The URL can be used to link to this page

Home My WebLink About39885-Z �45�EFDd,{�4o Town of Southold 12/30/2015 {''�o ay_ - P.O.Box 1179 i 7 53095 Main Rd ,oy' sto- Southold,New York 11971 41 CERTIFICATE OF OCCUPANCY No: 38004 Date: 12/30/2015 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 235 Carole Rd. Southold SCTM#: 473889 Sec/Block/Lot: 52.-2-7.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/5/2015 pursuant to which Building Permit No. 39885 dated 6/19/2015 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"DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Brennan,Thomas of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED o ' d Si Lure TOWN OF SOUTHOLD a�g�FFntX BUILDING DEPARTMENT TOWN CLERK'S OFFICE " .. SOUTHOLD, NY \ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39885 Date: 6/19/2015 Permission is hereby granted to: Brennan, Thomas Carole Rd PO BOX 1259 Southold, NY 11971 To: As built deck addition as applied for, as per DEC, Trustees, and flood permit. At premises located at: 235 Carole Rd SCTM # 473889 Sec/Block/Lot# 52.-2-7.4 Pursuant to application dated 6/5/2015 and approved by the Building Inspector. To expire on 12/18/2016. Fees: CO -ADDITION TO DWELLING $50.00 AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $464.00 Flood Permit $100.00 $614.00 4OP/otal: B, 'Iding Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. 15 u 24 2.01 New Construction: , Old or Pre-existing Building: (check one) Location of Property: (23,15 OA ,SOL. (j -.30(=j-i-V J of el- House No. Street Hamlet -7- Owner or Owners of Property: I o H O AJ k)4 iV Suffolk County Tax Map No 1000, Section r5 Z Block Lot '/, 4 Subdivision �( Filed Map. Lot: Permit No. 3qo " Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: l// (check one) G Fee Submitted: $ 50 6`) • Applicant Signature J a 3eas-.---,,- -- ,,�o��oF so�ryolo`` -P qyc uKtyN,,, , TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] ULAT ON [ ] FRAMING /STRAPPING [ ] FINAL l [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFE SPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: GIR-4-67. _ /6‘141CA- -6, ! ' ee •__. DATE l® i (_ INSPECTOR .1''e: 1ho��OE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO.N [ ] FOUNDATION 1ST [ ] ROUGH P BING [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING /STRAPPING [ INAL [ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE / INSPECTOR . --i .. ,_ • - - , FIELD INSTECTXQN REPORT DATE _ COXME, - —3,- . .....% 1 • .. . • FCREIDA.TION(1ST) • . . ' • • ., . • . • . 44 • . . . .. ... ., . , . . . FOUNDATrON(2ND) . . i 4, . ,. . • ,..,to . . ...._. • . ,... ,_.,_ ..„ . . . , .. . . _ . 13c.) P .. , v-A) . . . . • . V\ cA . . . • . . . ROUGH FRAMENQ& . •• ' . • ' • tzi . H. _ .. PLUMBING . . . . . - . . . . . . . : . . rt _ . . . . . . . • . • • . . . . . . . ' ' .....,.. ' . . . , _ . .• .. . . • . • . INSULATION PER N,Y. . _, . . çJJ ..).-3 STATE ENERGY CODE • • . . • . . . . . . . . . , . . . ,. .. . • WON - • • /,' __J.../.../•../i / • __ / 4441 1.—A '//14 -i. .. .,.„ . . . • . i ,_-----",-er-L•51 _ ' ANAL / 1 . . . . . . , . . . . .. . .. . • . . . . . . , . , • ., . ' - • • - . • . ....,„,.....— • ......"--.,'ktiljtri 6747'71'711 7-Ts . . _ .. ,..,...-e. :.- : . . . r.:-.: - i. ..-..-e-. • - .•• . . .. .. .. .. . .. . .... . — •••••• ••••:•,,',.. etit-4 Pi gra4,,, P.-0. r-1 ct ce../v1r- h 6:--)MA .,(1ji 4 V WV 1 • _kr-q , 0 F . , , .• _ , •- . , .• . . .. . ' r7•1 . . • . 7.1 . . . • , . . . . . . . . ... . . . • • •et i ' . .. • . . . „ . . . . • * i. -• . . . . , . . 1 • .. - _. . . ,' _. . . . , . i, . . „ . ' ' • . . . ' . , . . *......Z . '.:... . . . . . ..... . . . . ,. . ' .. .. .. . ' . . . . . .... . . , . 1 . . . . . -. . . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? • TOWN HALL- Board of Health SOUTHOLDNY 11971 4 sets of Building , Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3 g%S a Check Septic Form - ' N.Y.S.D.E.C. Trustees' C.O.Application Flood Permit Examined c ,20 7f- (-6- Single&Separate Storm-Water Assessment FormContact: Approved ,20 - Mail to: Disapproved a/c .. - - • / /Phone: E/L E.A55A 1/772 i Expiration ( i /7,20 rb ( i --)- 4-2")q4 j T____�,.^ Buffing Inspector Ed--7, irr B APPLICATION•FOR BUILDING PERMIT FEB 2 ► \ , INSTRUCTIONS Date rrb G3 , 20 / . a a. s 2�},e4TR UST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sats of plans, 6ui ke plotp o 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&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 Regumss, for the construction of bili gs,additions,or alterations or for removal or.demolition as herein described. The appli iSt agrees to comply with all applio le laws,ordinances,building code,housing code,and regulations, and to admit autho zed,?inspectors on premises and in� ilding for necessary inspections. , I' JUN —5 2015 ; _ ' ` 1 M1y (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect; engineer, general contractor, electrician, plumber or builder DLJ/\l E� Name of owner of premises Tb P/ Ve,C N/1\11-k I - (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: a3 6 CAeoC— ' 1= . 07-4-l77c<ID House Number Street Hamlet 9iirtysl esti1 County Tax Map No. 1000 Section 5.2 AN't y°ow ;gild' t i Lot Q. Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: . a. Existing use and occupancy . 1TS f 1�eN i - b. Intended use and occupancy, k- 1 Den) r R5 g IA t /4--- `l k- 3. Nature of work(check which applicable):New Building Addition ✓ Alteration_ Repair Removal Demolition Other Work (Description) 4. Estimated Costc5t/ DDD . 'd o Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units I I . 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.A//,4 . 4 , l r� 7. Dimensions of existing structures, if any: Front c. 6,4t � 17 . Rear Depth o{0 Height 'Number of Stories - - Dimensions of same structure with alterations or additions: Front- , 4 Rear v�8 Depth SS/ 'q Height , 1) ' • Number of Stories a 8. Dimensions of entire new construction: Front . . Rear /1'D ' Depth 1'3• 0 Height /621-33 ``i Number of Stories / 9. Size of lot: Front g ,4 b Rear /4' 3 0 f Depth 3 c2'c4 4 i!'Z/1t V 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO v/' 13. Will lot be re-graded? YES NO I Will excess fill be removed from premises?YES +/ NO - jam M "P3F-Vf\`N ''address ri-bnt�t �1 — ' .!� 14. Names of Owner of premises , .. . , ,,, ,. Phone No. Name of Architect - , r? i • ,.• Address, ")L4a, 1"1Y^ Phone`r4o-7`3 k ,`?...- Name of Contractor Address phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YESy'• NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS 4AY BE REQUIRED. b. Is this property within'300 feet of a tidal wetland? * YES .✓ NO . * IF YES, D.E.C. PERMITS MAY BE REQUIRED. , , 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. rr,. , 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. N.,7 18.Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) Tb !NI '1t N 1..!7 Y] being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, - (S)He is the O L-.1 1`'1'E G2.' . (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thisapplication;, 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 1 day ofl3dc..0ri,� 20 i6 e,,e,,,„., tiki ,-7,---Z__.)., A /1./ - :, ' .":- Notary Pub c Eileen Haynie- Signature of Applicant 'rotary Public,Std of Msw York - 1 o.01HA4916018 ,/ a/1/��h , •mmission Expires .->1 -•_.ij..i\.; ....��. ,... ^/�' L��t:lJ1:t,+✓,.�1, ir '" a..x.-,LC'�, 1". ' .C /./ ✓i { `14< 1 � - �:.• !..' ..:.,c� flf:fP'•. • --!" .-,..-"..;,,,,%40,;,..z„, �„':,1i ; + i ;iiP, f, : }J s�t' 3�._/ *r 1u !{i r'->�'T' ;�� = _-� (�°!'tl� r'6 : f( qf �� /.;vSrr" ^y.gy; �1.'�`�zV,� .=`Sy '.`._,0y;.,W'.,L"44.' , . _-_, ,,�; . .`•",.' r .”s, ��tr�', 7. `�` yi�• S7��=�Gq �...�c-.32-.P,„ � R. 1 �`' 7 � -;- � )`V�r�:. t''4::_� {b� 1. �"%�� 1te� ; Y �� U3�`,�,�-: .._.;�.: ,-%-.�4•_':, �,• �4 �= ?e"... �t� �: . 1_- .2'. � . ~ i,-3i� .i'g ? _��' G�..Cr•?_c\ f1@a ' -:j_3 _3,:. '4�yy._:; J- '`'' ?l.� ; ''' : � !,,c .. :--£5.. ;4e...,....... .,. , . 'z2 ..,.rli,I.:,:,hL-sl.:>�,_..: .�:x.:1. ..,...`-aS:�.».,.u,.....,:_;r_..r....v..._.....+. _; ;._&.«?.,::L.r.":»;:.,. ..nz�„:.z__:.:rrL _ r 1,4-.>:;:; £I BOARD OF SOUTHOLD TOWN TRUSTEES g ” t' //� `' ';"``„ SOUTHOLD, NEW YORK ,,....,,,,,,/,,, �•�, 110 ; ,:i. It .'n*,rt`1 PERMIT NO. 8601fr� ' :r;;.Y DATE MAY 20, 2015 ``., ' [ .r- j j :,..--_< I ISSUED,TO: TOM BRENNAN °°* Lotti.4 :,4',F �'`ti 1'' PROPERTY ADDRESS: 235 CAROLE ROAD, SOUTHOLD F;=-, : ? - ` '.� r SCTM#52-2-7.4 S,..."?../ = • �zf14 I • .f-41...-..-.1 \'',,j.. . Al ; p •-•,..,•pf p 4- AUTHORIZATION % � ,. ,1. / r `t ~<� t , Pursuant to the provisions of Chapter 275`of the Town Code of the Town of Southold and in ' r / � t5 `' x - accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 20,2015,and in CIO, a consideration of application fee in the sum of$250.00 paid by Thomas Brennan and subject to the Terms and r,, + < 1"�., i Conditio'ns'as stilted in the Resolution;the Southold town Board'ef Trustees authorizes and permits the K `r • ~�- following: :_ .; I ,til , ff.,- P.tt 61 Z, V ' �=\ 3 Wetland Permit to construct a one-story 13'x14' addition onto the seaward side \ I�`-4 of existing'two-sfory 593.5sq.ft.dw•elling with"an'exi§'ting 5.2'x16:2''fr'ont enfiry deck ti✓; ' and 6'x12' rear deck; existing 8.3'x11.4' shed; and existing 9.8'x1t0:5' shed; with the i. .4'� E:' condition the sheds are to o through complete permitting processes.when replaced in �1,g . t ..tit'. gr t A-.-x, the future to comply with standards for'flood.zoi es• and as depicted on the site plan '� en r.t ,ln ,rt +, •t P4 1:• ,: 4• -t submitted by Eileen Santora, received on March 12,2015 and stamped approved on ; �-' May,20, 2015. 1. ki - 44 IN WITNESS WHEREOF the,said Board of Trustees herebycauses i Co orate Seal to be a ' s ts,._.tp affixed, '' a 7 and these-presents,to be subscribed by a majority of the said Boare as of this date. . .,., x I:, ii /.. i - ' ' ' ':/ lifil ..,,,.L4 i s..,:::;1:,i %tjfFO ' — f: .:,• . r . i:-.::-A. :,:q,‘; /1;4.° 1 i. I 5-'),09 i�- f..4' \ Cal 1 / r ..•-.11 • tit -c ; _ f' '' d I eft{i, ..ii• • + ` !7f gl . 11 p.o.:.,0-1,,,....t.:.:;i i • \Ill 1 I !{�� `-! f -s� `$ ` I .,f. ..i�_: - ."•Sv "c:.v;L`: „T� 4� _r .._r.:;s:7.s:-••.a^•1.: .,�;€_ .,n::,�.":7:• .,;,_-r;.;•;- .,.,r..;; a.�.;»- ..�..„�`- = 4;� .'.`�► ',..f.:?-20-z....1,• 'd'-Lf-•:f .'+.i::Y' '1 ..r , . : :. _ . , tel, r ,., a �� 5% '=�1 : :1 f4 - 4.Ls, •I*� ' % . l; ..\ ! lr'"y \_�'�ti_t aY,`: `:'' `.':'. 1 t'• 1R/{ R ��-7:-•_'"`,�:;j1 ffa'•” . ...�:C_,I ,11,1.�;''+,..---2...-.t,,, �,* -_.,,(^^-yam ,1'+.,,,,,,- l.mn,•.,, r �ty�r�`� „•-�•f '•,: ''f:;:;f ::�'.r '': 1 `=• r..-.0 1 t. b1., 1 -...^-c-..---.;rlAt l).,•--,,, ,-v'�,� )11 "1M1.•` '{t,,> �,� _ %-ii. •' f:._}. .._ tf �� r +.�.`• ;i t 1t y _ ..;rtlTt 1I1. o>�.: r a" . "•-• t 1,> '.,, lf4•- _,:„. i�: ;;y""-'1*.•.:..✓,:�.s 11f f /• �QF SDUTy 0- Town Hall Annex John M.Bredemeyer III,President 1�o‘ � �‹ 54375 Main Road Michael J.Domino,Vice-President '°iNg . ; P.O.Box 1179 James F.King,Trustee era yr ,;, k','�' Southold,New York 11971-0959 Dave Bergen,Trustee G �� 41:;:l. Telephone(631)765-1892 Charles J.Sanders,Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1175C Date: October 6, 2015 THIS CERTIFIES that the construction of a one-story 13'x14' addition onto the seaward side of existing two-story 593.5sq.ft. dwelling with an existing 5.2'x16.2' front entry deck and 6'x'12' rear deck;existing 8.3'x11.4' shed; and existing 9.8'x10.5' shed:with the condition the sheds are to go through complete permitting,processes when replaced in the future to comply with standards for flood zones., At 235 Carole Road, Southold Suffolk County Tax Map#52-2-7.4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 12, 2015 pursuant to which Trustees Wetland Permit#8601 Dated May 20, 2015,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a one-story 13'x14' addition onto the seaward side of existing two-story 593.5sq.ft. dwelling with an existing 5.2'x16.2' front entry deck and 6'x'12' rear deck; existing 8.3'x11.4' shed; and existing 9.8'x10.5' shed; with the condition the sheds are to go through complete permitting processes when replaced in the future to comply with standards for flood zones The certificate is issued to TOM BRENNAN owner of the darier„Fmid op rty. Authorized Signature giaa firm NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04337 PERMIT Under the Environmental Conservation Law (ECL) Permittee and Facility Information • ; . Permit Issued To: Facility: THOMAS BRENNAN . •- • BRENNAN PROPERTY PO BOX 1259 235 CAROLE RDISCTM 1000-52-2-7.4 SOUTHOLD,NY 11,971-1259 SOUTHOLD,NY 11971 (631) 765-2813 • Facility Permit Contact: EILEEN SANTORA . 650 VANSTON RD .1,-. • CUTCHOGUE,NY 11935 (631) 734-2794 • Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Point: NYTM-E: ' NYTM-N: Latitude: Longitude- Project Location: 235 Carole Ro;ad Watercourse-•Arsham .:'o•.ma..1q.1•ue Pon d�z- Authorized Activitye'Vdl strucVan2addition to the single family-dwelling. Install-a new dry-w.ellfreAM authorized-activities must be in strici_eq; brrmancee with the attached plan/survey prepared by John T. Metzger of Peconic-Surveyors, P.C:;dare�",'1/1/1V=last�revised 11/17/14 and stamped'NYSDEC approved on 1/13/2015. (MAM) w.. ' • j 1 ' Permit Authorizations Tidal Wetlands-Under Article-25• • - - ' - S Permit ID,1-74,7,38r4433,7/Q0a001,r;SZ,;,OecN,:.,� :v . , r:�� w W,4,,.s, nd.Wo:s^r.$ ts,,,A tC q¢Y142-tR,-4•. 47s• d->4•.+. New Permit Effective•Date: 1/13/2015 Expiration Date: 1/12/2020 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all'applicable regulations, and all conditions included as part of this permit. -• Permit Administrator: SUSAN ACKERMAN, Deputy Regional Permit Administrator Address: NYSDEC REGIQ1 HEADQUARTERS SUNY @ TO.NYr�-BROOKI50 CIRCLE RD STONY l OOK,' 11790 -3409 Authorized Signature: i ce-- , Date ) / / 7,0)3 Page 1 of 6 % -"" ---`-- N 1,f,Vf FOLir,e, Town Hall Annex . Telephone(631-1802 54375 Main Roadt' ..-• ."'•: :.--.:.'.- % Fax(631)734-9502 ca .:.:-::- ,-.:4-- ;:.•:fl - t P.O. Box 1179 Southold, NY 11971-0959 . % u, t.::y.,-, \s'Ii-A, •to, ::•:'...;i"._,.!it '.. 'qt. ---- • ,,s,),'Ov II • .....,-.........-e•• . - - BUILDING DEPARTMENT -- , NOTICE OF UTILIZATION OF,TRUSS TWE CONSTRUCTION, PRE-ENGINEERED • • -- WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION- . . - Date: (.0 -5 - f,0i. - :. . : . , - „, . .. .. ' . . - ....,,,,..,&-i• It,- , Owner_ TO 8'11 13e ajY-11A--.0'. • . . -T -:-,:q•,,,,,-,-;,,f..- - '---;5-:,1,:=1-,i4--:`tit.,: -, , . .. • .. : .-: , , : Location of Property: . 25.3.-f;,cilec..--a - gb 616c)H-- -ta,o tklif .. s , '7 . sk;, ''.., ,11,4::.'-• ' ...:.; . :':.!,,:'. :., - :k , 1 14Z4:,.:•:.-,'' • . * 1.;-" •- ( ' - ' Please take notice that the (cheCkapplicabl0line). ,fr •-,,- - ,.:.,j, . -. .-.sAq,,• ..:,, - ' -:New residential structure . ,'.4.-1',->,,,x$:;,, -. ' .st •• ' --; • \,/ Addition to existingtesidential structure .. - , • ...:-. ; -- _ Rehabilitation to. an'existing residential structure . - ' r' to be constructed or performed at the'SLibjecep?otileity.refdr6nce above will Utilize . , (check applicable line): •-* . ,-. • • ..... . . . . .. . ,., Truss type construction (TI) --,,- , '••":F - J .t, Pre-engineered wood constrUakiii-(PW)--:'• - • _ - .-., _ Timber construction?Td) - • t : • . , in the following location(s) (check applicable line): ' - 7 • : •, V. Floor framing, indUdirigigirders,an,d-bOams(F). . . . . • . V Roof frarbing(R); . : - '.-, . . - . . • _.. . , .. Floor and roof framing (FR) ,. - Signature: • . - -, . .. Name (person submitting'this form): -if-- E.:)() Q---1.Stitneti--t- . "r • .. • ''' - , 7 Capacity(check applicable line): - Owner . . /- Owner representative TrussResReq15.docx Effective 1/1/2015 . - . 114....., • „. - - • -...--- -•411,; •• .. ot e . . . ,• -.:.. 6" DIAMETE, R . 7 r"- T. ..: . . •• e • .: :.. .• •.....7*"O."?:•••••, Se•', - .t, 7.,*Is.'**•., • • • ' ..11.0.o,!,:.. ... ' • o 4 f. . .'.,i;.2.*• . o . • . ..... . o o IN. _•• IV. .:7 . .'go, REEL(EG.TvE,Rgo .:" ROMAN ALPHANUMERIC. -,. •• , P ANT:WE' - I..'-'- ' •DESIGNATION:PF:CONSTRUCTION • Irr. e-s,':... "" :''::--' (PMS)1187 • !...'.. — • '::t!:::,•,# ',..:.! IL' ' ' '' :=:'•'7I..-:•• •T- Asgotcia SECTION 602 OF Y.e.P 11 • • • -4....4., 4, THE BUILDING CODE OF IIEW : s• .• ••• - 4 YORK STATE • • 1 t . %. . ... . % .. V '`s,'•,:•::. •.,..:.• •tt. .. ..I. . •• ...„ ,'." ......,.:*•::'' .111111.•,:: • . 4, I •• :.: . ... . •• *•' . . .." • it z.? •• 2"Vila. - --i--:- ..• •:.• ••••.• - •. ,. ..: .. .. •...........•„. , :•:••• rREFLECTIVE .. •.• '"-•1. - • . .. - • ... r. .,;• ...,. ." WHITE . , .-:.. ,. . . ,'.. . :••- • , r, V , . . •. ...,.- I..: • . • ';•„. . • r, • ' - ' , • : - 1/2" STROKE ii.. III . . . 4 - • . - • .. ..... .„ . • • . _ .........__ .._ ••- •••:::;:yet. iditirtaita-OciirTgucTuitat ---- ---."---7.--"---—-----7-"--"-----.---- ... •zi.I._ I .P. .0,14PONEOTS illAT-4.4P il:W. ,: '• " - " -- • ,, r • -- •. . ..: ...) . . TRUSS CONSTRUCTION 1.,• • • ... . • — .-- • ...• ,.r. . - • • "F" FLOOR FRAMING,INCLUDING- -. . . ' • - r GIRDERS AND 13,EAMS1. 'I.:: '.. ' . . . . ' • -• ' • • -:': • RO,OFARAKINP;:.. • 1 . -- .. . . . ' . • `'• "FR" F3.0frai AiltilithtiP'FRAMIN.G • . . - . .. . . . . ... . • . . , •.. .... ' •., . . ? . • . . . ! . •: - • ' -.' • ' . . . . • , . 1; • TRUSS-1DB\ITIFICATION SIGN .. . - .... .*, ,- cavpuANcE vviTE-119 NycRR pAiu..i?q541e: , , - • N,- c - • .z. i ,.,ronusr..n.g . ot. . ., , .e . .. PcIPAP1941c111 ... ID(AMPLE TRUSS IDENTIFICATION SIGN DATE:03/08/2005 .. . ...-7 ..! .. . NEW YORK STATE DEPARTMENT OF STATE .., .., , .. .;rek.:ir-Tie%i • • - -(--. . . • ..1•42.it.„...)- . DIVISION OF CODE ENFORCEMENT .‘,-N-------1-7 5.4, • - ••,. s...,:,--N.-.i,.,...,.•‘ ... : ...,,,,t,./.ja.,......„.„ . . f.:DEPARTItSeilr.IIMATE.: . AND ADMINISTRATION t... ... .„. ....::.:.,....:4::,,..:44,..:.t.„..!...3i.,.. .::::,..„....a.n.rws:,..itys.,...t„..:;...:.4.,..w.,:„...-„•,:.w......„1......*:.,..,....,..5,-...7,mv...:-.0.i.......•;,:itat... .:,..K:vhFi..,.-•rmnf..:co,r.„.,.....1:4::.~..: •;ice—_ . N",: f F : TOWN- OF - GUT OLp??=::PROPE-RTY RE; -.,.. . : 5--.7 {' r i06 L»� ,, ,'-•r,^'^-R •a t taw L :' /-',/;._,:,/,;,./. r '\ a i, i;,'::::p:.,4v, : ,_ .sRr::,eL?.hirIatr_____..c_c . ,7:);, ,W'.NER Iy VILLAGE I DIST. I COUNTY TAX MAP NO. I STREETk ii,s+1 � 3,-, .v ki �' '�.. ... .-.7-1,' JP�"-r-' f. a f,�jn �r f rr°' ,r ,,Vc.,ir:r: • - 4--.) -ni,- 4, .. . .., OWNER d STREET VILLAGE DISTRICT SUB. LOT • , e t, .,ii.,V T--/F,:-,./vv?)/F5'- '4 70' .. -., •.;••,..„,c JL ' -p, , - L-'..- '1, -- ,:-,,,,. ••• ,,_-. ;},._. „r: fi ,.'-, '.. ' FORMER OWNER '5.,- „ .-,...ri. N In , -, ACREAGE , • - - .. 1 - - /7//e., d)4.ef-s /,--/-desi.4- --- / ' -:- -- - f- ' -4.4..;:t'k4r- ',:. t.'.-: if-,4 F•I /- icit'.;;;,71-1: ,.!,14-,c'f':`.t.w.%44 ec! CI.. et,....• I 'y <12,/-"' *." ,veLke); / i ' .1-kt>"-,,b,--1;.-`4,4,1 /(V 04-4-1 / S ,,..D i-e"1......teore,i -6--s'ek7 , w , „,, TYPE OF BUILDING ,•___ -4,41 / .).--.41'4 .•rk- 516..ty 541.441-vp-tys_s .,,i'll, 1 ( , RES. SEAS. VL. I FARM CA. )44,,.f•--I ND. CB. MISC. .. ' - f • LAND IMP. TOTAL DATE REMARKS / . / ,.- ,'3 ... -- . ct./... -7 0, 16/11-716`0 ut).7.7- X---74a941 VIty4d, .,,)-7-4_,I. _ 7Y'6 6 iK, 17///e17/6/ Y/7/49 .4770(:;,. r'i).4-;/7/,•''17-*71/4/6,:r6;0 2: 477,57 / ci n , . , --•,, 471— __ ,' .-: ,-- -c.....5-1,--tp-0 / a 60-0 / /3 0-• AP 9 6-6 I • AGE BUILDING CONDITION NEW NORMAL BELOW - • ABOVE / ,•..,....---2, / ... _ .. . ../7-, . , _ i i ' •1- ' • IA..) , Farm Acre Value Per Acre . Value ) i '- ' - -----4/:_.." ./ Tillable 1 Tillable 2 ' . . . _ -••••• __ - .- . ... _ . , ir . , i • -- _ 1,, Tillable, 3 1 mc, 3- pked,*iced f Wcodland . • Alei ty , 0 tr.-!,,,, ._,,t,-,,...i:,(A,.. z"-'...} ,,,,,,,/•-=' Is wamplandI - _. ---- ,•,, _ -72.:--e-v-e•--,--7ye_.: &'..- e#.9.....4'-a t v t 1 Brushland . .•- .1;. House Plot _ -1. --1, N j).....VV/42..kre /1 7 1:31Z/: '9/1.44.71 of 6-25-0 "7.).."----e-.1,:-.1. o• 7,.t."‘.../4.c•:':.e, \\'''N . --, • (.• • -. V,,,, — --- --• . ; . w �d T O ,;141 O Of trNekD PRoPE{• TY RECORD CARD STREET VILLAGE DIST. SUB. LOT FORMER OWNER` / NE/7//9'.5-5 1iL-'o-t f $ W �� "p TYPE OF BUILDING • RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND 1MP. TOTAL DATE REMARKS • • AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH • BULKHEAD Total` DOCK • • "'�-.._..w,.�.,. --�.. .tee.-s�.� � ..-m.�.-,s-�-.-r.-,r..•�.�...:-v'.-wwn,-;.m�,n...--•ia_-n�•a'.�..,�....w•.,$.i.�'°.n-..t•"'=-.:2c,rr-r^•�:cac�t^-,�....»na..,,rr<-> '.,....:--..vm,..�,.. .-..,, �..`�.,�.e. -;;..� ,'f`_ 'rig ''' �"_ '; :r••` >y i- --- , ; ;j ' l' L{%..+,. •� a s-11:7 4' 00- 5 L''• ,N , 4 • I, L:.,•;•:`�x}jwi r��t` r�•°"%� _ 'c• .. • , r,j <I ,'� }t rte+ 1. !..iii-,...;;;,..„;..... ! Z�`'1,•s.� • L4 `) ac,C, f',..-.!...�' LL.°R . ' <. r r,:-7 r:' 1 • Y. .9. 5D )_Y , 4 ti` V4 x tJY )' '�.f +a .` r••..�,`' ' • -1(,%.1•. {f` ...... Ii• . •icc ,�' , �• S �, , -" :.:+ ••`L` 1•'r��Ftt`r3{.,c:.�4 t••.t _ _ rr _gi•n. �.1 '{ 74: r `�, • • .. I/ ,.:::� < - ''' z.: ;.x h' ; .. - r*jl -' - - :.r` j 4`r aF c• -`,, { . ."r. • ��i!!Ii�`I��l�ii<'�i�i';11i " }J; ''' y n . .^ I . , `, `C•� 4;c�r� f • C S • ti 1' y oh``�"n:y Z Cr 71, '\ : - 1 • - i • 1 'f'•• 1 52-2-7. 2-2_7. (f —r xv.i— 102 _`_. ,;` — . ,:•..-,_':,k::::•s•. 1.;,:, •`�n:�1dg. "r" .° r. .�� undation s C Bath / ' 3:•= ' - :ris A, _ Diriefite,, %,� ',Extension'�i .c".. ;. / ts. :- ;}a.,� ,l ,• h. Basemen ,__ t Floors G1�L / 1<. �' >, _ p ' i,.::.. E.-- 6J 6 _ rT-i,Extension . k.i� c — }_ �,f J-./Ext. Walls �3 Interior Finish ff LR., • "�r- //e r, .Extension c� /....1.-3-1:4;.64 Fire Place - • y ; /�/d1 Heat y5 �� DR. ['01!•1154 eh �.'-r,4-�r.,j(_2,. _ 6 2 �,,- -� i,: 6 r Type Roof Rooms 1st Floor BR. T _Ror li , Yr f �,� -w•� ,G -•_. _,- ,:' Recreation Room Rooms 2nd Floor FIN. B. 1, '._P.. l ' G' • 1 c1� — / • qq , ?l— Dormer ?,• .Breezeway" �X Z •L� /(o g ' 4Driveway �' ; .Garage -�e;�,�-- - �f -" 2 -r-�-- -�=�2_ _ ~ .Total- • , .. V :Jy„ - - qi.,, 5,',.•-�r zil a y'y" o r�_zv`�yz�L....S,. ..., -'rr..• ,,-...,:,..-„•-:.-,i„ _ -•„' •'; • g • -, • %tF la?• ' ” 4Y1.:,�./-'t"'.; :(� '�navi'.�.'�4 li T''.:.;1' •' wrT5�. -:•- ..:' - ' , •, .1 - �. t 6,. (; '`,J�•`,z• _.�r"5 SI',YR, '" ?J:. fV;' a, �d L#e.�t »e:�T•t d3f:' • ;� it: •',•,,,,*-':;5„ T'. w�a:�1<�4 ,:3' , :a-••- �L'.'•",k-'',V '•x,' t, 1-� ,t*. .r. , -y t - ,;}9.``.,p",..• x .,x-„ •;•v '•'_'....sxi'�iA 171 JY`' ""'""'•c"=u` .•'-- -:• 'i",,,,-:?',.,,,;.;,...:-� ' ,e;rr+Y i'..!?.,:; 1?•ryr` `=�!'• t, •} } "nr,s•�''':'i rJ s^ - .n-,tyr..••y'< s i- �....__--- <'r�� -C �, x� sd .i.' ,,;,• �,°f 1 ^,_.• 'P=1L..,"'• 4i. ir.<.. r '-, R ..tet .i / ,s-; 4-'1--"'ell-1r.<.•y __ `, ' -�, �P sl., ,.� i .:..,,n -V' n•z i �}_ .." ' .. w•;,1'SA--c-Y�i-JJ.;•P "'.". if:.i, 1, <;`• 'r •, =:: •J••k 1.--;12-7.- „p''>': -," -.....y.�� a•a'. bffil'"•,�'..,,,,:4.4:z.0,r.,. •,a.d i 1 l-•'. ,�r,„;3'211-,1.f,1' 0 '!.*,9;„ s' .,•....,-c, •".2 -, <-,:" 4 r,'-<:. „ '•t '7".-le—A.,:.) -'-•,.--•:.•• x - ,ytfr .',;ACt � .� y+.,n, , ,1-•�a44',..�.341'4jl;=0: _`"�. icw +:;�4. . ::-fev.y�.: - %-;',7 _ a..-.: 3• :1 ..'y' 1 "",C.: �r_ �(. =�ti`.:'': :' ' � '� r.'�i r; k' .r•.5-f-a7 +� •'_ ,+ ':s. s,� r.`.'.', "! , `-?8••4‘,.'"_17:.'r;':44.,,• fr ,. • - .. . -+,+ter_ L b_.. ��''._. :I� :.:'� ti_....,.".<�� r;> Znl+u• ;�': �:�• • ,-. ,_._z. t,g�„"�r-9 " •;; , ,�; ,.y: ,i,f.cr' = - 4 ,ti I I Fu:)1-�'� �,` I n,.n 11,11. 5.111u5 Alai T. TERRY I �— p�t�'H n = r,:. �: ) ,;, i P O. flux 11741 c: , l: .T • TOWN CLERK �� , �;.+ �` , . Suutliulil Nc��• furl; I t ,y (CS• L. >:? Fax (.5 loi 765-IR`Z IZr clsrRnR or VITAJ.STATISTICS :�,,� ^.-.• -v it MARRIAGE OFFICER - • Telephone (516) Th . I RECORDS M\N\GEMENT OFFICER Ol : I. 00 FREEDOM OF INFORMATION OFFICER ,,,,, ,°- OFFICE OF THE TOWN CLERIC . TOWN OF SOUTHOLD - THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: ! RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under We Flood Damage Prevent regulations .- of the Code of the Town of Southold: "Floodplain Development. Permit l,Cpplica tion" (FDP(93)) , and 'Certificate of Compliance fyir Develypmen t in Special Flood Hazard Area [C/C(93)] . • ij • Bvv. DEFT. - TOVi';{OF s0!Ji►10L� dA4._,.....(;:d.Z..-4 ,.., Judith T. Terry Southold Town Clerk August 25, 1993 • . •• • APPLICATION 4+_ PAGE Iof4 TOWN OF SOUTHOLD • FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION I: GENERAL PROVISIONS (APPLICANT to rcad and sign): 1. No work may start until a permit is issued. - 2 The permit may be revoked if any false statements are made herein_ 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. S. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits way be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENT'S TO _ THIS APPLICATION ARE,TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. .. (APPLICANTS SIGNATURE) • -d41411/2A-2 DATE' ' 0 ; l� ---/SECTION 2: PROPOSED DEVELOEh ENT (To-‘c completed by APPLICANT) NAME - ADDRESS TELEPHONE APPLICANT �3 ? - 2 3 TDM I�32610ro►� NI 35 CAO0 l 55 • -BUILDER - - -- - • ENGINEER N CJ,D i @ F,1 ,R98 PROJECT LOCATION: • To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known llama ark_ A sketch attached to this application showing the project location would be helpful. 0796 0-1qeo L 1W GoOTl4OL /660 c 5a - c2 FDP(93) • •4 , t APPLICATION PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxcs)- A STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE O New Structure 0 Residential (1-4 Family) liddition 0 Residential (More than 4 Family) ❑Alteration 0 Non-residential (Floodproofing? 0 Yes) D Relocation 0 Combined Use (Residential & Commercial) ❑ Demdlition' ' R 0 Manufactured (Mobile) Home (In Manu- • Replacement factured Home Park?- 0 Yes) ESTIMATED COST OF PROJECTS ' B. OTHER DEVELOPMENT ACTIVITIES: - • ❑ Fill 0 Mining 0 Drilling 0 Grading D Excavation (Except for Structural Development Checked Above) - 0 Watercourse Alteration (Including Dredging and Channel Modifications) ,-' O Drainage Improvements (Including Culvert Work) 7 0 Roali, Street or Bridge Construction 0 Svision (New or Expansion) j 0 Ir dual Water or Sewer System O Other (Please Specify) After completing SECTION 2., APPLICANT should submit foam-to Local Administrator for review- - -- ECTION 3: FLO•DPLAIN Dl;1k.RMINATION o be corn,letcd ry LOCAL ADMfIN1 TRATOIR The proposcd development is located on FIRM Panel No. , Dated The Proposed Development: _ D Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application - review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). D Is located in a Special Flood Hazard Arca. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposcd development is located io a floodway. FBFM Panel No. Dated ❑ Scc Section 4 for additional instructions SIGNED DATE ,r APPLICATION rk PAGE3OF4 SECTION 4: ADDITIONAL INFORMATION REQUIRED ITo he completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: 0 A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. • ❑Development plans,drawn to scale, and specifications,including where applicable: 'details for anchoring structures, proposed elevation of lowest floor(induding basement), types of water resistant materials used below the first floor,detaiLs of floodproofmg of utilities located below the first floor and details of enclosures below the first floor. . Also, ❑Subdivision or other development plans(If the subdivision or other development exceeds 50I lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they arc not otherwise available). • 0 Plans showing the extent of watercourse relocation and/or landform alterations_ O Top of new fill elevation Ft. NGVD (MSL). O Floodproofing protection level (non-residential only) Ft:NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or _ architect. ; ❑ Certification from a-registered engineer that the proposed activi‘in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also-be-submitted. - ❑ Other. • a.1 5: PERMIT DEI I,RMINATI•N . .c com.lcted . Le 'AL ADMINI RATSR I have determined that the proposed activity. A. 0 Is B. 0 Is not • • in conformance with provisions of Local Law # , 19 . The permit is issued subject to the conditions attached to and made part of this permit. STONED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals • APPLICATION v PAGE <IOF4 APPEALS: Appealed to Board of Appeals? 0 Ycs 0 No Hearing date: • ppea :.. . : :'.. --- • .. .• .. O • Conditions SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. • 1. Actual (As-Built)Elevation of the lop of the lowest floor,including basement(in Coastal High Hazard • Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2.. Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal/of the above information is at the risk 4f the Appl%cans. .� ECTION 7: COMPLIANCE ACTION o be com.lcted .v •CAL ADMINISTRAT•R The LOCAL ADMINISTRATOR will complete this section as applicable based oo inspection of the project to _ _ensucc_complianccwith_the_communit}rsiocaLlaviior flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? 0 YES 0 NO DATE BY DEFICIENCIES? 0 YES ❑ NO • DATE BY DEFICIENCIES? 0 YES 0 NO E I•N ERTIFI ATE •F •MPLIAN EN . .c corn lc ed . I AL ADMINI RAT:R Certificate of Compliance issued: DATE: BY: r I • Attachment B /' / S AMPLE f CERTIFjICATE %JF COMPLIANCE ..--- for for Development in a Special Flood Hazard Area , { li TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA . .i_ t „ _ i . N THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE • • OWNERS NAME AND ADDRESS: CHECK ONE: • - D NEW BUILDING 0 EXISTING BUILDING 0 VACANT LAND '... _. THE LOCAL ADMINISTRATOR IS-TO COMPLETE A,- OR B. BELOW:_ __ • --A. GO-MVLIAN-GE--IS-HEREBY CERUFLED WITH THE REQUIREMENTS OF - LOCAL LAW # , 19_. SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 , AS MODIFIED BY VARIANCE # 1 DATED SIGNED: DATED: • C /C ( 93 ) Eileen Santora 650 Vanston Road Cutchogue,NY 11935 PHONE: 631-734-2794 Email: eileendrawblu@optonline.net 'UI APR 16 2015 -- April 15, 2015 -' This certifies that the northeast side entrance deck and the proposed northeast rear addition meets the average setbacks of the street. Location of property: 235 Carole Rd Southold Tax Map No. 473889 Section 52 Block 2 Lot 7.4 � � NE W Eileen Santora S4` -, .1. Cp - '/- y4 a � .Rarys f� I ' .! 4,A1 .ek "�pQFESS14 ~ • • 1y Ynt�+a F QFTA1 _ ,�_ INC ^y _ - .... FLOW v.•F,<cw.i i • 0•••V Vol MR Ein lir S M°211 IRTIUL e r i• `BEDDING DETAIL PERSPECTIVE VIEW ;-w �s s z U"c El '7w W r a,.® rti — FHKNCHHHI•eAw DE'Tal "•t.St ':' 'r'�' ^ i o[¢.. u a ""'m°° `=�� ANGLE FIRST STAKE TOWARD II a�xNn.M 2 a l V. It�+l O 2 II$H!f FT p({�/ .....11 � PREVIOUSLY WD DALE FMCS POST 3 .�.�. -- /'� W U ✓.+w f'" CAT A A.:e ri-l:�-f� - _D+�u _FLOW - ��.e`•� woven WINE FENCE l•••i •••••••E our -� - 'K�.:, - -._-E .II G"I.NAT FM(00•10 rm•1 r r aAN M.N Fk-i IZ rn •u- 1RLv.mo:tt~ ��n b�-OC ""ciogimv.rf or�•' �1 _y Frtrot tton[ �I U HP [ I ✓P.• '"� f fwa �� •�.m°n y_I^- SPI-* --4 •-= •- 2RE-BARS:STEEL PICKETS OR I 1 t' v.oma-'-� �"� N T a T STAKES TS b r IN OROUNO. mamma_ ?MI :II@'I`_ • DRIVESTAKES FLUSH WITH TOP OF INIaHAIwaUff DRAINAGE AREA ('wncc cr-nrw -..-...._--•• II W P+ - -I DALES. 1R AdIE r foo LINEAR FEET __.._. Pte 'h Ct (11 ANCHORING DETAIL 7-. W •r 'T .z- TEMPORARY SECTION DETAIL Q_A at -100 11.119 - STRAW BALE DIKE DETAILS TEMPORARY CONSTRUCTION ENTRANCE Tm+�rs�c..pLsat,.rM-.b SILT FENCE DETAILS GV12 MULE D[laD. .�. rte. - ...- STANDARD PRECAST CONCRETE CATCH'BASIN • - - w- S4 X4 - TiOlcnl](S NTT TO 20 NET N DO'04 , STORMWATER MANAGEMENT CONTROL PLAN at. , • - frw _�� FOR PROPERTY • - r _.moi. -��. AT SOUTHOLD , N .Y . +111111 I� 1000 2 0`2 . 7. 4 --zAug. 5,. 2 `' € c — Q A U ( pW A Typical Section @ Leaching Pool Clik w N a Soule:NTS as a. . , U 114 SITE PLAN DATA: (To Include) - U . NAME OF PROPERTY OWNER z q co PROPERTY ADDRESS Hy SUFFOLK COUNTY TAXMAP NUMBER 8 E- TOTAL SITE AREA/ACREAGE t c.) 4, TOTAL AREA WITHIN CLEARING LIMITS OF = o LOCATION OF ALL PRIVATE WELLS WITHIN 100' `lcn �Q m c� TEST HOLE LOCATION • N -o bA STORMWATER DRAINAGE - I ' ; ,i. A, "P H Cd CALCULATIONS- (To Include) �°° = ° - '= �, Q c....- TOTAL AREA OF ALL IMPERVIOUS SURFACES: �h U C ROOF AREA <r �- ' _ RIVEWAY AREA '. . cn PATIO AREA �i,,, -496'0 A �..�. NFiy y•., ALL OTHER IMPERVIOUS AREAS ��¢�SU�1 O* rn STORMWATER CALCULATIONS FOR A 2"RAINFALL - • o CO ��y(- W • (S $ DESIGN ELEMENTS R INCLUDE:SIZE I DEPTH OF SHEET 2 of 2 '3) LEACHING POOLS,DRAINAGE PIPE SIZING&TOTAL _ p O~�•' U • 9.�IO SCD�•• W CAPACITY. (Provide Ste Pian Number System for all Drainage Structures) •.�1n0$ 30 , •• w d ... ......Opf•.. W i - - • FLOOD ZONE AO (DEPTH 2) SURVEY OF PROPERTY N FIRM MAP NUMBER 3610,3C0158.1-1IN SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-52-02-7.4 SCALE: 1'-30' JULY 1, 2014 NOV., 17, 2014 (REVISIONS) 1 4.8) S,�PGN I (C.g' R,o� ��,� ��Es STORMWATER MANAGEMENT CONTROL PLAN g \, \ PG N/0/ AUG. 5, 2014 og SCPCP \ \ �N� 1.1,G \ PPG��10 E 24 �P 010/ 9.6. \711.£ 04 is 14 o lox rSEPH\ P �o t f �` /0/f�910�� ,�,. N � RAIN RUNOFF CONTAINMENT \ X64. ' PROP. ADDITION - 182 sq.It. e�. \\\ ti$" `'� N, s 182 x I x 0.17 a 31 Cu.II. \ o9 A 44,c ,,� SS( • / P 31/22.3 = 1.4 VF. t OmaSST 2 d� �Z\ 1R PROVIDE I DW 6 x 2' DP. G° el:01L, � S \ 14/41 p• Connected with Gutters 8 Leaders oE� 1� eo '; • 'o-ray. , • ►P. �-� \ N/G/� NE5�1 '�'. SMS `$f, \ PNGEs Ni.:„.x..,...,......::.47.0,,:_: , ' -` / Ro9\ / pM'� •ti } �� ,,, \ ,DAG2.2 116 Cie I do1,� ,�► \ stiMP o�s�� \ <_, ., OA • \ 3 T\li , \ S / / NER G. � �� N/0/f � ��ER o �'\\ \ ENNP • \ / MPNfR� 20 \ o/F s \ �'� SI AREA OF UPLAND = y \ PN 13901/17740 = 13,901 sq.fI �� \ •� GONL 78.S a \ / N AREA OF WETLANDS = 3839 sq.fl. J't. \ gt K�� 3839n77'40 = 21.6%, \\ e6 % 4 ildt \ S - m \ N/ of A. % \ sf \ i cr`P'lad 909 ON Nk. P - --------- .0 1`' 40• NYSDEC APPROVED AS PER TERMS •�G;� AND CONDITIONS OF = 0,,,11•48. l'✓ PERMIT NO./- Apr, -, '41, MONUMENT _ _------ DAT --------- --- -- ----- --- "- 41 = WETLAND FLAGS - AS DETERMINED BY SUFFOLK ENVIRONMENTAL / CONSUL 11NG, INC. ON JUNE 12, 2014 rY;�7%. o�_ ^..*'1,'"t, • ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA 710N :1-,1-----„0,, OF SECTION 72090E THE NEW YORK STA 7F EDUCATION LAW. �►I�1 •. C. NO. 49618 EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERT7FICA770NS pEC! �►it' '`'�"'rVEYOR , P.C HEREON ARE VALID FOR THIS MAP AND COP/ES THEREOF ONLY IF AREA " 17 740 SO. MIROSE SAID MAP OR COP/ES BEAR THE IMPRESSED SEAL OF 7N£ SURVEYOR (631) 765-5020 FAX (631) 765-1797 I SIGNATURE APPEARS HEREON. P.O. BOX 909 SHEET 1 of 2 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 11-144 10N tn -\ 61'rfE\N:° ° ' o CL -Y .o • I Q O t /� 1 Ce N 'c' I k i LiJ w H ��J�► .n t— • . W 1 _ _ — -- -- — ---k----- — _ _ — _— • -t_ J U U c7 ►n 1 _ _ i \ ' 1 7 ; -1.1.," _i �X8"I.I� �t2 1.--.11!%2 'T'�IrzU- �..�-�t.Ts • < w v :c '"f Q - C-1 ca... ,...;,. l_cl_cl , . \ < = CD P.--.-- P Fi 7in t_ co _N _ 2x " moi` ��I ``^\ = v °� Z -,t- - :-® • ----�- U w tom- � t'-' u, .� 4 4 X4 pa° -5 �?1', 12''1?G. �rr�Tiu 't-111-4 . 12"x 'C7" U cry u- z Q v of \� = ow u W 1 I I r� ( , i A F- F � Z F- WgJoc •N V _T� �� Ali r... ( 11 11 1::Q LL O 2V� J JpOzO Q� t-tr 1.O i CC (/j111W �- ZOQU � 1- • 4 -- - c as : O z U CC '- cc cc1 L N cco 0OOZOzzLi_ I_- N O I i — Q W � ; Z o IC _ = AZMO pO gZO _ O J Z W N +, i ,tom co C3F- � ' � Ud � U.S F- CC CO in - _ - • co 0 �� n - �u _a ti <� pl I r . _.., , ..._ ki n21 ,..-r----------(*._„_____ fil - rip� � _ " _ 40:-' ---�. -- ---2k' `-Fr- F,; &' i .o'''G,O , ... __._._ ' I • l.t l I __� ''4x4 T s -�-r-- o itia-4.1.- 1-tri-AL �� ,, • y ` 2- 2k�h P1 ctt 't eF' t, W' --- o j... _-M( D COLI cep re ri . D 11 �I 'L l LA APR 16 X015 J t mr14:11 ' r' *T,!j`fix- i Z e. :': i a a,�,J1' 8 -. ,� r - - •/� �� L i - l� P- 1-42V1 r g 1..-i c� ` ' 2 35 C1zO1..-- - R C7 rur- rte , N`r 1,0 - ri I \( ( goo , _ ___ _____ _ _ _.___ _._ _ 'fit L- is, 2bk c "