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HomeMy WebLinkAbout38781-Z Town of Southold Annex 8/28/2014 41 AQ P.O.Box 1179 - 54375 Main Road ' ► i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37117 Date: 8/27/2014 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1200 Westphalia Rd, Mattituck, SCTM#: 473889 Sec/Block/Lot: 114.-7-14.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/31/2014 pursuant to which Building Permit No. 38781 dated 4/11/2014 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: "as built"alterations and covered wrap around porch addition to an existing one family dwelling as applied for. The certificate is issued to North Fork Investors LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38781 8/13/14 PLUMBERS CERTIFICATION DATED 8/13/14 attituck Plumbing I Aut &qAignattfre fi TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN CLERK'S OFFICE 10 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#: 38781 Date: 4/11/2014 Permission is hereby granted to: North Fork Investors LLC 118 Andover Rd Rockville Centre, NY 11570 To: construct "as built" Additions/Alterations as applied for; flood permit included At premises located at: 1200 Westphalia Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 114.-7-14.2 Pursuant to application dated 1/31/2014 and approved by the Building Inspector. To expire on 10/11/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $1,084.80 CO -ADDITION TO DWELLING $50.00 Flood Permit $100.00 Total: $1,234.80 f Building Inspector o�*OF SOUryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 � �Q roger.richerta-town.southold.ny.us Southold,NY 11971-0959 Q l COUNTY,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Phillip Wells (North Fork Investors LLC) Address: 1200 Westphalia Rd City: Mattituck St: NY Zip: 11952 Building Permit#: 38781 Section: 114 Block: 7 Lot: 14.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: home owner DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 ph 200a Heat gas Duplec Recpt 37 Ceiling Fixtures 13 HID Fixtures Service 3 ph Hot Water gas GFCI Recpt 9 Wall Fixtures 12 Smoke Detectors 4 Main Panel 200a A/C Condenser 1 Single Recpt Recessed Fixtures 18 CO Detectors 1 Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer AppliancesP40 Dryer Recpt 1-30 Emergency Fixture Time Clocks Disconnect 200a Switches Twist Lock Exit Fixtures TVSS Other Equipment: 2-exhaust fans, 8-ARC fault circuit breakers, 1-GFCI circuit breaker Notes: Inspector Signature: Date: Aug 13 2014 81-Cert Electrical Compliance Form.xls • Hall, 53095 Main Road w P O Box 1179 '' " � Fax (6]I) 70� y�0/ ,y. 0� Telephone (6)i) �: • . .._ 1ew Yolk 11971-0959 BUlLDINO*DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 3 )/ / Building Permit No. 3g TV Owner: c,( "\ t orInve S6,r� • r(Plcasc.pnnt) . -- P 16 m b e r: --f �.T%t c� l� �L'i1 iv% (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I /o lead. (P untbers Signature) Swom to before me this n.voi 20 /`7/ ' J DENISE Ki ENotaryublic,State v Yorkration #01 F' ,7 ied in Suffo-• rryion Expire; Xolary Public County �Of so 3► yo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ]FOIFONEDATION IST [ ] ROUGH PLUMBING [ ] OUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: zcl r— XAI DATE INSPECTOR fjf so ia_ C�b TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST ROUGH PLUMBING [ ] FOUNDATION 2ND INSULATION ] FRAMING /STRAPPING FINAL ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION V4 ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION CAULKING REMARKS: DATE I NSPECTORZZL g �pF so ce TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT' ON [ ] FOUNDATION 1 ST [' ROUGH PLUMBING [ ] "NDATION 2ND [ ] INSULATION [ FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIR AFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ IRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELE ICAL (FINAL) [ ] CODE VIOL AT ON [ CAULKING REMARKS: Z3 DATE �� � INSPECTOR �=� G Q ;Q • �O TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLUMBING [ ] FOUNDATION 2ND [ INSULATION k-30 [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ( ] CODE VIOL ATI [ ] CAULKING REMARKS: DATE �� - INSPECTOR2?i OF SOUlyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR f :3878 1 SOF SOUIy I, o� O h l0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ /RO PLUMBING FOUNDATION 2ND [ LATION FRAMING / STRAPPING [ L FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING R MARKS: C; OF DATE INSPECTOR \r h. ' OIL- STATE ED MRWY C6i UJAI WPM__- -- -- - 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. �j 7�L Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined / ,20 �'' ! _, - (� f ! Storm-Water Assessment Form i Contact: �0 Approved ,20 j JAN 31 2014 r _a Mail to: Disapproved a/c Phone: (e �J' O Expiration /O ! ,20 Building Tnspector APPLICATION FOR BUILDING PERMIT Date /—30 , 20� 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 regulations,and to admit authorized inspectors on premises and in building for necessary inspections. /h ✓%r� w6,y'K- (Signature of applicant or name,if a corporation) v�L!enc,�CS/Wrvtc� j lflzo 177a//; lf�(7�� (614-V-41t4f,41Ct (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises 1/" tj til. //s &0 ? 13Y,�-4i(/�ys (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: /200 �/'e 5�1J`I�c�fct OCU /01617 A) House Number Street Hamlet County Tax Map No. 1000 Section �/y Block 7 Lot T Z Subdivision ®/,V,5kc/ �Se)br1(yrf,n„J 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 cc%ue b. Intended use and occupancy mAf4-toy and A� ,6e- ,/d&w s 3. Nature of work(check which applicable):New Building Addition Alteration­X Repair X Removal Demolition Other Work 4. Estimated Cost Jfo. DOC Fee (Description) (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars " 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions o existing structures, if any: Front lf� Rear 3Y Depth 3 Height l ' 2 fa r`. Number of Stories I Dimensions of same structure with alterations or additions: Front yZ Rear 3 3' Depth 30 Height Number of Stories t `z s-frr� 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 4or moo Rear 120 Depth 2 os- 10. Date of Purchase a" /f /3 Name of Former Owner ©firs s/-crc� 11.Zone or use district in which premises are situated -` o 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO X 13. Will lot be re-graded? YES NO �( Will excess fill be removed from premises?YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address yZG &idsaw Dihone No—66-y- V2�09 Name of Contractor-dd�14G . Address Phone No. 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 X NO * IF YES,D.E.C. PERMITS MAY BE REQUIRED. I2�sh�,n es 1?�,rvo Sa a /1-e, . R�w�r5 fa 9 � ,� P(vathcs2� �' S¢ntu va.Cvalrs {a PKis�r�rl Gto�t� . u"hd acus 16. Provide survey,to scale, with accurate foundation plan and distances to property lines. Bfi� 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 u * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF Gl'1rrLcGOt�D-+'`� being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the - (Contract VAgent,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 day of ,q 20 Notary Public Signature of Applicant MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4782528 Oualified in Suffolk County/s Commission Expires June 3, John M.Bredemeyer III,President OF soy Town Hall Annex Michael J.Domino,Vice-President �lQ 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q �► � �� Telephone(631) 765-1892 Charles J.Sanders,Trustee Ol�COVi Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8374A Date of Receipt of Application: February 28, 2014 Applicant: North Fork Investors, LLC SCTM#: 114-7-14.2 Project Location: 1200 Westphalia Road, Mattituck Date of ResolutionlIssuance: March 19, 2014 Date of Expiration: March 19, 2016 Reviewed by: Trustee Jim King Project Description: To replace in-kind existing 6'x16' and 6'x18' wrap-around covered porch; remove chimney, not to be replaced; install new pervious driveway; with the condition to establish and subsequently maintain a 20' wide non-turf buffer along the landward edge of the wetlands; and installation of gutters to leaders to drywells for roof runoff and in accordance with Chapter 236 of the Town Code-Stormwater Management. 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 project plan submitted by Patricia C. Moore, Esq., received on February 28, 2014, and stamped approved on March 19, 2014. Special Conditions: The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County.Clerk's Office as a.notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 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 John M. Bredemeyer III, President �*Of SOuj/y� Town Hall Annex ,`0 l0 54375 Main Road Michael J. Domino,Vice-President P.O. Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631) 765-1892 Charles J.Sanders,Trustee 0��. Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1032C Date: August 14, 2014 THIS CERTIFIES that the replacement of in-kind existing 6'x16' and 6'x18' wrap- around covered porch; removal of chimney; installation of new pervious driveway; installation of gutters to leaders to drywells; and a 20' wide non-turf buffer along landward edge of wetlands At 1200. Westphalia Road, Mattituck,New York Suffolk County Tax Map # 114-7-14.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 28, 2014 pursuant to which Trustees Administrative Permit#8374A Dated March 19, 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 replacement of in-kind existing 6'x16' and 6'x18' wrap-around covered porch; removal of chimney; installation of new pervious driveway installation of gutters to leaders to drills, and a 20' wide non-turf buffer along landward edge of wetlands. The certificate is issued to NORTH FORK INVESTORS LLC owner of the aforesaid property. Authorized Signature U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION Al. Building Owner's Name PHILLIP WELLS reg% A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. 1200 WESTPHALIA ROAD ��� ` r. i„ii r City MATTITUCK State NY ZIP Code 11952 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) 1000-114-07-14.2 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.40DEG 59MIN 34.3SEC Long.72DEG 32MIN 21.9SEC Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 2 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1191 sq ft a) Square footage of attached garage sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 3 within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 315 sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3.State SOUTHOLD,TOWN OF 360813 SUFFOLK NEW YORK B4.Map/Panel Number B5.Suffix B6. FIRM Index Date B7.FIRM Panel B8. Flood B9.Base Flood Elevation(s)(Zone 63103CO481 H Effective/Revised Date Zone AO,use d depth) 09/25/2009 X AE EL 8 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,ARAE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only,enter meters. Benchmark Utilized: Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ®NAVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(including basement.crawlspace,or enclosure floor) 2.6 ®feet ❑meters b)Top of the next higher floor ®feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) El feet [I meters d)Attached garage(top of slab) ❑feet El meters e) Lowest elevation of machinery or equipment servicing the building 4.3 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7.1 ®feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 9.0 ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 7.5 ®feet ❑meters SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation 1. information.I certify that the information on this Certificate represents my best efforts to interpret the data available. T.Pr?8T ^y w 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. 'Q`�a1�.�x ,4� ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �1 ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No ! Certifier's Name JOHN T METZGER License Number 49618 Title OWNER/PRESIDENT Company Name PECONIC SURVEYORS Address 1230 TRAVELER STREET City SOUTHOLD State NY ZIP Code 11971 Signature Date 04/09/2014 Telephone 631765-5020 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces,copy the corresponding information from Section A. ANY Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. IN 1200 WESTPHALIA ROAD City MATTITUCK, State NY ZIP Code 11952 C Nam SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner. Comments DWELLING HAS BASEMENT AND CRAWL SPACE(BASEMENT FLR WITH WELL PUMP AT EL2.6-416 SQ.FT.)CRAWL SPACE AT EL 7.3 Signature Date 04/09/2014 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1—E4,use natural grade,if available.Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑ meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is El feet ❑meters [:1 above or❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. SECTION G—COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10. In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. FEMA Form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 1200 WESTPHALIA ROAD City MATTITUCK State NY ZIP Code 11952 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. photo_1.JPG(JPEG Image,640 x 480 pixels) https://uwc.webmaii.optimum net/attach/photo_I.JPG?sid=&mbox=l... r P , .i FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 1200 WESTPHALIA ROAD City MATTITUCK State NY ZIP Code 11952 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. photo_2.JPG(JPEG Image,640 x 480 pixels) https://uwc.webmail.optimwn.net/attach/photo_2.JPG?sid=&mbox--i t i �P FEMA Form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 1200 WESTPHALIA ROAD City MATTITUCK State NY ZIP Code 11952 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View' and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. photo 3.JPG(JPEG Image,640 x 480 pixels) https://uwc.webmail.optimum.net/attach/photo_3.JPG?sid=&mbox=l... s n r N wpm,7717-1117' k, b' <a, .r_s,x,2. �.� .,mow.�'nAG'3` 6'�iu4'+buda,, D/ �.wXe L i ✓m FEMA Form 086-0-33(7/12) Replaces all previous editions. US,DEPARTMelTOFHOMELAND tlECURM ELEVATION CERTIFICATE --- F-DISI .Ee111008 CY atAMOE AIM AGENCY OMB No.1860-0008 National Food/nswwwe Program Important:Read the Instructions on pages 1-9. Expiation Date:July 31,2015 SECTION A-PROPERTY INFORMATION Al. Building Ownses Name PHILLIP WELLS A2. Building Stnest Address(including Apt.,Unit.Suite,and/or Bldg.No.)or P.O.Route and Box No. 1200 WESTPHALIA ROAD City MATTITUCK State NY ZIP Code 11952 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1000.114-07-14.2 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitt"Lorgitude.LsL 4DEG 59MIN 34.3SEC Long.72DEG 32MIN 21.9SEC Horaontai Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 2 A8. For a building with a crawlepace or enclosure(s): A9. For a building with an attached garage: a) Square footage of oawlepeoe or endosuro(s) 1M sq It a) Square footage of attached garage sq ft b) Number of permanent flood openings in the crawlepawe b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade Q Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b aq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number W.County Name 83.State SOUTHOLD,TOWN OF 380813 SUFFOLK NEW YORK 84. Number 85.Suffix B6.FIRM Index Dais 87.FIRM Panel 86.Flood 89.Base Flood Eiovation(s)(Zone 103C0481 H E�Date X�rw(s) AO,use base good depth) B10. Indicate the soww of the Base Flood Elevation(8FE)data or base Hood depth entered le Item B9. AE ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Souroe: 611. Indicate elevation datum used for BFE in Item 89: ❑NGVD 1929 ® NAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources SystemCBRS)area or Otherwise Protected Aro&(OPA)? 13 Yes ® No Designation Date: Lj CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations aro based on: ❑ Construction Drawings' ❑ Building Under Corherucow ® Finished Construction A now Elevation Certifiade will be required when cordon of the building Is complete. C2. Elevations-Zames At-A30,AE,AH,A(with 8FE),VE,V1-V30,V(with BFE),AR,ARIA,ARAE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.in Puerto Rico only,eater meters. Benchmark Utilized: Vertical Datura: NAVD 88 Indicate elevation datum used for the elevations in items a)through h)below. 13 NGVD 1929 ®NAVD 1988 ❑Other/Source: Datsun used for building elevations must be the same as that used for the BFE. Chock the mansuromaht used. s)Top of bottom floor(Including basement,cnewwlspaoe,or enclosure floor) 2.¢ ®feet ❑motors b)Top of the nod higher floor 14.4 ®hat ❑meters C)Bottom of the lowest horizontal structural member(V Zones only) ❑fest ❑meters d)Atteched garage(top of Web) ❑fast ❑meters e)Lowest elevation of machinery or equipment servxmg the building .4.2 ®feet ❑meters (Describe type of equipment and location in Comments) III Lowest adjacent(finished)grade next to building(LAG) Z1 ®feet ❑meters 9)Highest adjacent(finished)grads neA to building(HAG) 1.0 ®fast ❑meters h)Lowest adjacent grade at lowest elevation of deck or etals,including structural support Z.¢ ®feet ❑meters SECTION D-SURVEYOR.ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a lend sure yor,engineer,or architect authorized by low to certify elevation ur-FTC FV information.►cel*that the kftmetfon on this Cettdlkale repn►ssnta my best efforts to ktWat the dab aveRab►e. i' I understand that any Wn staid mord may be p ►e by Afire or knpriaormnart under 18 U.S.Code.SecWn 1001. T.Mi'?-'"o ® Chock here if comments are provided on bot*of form. Were latitude and longitude in Section A provided by a �Q ❑ Check here if attachments. licensed lend suroeW ® Yes ❑ No CeAifler's Name JOHN T METZGER License Number 49618 r Title OWNER/PRESIDENT Company Name PECONIC SURVEYORS Address 1230 TRAVELER STREET City SOUTHOLD State NY ZIP Code 11971 g8B18 C%" Signature Data 00KI2014 Telephone 6317856020 LAND FEMA F (7/12) See reverse side Tor oondnuation. Replaces all piwAous editions. ELEVATION CERTIFICATE,page 2 IMPORTANT;In time sperms,copy qts corraspondirg.infontistion from Section A. Building Street Address(io*Kit Apt..Unit,Suite,and/or ft.No.)or P.O.Route and Box No. 1200 WESTPHALIA ROAD City MATTITUCK, State NY ZIP Cods 11952 SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)ooutununity offlcal,(2)insurance agerNeormpany,and(3)building owner. Comments DWELLING HAS BASEMENT AND CRAWL SPACE(BASEMENT FLR WITH WELL PUMP AT EL2.8418 SO.FT.)CRAWL SPACE AT EL 7.3 Signature Dam Otir20)2014 44—ff— - SECTION E ATOLDING ELEVA TION(SURVEY NOT REOWRED)FOR ZONE AO AND ZONE A(WITHOUT SFE) For Zones AO and A(without SFE),complete Items EI-E5.if the Certificate Is intended to support a LOMA or LOMR-F request,corruplem Sections A,S, and C.For Items Et-E4.use natural grade,N available.Check the measurement used.In Puerto Rico only,enter memra. Et. Provide elevation Mkmvdon for the following and check the appropriate boxes to show whether the elevation is sbovs or blow the highest Mwent grade(HAG)and the low ast adjacent grade(LAG)- a)Top of bottom floor(iucuding basement,crawhpace,or enclasure)is ❑test ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,cxawispece,or ancosure)is ❑fast O meters ❑above or❑ beim,the LAG. E2. For&A**Dia MM 8-9 with permanent flood openings provided it Section A Items 8 andW 9(asses 8-9 of Instructions),the ne)d higher floor (elevation►C2.b in the diagrams)of the building is ❑feet 0 meters O above or ❑below the HAG. E3. Attached garage(top of slab)Is ❑feet ❑meters ❑above or ❑below the HAG_ E4. Top of platform of machinery andlor equipment ssrvidng the building Is ❑test ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no food depth number is available,is the top of the bottom floor elevated in accordance with the community*f odplein managernsnt ordinance? ❑Yes 0 No ❑ Unknown.The local olfical must cw*this intomnation in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or oommunity-issued WE) or Zone AO must sign hero.The statements in Sectors A,B,and E aro correct to the best of my knowledge. Property Owners or Owner's AuMorized Representative's Name Address City Stam ZIP Cods Signature Data Telephone Comments In Chad hero if attedwnente. SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local otticW who is authorized bylaw or ordi ence to administer the cornnunilys f oodphin manegerment ordinance an complete Sections A,B,C(or E),and G of tits Elevation Certificate.CompkNe the applicable Mems)sod sign below.Check the measurement used in Mena G8410.M Puerto Rion only,enter meters. G1.❑ The infomantion in Section C was taken from other documentation entation that has been signed and sealed by a lbenssd surveyor,engineer,or arohMsat who is authorized by low to certify elevation information. (indicate the source and dam of the elevation data In the Comments amp below.) 02.❑ A community officcl completed Section E for a building located in Zone A(without a FEMA-sued or commuri tt issued BFE)or Zone AO. G3.❑ The foNawig information(Mems G4-G10)is provided for community floodplain management purposes. G4.Pemit Number G5. Date Permit Issued Ge. Daps Certfliate Of ComptiencelOocupancy Issued G7. This permit has been Issued for: 0 New Construction ❑Substantial Improvement G8. Elevation of s&4xM lowest floor(inc xIirg basement)of the building: E3 bet ❑meters Datum G9. BFE or(in Zone AO)depth of fboding at the building site: ❑fest (]meters Datum G10.CommunWs design flood elevation: ❑Last ❑meters Datum Load OffiW*Name Title Commuundy Name Telephone Signature Date Comments FEMA Form 086-0-33(7/12) Replaces aN previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 1200 WESTPHALIA ROAD City MATTITUCK State NY ZIP Code 11952 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. 4 ' 4Tu c t 45- A`, u' . xr r �1 ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 1200 WESTPHALIA ROAD City MATTITUCK State NY ZIP Code 11952 ]777a7NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. �� F�, I� 1V:n., fir• < k,,, ���1 uµ �'n iii I„e,i IIs���ul III iA 3 1l n 11 w ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 1200 WESTPHALIA ROAD City MATTITUCK State NY ZIP Code 11952 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View' and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. ro. i o-, cj -M uaM Scott A. Russell 0°SU "r STOR-AMMAXIER, SUPERVISOR \AAI A\, G 1EM1ENr]F SOUTHOLD TOWN HALL-P.O.Box 1179 v 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) ------- -------------....------ DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING. Yes No (CHECK ALL THAT APPLY) EA. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑�B. Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. El[0 C. Site preparation on slopes which exceed 10 feet vertical rise to { 100 feet of horizontal distance. ❑� D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ E. Site preparation within the one floodplain as depicted i on FIRM Map of any watercourse. E F. Installation of new or resurfaced impervious surfaces of 1,000 square . i feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department witE your Building Permit Application. - -=---------___-.....---. —... .. ate. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) $•C.T.M. ": 1000 a\^ 1' r r t District 17 NAME: 0�/ Section Block Lot 7 k FOR BUILDING DEPARTMENT< E ONLY Contact Information: ^ Y v© c trNepbme Number' Reviewed By: — — — — — — — — — — — — — — — — Date: Property Address / Location of Construction Work: — — — — — — — — — — --- — — — — — y Approved for processing Building Permit. 1 � lJif� wi e — — Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM ' SMCP-TOS MAY 2014 SUFFQ Scott A. Russell °° James A. Richter, R.A. SUPERVISOR Michael M. Collins, P.E. SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Telephone#: (631)-765-1560 Fax#: (631)-765-9015 �10MICHAEL.COLLINS@TOWN.SOUTHOLD.NY.US `t JAMIE.RICHTER@TOWN.SOUTHOLD.NY.US Office of the Engineer Town of Southold STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET ( TO BE COMPLETED BY THE APPLICANT ) PLEASE NOTE: All Contact & Project Information Requested by this FORM is Nessary for a Complete Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) PROPERTY OWNER: (If Different from Applicant) NAME: Qrf �py,lCL�VY5/l rs LW_ NAME: .5« ADDRESS: a _—/ /rI0 Q ,—t ADDRESS: r 0 li (t 1-i 4'ZX S /J /11-7/ Telephone Number: 63- 214S_-- V33 5) Telephone Number: Completed Applications can be picked up at the Engineering Department after being notified by the Department, or; it can be Mailed to the Applicant with the submission of a Self Addressed 8.5"x 11"Envelope&Appropriate Postage. DATE: / -31 _ %/ Property Address / Location of Cojistruction Work: 12-oo l c SCTM #: 1000 ? L cK, - District Section Block Lot Required Documents for Stormwater Review: Copy of Complete Building Permit Application. Stormwater Management Control Plan. (2 Sets) Note: SMCP's are required whenever Grading or Excavations exceed 5,000 S.F,when New Impervious Surfaces are created, and/or when existing Roof Systems, Driveways,Patios or other Impervious Surfaces are Re-Surfaced. De Minimis Projects will NOT be Subject to the Submission of a SMCP During the Stormwater Review! Note: These Projects would be Limited to Interior Renovations, Replacement of exterior Doors&Windows,Deck Construction with Loose Fit Decking, Installation and/or Modification of Mechanical Systems or other similar Work. A Complete Description of the Scope of Work Proposed under the Building Permit Application. A Completed Stormwater Review ClAcklist. If No or NA are Indicated, Justification is Required. ****'FOR EN I ISE N EPARTMENT USE ONLY **** Reviewed By: f Date: L 31 1 Approved: ❑►► Addi Oial Information Required: CHAPTER 236 A- STORMWATER MANAGEMENT CONTROL PLAN CHECK LIST Professional,Agent,Contractor.Other) APPLICANT: (Property Owner,Design Prof DATE: '-j/- / � _ ` NAME: Mo--foi L4 1 S C T M #: 1000 7 /YlTelephone Number: District Section Block Lot S M C P -Plan Requirements: The applicant must provide a Complete Explanation and/or validation of all Information Required by this Checklist if it has not been providedl 1. A Site Plan drawn to scale Not Less that 60'to the inch MUST If You answered No or NA to any Item, Please Provide Justification Here! show all of the following items: YE NO NA If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries 0 b. Total Site Acreage. 0O c. Existing-Natural & Man Made Features within 500 L.F. of the Site Boundary as required by§236-17(C)(2). d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. e. Limits of Clearing& Area of Proposed Land Disturbance. 0� f. Existing & Proposed Contours of the Site (Minimum 2'Intervals) . Location of all existing& proposed structures, roads, g �0 driveways, sidewalks, drainage improvements& utilities. h. Spot Grades & Finish Floor Elevations for all existing& proposed structures. I. Location of proposed Swimming Pool and discharge ring. 0 j. Location of proposed Soil Stockpile Area(s). 0 k. Location of proposed Construction Entrance/Staging Area(s). 1. Location of proposed concrete washout area(s). O00 M. Location of all proposed erosion&sediment control measures. O0� 2. Stormwater Management Control Plan must include Calculations showing that the stormwater improvements are sized to capture,store,and infiltrate on-site the run-off from all impervious surfaces generated by a two(21 inch rainfall/storm event. 3. Details&Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to: a. Erosion& Sediment Controls. b. Construction Entrance &Site Access. 0 c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) d. Leaching Structures (e.g. infiltration basins,swales,etc.) FORM * SWCP Check List-TOS JAN 2014 zn 1003 G PHILIP C.WELLS PAY TO THEyh y�y,,0� ORDER OF $ ` 111 00(,,;7. uARs .... .. CHASE-Q (631)765-1802 (631)765-1802 Morgan Chase Bank,N.A. (631)765,-�5t�2 chert rownso o .n .us wwwChasex= zs Y MEMO ' - NP w ; g6, �02 TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �4✓`(�i �� cofi.�,�s �� Date: Company Name: P _M_62211` Name: License No.: Address: Phone No.: . 7 e$- q j 3 D JOBSITE INFORMATION: (*Indicates required information) *Name: `!0 iv, US _ *'Address: /�d D 1�/lS F,�hG.Cc_� ►C OC�G�4 *Cross Street: *Phone No.: Permit No.: Tax-Map District: 9000 Section: l Block: _ Lot: *BRIEF DESCRIPTION OF WORK(Please Print"Clearly) (Please Circle All That Apply) Is job ready for inspection: YES/ NO. Rough in Final *Do-you need a Temp Certificate: YES/ NO Temp Information(if-needed) zi, *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead --o T Additional Information: PAYMENT DUE WITH APPLICATION 1 e G o� .82=Request forInspection F 1 pF SO!/jyol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road COOFax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 �Q 0'OUN% August 8, 2014 BUILDING DEPARTMENT TOWN OF SOUTHOLD North Fork Investors LLC 118 Andover Rd % Rockville Centre, NY 11570 Re: 1200 Westphalia Rd, Mattit TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: *Note: Certification required by an engineer for the Lolly Columns in the basement as per in ection dated 8/5/14 �� I Application for Certificate of Occupancy. (Enclosed) 01-�/Iectrical Underwriters Certificate. G'71 ./* (-S Q0 A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/ 4) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 38781 — "As Built" Alterations I Postal CERTIFIED MAIL - RECEIPT ni M (Domestic CO vided) IrIAL U *S*E 7 Postage U C3 CertiNed Fee Return Receipt Fee Postmark r-3 (Endorsement Required) Here 0 Restricted Delivery Fee r-j (Endorsement Required) ` j Total Postage&Fees $ C3 ntTo - o --�--_ForK L r� M v to �.- �-, �r -4 Al-.:..............cm -------- -------- -._.�. __.. Y Y► )I� e =-+fit"_1. i 1 I 1 SO(/r�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 eouml BUILDING DEPARTMENT TOWN OF SOUTHOLD STOP WORK ORDER TO: North Fork Investors LLC 118 Andover Road Rockville Centre, New York 11570 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 1200 Westphalia Road, Mattituck New York TAX MAP NUMBER — 1000-114-7-14.2 Pursuant to Section 144-8A.0) & 144-13A(3) of the Code of the Town of Southold, New York, you are hereby notified to immediately suspend all work and building activities until this order has been rescinded. BASIS OF STOP WORK ORDER: Construction without a Building Permit. CONDITIONS UNDER WHICH WORK MAY BE RESUMED: When a Building Permit is issued DATE: March 18, 2014 _�� Peter Doherty Code Enforcement (cert. mail) Robert J. Gruber - Rrchitect 476 Expressway Drive So. Medford, N.Y. 11763 D E May 19, 2014 MAY 2 3 2014 BLDG.Dr PT. TOI�(U1 OF QUTHOLID Town of Southold Building Department P.O. Box 1179 Southold,NY 11971 Re: 1200 Westphalia Road,Mattituck To whom it may concern: This is to certify that the framing for the wrap around deck at the above referenced location has been framed according to our plans dated January 14, 2014. Very truly yours, ,EftCD A14(, > R rt J. Gruber Architect �c 13571 k- Sr9� OF Ne`N Tel: 631-654-4949 • Fax: 631-654-2101 E-mail: rjgruberra@aol.com Robert J. Gruber - Architect — 476 Expresswoy Drive So. Medford, N.Y 11763 August 1 8,2014 Town of Southold Building Department P.O.Box 1179 Southold,NY 11971 Re: 1200 Westphalia Road,Mattituck(North Fork Investors) To whom it may concern: The three columns in the basement have been replaced with 3-1/2" O.D.pipe columns with welded plates at both top and bottom and secured to both beam and concrete footings with anchor bolts. I,hereby,certify that the above installation is in conformance with New York State Building Codes,and structurally adequate to support all design loads. Very truly yours, .5'�tiR� � o�►i ��oe��t d. ctRGm s� RJ. Gruber ,> chitect . U AUG 18 2014 Tel: 631-654-4949 • fax: 631-654-2101 E-mail: dgruberro@ool.com REScheck Software Version 4.5.0 Compliance Certificate 1 L I Project Phillip Wells - Interior and Exterio Alterations MAY 2 8 2014 !� Energy Code: 2010 New York Energy Conservation Location: Suffolk Country, New York BLDG. DEPT. Construction Type: Single-family TON'S;0SOS THOLD Project Type: Alteration Climate Zone: 4 (5750 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 1200 Westphilia Road Mattituck, NY Compliance: Compliance: 5.1%Better Than Code Maximum UA: 353 Your UA: 335 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Glazing Cavity Cont Assembly R UA or R-Value _Value or Door Perimeter U-Factor Ceiling 1: Flat Ceiling or Scissor Truss 1,190 30.0 0.0 0.035 42 Wall 1: Wood Frame, 16"D.C. 1,770 15.0 0.0 0.077 103 Window 1:Wood Frame:Double Pane with Low-E 292 0.320 93 Door 1: Solid 21 0.340 7 Door 2: Glass 120 0.280 34 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1,190 19.0 0.0 0.047 56 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 4.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date ;tF D A`F, Project Notes: �,� C+yj,, Previously saved project information: 1.J. Robertj. Gruber, RA. 476 Expressway Drive So. Medford, NY OF NUN Project Title: Phillip Wells - Interior and Exterio Alterations Report date: 05/28/14 Data filename: ZAOLD FS1\RES COM CHECK\REScheckU06#14-005.rck Page 1 of 7 REScheck Software Version 4.5.0 Inspection Checklist Energy Code: 2010 New York Energy Conservation Construction Code Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section # Pre-Inspection/PlanReview Plans Verified Field Verified &Re .10 Value Value Complies? Comments/Assumptions 103.21 Construction drawings and 3 :❑Complies [PR1] documentation sufficiently y r demonstrates energy coded�- � � .❑Does Not compliance for the building envelo e. � � ,� ❑Not Observable P r ;❑Not Applicable 103.2, Construction drawings and ❑Complies 403.7 documentation sufficient) F 1� ; [PR3]1 demonstrates energy code �� ❑Does Not o 3 compliance for lighting and ❑Not Observable mechanical systems.Systems f 0❑Not Applicable serving multiple dwelling units :must demonstrate compliance , � � r ` with the commercial code. ' 403,E Heating and cooling equipment is: Heating: Heating: E❑Complies [PR2]2 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not ?on loads per ACCA Manual J or Cooling: Cooling: other approved methods. Btu/hr Btu/hr ❑Not Observable ❑Not Applicable ee Additional Comments/Assumptions: [.1.1 High Impact (Tier 1) 2' Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Phillip Wells - Interior and Exterio Alterations Report date: 05/28/14 Data filename: ZAOLD FS1\RES COM CHECK\REScheck\I0B#14-005.rck Page 2 of 7 20£0 New York Foundation Inspection Complies? Energy Comments/Assumptions 3012.1 .,Exposed foundation insulation ❑Complies [FO11]2 (protection. ❑Does Not ❑Not Observable ❑Not Applicable 403.8 Snow melt controls. ❑Complies [F012]2 ❑Does Not igv ❑Not Observable' ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 Low Imoa�r iTiar�i Project Title: Phillip Wells - Interior and Exterio Alterations Report date: 05/28/14 Data filename: ZAOLD FS1\RES COM CHECK\REScheck\013#14-005.rck Page 3 of 7 ' Section # Framing!Rough-In Inspection Pians Verified Field Verified &Req.il) Value Value Complies? Comments/Assumptions 402.4.4 :Fenestration that is not site built g r ❑Complies [FR20]1 is listed and labeled as meeting AAMA/WDMA/CSA 101/i.S.2/A440 _ ❑Does Not or has infiltration rates per NFRC Not Observable 400 that do not exceed code ❑Not Applicable limits. 402:4.5 IC-rated recessed lighting fixtures' ❑Com lie [FR1 ]2 sealed at housing/interior finish ' p s ❑Does Not and labeled to indicate&It;=2.0 t cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.2.1 Supply ducts in attics are R- R- ❑Complies [FR12] insulated to R-8.All other ducts R_ R- outside Not in unconditioned spaces or outside the building envelope are ❑Not Observable insulated to R-6. Not applicable if ❑Not Applicable all systems are ductless. 403.2.2 All joints and seams of air ducts, [FR13]' air handlers,filter boxes, and `❑Complies building cavities used as return fi ` � "❑Does Not 'ducts are sealed. Observable []Not Applicable 403.2.3 Building cavities are not used as ' '❑Complies [FR15] ducts or plenums. 3 sf s ❑Does Not f �3 []Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R- R- ❑Complies [FR11F above 105 QF or chilled fluids ❑Does Not below 55 QF are insulated to R-3. ❑Not Observable ❑Not Applicable 403,4 :Circulating service hot water R- R- ❑Complies [FR18] pipes are insulated to R-2. ❑Does Not ❑Not Observable 403.5 Automatic or gravity dampers are; ry r ❑Not Applicable [FR19]2 "installed on all outdoor air � � r�` � � � � OComplies intakes and exhausts. 6 �£ Does Not WAN' ❑Not Observable ❑Not Applicable a, Additional Comments/Assumptions: 1_I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 'Low Impact(Tier 3) Project Title: Phillip Wells - Interior and Exterio Alterations Report date: 05/28/14 Data filename: Z:\OLD FS1\RES COM CHECK\REScheckUOB#14-005.rck Page 4 of 7 2, 010 New York Insulation Inspection Complies? Comments/Assumptions Energy 303.1 All installed insulation labeled or ❑Complies [IN13]2 installed R-values provided. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: F1- High Impact(Tier 1) 2 -Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Phillip Wells - Interior and Exterio Alterations Report date: 05/28/14 Data filename: Z:\OLD FS1\RES COM CHECK\REScheck�013#14-005.rck Page 5 of 7 Section # Final inspection Provisions Plans Verified Field Verified & Req.ID Value Value Complies? Comments/Assumptions 402.4.2, Building envelope tightness ACH 50 = ACH 50 = ❑Complies 402.4.2.1 verified by blower door test result ❑Does Not [FI17]1 of&lt;7 ACH at 50 Pa.This a requirement may instead be met ❑Not Observable via visual inspection, in which ❑Not Applicable case verification may need to occur during Insulation Inspection. 402.4.3 Wood-burning fireplaces have ' ❑Complies [F18)2 gasketed doors and outdoor ❑Does Not combustion air. ti 4 El Not Observable ❑Not Applicable 403.2.2 Duct tightness via post- cfm cfm ❑Complies [F[4]1 construction with maximum ❑Does Not leakage of 8 cfm to outdoors, or .12 cfm across systems. For ❑Not Observable rough-in tests,verification may ❑Not Applicable need to occur during Framing Inspection, with maximum leakage of 6 cfm across systems and 4 cfm without air handler. 403.1.1 Programmable thermostats E ;❑Com lies [FI912 installed on forced air furnaces. ❑Doe phot � � " Af ❑Not Observable .y f� k' +3;,,.„.� � ;;,. A; ..❑Not Applicable 403,1.2 Heat pump thermostat installed [F110)2 on heat pumps. 3 ❑Complies ❑Does Not xft❑Not Observable [ � - P �� �� ❑Not Applicable 403.4Circulating service hot water 5 <s ❑Complies [Fill]2 systems have automatic or accessible manual controls. ❑Does Not £ . ]Not Observable a ❑Not Applicable 403.9 1, Readily accessible switch on .lrA F ❑Complies [FI12]3 heaters for swimming pools. k � � ❑Does Not § .❑Not Observable a t❑Not Applicable 403.932 Timer switches on pool heaters ' � { ❑Complies [FI19]3 :and pumps are present. ��` -i❑Does Not '0' � ❑Not Observable 141 ❑Not Applicable 403.9:3Heated swimming pools have a ' ❑Complies (FI20)3 cover.Covers on pools heated .❑ ,4r z Does Not over 90 QF are insulated to R-12. lg a � � -❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. K ❑Complies [F17J2 ❑Does Not F ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for 4� [FI18]3 :mechanical and water heating r � g � ❑Complies .equipment have been provided. � ��` ��' ❑Does Not Cp ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2; Medium Impact(Tier 2) Low (Tier 3) Project Title: Phillip Wells - Interior and Exterio Alterations Report date: 05/28/14 Data filename: Z:\OLD FS1\RES COM CHECK\REScheck�06#14-005.rck Page 6 of 7 1 High Impact(Tier 1) 2'' Medium Impact(Tier 2) 3 Low Impart T-i-e 3) Project Title: Phillip Wells - Interior and Exterio Alterations Report date: 05/28/14 Data filename: Z:\OLD FS1\RES COM CHECK\REScheck�O6#14-005.rck Page 7 of 7 2010 New York Energy conservation Construction code Energy Efficiency Certificate Insulation Rating R-Value Wall 15.00 Floor 19.00 Ceiling / Roof 30.00 Ductwork (unconditioned spaces): Glass&Door Window 0.32 Door 0.28 0.66 CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments - - f t SURVEY OF PROPERTY A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y: 1000-114-07-14.,2 SCALE 1'-&Y t DECEMBER 19, 2012 � D rc LOT 1 rn m z pp r x S84'.r�]r 10w E 0 STOCKADE FENCE FE = v o yp• o� o O.1-N 184.32' ( 6: �L > � 3� m N U Rw Aub OF a2V1 IA �^ , : /cb If f LOT 1 / 3 LOT 2 U / y i DOC N� ' OIIY .•� I UpV :-v i y U1 • S� w U s N ' Y rn J m 00 r o � / / A � N86'52'45"E 27,81 MEAN HIGH WATER 4F bQ OQ;w O 11EUNE .. \ .' . EDGE OF yyE�ANDS F �P O 1°II.4l r83 89• ,�^ �•� I.� �C-j, v,'' 14��' �ROR N?0.00. W ■ =MONUMENT .-,� ,t:s., ° t>» , n; It LOT NUMBERS REFER TO MAP OF MINOR SUBDIVISION MADE FOR SONY W. OLMSTED, JR. AND ROBERT W. OLMSTED FILED IN THE SUFFOLK COUNTY CLERKS OFFICE ON 4'�• t AUGUST 30, 1990 AS FILE NO. 8994. �. LIC. NO. 49618 ANY AL TERA TION OR ADDI TION TO THIS SURVEY IS A VIOLA TION CONIC YOf?S, P.C. AREA=51,960 SO. FT. OF SEC77ON 72090F THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77FICARONS P.O. BOX 909 TO TIE LINES HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 12_299 WHOSE SIGNA77JRE APPEARS HEREON. SOUTHOLD, N.Y. 11971 2D'-_I" EXT'G 00 If P05T TYPICAL 3757-2 3757-2 7'-0" PLATE HEIGHT - 5571-2 1 2546-2 1 17'-1 " O r i U) m u u x EXT'& x m �- CRAWL SPACE � d) BEDROOM� � � O x EXT'GNEN X w I - CRAWL SPACE w I w Q SD ry 4X4 NEW EXT'G z POST KITCHEN q-O" PLATE HEIGHT Lu 8 CONC. BLOCK NEW (2) 2XIO FLUSH HDR. — — mm 11 EXT'G 4X6 FULL EXT'G 4X6 FULL FOUNDATION WALL NEW (21240 FLUSH HDR. CLOSET — — — — MASTER EXT' 4X6 FULLNENr BEDROOM 4X4 � N POST d \Z1 i NEW T71 (Z C, d DIRECT VENT Z EXT'G m EXT'G 4 6 IULL 26 O -0 FURNANCE CRAWL SPACE wl PARTITION SCHEDULE `� to Q 24 EXT'G 4X6 F_ — — -1 EXT'G 4XU- — — � EXT'G 4X6 EXISTING WALL TO BE REMOVED - 1> — —1 — — —{-� I— — X I Oi MA,5TER ZQ 40 x O L _ J L — — J �u1�m m 1(1 CLOSET < EXI5TING WALL TO REMAIN -i EXT'G 8"x1 G" � CONC. BLOCK 1=XT' 4 6 FULL -1N Q EXT'G PIERS O MASTER 8" CONC. BLOCK x x 1 NEW 4 FOUNDATION WALL EXT'G I 172771 -STUD WALL I LAYER 1/2" GYP. BD. BOTH = fn BATH f 2 rT UNI A 8" CONC. BLOCK 1 tu SIDES OF 4" WOOD STUDS (9 16" O.G. fn `[FOUNDATION WALLEXT G 4X6 �-- _ _ _i W (2) 2X8 L J EXT'G 4X6 1 m FLUSH HDR. - 3 11011 _ u REMOVE ND REPLACE 1�L— I � � OI CO SD I lTl� — — EXT'6 3"xb" F.J.J'V li Z �I� EXT'G 2"xb" F.J. I EXT'G Vxb" F.J. X i NEW 9"xb" ACQ F.J. I X r} d 4'-7" i r 5 EQ SPACES x x 1 EXT'G 4"DIA, w w NOTE: EXT'G STL. COL. ON l 0 24 BATH 24 - _ BASEMENT - 24"x24"x12" ALL WINDOWS TO BE fi�EM01lD AND fi�EPLAGED 4 ml� P.C. FOOTING REMOVE AND REPLACE WITH ANDERSEN 400 SERIES OR EG2U I VALENT. 1 1 EXT'C7 4 xb C71RDER VV F_ 1 ❑ L J NEW 4"x6" FULL A00 = I ❑ • • -� EXT'G REMOVE AND REPLACE — T 61RDER m L SD O P05T OLD DEGKI G W/ NEW t- TYP I GAL 5/4 THK. T G DECK I NG EXT'G 2"xb" F.J. d) EXT'6 2"xb" F.J. c(lid- r N BEDROOM III F_ � , NEW 3371-2 HOT WATER -" 2ll I- 211 6 —O 6 -O 6 -O 5 -� 6 HEATER " ' " " " 24'_1" ALLt LU �3 :.'G4 r;STE OUNDAT I ON PLAN ; TESTING BEFORE COVERING SCALE: 1/4" = 1'-0" ST FLOOR FLAN PLUMBERCERTIFICAi ON LEAD CONTENT BEFORE SCALE: 1/4" v ' O'I r, CERTIFIC/;T E OF OCCUPANCY SOLDER USED IN WATER GENERAL NOTES ' �' 1 r� ° �'�i';A,=�� : SUPPL Y SYSTEM CANI•JOT I. ALL MATERIALS, ASSEMBLES, CONSTRUCTION AND EQUIPMENT SHALL CONFORM TO THE , �.�.. EXCEED 2110 OF 1! LEAD. RESIDENTIAL CODE OF NEW YORK STATE, 2010 EDITION. 2. WORKMANSHIP SHALL CONFIRM TO GENERALLY ACCEPTED GOOD PRACTICE IN THE APPLICABLE TRADE5. 3. ALL DIMENSIONS SHALL BE CHECKED IN FIELD BY CONTRACTOR PRIOR TO ORDERING 14" VTR. DATE /f / B.P. #__�_..,l�l MATERIALS OR COMMENCING CONSTRUCTION FIELD VERIFIED DIMENSIONS SHALL TAKE HOUSE ,gyp PRECEDENCE OVER SGAL I NG, NOTIFY ARCH I TELT OF GONFL I GTS. EXT'G z� I ____ _ d NE j° BY 4. ALL CONCRETE SHALL BE MINIMUM Fc= 3,000 P51 STRENGTH AT 25 DAY TEST. 2X8" RR �1/2 �.1 1/2" ,2" .2" ii1/2 2 O+ .fY 3UILDINU D4 Fr;I���lE" II " " �1 1/2" FOLL V 8 INS TO 4 f'S FOR _1 i (NOTE ALL EXTERIOR CONCRETE STEPS AND GARAGE BLABS SHALL BE MINIMUM Fc= 3,500 PSI FOFOUN �G INSPECTIONS: STRENGTH AT 25 DAY TEST.) I LAV I NEW NEW I I LA� NEW I NEW 1. FOR POU i ED-CON7VVOCRETE REQUIRED NEW W.C. W.C. NEW5. ALL FOOTIN65 SHALL BEAR ON UNDISTURBED 501L HAVING A MINIMUM BEARING CAPACITY NEWL WASHER SIN FOF� POURED BIIG TUB I TUB I 2 ROUGH-FRAMING,PLUMHI?!G, STRAPPING, ELECTRICAL & CAUI-KING OF 3,000 L.B. PER S.F. 6. ALL PLUMBING SHALL BE IN ACCORDANCE WITH N.Y.S. AND LOCAL GORES. 2 2"xIO" FLUSH 1 1/2" 1 1/2" 2 4" FAI 3. INSULATION EXT'G HDR. 4. FINAL CONSTRUCTION &ELECTRICAL �. ELECTRICAL SHALL BE IN ACCORDANCE WITH N.E.S. AND CERTIFIED BY N.Y.S. BOARD OF 2X6" G.J. C.O.' 4" MUST BE COMPLETE FOR C 0. ALL CONSTRUCTION SHALL MEET THE FIRE UNDERWRI TER5. S. ALL LUMBER SHALL BE DOUGLA5/FIR No. 2 OR BETTER, MIN. Fb=875 F.B.I. UNLESS OTHERWISE 4" 4" H. TRAP TO EXISTING REQUIREMENTS OF THE CODES O IJEUV SANITARY YORK STATE. NOT RESPONSIBLE FOR SYSTEM DESIGN OR CONSTRUCTION ERRORS. NOTED. a. ALL STRUCTURAL HEADERS TO BE (2) 2"x6" UNLE55 OTHE"15E NOTED. 10. ALL FRAMING SHALL BE DOUBLED UNDER PARTITIONS, POSTS AND AROUND ALL OPENINGS. NEW %— F—XT'& PLUMBING RISER DIAGRAM 11. ALL HVAC EQUIPMENT SHALL MEET REQUIREMENTS OF THE N.Y.S. ENERGY CONSERVATION 51MP50N "STRONG-TIE" 2X6 G.J. GONSTRUGTION GODE REQUIRE MENT5. JOIST HANGER " N.T.S. 12. HABITABLE SPACE MUST MEET EGRE55 REQUIREMENT5 PER N.Y.5. GORE SECTION 8310.1.1 MIN. MODEL #: LU26 5 S.F. OPENING ON FIRST FLOOR WITH 20" MIN. WIDTH AND 24" MIN. HEIGHT, 5.7 S.F. ON THE 2nd FLOOR, AND HAVE A SILL HEIGHT NOT MORE THAN 44 INCHES ABOVE F I N I SHED FLOOR. J E�T I O I 11 A _ All 13. WINDOWS AND ODORS SHALL BE WEATHER STRIPPED AND CAULKED. I �l PROPOSED INTERIOR AND EXTERIOR ALTERATIONS FOR 14. USE 5AFETY GLAS5 ON ALL WINDOW5 IN TUB OR SHOWER ENCLOSURES WITH SILL HEIGHT LE55 SCALE: I/2" = I'-O" �`y�E a � � PHILLIP ViELL5 THAN 60" ABOVE FIN15H FLOOR A5 PER NEW YORK STATE RE5IDENTIAL CODE SECTION R-308 , ��� J. �R� 1200 WESTPHALIA ROAD MAT: J.TU, NY �p� �p SCALE: AS NOTED APPROVED BY: DRAWN BY: J.TURNER R-308.4(q). 15. GLAZING SHALL CONFORM TO NEW YORK STATE RESIDENTIAL CODE SECTION R-505 4 , DATE: OI-14-14 REVISED BY R-308.4(1. THRU II.). ' Y Robert J. Gruber - Architect .13571 ©�- 476 Expressway Drive So. Medford, N.Y. 11763 (631) 654-4949 NG NUMBER: OF Nva FOUNDATION PLAN / FLOOR PLAN / I OF 2 PLUMBING RISER NOTES JOB: #14_ EXISTING EXISTING EXT'G ROOF STRUCTURE ROOF STRUCTURE CHIMNEY TO TO REMAIN TO REMAIN NEW BE REMOVED EXISTING EXT'G n 6" TRIM �n-1 ROOF STRUCTURE CHIMNEY TO F - I I TO REMAIN BE REMOVED -- - - I - _ I NEW 6" FASCIA - - - - - - EXISTING di - - - - EXISTING - ROOF STRUCTURE ROOF STRUCTURE II TO REMAIN TO REMAIN LLJ I I L - I I NEW -U- IL I L LL. 6" FASCIA I I (NEN OP H KE5051 D I NG (NEW) WOOD (NEW) WOOD SHAKES SIDINGLu 01' SHAKES 51DIN6 I D I I NEW) I(NEW) WOOD WINDOWSWINDOWS 5HAKE5 51 D I NG I I I I I - - - - - - - - - - - - I I I I I I - - - - - - - - - - - - - - - - - - - - - - - - � - - - - - _ _ � EL I I I I - - - - - - - - - I - - - - - I - - - - - - - - --- I- _�- - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - �. NI FRON7 ELEVA71ON� LEFT 51r�E ELEVATIO SCALE: I/4" = I'-O" 50ALE: 1/4" = 1'-0" EXISTING EXISTING ROOF STRUCTURE ROOF STRUCTURE TO REMAIN NEW f EXISTING EXT'G TO REMAIN 6" TRIM n ROOF STRUCTURE ❑ _ - CHIMNEY TO TO REMAIN BE REMOVED ---r- — �---EXT'G - - - I CHIMNEY TO -- I BE REMOVED LLLIL- — Ll Luu[ EX15T1NG - _ _ _ ROOF STRUCTURE - - _ TO REMAIN - NEW _ 6" FASCIA NEW 6" FASCIA NEW NEW NEW 6" FASCIA 6" FASCIA 6" FASCIA L Li (NEW) WOOD (NEW) WOOD 5HAKE5 SIDING (NEW) WOOD SHAKES SIDING SHAKES 51 D I NG I (NEW,) WOOD LL SHAKES SIDING IJ LI SII - - - - - - - - IL NEN I NEW) NEW) I I WINDOWS I (NEW) WOOD WINDOWS NEW) I I SHAKES SIDING I I LASS 1 INDOWS NEW) WINDOW 5LIDING - - - - - - - - - - - - - - - - - - - - - - -� _ _ _ _ - - - - - - - - - - - - WINDOW5 - - - - - - - - - - -I - - - - - - - - - -DOORS - - - - - - _ _ - - - - - - - - - - - - - - - - - - _ _ _ _ _ —_ _— - - - - - - - - - - - - - - - - - - 1I - - - - - - - - - - - - --_ - - - - _ _- - - - - - � — � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - J - - - - - - — — — — — — — — — RIC-;H7 SII E ELEVAT101� REAR ELEVA7 1 O I `t SCALE: I/4" = I'-0" SCALE: 1/4" = I'-O" PROPOSED INTERIOR AND EXTERIOR ALTERATIONS FOR \S�EgED A)C 1200 WE5TFHALIA ROAD PH I LL I P WELL5 MATfITUGK, NY G T� APPROVED BY: DRAWN BY: J.TURNER SCALE: A5 NOTED 4� its DATE: 01-14-14 REVISED BY Robert J. Gruber - Architect 476 Expressway Drive So. Medford, N.Y. 11763 (6 1) 654-4949 HAWING NUMBER 13571 !' 2 OP! 2 ELEVATION5 JOB: #14-005