TWO DECK SUN ROOM 111A C 2'-8" 6-4- INT. RH NEW DOOR COATS BENJAMIN MOORE PAINT. (4 COLORS)WALLS: FIRST FLOOR CONSTRUCTION PLAN FLAT FINISH,TRIM, SATIN FINISH /4�=T j _�ALE�1 -a, 111B F Z-6-1 7'-0" EXT. PAIR SWING NEW DOOR 3. FLOOR THROUGHOUT HOUSE TO BE SANDED, 205A A 2-4- V-8 INT. RH NEW DOOR STAINED&2 COATS LOW LUSTRE POLY. ARCHITECT TO APPROVE STAIN SAMPLES. 206A B 2'-6" 6-8" INT. SLIDING NEW DOOR DOOR CASINGS To 4. PROVIDE MILLWORK FINISH SAMPLES FOR 210A A 2'-6" 6'-8" INT. LH NEW DOOR APPROVAL. BE PTD.WHITE 211A A 2-4- 6-8" INT. RH NEW DOOR 211B A 21-011 6-8" INT. LH NEW DOOR 4�_ F11 211C G 3-4- 6-91, EXT. PAIR INSWING NEW DOOR EXISTING OAK TREE 18'-6" NOTE 1. NEW SINGLE GLASS DOORS TO MATCH EXISTING OR SIMILAR. 2. ALL NEW GLAZING TO BE LOW-E 3. PROVIDE PLYWOOD HURRICANE SHUTTERS FOR ALL EXTERIOR DOORS PER DETAIL NEW BATHROOM V-51.1 FIXTURES&FINISHES DOOR TYPES VARIES 2 5'-0" VARIES NEW WINDOW 4 VARIES 3--1 %J -711 14' L. 0 2 : 5-6 NEW SHOWER10 ... ....... . WC s J210 DRAWERS RAWERS DRAWER DRAWERS 9 9 —IN 11 acl zo 9 CD F_ 0 0 0 A CD IN NEW BUILT IN CHEST EXISTING BUILT flL ILL NEW WA OF DRAWERS CHESTS OF DRAWERS TYPE A TYPE B TYPE C TYPE D TYPE E TYPE F NEW ATTIC 19 —IN ACCESS DOOR NEW INTERIOR NEW INTERIOR NEW FPSC NEW EXTERIOR NEW EXTERIOR NEW EXTERIOR ce) SWING DO BEDROOM BEDROOM OR POCKET DOOR DOOR SLIDING DOOR FIXED DOOR FRENCH DOORS NEW 172-0-3-1 x FLOORINGT 3'-0" 777777 7/777-7/7-7=7 77777 EXISTING 2 SKYLIGHT % BEDROOM1LINEN ABOVE ATTIC N .. i Op NEW BATH NEW FRAMED TU RES AND DIN SHES CLOSET 777777 ul) NEW— Z FRAMED NEW LOW HALL WALL TION 1 200 PART[ �2. NEW BATH— NEW FRENCH NEW ATTIC CLOSET �iNF205 • I D '(2 OR FINISHES TYPE G �11�B ENLARGE INSWING DOOR IN ACCESS DO FIXTURES AND OPENING NEW EXTERIOR INSWING 0 7� Z WC FRENCH DOORS 7 BEDROOM 0 S ET,�, 7 77/ NEW STEEL /7 x 209 20 1 206 F RAILING wc 1 207 `2717�7777� 0� I I 77777,17711-7711p 6-9" 3'-0" 5'-9" NEW BATH V-7 14 Z-O" 2 li 2 2 8'-1 FIXTURES 0 AND FINISHES SECOND FLOOR RESIDENCE PLAN SECOND SECOND FLOOR GARAGE CONSTRUCTION PLAN ' '-Y'N IA 1-T BERGDES GN VAN ROOYEN ABOUYEN RESIDENCE FIRST & SECOND FLOOR CONSTRUCTION PLAN 88 OLD STONE HIGHWAY EAST HAMPTON NEW YORK 11937 Tel: 917 328 3905 575 HILL ROAD, SOUTHOLD, NY 11971 PERMIT ISSUE JULY 23, 2014 SCALE: As Noted ARCH TECTU RE REF NO: 168 /X\ r a PROPERTY INFORMATION DRAWING LIST ENERGY NOTES A00 SITE PLAN, NOTES, DRAWING LIST, ENERGY NOTES A01 FIRST& SECOND FLOOR DEMOLITION PLAN 575 HILL ROAD, SOUTHOLD, NY 11971 A02 FIRST& SECOND FLOOR CONSTRUCTION PLAN 1. ALL CONSTRUCTION SHALL CONFORM WITH THE REQUIREMENTS OF THE NY STATE ENERGY CONSERVATION CONSTRUCTON CODE (LATEST EDITION). SCTM NO. A03 FIRST&SECOND FLOOR RCP 2. THE ENGINEER CERTIFIES THAT TO THE BEST OF HIS KNOWLEDGE, THAT THE DRAWINGS COMPLY WITH THE NY STATE ENERGY CONSERVATION MAP NO. --1000-70-04-28 CONSTRUCTION CODE. A04 FIRST& SECOND FLOOR POWER&MECHANICAL LOT AREA=24,826.00 SF A05 EXISTING & PROPOSED ELEVATIONS 3. EXTERIOR DOORS AND DOORS TO GARAGES SHALL BE U= .28 MAX. WINDOWS, SLIDING GLASS DOORS AND ALL GLASS SHALL BE U= .28 MAX. FLOOR, CLEARING LIMITATIONS: NO PROPOSED ADDITIONAL CLEARING R-48 WALL, R-34 CEILING, R-48 ZONING DESIGNATION: R-40 4. ALL BUILDING MATERIALS, COMPONENTS AND ASSEMBLIES THAT ARE CAPABLE OF ABSORBING MOISTURE SHALL BE PROTECTED BY A VAPOR LOT COVERAGE CALCULATIONS BARRIER LOCATED ON THE WINTER WARM SIDE OF THE INSULATION. 5. INSULATION SHALL BE INSTALLED IN A MANNER THAT PROVIDES FOR CONTINUITY OF INSULATION AT ALL PLATE LINES, RIM JOISTS AND ALL CORNERS. STRUCTURES EXISTING SF PROPOSED SF 6. ALL HOT AND COLD WATER PIPING AND ALL DUCTS SHALL BE INSULATED AS PER CODE. BUILDING COVERAGE 1,985 SF (8%) 0 (0%) 7. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO SUBMIT TO THE BUILDING DEPARTMENT THE SIZE, DESIGN AND TYPE OF MECHANICAL DECKS 575 SF 0 (0%) HEATING, COOLING AND HOT WATER SYSTEM THAT WILL BE USED. COMBUSTION EQUIPMENT FOR SPACE HEATING AND WATER HEATING SHALL HAVE A POOL NA ABBREVIATIONS MINIMUM COMBUSTION EFFICIENCY OF 75%AND SHALL HAVE STANDBY LOSSES LESS THAN THE CODE SPECIFIED MAXIMUM BASED ON ACTUAL TOTAL LOT COVERAGE 3135 SF (12.5%) 0 (0%) EQUIPMENT SIZE. A.C.T. ACOUSTICAL CEILING TILE D/W DISHWASHER MIN. MINIMUM SECT SECTION 8. IF APPLICABLE - HVAC COOLING EQUIPMENT SHALL BE RATED IN ACCORDANCE WITH THE TABLE 4.6 OF THE NY STATE ENERGY CONSERVATION A.F.F ABOVE FINISHED FLOOR ELEV. ELEVATOR MTD MOUNTED SHT MTL SHEET METAL SPECIFIED IN TABLES 4.8, 4.9, 4.10 OF THE NY STATE ENERGY CONSERVATION CONSTRUCTION CODE (LATEST EDITION). BUILDING HEIGHT TO REMAIN UNCHANGED BET BETWEEN ENCL ENCLOSURE MTL METAL SIM SIMILAR 9. ALL THERMOSTATS SHALL BE ADJUSTABLE FROM 45 DEGREES THROUGH 75 DEGREES F. FOR COMBINATION HEATING AND COOLING THERMOSTATS BLDG. BUILDING EX'G EXISTING MW MICROWAVE SPECS SPECIFICATIONS THE ADJUSTABLE RANGE SHALL BE BETWEEN 45 DEGREES AND 85 DEGREES F. C.H. CEILING HEIGHT GAILV GALVANIZED N.T.S. NOT TO SCALE STL STEEL 10. HOT WATER TEMPERATURE CONTROLS SHALL BE SET AT 140 DEGREES MAX. C.J. CONTROL JOINT N.I.C. NOT IN CONTRACT S.S. STAINLESS STEEL 11.ALL LAVATORIES AND SHOWERS SHALL BE EQUIPPED WITH DEVICES TO LIMIT HOT WATER FLOW TO A MAX. OF 3 GPM AT 60 PSI WATER PRESSURE. GL. GLASS CLG. CEILING GWB. GYPSUM WALL BOARD OP'NG OPENING TR. TRASH RECEPTACLE 12. ALL FIREPLACES TO BE PROVIDED WITH A DAMPER FOR OUTSIDE COMBUSTION AIR OF 150 TO 200 CFM. FLUE TO HAVE A TIGHT SEATED DAMPER CMU CONCRETE MASONRY UNIT HGT. HEIGHT PL. LAM. PLASTIC LAMINATE TYP. TYPICAL WITH AIR LEAKAGE OF 20 CFM MAX. COL COLUMN PLYWD PLYWOOD U.O.N. UNLESS OTHERWISE NOTED CONC CONCRETE H.M. HOLLOW METAL PTD PAINTED C.T. CERAMIC TILE ICE ICEMAKER V.C.T. VINYL COMPOSITION TILE DET. DETAILS INFO. INFORMATION R.C. REINFORCED CONCRETE V.I.F. VERIFY IN FIELD REF. REFRIGERATOR WD WOOD DWGS DRAWINGS MAX. MAXIMUM REQ'D REQUIRED L.C.C. LEAD COATED COPPER FQG x� E OF I I I I VENT _ I VENT_ I VENT VENT_ I VENT _ AV�MFNT x,� UTILITY POLE LIL#7 x\4 I I I ( I WEST HILL ROAD ,e x ,3 /14 iW iz �z Iz WC 207 iz WC los - - - - 154 ----- Z we 210 x�9 > NEW FIXTURES NEW FIXTURES NEW FIXTURES \ W/NEW PLUMBING BACK TO NEW I� I� t _ x15' xis W/NEW PLUMBING BACK TO EXIST �� W/NEW PLUMBING BACK TO x 4 4 OVERHEAD WIRES IZ WASTE&VENT STACKS 16 I I WASTE&VENT STACKS EXISTING WASTE&VENT STACKS 13 05,00 ♦••'�••• ••••••••••••••••••••4 I I I REPLACE WC ON / A$p ■ _ I I I EXISTING ROUGH IN `•�. :••........■...... .....3'VENT .....■•�i r NEW WC ON NEW 3 VENT F R x1 T- - ; ROUGH IN ; _ �_ ; 15.5 / \\R t5'(/ OA6 x xy . 3"VENT I I I ■ T - NEW SINKS ON I T I REPLACE SINK ON T T x / �L_ Fy 13's ° : I 0 NEW SINK ON I I I EXISTING ROUGH IN I I I I NEW ROUGH IN '72- / WAT ETER \® \ a I I ; NEW ROUGH IN NEW SHOWER � / / xEr \ x \ x�i - - ■ I I I , NEW SHOWER I I I NEW SHOWERF ; I : I ; 1 x CATCH BASIN ; - i- - ■ �L / OVERHEAD WIRES - - - ■ - G� / / oa ■ i i i- - I : REPLACE WC ON $ ,3. ir4l' 1%2' ' 1 Yz" 4' 1 NEW ROUGH IN 4 2 3 I I � ...................■.■.r ♦♦ ` ■ NEW BATHTUB 0 ....................■•� • • • • X13. x,3.3/ v \ ° I I I I I NEW ROUGH IN 4 / o _ ° I WC 107 I I HALL 106 I KITCHEN 105 a x3 14x x137 / NEW FIXTURES NEW FIXTURE NEW FIXTURES W/NEW PLUMBING BACK TO W/NEW PLUMBING BACK TO I NEW PLUMBING BACK TO EXISTING WASTE&VENT STACKS EXISTING WASTE&VENT STACKS EXISTING WASTE&VENT STACKS Q � EXI I a ry7�.e a / 12 / REPLACE WC ON r♦ I ; I •i ;♦ �: EXISTING ROUGH IN - r - r- -1 ■ r- - NEW BAR - - _ 3"VENT ' : ' SINK ON NEW x 14.3 a a / i REPLACE SINK ON , I I i ; ; I I ROUGH IN EXISTING ROUGH IN ; I I ■ I / I DW : I EX TING ■ xa. .SQ/ a ao a DRI WAY `?2:Qn - I - - . - ° O / Q * ° a a v° a o , 13.0 / ■ / / I REPLACE SHOWER I ; I I 1 Y2 x I ♦ 1 y 4" I • r • " • 14.5 METAL COVER ❑ ---■-■ PROPON ED 500 ----------------------- •' ............ - -- x14. / 0 }.-LAMP POST G LO ' J�ND co -� I~ c0» I> ICO > coGI> NEW DW doe"pFR l a ° o x14 13.6 PR PANE OTANK A cn ° I> I I� I� REPLACE SINK ON co S(%RV�YCONAPRON a . x 14'3 CRETE0 x NEW ROUGH IN ,4.0 W 0 Q co SLATE SAND�O WALKWAY ❑ / X12-8 ❑ 74' ❑ / N HOUSE STANDPIPE TRAP RELOCATED / I pFA'S TO EXISTING W CLOTHES MACHINE WASHING ro / zURVFy-FENCE 1.2'W. SEPTIC TANK - - - - - _ - - I / � 1 � / V TDOO� b EXis l�/ PLUMBER RISER DIAGRAM / OWER T/NG 10 .9/ EXISTIN D�ryC� SHED OFC+k STOCKADE FENCE GENERAL NOTES: 24" Q / \ � AJFCOND./ NIT / ,,. 1. THE PLANS, TO THE BEST OF OUR KNOWLEDGE, COMPLY WITH THE APPLICABLE REQUIREMENTS OF THE NEW YORK STATE BUILDING CODE. / '\x \x,14 \ ,2 s // - FENCE 0.3W. 2. THE CONTRACTOR SHALL COMPLY WITH THE REQUIREMENTS OF THE BUILDING CODE OF THE STATE OF NEW YORK, LATEST EDITION AND ALL APPLICABLE FEDERAL CODES, STANDARDS, REGULATIONS,AND LAWS. 3. WORK NOT INDICATED ON PART OF THE DRAWINGS BUT REASONABLE IMPLIED TO BE SIMILAR TO THAT SHOWN AT CORRESPONDING PLACES SHALL BE REPEATED. 2-9// �� _ x7z.z 4. IF ANY CASE OF CONFLICT BETWEEN THE NOTES AND DETAILS, THE MOST RIGID REQUIREMENTS SHALL GOVERN. CONTRACTOR SHALL MAKE NO DEVIATION FROM DESIGN DRAWINGS WITHOUT WRITTEN APPROVAL OF THE ARCHITECT. / \ \ x12112 / x7o.a 1Q0' SETBACK 5. THE CONTRACTOR SHALL VERIFY ALL DIMENSIONS AND CONDITIONS AND COORDINATE WITH ARCHITECTURAL DRAWINGS, DRAWINGS FROM OTHER CONSULTANTS, PROJECT SHOP DRAWINGS AND FIELD CONDITIONS. / \ / ROCREEJOCKEY 6. THE CONTRACTOR SHALL PROTECT EXISTING FACILITIES, STRUCTURES,AND UTILITIES LINES FROM ALL DAMAGE. / 7. JOB SAFETY AND CONSTRUCTION PROCEDURES ARE THE RESPONSIBILITY OF THE CONTRACTOR. s \ \ / 8. THE ARCHITECT SHALL BE NOTIFIED OF ALL CHANGES TO THE DESIGN AND SHALL NOT BE RESPONSIBLE FOR CHANGES MADE WITHOUT(NOTIFICATION. 9. ALL LABOR, MATERIALS AND CONSTRUCTION SHALL COMPLY AND CONFORM WITH ALL RULES, REGULATIONS, CODES AND ORDINANCES OF ALL FEDERAL STATE AND LOCAL AUTHORITIES HAVING JURISDICTION OVER THE WORK, INCLUDING TI 24"OAK SAFETY AND HEALTH ACT (OSHA). IT IS THE RESPONSIBILITY OF THE CONTRACTOR AND ALL TRADES TO ENSURE STRICT COMPLIANCE WITH ANY REGULATIONS AND/OR RESTRICTIONS OUTLINED WITHIN ANY SPECIAL PERMITS. S 1()7 / a 10. WALL SHEATHING MUST EXTEND TO TOP OF WALL PLATE AND BE NAILED OFF ON BOTH PLATES, ALL STUDS, SILLS, SHOES AND BAND JOISTS ACCORDING TO NY STATE CODE. GABLE ROOFS SHALL BE STABILIZED BY INSTALLING 2X4 BLOCKIN CENTERS BETWEEN RAFTERS AT EACH END GABLE FOR A DISTANCE OF 8 FEET TOWARD THE BUILDING. FENCE 0.6W. \ 1-5 x x11. ALL PLUMBING IS TO COMPLY WITH THE LATEST OF NEW YORK STATE, COUNTY AND LOCAL HEALTH DEPARTMENT CODES. a l 4-'8 \OF��j\ 82\ �� l 7 12.ALL ELECTRIC WORK IS TO COMPLY WITH NEW YORK BOARD OF FIRE UNDERWRITERS REQUIREMENTS ELECTRICAL CONTRACTOR SHALL FURNISH AN UNDERWRITERS CERTIFICATE TO THE OWNER. 13. PROVIDE HARD WIRED AND INTERCONNECTED SMOKE DETECTORS AS PER N.Y. STATE CODE (LATEST EDITION) 2_ l B TOp 0 \ \ 14. DO NOT SCALE DRAWINGS REFER TO WRITTEN DIMENSIONS CONTRACTOR TO VERIFY ALL EXISTINQ CONDITIONS AND DIMENSIONS IN THE FIELD AND NOTIFY OWNER OF ANY DEVIATIONS OR ANY DIFFICULTIES IN THE LAYOUT. O F 15. THE INSTALLATION OF ALL PRODUCTS SHALL BE NEW AND SHALL MEET ALL MANUFACTURER'S SPECIFCATIONS. X_2 x. / 16. THE CONTRACTOR SHALL BE RESPONSIBLE FOR ADEQUATELY BRACING AND BREAKING, COLLAPSE, DISTORTION AND MISALIGNMENT ACCORDING TO ALL CODES, PROTECTING ALL WORK DURING DEMOLITION AND CONSTRUCTION AGAINST S GOOD PRACTICE. 8¢8AS T% eq�k \ \ // WIRE FENCE NOTE: NO NEW SITE 17. LOCATION OF ALL STRUCTURES ON PROPERTY IS NOT THE RESPONSIBILITY OF THE DESIGN ARCHITECT.ALL SETBACK LINES AND STRUCTURE LOCATIONS SHALL BE LOCATED AND STAKED BY OTHERS. F .9, o -� WORK PROPOSED 18. STRUCTURAL ELEMENTS THAT ARE UNCOVERED DURING THE COURSE OF ALTERATION AND THAT ARE FOUND TO BE UNSOUND OR DANGEROUS SHALL BE MADE TO COMPLY WITH THE APPLICABLE REQUIREMENTS OF NYS RESIDENTIAL CODE x / 19. ALL CONTRACTOR PROPOSED MATERIAL, FIXTURE, FITTING OR FINISH SUBSTITUTIONS TO BE PRESENTED TO ARCHITECT FOR APPROVAL BEFORE INSTALLATION. JO --/ 5 20. CONTRACTOR RESPONSIBLE FOR EMERGENCY WEATHER PROTECTION, STORAGE SHEDS AND PLATFORMS FOR SUBCONTRACTORS, CLEANUP AND REMOVAL OF SUBCONTRACTORS TRASH AND REMOVAL OF FAULTY EQUIPMENT. 21. CONTRACTOR TO ALLOW FOR 3 PAINT COLORS FOR INTERIOR. PAINT=2 COATS OF BENJAMIN MOORE ON PRIMED SURFACE. 22. CONTRACTOR TO ALLOW FOR 2 PAINT COLORS FOR EXTERIOR. PAINT=2 COATS OF BENJAMIN MOORE ON PRIMED SURFACE. WOOD DOCK 4. x x� 23X x WOOD RAMP N, FENCE O.L. \ r SITE PLAN FLOATING WOOD RAMP942'9s \ / 1 SCALE:1"=30'-d' pF� 3ERGDES G N VAN ROOYEN / ABOUYEN RESIDENCE SITE PLAN, NOTES, DRAWING LIST, ENERGY N ARCH TECTURE 88 OLD STONE HIGHWAY EAST HAMPTON NEW YORK 11937 Tel: 917 328 3905 575 HILL ROAD, SOUTHOLD, NY 11971 PERMIT ISSUE JULY 23, 2014 SCALE: REI WEST HILL ROAD S �'�52'40" E 451 .00' S 68•S3 SO" £ \ ",Cs SURVEY OF PROPERTY OP ER TY SITIA TE paCF 14 SOUTHOLD 880�15.6TOWN OF SOUTHOLDs � x\s 0' �o ON. WIRFS 13 SUFFOLK COUNTY, W YORK S.C. TAX No. 1000-70- 04-29 �� cox / k'A7•F x\ ° , � Com/ _ MFTFR 14.0 13.6 o9 SCALE 1 "-20' o° ° x742 / / ° ei/V JUNE 139 2014 70 \ AREA = 24,905 Sq. ft. (TO TIE LINE) 0.572 Clc. OM = / / °73.4 x13.3 0�C) < x 74.8 m 14.1 °. 4 o x °o / U o Q E � r.n , 74.8 a 12.7C()` 1 I I 'Q�P�� `13.6 / x JUL 2 5 2014 EI__ Oo. a 14.3 V a� J 4 74.5 0 o�? a a < op��q�_� ° / 13.0 4 4- R °I4 O 14.1 14.5 ° l It C) \x 14.2 0 ° v ao s p�agMp a GjO�l 2��ry a 74.4 F 4 c 13.6 oN 14.3 s x- v O h' 14. C lip ° 920�9�� x� Cj ('V C 2 9'2 O9l,F N 74 it 14.3 / Elm ❑ x 72.8 NOTES: 144 a 1 1 . ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM &RSrFbsroop ? EXISTING ELEVATIONS ARE SHOWN THUS: 5.0 �Fz 35, EXISTING CONTOUR LINES ARE SHOWN THUS: - - -5- - - c� \\ FRgMf NO $ 13.6 F.FL. - FIRST FLOOR 1 13.1 GE FLOOR \ oovc 24 s' n /40 OU8r \7�\ T.BG.F. - GOPAOF BULKHEAD STFp ' a �A B.B. - BOTTOM OF BULKHEAD S R4G f / T.W. - TOP OF WALL B.W. - BOTTOM OF WALL IRAMS \ a- WOO 2 1 12_ \ 72\ 6 13.3/ � X 12.9 LDx 1 1.4 Q �8.> ��/ UDR COND. �w 17.8 \� 4 \ \\ \ \ a / 12.9Ai / 1� \ 9.9 \ \ \ \ \ \ \ 17. / \ \ X x10.8 '\ - (INV � o 5.s \ \ QAk \/ 020 \ \ \ \ \ \ \ \ / \ \ \ 10.7 WF 4.6 Fp\ \ � \ / 7.5 2� \ FpF\\ \ \ X8.2 / 7 11\1_\ \ / \ \\ /\ \ \ / PREPARED IN ACCORDANCE WITH THE MINIMUM Q \ 4.1 / 3 \ \ STANDARDS FOR TITLE SURVEYS AS ESTABLISHED\ Vo' \ BY THE L.I. AND APPROVED AND ADOPTED USE FOR SUCH USE BY THE NEW YORK STATE LAND 9 U II 2.0--, \ aF eAN p p \ \ \ = TITLE ASSOCIATION. S J O� ASS 0.9 9R0 Ceara \ \ 0 T FpCF 0' \ \ / �� - 6 OF Neh y \All Mir of WF eA \� \ �wN 3 a SAFT C �Qa N 6 moo° /\ \ 4.2 5 4 2 � ,117,\ 2.8 4 � !� 48 \ _\ 4. ,6 \ \ 0 4 0 "T � )� ,. Y.S. Lic. No. 50467 0 A/Faye \ \ o C) UNAUTHORIZED ALTERATION OR ADDITION Rq pa S9 SECTION 7209EOFSTHEVN VIOLATION STATE ■ EDUCATION LAW. Nathan Taft Corwin III COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor THE LAND SURVEYORS INKED SEAL OR yo gT,ryC EMBOSSED SEAL SHALL NOT BE CONSIDERED O 0 TO BE A VALID TRUE COPY. aCk CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S. LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. Title Surveys Subdivisions Site Plans Construction Layout CERTIFICATIONS ARE NOT TRANSFERABLE. y y PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 34-10