HomeMy WebLinkAbout28353-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28713 Date: 08/15/02
THIS CERTIFIES that the building ADDITION
Location of Property: 2105 BAY SHORE RD GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 53 Block 4 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 2, 2002 pursuant to which
Building Permit No. 28353-Z dated MAY 2, 2002
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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to RICHARD B & JOAN M ARNOLD
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
G
Authorized Sign ur
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28353 Z Date MAY 2 , 2002
Permission is hereby granted to:
RICHARD B & JOAN M ARNOLD
3 WOODHOLLOW LANE
BROOKVILLE,NY 11545
for
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR PER ZBA CONDITIONS
at premises located at 2105 BAY SHORE RD GREENPORT
County Tax Map No. 473889 Section 053 Block 0004 Lot No. 013
pursuant to application dated MAY 2 , 2002 and approved by the
Building Inspector.
Fee $ 150 . 00
Auth ri Signature
ORIGINAL
Rev. 2/19/98
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT 1
TOWN HALL AU4 Q f
765-1802
> r,r�
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 I% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to 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 a 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$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00,
Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy- $25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential $15.00, Commercial$15.00
/ Date. fT 8 0 i
New Construction:V SLK Old or Pre-existing Building: (check one)
Location of Property: /Q 614 y5140w,G /�6 • Cs���' �Q 1
House N,o� ,/+ treet , Hamlet
Owner or Owners of Property: /�/G/-/ff/lt/ 6 • �Z� TQ/Ew M • / l\`La/-6
-Suffolk County Tax-Map-No 1809;TSection —Block-= - -- -hot- - _ _ __-
Subdivision $4y5?/�'?f5 Filed Map.�_Lot: �r
Permit NoDate of permit. Applicant 1cs/A',r_ 6
0 . d 5-01w, JR 4
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $,)-5.O0
o�o -2 a B-� !3
CLQ C- / - �r� Applicant Signature
STANLEY J. ISAKSEN, JR.
PROFESSIONAL LAND SURVEYOR
P.O. Box 294 Topographic Title Telephone&Fax
New Suffolk,N.Y. 11956 Surveys Surveys 631-734-5835
11 April 2002
1.1 -
Town of Southold Bldg.Dept. q 12
C/o Mr.Michael Verity L~'
P.O.Box 1179
I
Southold,N.Y. 11971 —
RE:Mr.Richard Arnold
2105 Bay Sore Road
Greenport,N.Y.
Dear Mr.Verity;
Please be advised that on this date I personally obtained the elevation of the top of a new
concrete slab(crawlspace)across the east side of the above referenced residence.
The slab elevation was found to be 7.40 feet MSL.
In my letter of 26 December 2001,the elevation of 9.86 MSL refers to the top of the
concrete foundation wall(east side of existing structure)that was newly constructed and
in place at that time.
Very truly yours,
41
Cc: file ey J. sen,Jr.
0OR963 Licensed9dd Surveyor
AMERICAN CONGRESS NEW YORK STATF.ASSOC. NASSAU-SUFFOLK
ON OF CIVIL ENGINEERS,INC.
SURVEYING AND MAPPING PROFESSIONAL LAND SURVEYORS,INC.
04/27/2001 09:36 6718871 RICHARD B. ARNOLD RE PAGE 01
New York State Department of Environmental Conservation
Division of Environmental Permits,Region One
Building 40-SUNY,Stony Brook,New York 11790-2356
Plane:(631)444-0365 • FAX:(631)444-0360
Website:www.dec.atate.ny.us Erin M.
LETTER OF NON nIRISDICTI u
April 23,2001
Mr.Rick Arnold
3 Woodhollow Lane
Glen Head,NY 11545
Re: 2105 Bay Shore Road
Greenport,NY 11944
SCIM#1000-53-004-13
DEC#14738-02839/00001
Dear Mr.Arnold:
Based on the information you have submitted,the New York State Department of Environmental Conservation has
oicterrmned that:
Your proposed project,the expansion of a single family dwelling,is located landward of a functional and substantial
man-made structure(a bulkhead)greater than 100 feet in length,constructed prior to 8/20177,and therefore is
beyond the jurisdiction of Article 25(Tidal Wetlands Act).
Therefore,in accordance with the current Tidal Wetlands Land Use Regulations(6NYCRR Pan 661)no permit
Is required under the TWO Wetiuds Act. Please be advised,however,that no construction,sedimentation,
or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary,as indicated above,
without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any
sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands
jurisdiction which may result from your project. Such precautions may include maintaining adequate work area
between the tidal wenand jurisdictional boundary and your project(i.e.a 15' to 20' wide construction area)or
erecting a temporary fence,barrier,or hay bale berm.
Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary
permits or approvals from other agencies.
Ver truly yours,
R*AEVAM
Po Administrator
cc: Frank Notoro
IMPORTANT: In these spaces,copy the corresponding Information from Section A. For Insurance Company Use:
BUILDING STREET A DRESS I duding Apt, nil,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number
tea
STATE ,f / t/ /ZIP�O E Company NAIC Number
CITY /v /
�r.oarr ,i'
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenticompany.and(3)building owner.
COMMENTS� � 7'ac/ 7i or L/ ' 'Pd4`� d / i Cf/�-v c:�-
GC e If vm c c4
I 1 Check here If attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items El.through E4. If the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMR-F,Section C must be completed.
E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed-
see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(including basement or enclosure)of the building is IJJ ft(m)IJJin.(cm) IJ above or IJ below
(check one)the highest adjacent grade. (Use natural grade,if available.)
E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is
IJ_(ft-(m)I I ]in-(cm)above the highest adjacent grade. Complete Items C3.h and C3.i on front of form.
E4.For Zone AO only: If no food depth number is available,is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance?IJ Yes 11 No I I 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,C(Items C3.h and C3.i only),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,C,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
I 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 items)and sign below.
G1.1 I The information In Section C was taken from other documentation that hes been signed and embossed by a licensed surveyor,
engineer,or architect who Is authorized by state or local 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.IJ The following information(Items G4-Gg)Is provided for commundy floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFlCATE OF COMPLIANCE/OCCIIPANCY
ISSUED
G7.This permit has been issued or. IJ New Construction LJ Substandel Improvement
GS.Elevation of as-built lowest floor(Including basement)of the building is: _IL(m)Datum:
Gg.BFE or(in Zone AO)depth of flooding at the building site Is: _IL(m)Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
LI Check here if attachments
FEMA Form Bt-31,JUL 00 REPLACES ALL PREVIOUS EDITIONS
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B.No.3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31,2002
ELEVATION CERTIFICATE
Important: Read the Instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company use:
BUILDING OWNER'S NAME /C / rd,
/ -Policy Nuniber
BUILDING STREET ADDRE S(Indudl_V Appt.Unit,Sul ,andlw Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
S r�<
CITYSTATE ,/ ZIPCODE
_en oe /V Y
P PER DESCRI IOy(Lot and Black Numbers,Tax Parcel Number,Legal Description,etc.) t O rL
PER� Car wf rl T>< l�4o Nu�rsb—/ /oOD — 053 — o — /3
BUIL INGSE(e.g., esid ntial Non-red Bal,Addition,Accessory,etc. Uses Comments area,If necessary.)
�PS�r�P<!>/f<i�
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: IJ GPS(Type):
BM.IW" or aa.s/avw°) LJ NAD 1927 LJ HAD 1983 L_I USGS Quad Map U Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME 8 COMMUNITY UMBER B2.COUNTY E 83.S ATE
se a yfirc,144.
B4.MAP AND PANEL B5.SUFFIX I B6.FIRM INDEX 87.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S)
?��CNUMBE i cc a DATE,,,,, EF FEECTIVEIREVISED DATE ZONES) (Zone AO,use depth of flooding)
B10.Indicate the Jsource of the Base Flood EI ation(BFE)data or base flood depth entered in B9.
LJ FIS Profile LJ FIRM LJ Communityt�Determined l_J Other(Describe):
B11.Indicate the elevation datum used for the BFE in B9:M NGVD 1929 )J NAVD 1988 1J Other(Describe):
B12.Is the building located Ina Coastal Barter Resources System(CBRS)area or Otherwise Protected Area(OPA)Y LJ Yes jkNo
Designation Date:
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on: )JConstruction Drawings' UBuilding Under Construction' LNFlnished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number, (Select the building diagram most similar to the building for which this certificate is being completed-see
pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
C3.Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,VI-V30,V(with BFE),AR,ARIA,ARAE,ARIA1-A30,ARIAH,AR/AO
Complete Items C3.a-I below according to the building diagram specified in Item C2.State the datum used.it the datum is different from
the datum used for the BFE In Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion.
Datumt9z4A,GVL)Conversi comments
Elevation reference mark used iF 3 (o PSD LAQVoes the elevation reference mark used appear an the v Ll Yes LCJ No
❑ a)Top of bottom floor(Including basement or enclosure) 3-L m) I ctct's�
O b)Top of next higher floor /I .1LL1C(m) N (�J
O c)Bottom of lowest horizontal structural member(V zones only) _ft.(m)
0 d)Attached garage(top of slab) =fL(m) Q
O a)Lowest elevation of machinery and/or equipment4J
servicing the building(Describe in a Comm _ents area.) 3 . . rh) •.�
O f)Lowest adjacent(finished)grade(LAG) G . (m) z
O g)Highest adjacent(finished)grade(HAG) y .3[fttm)
O h)No.of permanent openings(flood vents)within 1 ti above adjacent grade •—
❑ i)Total area ofal permanent openings(flood vents)In C3.h sq.M.(sq.nm)
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification Is to be signed and sealed by a land surveyor,engineer,or amhtted authorized by law to certiy elevation Information.
I car ify that the Mforma8on In Sections A.B,and C on flits certificate represents my best efforts;to interpret the date avallable.
I understand Bratan false statement may be punishable b fine or menf under 18 U.S.Code,Section 1001.
CERTIFIER'S Vye Z-.� Sin `�- (CENSE NUMBERXJKC /i/o 117213
('n z/-7
TITLE COMPANY NAMEfl
r. YS,
ADDRE '7 �g CITY e V Ir
<a STATE ZIP CODE /�9a(o
IGNATUR DATE Q / TELEPHONE / /_7�,/` �Sl3c
FEMA Forfn 81-31,J 00 PEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
APPEALS BOARD MEMBERS
0�0 CSG Southold Town Hall
Gerard P. Goehringer, Chairman �� y� 53095 Main Road
o -
Lydia A. Tortora va = P.O. Box 1179
George Horning ^+ Southold,New York 11971-0959
Ruth D. Oliva �' ��� ZBA Fax (631)765-9064
Vincent Orlando ��l �� Telephone (631) 765-1809
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD p j
FINDINGS, DELIBERATIONS AND DETERMIN ��2V
MEETING OF APRIL 18, 2002 S
BLDG D 1-1
A0pl. No. 5092 — RICHARD AND JOAN ARNOLD ;�y F s U LD
STREET & LOCALITY: 2105 Bay Shore Road, Greenport; Parcel:,_ - -
DATE OF PUBLIC HEARING: April 18, 2002
BASIS OF APPLICATION: Building Department's January 14, 2002 Notice of Disapproval
citing Section 100-239.413, for the reason that the proposed deck addition at the rear of the
dwelling is less than 75 feet from an existing wood retaining wall.
AREA VARIANCE RELIEF REQUESTED: Applicants request an area setback variance
for the location of a 12' X 35.5' deck addition plus 3.5' x 6' step area, at the rear of the
dwelling, leaving a setback of 65.3 feet from the corner of the deck at its closest point.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on April 18, 2002 at
which time written and oral evidence was presented. Based upon all testimony,
documentation, personal inspection of the property, and other evidence, the Zoning Board
finds the following facts to be true and relevant:
PROPERTY FACTS/DESCRIPTION: The applicant's waterfront property is located on the
north side of Bay Shore Road in Greenport, and is shown on the Amended Map "A" of
Peconic Bay Estates as Lot 35 and part of Lot 36. This 23,679 sq. ft. parcel is improved
with an existing one-story frame house as shown on the site map prepared by
Architechnologies dated 2/6/02.
REASONS FOR BOARD ACTION, DESCRIBED BELOW: Based on the testimony and
record before the Board and personal inspection, the Board makes the following findings:
1. Grant of the area variance will produce an undesirable change in character of
neighborhood or a detriment to nearby properties. To be living on the water and have a
rear deck facing the bay is very typical of the neighborhood.
2. The benefit sought by the applicant cannot be achieved by some method, feasible for
applicant to pursue, other than an area variance. Do to the irregular shape of the property,
which runs along the bay, a majority of the deck can only be located within the 75' set
back.
Page 2—April 18, 2002
Appl. No. 5092—R. and J. Arnold
53.4-13 at Greenport
3. `JPe requested area variance is the minimum necessary, with only a section of the deck
bei g within the 75 ft. restricted area.
4. There is no evidence that the grant of the variance for an open deck addition will have
an adverse effect or impact on the physical or environmental conditions in the
neighborhood or district. The above mentioned deck variance is within the typical
surrounding neighborhood and will have no environmental impact. The deck will be "open
to the sky."
RESOLUTION/ACTION: On motion by Member Orlando, seconded by Chairman
Goehringer, it was
RESOLVED, to grant the variance applied for, with the CONDITION that the deck
remain open to the sky.
This action does not authorize or condone any current or future use, setback or other
features of the subject property that violates the Zoning Code, other than such uses,
setbacks and other features as are expressly addressed in this action.
Vote of the Board: Ayes: Members Goehringer an), To a ng, va and
Orlando. This Resolution was duly adopted
GG:VO /
Gerard P. Goehring , airman y- v-02,
BUILDING PERMIT EXAMINER CHECK LIST
DATE ISSUED: /02
DATE REVIEWED: S/ Z /02
APPLICANT:`�« � � DAT6SUBMITTED: 5-/ 2 /02
SCTM# DISTRICT: 1,000, SECTION: 53 BLOCK: `{ LOT: 1-3 �
c '3cr-1
STREET ADDRESS: CITY: 6ps,'&ril)p0e7- SUBDIVISION:gra cs�
PROJECT DESCRIPTION, �c�C r'�b l-nI -T6 W ;5M Vii NGi
ESTIMATED PROJECT COST:��or>�ARCHITEC /ENGINEER: FAST TRACK? iwo
SINGLE & SEPARATE CERTIFICATION-REQUIRED? No NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/83
ZONING DISTRICT: P--(40 CONFORMING? "a
REQ. LOT SIZE: poop ACT. LOT SIZE:Z4 6� REQ. LOT COV. .2o% ACT. LOT COVE �9
REQ. FRONT fo PROP. FRONT%Sa E_ ,S ACT. SIDE 2,T 8/sv,,�K
REQ. REAR ,So PROP. REAR , I4
WATER FRONT? o DESCRIPTION:
PANEL #: 159 FLOOD ZONE:40 ,
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTHT: YES or BED #): DTE:-/_/ PERMIT #:R10-
TOWN SEPTIC RECEIPT: Y o1y O,
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or - "0-5
SOUTHOLD TOWN TRUSTEES: YE o �-
TOWN ZONING BOARD APPRO ESQ 07
TOWN PLAN. BOARD APPRO AL: YES or
TOWN HISTORICAL PRE (SPLIA): YES o
NYS ENERGY: YES O NO 8-
EGRESS (18 H min.? 4 sq total) VENT (SQ. FT. x 4%) LIGHT (SQ. FT. x 8°/0)
BUILDING PERMITS OPEN/E D: BP -ZZ-
HAVE PRE CO'S : Y OR N BP -Z/C/o Z-
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: feSF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: 3V SF FEE FEE FEE
1. ( SF)- ( SF)= SF X $ _$ +$ +$_ _ $
2. ( SF)- (SF)= SFX $ _$ +$ +$ _ $
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE: January 14, 2001
TO: Richard and Joan Arnold
2105 Bay Shore Road
Greenport,N.Y. 11944
Please take notice that your application dated January 11, 2001
For permit for construction of a rear deck addition at
Location of property 2105 Bay Shore Road, Greenport
County Tax Map No. 1000 - Section 53 Block 4 Lot 13
Is returned herewith and disapproved on the following grounds:
The proposed construction not permitted pursuant to Article XXIII Section 100-239.413 which states;
"All buildings located on lots upon which a bulkhead concrete wall riprap or similar structure
exists and which are adjacent to tidal water bodies other than sounds shall be set back not less
than seventy-five (75) feet from the bulkhead."
Plans note a setback of 65.3 feet from the existing wood retaining wall.
The total lot coverage, following the proposed construction is 10 percent.
1
-- ------ ---------------------%-
Authorized Sjgnature
Cc: File, ZBA
63
765-1802
BUILDING DEPT.
INSPECTION
[ OUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: / z — }��/
DATE4 �o INSPECT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUATION IST [ ] ROUGH PLBG.
[ ] F UNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREL A CHIMNE J�
REMARK:
i
DAT INSPECTO
7GS-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ION
[ ] FRAMING [ INAL
[ ] FIREPLACE CHI
REMARKS:
DATE INSPECT
INREP
ORT DATE COIEM30M
FIELD
FOUNDATION 1ST)
-----------
xyb
FOUNDATION d
2ND) n
Cil
Z
O
ROUGH FRAMING& of
t�
PLUMBING c y
n
x
5
INSULATION PER N.Y.
STATE ENERGY CODE
L 111,001 vr.
0Ice
FINAL
ADDITIONAL COM'M'ENTS
0
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TOWN OF SOUTHOLD BLUDING PERMIT APPLICATION CHECKLI;
BUILDING DEPARTMENT Do you have or need the following,before applyir
TOWN HALL Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: 765-1802 Survey
PERMIT NO. .263S30- Check
Septic Form
N.Y.S.D.E.C.
ExaminedZ 2p 2— Trustees
Contact:.
Approved Zi 20—� Mail to:
Disapproved a/c ?i
Phone:_,576
6 '
( � APR 2 6 20C12
4Bufflilding:h1?sVpe-ctor -
APPLICATION
FOR BUILDING PERMIT
Date G U,w /J 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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 a Certificate of Occupant
is issued by the Building Inspector.
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, Suffollc 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.
(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
Name of of owner of premises 'c � I un J 0a',
(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 proosed work will be done,
/ 0 5 CAq S9�- as
House Number Street H
County Tax MaR No. 1000 S on 53— Block-
� ° �Lot i
Subdivision cz;/l/6 ,�,� is Filed Map No.
(Name)
ti
2. State existing use and occupancy of premises and intended use d occupancy of proposed construction:
a. Existing use and occupancy.
b. Intended use and occupancy de G
3. Nature of work(check which applicable): New Building AdditionV // )deLkAltemtion
Repair Removal Demolition Other Work
500
3 °�
4. Estimated Cost Fee (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling units C 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 of existing structures,if any: Front p7 7 / Rear Depth
/o
Height Number of Stories /
Dimensions of same structure with alterations or additions: Front a , 7 Rear
Depth__ Height Number of Stories 1
8. Dimensions of entire new construction: Front 3. S ' Rear Depth '
Height Number of Stories
9. Size of lot: Front `77, �y Rear 7U, U 9 ' Depth V7
10. Date of Purchase / �9-7
Nameof Former Owner L/ J p L N a L
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: es SST da'k 'P-C;S4,
(�n��n11 "YES
13. Will lot be re-graded A)p Will excess fill be removed from pr;i es: YES NO
14. Names of Owner of premises i c .�Aan � �,ddress o d&; c
��---
oneNa. �/- x/77- 2 664
Name of Architect — E v Address 5 r;� dPhone No_j31-d 9$-112 cl
Name of Contractor Address " Phone No:
15. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. A)6
;TATE OF NEW YORK)
/SS:
!OMY
O� '3
being duly sworn, deposes and says that(s)he is the applicant
(Name of in 'vidual signing contract)above named,
i)He is the
(Contractor,Agent, Corporate Officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
at all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
Tformed in the manner set forth in the application filed therewia
vorn to.before me thi
W t day of 20
Notary Public
LYNDA M. BOHN Signature of . licatrt
NOTARY PUBLIC, State of New York
No.01806020932
Qualified in Suffolk County
Term Expires March 8,20
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<Q FILE NO.:
INFORMATION TAKEN FROM SURVEY
PREPARED EY MR JOSEPH INGEGNO A DEM_CUR
LAND SURVEYOR DATED OCT 24, YBW
9-02
SCALE.
(y 1 " = 20'
AREA = 23, 678 .99 SCI . I I . DWG. NAME:
(TO TIE LINE) 0 . 544 ac .
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FILE No. 1124 FILED MAY 19, 1933 ¢ ¢ ¢
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FILE NO.:
ITAENFROPREPPAREDIONBY MRI�JOSEPHNINGEONO ADEM CUR
LAND SURVEYOR DATED OCT 24.1BB1 1-9-02
SCALE.
1 11
AREA = 23, 678.99 sq . ft. = 20
(TO TIE LINE) 0.544 CIC . DWG. NAME:
SITE PLAN
PROPOSED ALTERATION TO EXIST . ARNOLD RESIDENCEe DWG NO
a. siTE
GREENPORT
NEW YORK
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AMENDED MAP 'A " OF ss�. � 9•s�.
PECONIC BAY ESTATES
FILE No. 1124 FILED MAY 19, 1933
SITUATED AT
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TOWN OF SOUTHOLD
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SUFFOLK COUNTY, NEW YORK y "
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S.C. TAX No. 1000-53-004- 13 �c,.\ AOY=� �c
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SCALE 1 " = 20 ' _
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INFORMATION TAKEN FROM SURVEY
L ATI..RVEYOR DATED EOCT.124,E01997 %FA¢ �'���gr'�` � 4 07 ,
A �
AREA = 23 , 678. 99 sq . ft.
(TO TIE LINE) 0. 544 ac.
DWG. NO.: DWG. SCALE FILE NAME: ISSUED:
NAME: DESCRIPTION:
SITE 6/12/00 ISSUED TO CLIENT FOR REVIEW.
PLAN PROPOSE
I T E C NOLO G I E S
A. SITE = ao a_s1Te_c D ALTERATION TO EXIST. ARNOLD RESIDENCE -
7/17/00 ISSUED TO CLIENT FOR REVIEW.
e xm..+ormra, ... ,y,./uearrr .mnoiomo�yossrmmnie
GREENPORT NEW YORK ARCHITECTURE'PLANNING CONSTRUCTION SERVICES
3/2/01 ISSUED TO D.E.C. FOR REVIEW
10/18/01 ISSUED TO BLDG. DEPT. FOR REVIEW 134(1$Main$old,M3d1[Ilck, NeW POIk 119$2
2/6/02 ISSUED TO THE BOARD OF APPEALS. 631.Z9S.1129 f3X: 631398.1128
o�F/lam
C,) ILMI TRUCTION LEEN`:iNID : FOUNDATION NOTES , FOUNDATION LEGEND : DO NOT PRnCEED WITH � s
lVJO TON PER SO. INCH SUBJECT TO _
FRAMINC III.
I+I I- SFVEV
1 ALL WORM' SHALL COMPLY WRH FEDERAL, STAiC, AND LOCAL 3UILDING CODES NEW EXTERIOR PARTITION- 2" X 6"WOOD STUD WALL W/ 1/2"CDX PL11ND. INSPECTION AND VERIFICATION.1 BASED ON SOIL BEARING CAPACITY, N EXISTING FOUNDATION TO REMAIN. OF FOUNT!!L' 1I•Y',� I�)';ATION F� r/1
AND ORDINANCES. „�..,_ EXTERIOR SHEATHING (T VEK WRAPPED &TAPED), 6" EXPOSURE PERF. WD -
SHINGLES (PROV 1 COAT BLEACHING OIL), 1/2" GYP, BD.(SCREWED PTAPED) 2. ALL FOOTINGS TO BE CARRIED DOWN TO UNDISTURBED SOIL NO FOOTING SHALL —� NEW I POURED CONCRETE NG AS-1 FOUNDATION WALL WITH 1'6" X YO" DEEP HAS BF[N AI'I'PIUVEO. 0
I BEFORE COMMENCEMENT OF)NORK, THE CONTRACTORS SHALL FURNISH THE CUR PINE 4" COLONIAL BASE TRIM, & R-19 FOIL FACE_ INSUL (HIGH DENSITY BE SET HIGHER OR LOWER THAN A 30 DEGREE ANGLE FROM ANY OTHER FOOTING FOOTINGS, REFER TO DRAWING A3-1
OWNEi? AND ARCHITECT WITH COPIES OF ALL REQUIRED INSURANCE ANDGYPSTEP FOOTINGS ARE TO HAVE A 30 DEGREE MAXIMUM �– .T' POURED CONCRETE SLAB WITH 6X6 10/10 W W M ON CLEAN - 1
WORKER'S COMPENSATION CERTIFICATES AND NAMES OF ALL SUBCONTRACTORS NEW INTERIOR PARTITION- 2" X 4"WOOD STUD WALL WITH 1/2" GP BD l OOMPACTED FILL
(SCREINF_D/TAPED) APPLIED BOTH SIDES NOTE' PROVIDE MOISTURE 3 ANCHOR B:'LTG TO BE AT LEAST 1/2" IN DIAMETER / KD 10" IN LENGTH WITH A p p
3 THE CONTRACTORS` SHALT_ BE RESPONSIBLE FOR ALL DIMENSIONS AND RESIST GYP BD (GREEN EI FOR ALL BATHROOM WALL AND CEILINGS. MAXIMUM SPACIN'"� OF 4'-0' ORN CENTER AP VEDAS NOTED
z
Y - - PPOV. GEMENT WALL BD. FOR ALL TILE AREAS. {
CONDI(IONS ON THE JOB THE ARCHITECT MUST BE NOTTHED OF ANY VARIATIONS 'S 2 '��J O
FROM THE DIMENSIONS SHOWN 4. ALL CONCRETE TO r'IE 1 2.3 MIX', 2500 LD. CAPACITi UNI ESS OTHERWISE NOTED
DATE• V
INTERIOR PAINT-TO BE"BENJAMIN MOORE' U.O N ONE COAT PRIMER AND OR SPECIFIED. �
4 THE CONTRACTOR SHALL SUPPLY ALL LABOR AND MATERIAL SHOWN ON THE TWO COATS FINISH (COLORS T.B.D. BY OWNER) SATIN FIN THROUGHI�UT FEE' '�`_""— B m
DRAWINGS UNLESS OTHEF.WISI= NOTED U 0 N ALL TRIM SEMI-GLOSS 5 IF CONCRETE BLOCK FOUNDATIONS ARE TO BE IJSED, THE BLOCK SHALL BE NOT BUILDING DEPARTMENT AT O � Z
HARDWOOD FLOORING-SELECT WHITE OAK 2 1/4"W 15LD. FELT . ASTM-145 WITH FULL_MORTAR JOINTS CORNERS ARE TO HAVE CORES FILLED SOLID 785.1802 9 AM TO 4 PM FOR THE ao
5 THE CONTRACTOR SHALL BE RtSF'OYJSIBLF_ FOR ADEQUATELY BRACING AND WITH REINFORCEMENT CORES WTI'A ANCHOR BOLTS ARE TO BE PILLED TWO FOLLOWING INSPECTION . N
PROTECTING ALL WORK DLL BE, CONSTRUCTION AGAINST TENTAGE, BREAKAGE. ') (3 FINISH COATS OF OIL BASED SATIN POLYUHETHANF, COURSES DOWN SEE NOTE 3 ABOVE 1. FOUNDATION - TWO REQUIRED OCCUPANCY OR
COLLAPSE, DISTORTION, AND MI, ACCORDING TO / Ll_ APPLICABLE FOR POURED CONCRETE USE IS UNLAWFUL
SUB-FLOOR-Us 3/4" THICK PLlIA'GOD GLULU PIP.'= : ,_cD 6 PROVIDE '11J2S' ALUMINUM TERMITE SHIELDS OVER FIBROUS INSULATION AT ALL
CODES 2 ROUGH - FRAMING & PLUMBING WITHOUT
ry! /gyp T CCLQ /+n
SUB FI )R TILE AREAS TO BE SCREWED AND GLUED. PERIMETER 31LI_S. tl"c�ITN`➢ILI I Ir GLITI FIIrH E
5 THE CON TRACTOR SHALL PAY FOR AI_ PERMITS, FEES AND COSTS RELATED TO 8. INSULATION
I HE WORK OF THIS CONTRACT C.ONTRACTCIRS SHALL ITV ITIATE A00
LL REGI TIRED CERAMIC: TILE - "AMERICAN OLEAN" TILE OR APP EQ. TILE TO BE INSTALLED 7 ALL WOOD IN CONTACT WITH CONCRETE OR MASONRY TO BE WOL_MANIZED ON 4 FINAL - CONSTRUCTION MUST Of OCCUPANCY rT, 04
[HE WORK SOF ALL WORT( COMPLETED UP+DER THIS CONTRACT C ` 1 OVER 1/2" CEMENT BOARD U O N. WALL AND FLOOR GROUT TO HAVE PRESSURE TREATED SECOMPLETE FOR C.O. W N
WATERPROOF ADDITIVE MIXED IN ALL CONSTRUCTION SHALL MEET
Y THE CON I RACTOI7 SHALL AT ALSTATEE CONSTRUCTION & ENERGY
TL TIMES KEEP THE PREMISES CLEAN AND IS THE O LI
F17F PCNSIBLE FOR RE"A0\1AL OF ALL RUBBISH FOR ALL TRADES FROM THE JOB SITE OF THE N.Y.
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
:3 F1Lr-IQ L(_,R LdGITIMATE U14FORESEEN CONDITIONS SHALL BE
UOCU:MENIFO WITH THE COST OF APPROVPL BY OWNER OR HIS AGENT PRIOR TO
START ING ADDITIONAL WORK
9. DOUBLE JOISTS ARE TO BE INS fALLL-D UNDER ALL WALL PARTITIONS RUNNING
PARALLELTO THE FRA v11NCi. PROVIDE DOUBLE. HEADER JOISTS AT ALL. OPENINGS
REFER TO CONSTRUE' DRAW'ING'S FOR SIZES
10 AL'_ FRAMING LUMTIER TO BE DOUGLAS FIR #2 CON1i GRADE OR BETTER
4
1 1 THE CONTRACTOR SHALT_ PROVIDE SHOP DRAWINGS FOR ALL SPECIAL WORT.
SUCH AS BUT NOT LIM TED TO MILLWORK, SPRINKLER SYSTEMS AND STEEL WORK
ALL SHOP DRAWINGS IJEF_U I HE APPRO'v'AL Or- THE ARCI Ili EC'T BEFORE
PROCEEDING
CONSTRUCTION NOTES : Lui
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I FOUNDATiOt) COPT IACIOR Ttl PROVIDE (.10011", D.AMPROOI : JG MEMBRANE Lu 0
P LONG FOUNDATION 'HALL >
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FOUNDATIO
CFOUNDAT101"J FLAN PLAN
�rrirr�➢`T POff��� ,
OwrJ.No '
THESE HRA\NINGtJ AS INSTHUAIaNTS OF SERVICE,
ARE THE SCLE PHOPEPTY OF THE '49CHITEC'-!
NO RE,'ISIOIVS,CHANGES, AMO/Off MODIFICATIONS
BY THE AI.RC HITEcj ANYIOEPROD CITION IN-N ALHITPARR TION A. 0
. O
of,WPIC•LE IS STRICTLY PROHIBITED EN LAW �/-\Y
GENEFIAS NOTES : V1
U
ALL bVORK SH:.LL COMPI-(WITH FEDERAL, STATE, AND LOCAL BUILDING CODES
4ND 'DREIINANCA S.
2. BEFORE COMMENCEMENT OF WORK, THE CONTRACTORS SHALL FURNISH THE Q
OWNER AND ARCHTFEC-1 WITH COPIES OF ALL REQUIRED INSURANCE AND
WORKER'S COMPENSATION CERTIFICATES AND NAMES OF ALL SUBCONTRACTORS v (J
r
3. THE CONTRACTORS SHALL HE: RESPONSIBLE FOR ALL DIMENSIONS AND
a
CONDITIONS ON THE JOB. THE ARCHITECT MUST BE NOTIFIED OF AN'Y VARIATIONS rn
FROM THE DIMENSIONS SHOWN O
4 THE CONTRACTOR SHALL SUPPLY ALL LABOR AND MATERIAL SHOWN ON THE
U
DRAWINGS UNLESS OTHERWISE NOTED O U N
5 THE CONTRACTOR SHALL BE RESPONSIBLE FOR ADEQUATELY BRACING AND z "
PROTECTING ALL WORK DURING CONS I-RUCTION AGAINST DAMAGE, BREAKAGE, u w
COLLAPSE, DISTORTION. AND MISALIGNMENT ACCORDING TO ALL APPLICABLE
CODES 0.
6 FHE CONTRACTOR SHALL PAY FOR AL PERMITS, FEES, AND COSTS RELATED l-O U
THE WORK OF THIS CONTRACT CON TRACTORS SHALL INITIAL E ALL REQUIRED
INSPECTIONS OF ALL WORK COMPLETED UNDER THIS CONTRACT
7. THE CONTRACTOR SHALL.AT ALL TIMES KEEP THE PREMISES CLEAN AND IS W
RESPONSIBLE FOR PEMOVAL OF ALL RUBBISH FOR ALL TR�I_'F:, PROM THF_JOB SITE
A ANY "EXTRAS" AOR ALL OR LEGITIMATE- UNFORESEEN CONDITIONS SHALL BE U
DOCUMENTED WITH FHE COSI OF APPROVAL BY OWNER OR HIS AGENT PRIOR TO
STARTING ADDIT'ONAI_WCRK
9 DOUBLE JOISTS ARC TO BE INSTALLED UNDER ALL WALL PARTITIONS RUNNING UI
PARALLEL TO THE FRAMING PROVIDE DOUBLE HEADER JOISTS AT ALL OPENINGS
REFER TO CONSTRUCT DRAWINGS FOR SIZES, -
10. ALL FRAMING LUMBER TO BE DOUGLAS FIR *2 CONS. GRADE OR BETTER.
11 THE CONTRACTOR SHALL PROVIDE SHOP DRAWINGS FOR ALL SPECIAL WORK �t
SUCH AS BUT NOT LIMITED TO MILLWORK, SPRINKLER SYSTEMS AND STEEL_WORK
ALL SHOP DR4VV INGS NEED THE APPROVAL. OF FHE .4RCIIIITECT BEFORE
PROCEEDING,
w
CONSTRUCTION NOTES :
1 FOUNDATION CONTRACTOR TO PROVIDE LIQUID DAMPROOFING MEMBRANE W
ALONG FOUNDATION WALL 0 1
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ROV '4 X CUR –� W >-
CEDAR DECK. (TYP.) \ 0 S
PROV FORMED CEDAR r^ IJJ
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6-19-00
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ELEVATION „"' „"F
EAST (1/�JAT E R S I C� E �*``����� ��iL� ' 1/4"= 1 '0"
PROPCISEGI DECK: T�Q� fl�� DWG NAME
PROPOSED
Gft DECK
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THESE DRAWINGS AS INSTRUMENTS OF SERVICE, DWG. NO
ARE THE SOLE PROPERTY OF THE ARCHITECT-.
NO REVISIONS. CHANGES, AND/OR MODIFICA PIONS
SHALL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION A.
BY THE ARCHITECT, ANY REPRODUCTION IN PART
CR WHOLE IS STRICTLY PROI-IIBfTED BY LAW