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Home My WebLink About40588-Z FOt/(o�; Town of Southold 12/16/2016 P.O.Box 1179 c+ 53095 Main Rd ,4011 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38716 Date: 12/16/2016 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 1420 Gabriella Ct., Mattituck SCTM#: 473889 Sec/Block/Lot: 108.4-7.29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/11/2016 pursuant to which Building Permit No. 40588 dated 4/1/2016 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: ONE-FAMILY DWELLING INCLUDING FRONT COVERED PORCH,REAR DECK AND ATTACHED TWO-CAR GARAGE AS APPLIED FOR The certificate is issued to Aliperti Family 2012 Irry Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-11-0025 12-02-2016 ELECTRICAL CERTIFICATE NO. 40588 11-30-2016 PLUMBERS CERTIFICATION DATED 12-13-2016 Charles R.Nagy u ed Signature �IPIZ FED(� TOWN OF SOUTHOLD BUILDING DEPARTMENT C2 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#: 40588 Date: 4/1/2016 Permission is hereby granted to: Aliperti Family 2012 Irry Trt 92 Highland Down Shoreham, NY 11786 To: construct single-family dwelling as applied for per SCHD. At premises located at: 1420 Gabriella Ct., Mattituck SCTM #473889 Sec/Block/Lot# 108.4-7.29 .Pursuant to application dated 3/11/2016 and approved by the Building Inspector. To expire on 10/1/2017. Fees: CO -NEW DWELLING $50.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $843.20 Total: $893.20 fill u' ing Spector 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. a� /—� /6 New Construction: Old or Pre-existing Building: (check one) Location of Property: �'' �( G(/ Cfi ( L/ — House No. Street Hamlet Owner or Owners of Property: < ►1i O/ Suffolk County Tax Map No 1000, Section Block i�7 44 Lot q SubdivisionL � Filed Map. l Lot: Permit No. Date of Permit. Applicant:_6 c'/r'�'� Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Tempora ertificate Final Certificate: v (check Fee Submitted: $ ZV- plicant Signature r' Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �� roger.richert(-town.southold.ny.us Southold,NY 11971-0959 COU BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Aliperti Family 2012 Irry Trust Address: 1420 Gabriella Court City: Mattituck St: New York Zip: 11952 Budding Permit#: 40588 Section: 108 Block: 4 Lot:' 7.29 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 X Renovation 2nd Floor X Hot Tub Addition Survey Attic X Garage X INVENTORY Service 1 ph 200A Heat GAS Duplec Recpt 55 Ceding Fixtures 14 HID Fixtures Service 3 ph Hot Water GAS GFCI Recpt 4 Wall Fixtures 6 Smoke Detectors 6 Main Panel 200A A/C Condenser 2 Single Recpt 1 Recessed Fixtures 7 CO Detectors 1 Sub Panel A/C Blower 2 Range Recpt 20A Fluorescent Fixture Pumps Transformer Appliances DW Dryer Recpt30A Emergency Fixtures Time Clocks Disconnect 200A Switches 35 Twist Lock Exit Fixtures TVSS Other Equipment: 6- Paddle Fans, 2-ARC Fault Circuit Breakers. Notes: Inspector Signature: Date: November 30, 2016 0-Cert Electrical Compliance Form.xls �of Sol// Y0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT D TOWN OF SOUTHOLD DEC 1 4 2016 BUILDING DEPr. TOWN OF SOUTHOLD CERTIF ICATION Date: /C�-113/ Building Permit No. Owner: /)L I PiRW Tt- r4MI 1,z I a -771f gr 1,7— 1 (Please print) Plumber: /v (Please pr�nt) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. (Plumbers—SignatureT Sworn to 07 — Sworn to'ef day of 209 Notary-Public, County Victoria Bachir Notary Public-state of New York NO.01 BA6185578 Qualified in suffoik County My CQMnli$�Qn Expires Feb.27,2020 i TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION .. [ UNDATION 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: CvA cam` DATE - INSPECTOR ho��OF SOUjyOlo 1 - cnu�m,��' TOWN 'OF SOUTHOLD BUILDING DEPT. 765-1802 PECTION [ ] FOU ATION 1 ST [ ] ROUGH PLUMBING S [ ] F ND [ ] INSULATION [ RAMI G /STRAPPI [ ] FINAL ] FIREP IMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: " DATE —N4 �� l INSPECTOR / Of SO(/jy0lo - cou�m,��' TOWN OF SOUTHOLD BUILDING -DEPT. 765-1802 INSPECL TION, [ ] FOUNDATION 1-ST [ ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [vrfRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ` [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR �. f G' " �oF sorry �o� oho olyc0�,� TOWN OF SOUTHOLW BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION, 1 ST [ �OUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ MING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE'RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] E CTRICAL (FINAL) [ ] CODE VIOLATION [ CAULKING REMARKS: 001, DATE D67 �7 / INSPECTOR pF SO(/T�°!o 6 courm,N 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 [ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE' A011 INSPECTOR �� o��OE SOUryolo TOWN, OF SOUTHOLD BUILDING-DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] R UGH PLUMBING [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLAT ON [v]AULKING REMARKS:- DATE ©7 ©`�� _ INSPECTOR ' G� J �o��OF OUlyolo cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [I FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: O wo,i,v- DfOr -V DVtf tpq 6&, Sd c Los c • 17 CA $ I �-m(A kd- DATE INSPECTOR . OF SOblyolo �u TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) REMARKS: DATE �� INSPECTOR saulyo �ycourm,��' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] E CTRICAL (FINAL) REMARKS: ",t- DdQV'- - V WA fl 4/ 0, 6LD , mLt4j DATE ti IK 1 INSPECTOR ■ EDWARD S . S I LS B E ❑ ARCHITECT Town Hall Annex Building D ��l5 V 1.5 8-24-2016 Building Department DD 54375 Route 25 AUG 3 1 2016 P.O. Box 1179 Southold,NY 11971 BUILDING DEPT. TOWN OF SOUTHOLD Attn.: Michael Verity, Chief Building Inspector Re: A.C.M.T. Builders Dwelling at: 1420 Gabriella Court 17`lower Hill Rd. Southold,NY Shoreham,NY 11786 Permit#: 40588 Our Project id: 0335 rework Dear Mr. Verity: I am writing as you requested to report on my walkthrough and examination of the framing and "high-wind" metal devices within the dwelling under construction at this time. I was at the site for a cursory and nondestructive inspection on August 16th, 2016. I walked the home from the Basement to 2nd floor, including a view into the attic. I find the observable framing to be generally in conformance with and meeting the design intent of the plans prepared by this office. I did observe that there were several nails missing from joist hangers at the ledger bd. on the Roofed Over Front Porch. I directed the Contractor to install these missing nails, he has since reported that this«-as done. Should you have any questions please feel free to call my office. Sincerely, Edward S. Silsbe,R.A., I.C.C. �s� A �� ESS:mwp 89 PARK AVENUE, BLUE POINT, N.Y. 11715 - PH / FAX (631) 363-6511 "FOR HE WAS LOOKING FORWARD TO THE CITY WITH FOUNDATIONS, WHOSE ARCHITECT AND BUILDER IS GOD" EDSILSBE@OPTONLINE.NET HEBREWS 1 1:1 0 ■ EDWARD S . SILSBE ❑ ARCHITECT Town Hall Annex BuildingD F=C7rH1V 24-2016 Building Department D D, 54375 Route 25 DEC 1 2 2016 P.O. Box 1179 Sout%old,NY 11971 BUILDING DEPT. TOWN OF SOUTHOLD Aitn,: 'Lv-'i:;hael Verity, Chief Building Inspector Re: A.C.M.T. Builders Dwelling at: 1420 Gabriella Court 17 Tower Hill Rd. Southold,NY : f1I % iC11llt74D1- pt, N 1`1O0 Our Pro i oct id: 0335 rework Dear Mr.Verity: I am writing as you requested to report on my walkthrough and examination of the framing-'at d "high-,-v-ind" metal devices within the dwelling under construction at this time. i was at the site for a cursory and nondestructive inspection o:�August 16th, 2016. 1.7;&kedl the home from the Basement to 2nd floor, including a view into the attic. 1 found the ho:ne to substantially finished. I observed visible framing and found that to be genUr^!1;r _41 con::.•_-:n::ince with and meeting the design iriter_,t of Ube plans prepared by this office. I did find that-a substitution of 2" x 10" Roof Rafters for the noted 2" x 12" R.R.'s within the Cathedfial Ceiling portion of the Master Bedroom. I also observed that there were several Nails missing-from joist hangers-at the ledger bd. on the Roofed Over Front,Porch. I directed the C(,.,--tractor to install these missing nails,be has since reported that this was,dorie. I hare'considered the nature of observable conditions and how they minimally differ from the c:iginal,plans. It is my professional opinion that the modifications mentioned are minimal in nature and would not require an updated set of plans. Stvouid you have any questions please feel free tc call my office. Sincerely, ., _ ''6,.�°R�I"�i C"4e'Fr..,�n•''t*tif�_t� Edward S. Silsbe R.A I.C.C. ,!d- �T d, =1`, .. ._ e.. t ;- --~j :i-r�/ 'T-•- -v' iyi fi i,-i=•y��F�� rl- `��5.. Fa- t.1 i��« - ';�•il` 'te,rf✓.i.,�;�f�.a - L .., ,r ,»s. . 89 PARK AVENUE, BLUE POINT, N.Y. 11715 - PH / FAX (631) 363-6511 "FOR HE WAS LOCKING FORWARD TO THE CITY WITH FOUNDATIONS, WHOSE ARCHITECT AND BUILDER IS GOD" EDSILSBE@OPTONLINE.NET HEBREWS 1 1:1 0 EDWARD S . SILSBE ❑ ARCHITECT Town Hall Annex Building 11-4-2016 Building Department 54375 Route 25 P.O. Box 1179 Southold,NY 11971 Attn.: Michael Verity, Chief Building Inspector D 15�L5D V L� Re: A.C.M.T. Builders Dwelling at: 1420 Gabriella Court NOV 2 3 2016 17 Tower Hill Rd. Southold,NY Shoreham,NY 11786 Permit#: 40588 BUiLDING DEM ' Our Project id: 0335 rework - TOWN OF SOUTHOLD Dear Mr.Verity: I am writing as requested by the owners to report on my walkthrough and examination of'the insulation installed within the dwelling under construction at this time. I was at the site for a cursory and nondestructive inspection on October 19th, 2016. I observed that spray-foam was installed at the perimeter of the 1st floor platform in addition to the min. K-i9-fiber glass-insiilation hatts;with-vapor-eari7er. -i in fact found R-3+0 installed-in-the--- Ist floor platform. Additionally I found R-30 fiber glass, with vapor barrier installed within the attic and above observable portions of the cathedral ceilings. Additionally I found that eave baffles were installed. I walked the home from the Basement to the 2nd floor, including a view into the attic. I find the observable insulation to be generally in conformance with and even in part exceeding the design intent of the plans prepared by this office. It is my professional opinion that the project is in compliance with the intent of the then current New York State Energy Code. I have been presented a copy of a letter from Cary Insulation, dated 9-6-2016. I 'nave not found any conditions that reflect negatively with the conditions reported in this letter. I have attached a copy of this letter for your files. Should you have any questions please feel free to call my office. Sincerely, ¢ ` Edward S. Silsbe,R.A.,I.C.C. ESS:mwp 89 PARK AVENUE, BLUE POINT, N.Y. 11715 - PH / FAX (631) 363-6511 "FOR HE WAS LOOKING FORWARD TO THE CITY WITH FOUNDATIONS, WHORE ARCHITECT AND BUILDER IS GOD" EDSILSBE@R OFTDNLINE.NET HEBREWS 11:10 MOMPM IIS ORK DRYWALL& INSULATION AUG' 3 1 '2016 � BUILDING DEPT'. Post Office Box 1230 - TOWN OFSUtTMOLD Mattituck, NY 11952 , (631) 298-S451 Phone (631) 804-8511 Cell (631)298-1897 Fax 'DEBORAH H.VAN DULER` g NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIVA6186177 Qualified in Suffolk County Commission Expires April 25,,20,46 �'�✓ - - STATE ENERGY cbm 01 K= AA FA OW , ��ENV it, 4 Own WK I Jill ■ i. ;��,',' ' , I I �-�w1►,_�ri'� _ rte/;.1 to i TOWN OF SOUTHOLD I BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT ` Do you have or need the following, before applying? TOWN HALL '**v Board of Health K4a— 4 � p0 � SOUTHOLD, NY 11971 ""v 4 sets of Building Plans TEL: (631) 765-1802 Planning Board�Pproval /1�� FAX: (631) 765-9502 \v Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form MY S.D.E.C. Trustees j � ® �� Flood Permit Examined ,201 l� Single&Separate '�" D Storm-Water Assessment Form VAR 20% Contact: / r Approved ,20� l e: /1,o Disapproved a/c BUMDINGDE". 1 (/q�/ c. 'SOWN DF SO OLD Phone: 9,ZL-� I kl (G 3[J Expiration ,2017 UMin'�I/, pector APPLICATIOR BUILDING PERMIT Date , 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 pen-nit 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 co and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) ed (Mailing address of applicant) ✓f �� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises lWTli 2 al 2— /,Er,, (As dn 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 o land on which roposed work will be done: House Number Street Hamlet County Tax Map No:�;I000-� Section Block Lot ; Subdivision Z L t r "Filed 1V1'ap',No: Lot 2. State existing use and occupancy of premises and intended use and occupancy;of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable). New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost "E-7, (td be paid on filing this application) 5. If dwelling, number of dwelling units ( Number of dwelling ' nts on each floor If garage, number of cars P� i vt�� 8 i 6. If business, commercial or mixed occupancy, speer atxtrai� extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth, Height Number of Stories Dimensions of same structure with alterations or additions' Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 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 / 13. Will lot be re-graded? YESVNO Will excess fill be removed from premises? YES NO" 14. Names of Owner of premises , - a Address ! 7 0� #/'(," Phone No. ,;?nwe�� Name of Architect �� l Address Phone No // Name of Contractor Ego Address l y Oayi/-ll a Av Phone No. � 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 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 NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate fo-uidation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data/on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO v * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O being duly sworn, deposes and says that(s)he is the applicant (Name of ind�ivid a igning contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn Ibefore me this day of 20)1, A F1Y PUBLt TRACEY L. DWYER Notar Pub ' , TATE OF NEW Y K Signature of Applicant y NO.01 DW63D6900 b QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2201-5) s ! 11 l-Sr- 4j � ld� Scott A. RussellStFc�� SUPERVISOR a SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d ,MAR 2 3 20 6 CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑U/B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑[3//D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑❑ E. Site preparation within the one-hundred-year floodplain as depicted - --- - - --or-IF IR--M--Map of any water-cour--se: - [13❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square 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 with your Building Permit Application. APPLICANT- (Property Owner,Design Professional,Agent Contractor,Other) S.C.T.M. #: 1000'slim Date ��Q Du�u.f ict NAME !-t,� �� / / -7.2 9 _3- -1& w F Section Block Lot r Smwrcl / jj r L FOR BUILDING DEPARTMENT LSE ONLY >" Contact Information ` T/ ! " { Cl Reviewed By: — — — — — — — — — — — Date: 3- Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — — — �� ® Approved for processing Building Permit Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required !_1 (Forward to Engineering Department for Review) FORM SMCP TOS MAY 2014 APPLICANT S.C.T.M. #: 1000 Strl, CHAPTER 236 (property Owner Dei Professional,Agent,Contractor,Other) — t} °"Y AG('r��C�c a Stormwater Management Control Plan CHECK LIST � 1 NAME Section Block Lot w I z S M C P -Plan Requirements. Provide ONE copy of the Building Permit Application PI x Pn, Date. ° >k The applicant must provide a Complete Explanation and/or Reason for not providing `ICnJlilll �/ Tcleehone Nnn,Lcr -6 z s ' all Information that has been Required by the following Checklistl I I 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 Herel show all of the following items: YES NO NA If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries 0�0 b Total Site Acreage. 0 0 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. DR e. Limits of Clearing & Area of Proposed Land Disturbance. 000 RED f. Existing & Proposed Contours of the Site (Minimum Z Intervals) 0nph - 560 before g. Location of all existing & proposed structures, roads, OR ngineer s Certification driveways, sidewalks, drainage improvements&utilities. that the 0O0 as been installed to Codp h. Spot Grades & Finish Floor Elevations for all existing & proposed structures. 1. Location of proposed Swimming Pool and discharge ring. 00� Sf®� SE am I j. Location of proposed Soil Stockpile Area(s). all include k. Location of proposed Construction Entrance/Staging Area(s). �00 A Well maintained a to: ion Enn 1. Location of proposed concrete washout area(s). 000 Wire Ba trance m, Location of all proposed erosion&sediment control measures. 0©0 Seeding g'stabilization 2. Stormwater Management Control Plan must include Calculations showing n or inactive Solis 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 00� 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 & Sedirnenl Controls. I RS b. Construction Entrance & Site Access. c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) d Leachirig Structures (e. . infiltration basins,swales,etc.) I (M LNGINE'L iIN( llf�l� �[i' NJ T"1' USE ONL ]�tTII.�'$�G DEQY ® Additional Information is Requ ( ®FS®> OY,D Reviewed & Stormwater Management Control Plan is Not Complete. Approved By: — — — — — — — — — — — — — — — — — — — — — — — — ® Stormwater Management Control Plan is Complete. Date 3��/� i SMCP has been approved by the Engineering Department. I FORM * SWCP Check List -TOS MAY 2014 0�SO�jyQlo Town Hall Annex l ( Ji( Telephone(631)765-1802 54375 Main Road �max(631)765-g95p02 P.O.Box 1179 G� Q roger-richert(cr_r n-'so Southold,NY 11971-0959 'rQ y0 �yIrou %� BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: z�► 1,Qr %a '-� n,�Z,', License No.: (� Address: `tom CV1YJ z?t Pl.ao azJ_),) ��•., I`1 `'I• 1 )7�6 Phone No.: 63, 1 - T2_1- Y/ &A - JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: 1 q 2_7 6 p *Cross Street: C o 7:5_tA W L,-�,_ r *Phone No.: vZ Permit No.: 0 -s- $'F Tax-Map District: 1000 Sectidn: /o Block: Lot-. *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) Is job ready for inspection: �E / NO Rough In t�, Final *Do-you need a Temp Certificate: C7ES)/ NO Temp Information.(lf-needed) C� 0 'Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other 'New Service: Re-connect Underground Numbe rof Meters Change of Service Overhead 4dditional Itrmation: PAYMENT DUE WITH APPLICATION 11 ap Y11Y I p "7 ZV 82-Request for Inspection rm V ALLSTATE INDEMNITY COMPANY Calendar Date: 04/,01/2016 Home Office Policy Number: 913764500 02/12 Northbrook, Illinois Insured : B A AND JOSEPHINE ALIPERTI Address : 17 TOWER HILL ROAD City : SHOREHAM St. : 'NY Zip Code: 11786 Home Phone No. : 631-821-4162 DELETE MORTGAGEE/THIRD PARTY # 2 Additional Interested Party Loan Number: Directory Code: Send Renewal Premium Notices to the Insured: Y Name: TOWN OF BROOKHAVEN Address: 1140 OLD TOWN RD City: CORAM State: NY Zip: 11727 ADD MORTGAGEE/THIRD PARTY # 3 Additional Interested Party Name: TOWN OF SOUTHOLD HIGHWAY DEPARTMENT Address: 275 PECONIC IN City: PECONIC State: NY Zip: 11958 Conditions respecting Binder - Such insurance as may be bound by this service request: 1. is afforded in reliance by the Company on the statements made by the Insured; 2. shall be effective on the date, and at the time stated, but in no event sooner than such date and time. 3. is subject to the terms, exclusions and conditions of the Company's policy form, and of the forms and endorsements approved for use with such policy. 4. is limited to a period of thirty (30) days, beginning with the effective date hereof and expires at 12:01 A.M. Standard Time with respect to the designated property insurance policy on the last day of such limited period; provided, however, that the Company may sooner terminate such insurance by mailing to the Insured, at the address stated, written notice of rejection of this Service Request. Page 1 of 2 + 913764500ZZZZZZ00004133AR417NY1 + i) ' ALLSTATE INDEMNITY COMPANY Calendar Date: 04/01/2016 Home Office Policy Number: 913764500 02/12 Northbrook, Illinois Insured : B A AND JOSEPHINE ALIPERTI Address : 17 TOWER HILL ROAD City : SHOREHAM St. : NY Zip Code: 11786 Home Phone No. : 631-821-4162 THIS REQUEST IS SUBJECT TO POLICY TERMS AND IS EFFECTIVE ONLY IF THE POLICY NOTED ABOVE IS CURRENTLY IN FORCE Effective 04 20 P.M. 04/01/2016 Policyholder's Signature SUSAN BRENNAN 00004133 A27 631-288-5777 Agent/Agency Name Agent # Location Agent's Phone # AR417 Page 1 of 1 Back to Message Town of Southold.pdf 1 /2 A Ky X ALLSTATE INDEMNITY COMPANY Calendar Date: 04/01/2016 Home Office Policy Number: 913764500 02/12 Northbrook, Illinois Insured B A AND JOSEPHINE ALIPERTI Address 17 TOWER HILL ROAD City SHOREHAM St.: NY Zip Code: 11786 Home Phone No.: 631-821-4162 yi DELETE MORTGAGEE/THIRD PARTY # 2 � Additional Interested Party Loan Number: Directory Code: Send Renewal Premium Notices to the Insured: Y Name: TOWN OF BROOKHAVEN Address: 1140 OLD TOWN RD City: CORAM State: NY Zip: 11727 { � ADD MORTGAGEE/THIRD PARTY # 3 Additional Interested Party Name: TOWN OF SOUTHOLD HIGHWAY DEPARTMENT Address: 275 PECONIC IN City: PECONIC State: NY Zip: 11958 Conditions respecting Binder - Such insurance as may be bound by this service request: 1. is afforded in reliance by the Company on the statements made by the Insured; 2. shall be effective on the date, and at the time stated, but in no event sooner ', s than such date and time. c 3. is subject to the terms, exclusions and conditions of the Company's policy form, and of the forms and endorsements approved for use with such policy. 4. is limited to a period of thirty (30) days, beginning with the effective date hereof and expires at 12:01 A.M. Standard Time with respect to the designated property insurance policy on the last day of such limited period; provided, however, that the Company may sooner terminate such insurance by mailing to the Insured, at the address stated, written notice of rejection of this Service Request. 99 I" '1 �J Page 1 of 2 + 9137645OO22=00O04133AR417NY1 + # # ALLSTATE INDEMNITY COMPANY Calendar Date: 04/01/2016 Home Office Policy Number: 913764500 02/12 Northbrook, Illinois Insured B A AND JOSEPHINE ALIPERTI Address 17 TOWER HILL ROAD City SHOREHAM St.: NY Zip Code: 11786 Home Phone No.: 631-821-4162 THIS REQUEST IS SUBJECT TO POLICY TERMS AND IS EFFECTIVE ONLY IF THE POLICY NOTED ABOVE IS CURRENTLY IN FORCE ' V cffo,.f;..o nn - ')n D M nn ini iI)nl r https://us-mg5.mail.yahoo.com/neo/ie—blank 4/1/2016 ARCHiTECT 89 PARK AVE., BLUE PT., N.Y. 11715 DATE 2 _ZG L � JOB NO D3 383-831'1 " l l ATTENTION f Ih � v1 4�J1PG�V TO o -1 S 121'. 2S N t W I"(u Nk d n WE ARE SENDING YOUI Attached v Under separate cover via �� I the following items: ❑ 'Shop drawings Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION S IZO3 C C , syXici t t , -- --MW THESE ARE TRANSMITTED as checked below: BU"INGDEM TOWN OF SOUTHOLD ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval lK For your use ❑ Approved as noted F, Submit copies for distribution ❑ As requested ❑ Returned for corrections U Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE ++ 19___ ❑/PRINTS RETURNED AFTER LOAN TO US REMAR S� OttA.d G. f _ - lees, A)Vej title J J ei r N �� w1 11. — ��- ►"J, SQ►�.S�°N/ _� i�,G2 7 cS tiL�d a 33V M c 3 "'.1 re 9 ' Loc.. /A iv✓' ✓ C/, Jar--t -` �� ► cGwt We UV �t sur ✓ {' 9Aj C/C S ZO 1 o✓ le &V �� See�i�n rr1 i✓� P lOta i COPY TO SIGNED: If enclosures are not as noted, kindly notify us at once. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB _ LOT ( r�.✓; �� 4�r �e 11a 0(��' ' Mr�- l - ; 13 � s, I �c -S �' ? s ACR. q 4 REMARKSt o TYPE OF BLD. '?cis) MCI ?G PROP. CLASS D n ci n LAND IMP. TOTAL DATE - 4 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL f RAIN RUNOFF CONTAINMENT N I-o� �� HSE. 8 GAR. = 1328 sq.fl. ��.. _028 x x 0.17 a 226 cu.& �tA• 226142.2' - 5,3' VF P PROVIDE 2• DWs. 8' 0 x 3' ` l "'cpm deep or EQUAL 20, ob C14. 0 P` =yo -� SURVEY OF r`e v - �s ��,, L O T-24 6[*' �, ELIJAHS LANE ESTA MS, SECT. 2 b FILED OCT. 8, 1998 FILE NO. 9912 oar AT MA TT/TUCK TOWN OF SOUTHOLD �.y 0( o s SUFFOLK COUNTY, N. Y. / 0.00 - 108 - 04 - 7.29 •oma Scale: 1" = 40' Feb. 21, 2004 i . OCT. 8, 2009 (public water) toe\ 1;100 's s JUNE 21, 2011 (PROPOSED HSE J A�� j► Dec. 20, 2012 (prop. hse.) 2 P F .�t Jari� 2, 2013 (prop. hse.) �`, tom,.: � 01\ QO. Q 5d E SUFFOLK COUNTY DEPARTNIENT OP FICALA-H SERVICES Q�� C PER1,11T FOR /APPROVAL. 0i- CONSTRUCTION FISP A O o�� ~ SINGLEF=A1U►IL.Y PESIDENCE ONLY — — 6c 1}�n9��'� Ii1TF ju r QEF. NO. �c l PROPOSED SEPTIC SYSTEM vr !� Jb ( 4 BEDROOMS FOR FVIAstl;^ �1 �= F�i�C3'00' 3 1- 1000 gal. PRECAST SEPTIC TAN 0 0 2Aq /- LEACHING POOL 8'0 w /2 DEEP EXPIRES T- � YEAR FROM DA E: OF f�;�PRO1 AL WITH 3' SAND COLLAR (SW) 3' The locations of wells and cesspob�s `sem 5.� ABOVE GROUND WATER shown hereon are from field observations X34' CERTIFIED TO, and or from data obtained from others. e a Elm 2%o 9 t AREA - '41,078 sq. m. - - .� `� =tjf. JUL Gk. ICE ANY ALTERATION OR ADDITION TO THIS SURVEY /S A VIOLATION 1 1 / am famifiar with the STANDARDS FOR APPROVAL � .G�� , ';'< �� . 9�� ' OF SECTION 7209 OF THE NEW YORK STATE EOUCa4TION LAW -�Q AND CONSTRUCTION OF SUBSURFACE SEWAGE .IF )" EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFlCAbONS b' DISPOSAi_ SYSTEMS FOR SINGLE FA MIL Y RESIDENCES ly.Y. C�IVO:`" 96/8 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF ..;., ,,:`^ and will abide by the conditions set forth .herein and on the SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR permit to construct. (5EIC6�ON1�I 5Sbf6tO2Y0 �`S WHOSE SIGNATURE APPEARS HEREON .0 r ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' P. 9Q�a�l�',� MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY 1230 °T,/,fi'4{ L~`ER"'r1' ET OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED' AND ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM SOUTHO f j :`'\`.P y71 BROUGHT-TO-DATE ARE NOT IN COMPLIANCE WITH THE LAW. 04 - 113 - Q , 04 �C� SURVEY' OF ;�� `00A LOT`24 e d,0e\\\;b `s �'�► "ELIJAHS LANE ESTA MSr SECT. 2 Pv� a �s� '��► RLM OCT. 8, 1996 FILE N0. 9912 eS AT MA -TTI TUCK 00%� TO WN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 10.00 - 108 - 04 - Z29 ��cF �°{ Scale: 1"= 40. Q Feb. 21;, ,9004 eb°a° o 9o% OCT. 8, 2009 (public wafer) I e1 `+,�►e.} Q % o r �� JUNE 21, 2011 (PROPOSED HSE•) Dec. 20, 20/2 (prop. hse.) �, r Jan, 2, 2013 (prop. hse.) 26°' a MARCH 10,,2016 (REVISIONS) Mk4 (, H 21, 2016, (REVISIONS) P{ , o c �d (� 4- c GPIP�� PROPOSED SEPTIC SYSTEM RAIN RUNOFF CONTAINMENT 4 4,, �• l 4 BEDROOMS ) HOUSE & GARAGE = 1940 SO.FT. 1000 at...PRECAST SEPTIC TANK x x g 1940 / O.l 7 = 330 CU.FT. `rw ( .�9 /- LEACHING POOL 8'0 M 12 DEEP 330/42.2 = 7.8 VF. s o g2 WITH 3' SAND COLLAR (SW) 3' PROVI17E 2-DWS 8'0 x 4-'DEEP OR EQUAL The locations of wells and eesspoofs �� / �� 5• CERTIFIED TO, ABOVE GROUND WATER DRIVEWAY - 750 SO. FT. shown hereon are from. field observations G el I 750 x 0.8 x 0.17 = 102 CU.FT. and or from data obtained from others._ PROVIDE / DW 8'0 x 3' DEEP OR EQUAL AREA = •41,078 'sq.ft • 0!:NEW 1 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION � am familiar with the STANDARDS FOR APPROVALAND CONSTRUCTION OF SUBSURFACE SEWAGE _� OF SECTION 7209 OF THE NEW YORK'STATE EDUG4TION LAW P' a N,Y,rS, It. NO. 496/8 EXCEPT AS PER SECTION 7265-SUBDIVISION 2. ALL CERTIFICATIONS DISPOSAL SYSTEMS FOR SINGLE FA MIL Y RESIDENCES _•,-� a HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF and will abide by the conditions set forth therein and on. the SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR - permit to,construct. ECONIG R1�EYOR 'P�.0 WHOSE SIGNATURE APPEARS HEREON. - l5/6J 76 020 - ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' P. O. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY 1230 OF ANOTHER SURVEYORS MAP. TERMS SUCH AS 'INSPECTED' AND ELEVATIONS ARE REFERENCED TO AN ASSUMED ©ATOM SOUTHOLD, 'BROUGHT-TO-DA TE' ARE NOT IN COMPLIANCE WITH THE LAW. j- 0 - 04 - 113 •"<� -'"" FLOW Ls Rs- FACE ac>,rc vJ ro lana r• b�.` � ..--•.�.... �7 _ cox ��xv,.-.-�-'...1='�'��-=k 1_ � �}" "c�w..�." ..oc�c a.. ,..-.... � � ,�frf f'•�j_.-`C?--,fi-��c"^-4�,t-Cc _`� _ �_ ,,,�r to .V.,-.'°..,r�•oo� .�. J r v v i✓ r..'G�- = cwt: ti<„=yr-'-•�=">`!r_--�.- SLOPE CVER7ICAL Y r 'F 1 z .. v..--_ -�....a2'S'r•-.c ( y(` ' tc..e..r Fvz � rw d _ - Ic.Fy. r O !I •�r.- o f t _ t-�_�•.�-z,_-,�: :-t3 BEDDING DETAIL - PERSPECTIVE VIEW � ,.--o .a•,-s`r { ,7 ti,� Gtizy . . .��' FREKa(oRM1N _ i„ "s::. '".t-;o :wµ; _�� • IJ t �� 4__ ,F„'` '•`•'• ANGLE FlRST STAKE TONGLRD � ME -�•f3••:.r%^ NOUSLY LAID BALE -L l-C` ^ FE+ICE rOsi ems' w., i -'•' 4•�'-y tL p{j" w•oa�a+.rr wn aw Kct '.'�wa now C-/ F .......-.-.-.•t--.-.-.a t,.S•- (^ ©v'Sl qy$•f�`� o�"'•"occ... <•m.c p II -�- ^L'T�l 7�-y` Ko'.EKyd EFENCE E F- ,i�j "..,I4 v�S�;;i; `•y¢ I� FciuccLoix f - PI rx�tF�r `�1•�,. f� -s}` • t �' T _ `..aBOUNONAYBACES EMAED FILTER CLOTH - I _ •.a.c� a ,.yZYR PLACED ON CONTOUR INTI.C uTO GROUNO z R O A 0 • ` Q TO �Jt^` RE{ Y, O u 2 L ARS:STEELPICKETSOR .-.-I _ Y_ e`v 5.-dB tlFFAIf T—�' I 2'zYSTAKEi ttbrlH CROUNO_ NOS; .. •••^"+ -.��+-� t DRNE STAKES MUSH NAP(TOP OF NAIaMIM ORAfN•GEARE0. �OGC KfT('XlW O ,r�OJ,, i�-�fr HAY BALES_ K/GRE I TOO IIe(EMFEET - / WO`-J r-K . .�o"�c.-r - M ANCt10R(NG DETAfL • �1 ::.'°•.. < •• SECTION OETAIL `L R5 O(v r^ ~'� �^ Y.pFoI SecR.•P■edlwr P.Ja STRAW BALE DIKE DETAILS TEMPORARY CONSTRUCTION ENTRANCE c..cca.ous.cr�.ra. «.... ,_,�-• - SILT FENCE DETAILS SrAND.IRDPRECGUsrCO EGir(TfSASIN ^�, - TS NET m NET N va,*Q `V I-" T A 527 E 9'20` ' p v �f --- e/ 4b ' ' 259.20' w mo \ Z P� r bat Q..• p Q _ w > � 2,-. N tical Section Leaching Pol oC ;�- e % SCYa:NTS A ( .. a • \ O _ P. " TD PROP. pRNEWAY _.Z 10' A 1PERVIOVS/ ' _ OF! ��. ;s. mrA�r o O r. RAIN-RUNOFF-CONTAINUE9T A h O _ o orl�*tC ti•• " Q a `�' HOUSE & GARAGE = 1940 SO.F•i, cp , o y -+ o - F o = U 1940 x I x-0.17 330 CUFT. - .t m W m 71`� d n Rl ,330/42.2•= •7.8. F.. n .� �><!sllFig 'A a �. C/) PRQVII7E 2=DWS.;.B'0 x 4.`.DEEP r TEST HOLE# 3 - J - �' I tit! �.Z .ci pp..,� DRIC!M Y'-:750•SO. FT. FROM FILED MAP 10'`A N — — - �Rorr P�/`a b/eJ !.p Q ^ O'- . . 750 x 0.8 x 0.17 =-102 CUFT. r• TOPSOIL PR0V16E l DW 8'ta X 3 DEEP, 2'LOAM ^� PRO: !E+/s {p� O y 91 (� w ¢ (FOR LOCAVOM SEE c� GRAVEL SEGnoN ONE 1 y co tee/ 39.S C= Q T CJ e/39.7 T row o� ever e/ y U No wnrPn Glc Oe �. r� 35;1 S 5279'20" W. 260.77` I w 1 SURVEY OF LOT 24 ; SUBDI VISION—ELIJAH'S LANE ESTATES SECTION-1' a t MA TTIT UCK von ��, a �� .�,� sp SUFFOLK COUNTY, N. Y. 'All �� p� - 1000-108-04-7.29 �y0 03 c� F, SCALE. 1 —40 05=a9=2si6 pJ � pG vl OCT. 8, 2009 (PUBLIC WA TER) JUNE 21, 2011 (PROP. HSE.) DEC. 20, 2012 (PROP. HSE.) JAN. 2, 2013 (PROP. HSE.) F MARCH 10, 2016 (REVISIONS) > 6'0 �� MARCH 21, 2016 (REVISIONS) R=25.0' + s o ass MA Y 9, 2016 (FOUNDA 71ON LOCA TION) L=38.85' O >, fie\ GF m J o• FFJ S� �1 0\�9� PROPOSED SEPTIC SYSTEM 9 REBAR y o, 4 BEDROOM HOUSE � = �� ' 1—PRECAST 1000 GALLON SEPTIC TANK = STA 7E 1-8' LEACHING POOLS 12' DEEP WITH 3' SAND COLLAR 3' MIN. ABOVE GROUND WATER The location of public water, wells and cesspools shown hereon are QF from field observations and or from data obtained from others. ANY ALTERATION OR ADD177ON TO THIS SURVEY IS A WOLA77ON 4y OF SEC77ON 72090F 774E NEW YORK STATE EDUCA77ON LAW. 5 EXCEPT AS PER SEC77ON 7209—SUBDIWSION 2. ALL CER77FICA77ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF LIC. NO. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 774E SURVEYOR ELEVATIONS REFERENCED TO AN ASSUMED DATUMP P.C. WHOSE SIGNATURE APPEARS HEREON. (631) X (631) 765-1797 I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL ADD177ONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY" AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSALA EA = 41.078 SQ. FT. P.O. BOX 909 MUST BE USED BY ANY AND ALL SURVEYORS U77LIZING A COPY SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABfB 1230 TRAVELER STREET OF AN0774ERS SURVEYORS MAP.TERMS SUCH AS "INSPECTED" AND BY 774E CONDITIONS SET FORTH THEREIN AND ON! THE 04-113 WI "BROUGHT— TO— DA 7E" ARE NOT IN COMPLIANCE 774 7774E LAW. PERMIT TO CONSTRUCT. SOUTHOLD, N. Y. 11971 f 4068?) SCDHS REF .ND. !R1 Q-11-0025 SURVEY OF LOT 24 SUBDI VISION—ELIJAH'S LANE ESTATES s SECTION-1' P� Geo a t MA TTITUCK 0 0 � s 's Vol s� SUFFOLK COUNTY, N. Y. �, 1000-108-04-7.29, 05 a9 z�6No pyo `so, os�.�� SCALE.• 1"=40' OCT. 8, 2009 (PUBLIC WA TER) JUNE 21, 2011 (PROP. HSE.) DEC. 20, 2012 (PROP. HSE.) -Po JAN. 2, 2013 (PROP. HSE.) o MARCH 10, 2016 (REVISIONS) r � MARCH 21, 2016 (REVISIONS) R=25.0' �s o �T51 MA Y 9, 2016 (FOUNDA TION LOCA TION) L=38.85' ! �O >, OCT 28, 2016 (FINAL) ,.� va e � -9 O\ ''fig�Q \5\,��QD•�P�' l i SEP 77C LOCA TIONS SUFFOLK COUNTY DEPARTME T OF HEALTH SERVUCES A B �, ' � 5p 5 APPROVAL OF CONSTRUCTED WVORxg FC R A&NOLE FAMILY RESIDENCE ST �' Z"� �� a ,:� �Q�o� oa' 6Q� �� 27.6 19 �� yc, ?' h onto z 20,@ LP 33' 30.4' m�zp p� log;; 06 �0P�Py ® 1 oG �\ m ThQ SGMEM ftposal and Mawr qug*wins aQ thlo cmugn hm WW6 lfflpecu afaw cGf6ft by finis cow01 TP other apne".,s ercs ftm to 410boa � OF m O o� SEPTIC SYSTEM ��> G�•` ' (ell 0� \�G / p o . __._ 4 BEDROOM HOUSE 2, �`� `� '" Q .6 \.�r ee 1—PRECAST 1000 GALLON SEPTIC TANK 1-8' LEACHING POOLS 12' DEEP WITH 3' SAND COLLAR 3' MIN. ABOVE $ ^ Q GROUND WATER $ sr .` '0 �iS� h •�g� x � s m cG�m 391 q� • = REBAR e.X5 { RECEO vV I s A = STAKE s" ' ■ = MONUMENT NOV 20foD he location of public water, wells and cesspools shown hereon are TI � � ��C•CO. ASTE SE WICES DEC 7 4 2016 O��BC �� A�� . from field observations and or from data obtained from others. �• x v ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION BUMDING DMT. OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. TOWNOF SOUMOLD EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER7IFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF ND . LIC. NO. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ELEVATIONS REFERENCED TO AN ASSUMED DATUM WHOSE SIGNATURE APPEARS HEREON. PECO (�RVEYORS, P.C. "s1L7ERED BY" I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL (631) 765-5020 FAX (631) 765-1797 ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM MUST BE USED BY ANY AND ALL SURVEYORS UTIL/Z/ A COPY AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL AREA = 41.078 SO. FT P.O. BOX 909 OF ANOTHERS SURVEYORS MAP.TERMS SUCH AS "INSPEC7ED" AND SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL AB/DE "BROUGHT— TO— DATE" ARE NOT IN COMPLIANCE W77-1 THE LAW. BY 7NE CONDITIONS SET FORTH THEREIN AND ON THE 1230 TRAVELER STREET 04—113 PERMIT TO CONSTRUCT. SOUTHOLD, N. Y. 11971 Generates! by REScheck Web Software [71 D Compliance Certificate d Project ACMT Builders MAR 34 Energy Code: 2010 New York Energy Conservation Location: Suffolk County, New York $UILDINGDEF^t. Construction Type: Single-family TOWN OF SOUTHOLD Project Type:' New Construction Conditioned Floor Area: 0 ft2 Glazing Area 13% Climate Zone: 4 (5750 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Compliance 2.7%Better Than Code Maximum UA: 337 Your UA. 328 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 Cavity . Perimeter Ceiling: Flat or Scissor Truss 1,982 30.0 0.0 0.035 69 Ceiling: Cathedral 152 30.0 0.0 0.034 5 Wall: Wood Frame, 16in.D.C. 1,839 13.0 0.0 0.082 129 Window:Wood Frame, 2 Pane w/Low-E 211 0.250 53 Door: Glass 30 0.480 14 Door:Solid 20 0.250 5 Floor:All-Wood joist/Truss Over Uncond.Space 1,127 19.0 0.0 0.047 53 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 5.5.0 and to ly with the mandatory requirements listed in th ch Lr>sSpSedtioneCheckln, _ 3- 7 z�_ Name-Title l " Signature Date b Project Title: ACMT Builders Report date: 03/29/16 Data filename: Page 1 of 1 REScheck Software Version 5.5.0 Inspection Checklist Energy Code: 2010 New York Energy Conservation Construction Code Requirements: 12.0% 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. Plans,yV, rif ed Fie d .e�� ied 1 .Pre.-lI(nspection/PlanReviee�" _°Value" Value aC®tnp�ias. Cmrne�seeits/Assiimpti®ns= Sc'Itetg'.I®- 103.2 :Construction drawings and : ;=; ,: '` °j❑Complies ; [PR111 !documentation sufficiently i.= " 4= '4 {❑Does Not :demonstrates energy codey ;. ., ;.°' '•-r, ; compliance for the building ( "� ' °�❑Not Observable ,', �` , ❑Not Applicable ,envelope. , 103.2, ;Construction drawings and " ,. " <F:" "?-' ❑Complies r d'''` `s:-L 403.7 documentation sufficiently {A"' Does Not [PR3)1 ;demonstrates energy code s`V ,. 'compliance for lighting and ❑Not Observable : . ;', !mechanical systems.Systems [_` - -;'- _,,,;, e 'a❑Not Applicable !serving multiple dwelling units i = must demonstrate compliance I with the commercial code. 403.6" ," Heating and cooling equipment is: Heating: ; Heating: ;❑Complies ; [PR2J?.' '.;sized per ACCA Manual S based ! Btu/hr ! Btu/hr ;❑Does Not ° on loads per ACCA Manual J or ; Cooling: ! Cooling: ! ! other approved methods. ; 9 ❑Not Observable Btu/hr Btu/hr {❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 1'2,1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ACMT Builders Report date: 03/29/16 Data filename: Pagel of 5 e'ction; # Found ation`Inspection - :Complies? Comments/Assumptions &'iteq.ID 303.2,.1, )Exposed foundation insulation ;❑Complies protection. �❑Does Not ;❑Not Observable j ;❑Not Applicable 403.8,,"',';'Snow melt controls. ;❑Complies ; [F012]2 '•} ;❑Does Not I❑Not Observable; ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 1"i2d Medium Impact(Tier 2) [3; Low Impact(Tier 3) Project Title: ACMT Builders Report date: 03/29/16 Data filename: Page 2 of 5 Section Plans Verified Field Verifiedr , " # Framing:/Rough-ln Inspection' =Cornpl1es7"' -;'Comments/Assumptions Etegal), Value }Value 402.4.4 1 Fenestration that is not site built '-+'h=„ °>" « ❑Complies ;Requirement will be met. [FR20]1 ;is listed and labeled as meeting []Does Not IAAMA/WDMA/CSA 101/1.5.2/A440 �`.. �' =� ,`;"� "n_ `'-'`4`'I V ❑Not Observable , or has infiltration rates per NFRC u" , 400 that do not exceed code ❑Not Applicable j limits. F , 402.4.5' IC-rated recessed lighting fixtures ❑Complies [FR16] sealed at housing/interior finish ;,, _✓', ', ❑Does Not ? d and labeled to indicate⁢=2.0 .-,__�.' • ` _ _ l tT=+ ''„JFK a;-rs-2.�. -.,c= ,r% ^„-/.=c; •^„t°, �n❑Not Observable cfm leakage at 75 Pa. ❑Not Applicable 403.2.2 ;All joints and seams of air ducts, . ' ❑Complies ; [FR13]1 :air handlers,filter boxes, and = ❑Does Not building cavities used as return (^ _°• ❑Not Observable ; ,ducts are sealed. ❑Not Applicable 403'.2.3 `,Z Building cavities are not used as 4' ,F ; ` :' '_ ;,`•,. .❑Complies [FR153 educts or plenums. _` =, -<,, .,-, _ s{`J'u _ _ stj❑ Does Not ❑Not Observable A a❑Not Applicable ; 403.3_ ,';;; HVAC piping conveying fluids R- R- ;❑Complies [FR17]2, above 105°F or chilled fluids UDoes Not ;, below 55 °F are insulated to R-3. { :[-]Not Observable ;❑Not Applicable 403.4 Circulating service hot water R- R- ;❑Complies [FFt18]? pipes are insulated to R-2. I :❑Does Not UNot Observable ❑Not Applicable 403:5 Automatic or gravity dampers are ”: ❑Complies ; ['FR19]2 installed on all outdoor air „ >', ❑Does Not -a intakes and exhausts. { ❑Not Observable ; ❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2: Medium Impact(Tier 2) 3 Low impact(Tier 3) Project Title: ACMT Builders Report date: 03/29/16 Data filename: Page 3 of 5 Section # " 'Insulation Inspection "Com'ments%Assumptions? ' &,Req.l® 303.1, t;All installed insulation labeled or ;❑Complies [IN13]2 r,installed R-values provided. ;❑Does Not 'j ; i; ;❑Not Observable; ;❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 1,�2,_J Medium Impact(Tier 2) '3J Low Impact(Tier 3) Project Title: ACMT Builders Report date: 03/29/16 Data filename: Page 4 of 5 Sec tion,•: ; ;Plans V,erified.' Field Verified`"' Final,i'nspection-Provisions --Complies? Cooviments%Assumptioris. &,Iteq,ID, ~ alue Val ue, V = }: 402.4.2, !Building envelope tightness ; LACH 50 = ACH 50 = ;❑Complies 402.4.2.1 !verified by blower door test result! !❑Does Not [FI17]1 E of Ut;7 ACH at 50 Pa.This l I requirement may instead be met ; ;❑Not Observable via visual inspection, in which ! ; ;❑Not Applicable ! ;case verification may need to ;occur during Insulation :Inspection. ! ! ! ! 403.2.2 ;Duct tightness via post- ; cfm cfm ;❑Complies [F14]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 1 ! ! ! ;and 4 cfm without air handler. 4.03.1.1 Programmable thermostats rf.r °'" ` ¢s "°'."` = ❑Complies Does Not [FI9]2 installed on forced air furnaces. = 3 ' :''>"'< "'' 'v-�°„ y"f.' '' ❑ ! ,r ' 5` r;�•r" ❑Not Observable 'I `F ❑Not Applicable ! 403:-1 21'=; Heat pump thermostat installed = - °y' ❑Complies [FIlOj?' on heat pumps. -, . ' - ❑Does Not } ❑Not Observable ; ❑Not Applicable 403.4 Circulating service hot water 6i °''W ' „f - '_' s`, ry _ ❑Complies [F[11]2systems have automatic or ;,, <' „ ,x. []Does Not "t,, ' '^" accessible manual controls. ❑Not Observable ,❑Not Applicable ! 401:3 , Compliance certificate posted. ❑Complies - } ,,,,•� i [FI7]2. ❑Does Not ; ❑Not Observable ' ❑Not Applicable 303.3' i Manufacturer manuals for "' _ :;R ❑Complies {mechanical and water heating = ❑Does Not -equipment have been provided. "f` : "r j - -]Not Observable , a rJ .,$❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 1,2,• Medium Impact(Tier 2) 1 3=1 Low Impact(Tier3) Project Title: ACMT Builders Report date: 03/29/16 Data filename: Page 5 of 5 2010 New York Energy i Construction Energy Certif icate Insulation . Above-Grade Wall `13.00 Below-Grade Wall 0.00 Floor 19.00 Ceiling / Roof 30.00 Ductwork(unconditioned spaces): Glass& Door Rating UrFactor SHGO Window 0.25 Door 0.48 Heating &Cooling Equipment Heating System: Cooling System: Water Heater: Name: Date: Comments A—_ 71 v, :�n *ru 74 A, Z-k 1, e," 1�1_ A' r. 1V 60—POW PmAlp kri- r�,L , , I A� ," A- — K EW 4, 11 aul —n _4 I t 04 lve 4, R I I, V, ' 5" r.1 r 1�4 j i fv,"M A, iim�imwftp� N HBO, "%y I,�; Or" %!V- 4 �% A I A, T� A A w. AT ni"i Ze "'f0I6 'I -4 1.4 01 ,I,,- -,; tY, 1.31 Lu MY t144, tk A, a b w00Dff11rKrN ..41, xi�, I A-io 4"T�_ , ' ' 0. bFAf 0, V�,� � w I"it I 4 d 0" of, I , , I -41� 5,_\ 0, S." TVENT RULE FOR" H'"' I'TABLE, & RES.-C WJ,4%�UGHT A" ALI 4,4 A r I A- C'ZT.--, -4 - Q I - . X! I A," A v Am Tl,�,,4 "v, c 0" . IU,11 . . I. 11. �,� 1,-. . A — I I �A, 11 . % U466 A jL'�RQOM ID., r 7AX -,Avg. 141161 1 1 NA I I I� .I I 's �2 LH."J - - 6r1tu s0l, 7— �-_TTI77 E,�- 8% NOTEDVINDOW9.Pk0VI_____� I 2_iv, KVOWSIZE,� L --7- —--I- , ,1, 111-1 1- 1 " " _',I� - kvo,6" ,- . j - I I "I . . I V 11 A. jy-K1k; A-t,14 A -4 Vyg Q il kv, , "Y:. JZ 4!� ym- ;��.,vN K.- Rp C, A41 S. k k-7 71, fF AIL A01 L;-77 YVITH, -DO NOI' PROC W ; F- oRAMNG UNTI JRVE 7 F,FO UN DAT 10 ATI N .0 AAAEE _�P ?RO 0 A �`AV V D AS,NOTED If P.it E: FE B y MEbg'AT NOTI 'AR --pa 765-1802 8 AM TO 4PM FOR THE FOLLOWING INSPKTION I S: .1 ar 'p FOUNDATION IO FOR POURED p At IL :"��4 V 1 U KiKS f(J e r1pe F-0 Cl e 0 RW�Yd rW.5% I A$-Z.APPRO 44 "2 ROUGH FRAMING &tl 0' _W _10 5tO� U., F ,3. IN"ULATION AA4. FINAL - CONSTRUTION MU31' 'BE COMPLEIE FOR 10.0. p IN( UJI 'ALL CONSTRUCTIOH SHALL MEET THE REQUIREMENTS OF THE R C Ej) 15TANQ�AL W RD t "'YORK STATE. NOT RESPONSIBLE- 'POR', Ti� r''IDESIGN OR CON STRUCTION E....... 7i AATAAtj 000MPLY WITH ALLACODES OF ,,vi E & TOWN CODES "q�c NEW YORK STAT 62 �A 14W2 j#h,'k by"" S REQUIRED AND CONDITIONS 0. AA-4 qc.; pi 0- -.w vwww, t 141141 jp N w Ybi* Statetaw I "!-You"M tdt Cjjj% 4 -1n,it iMAx "CUPANCY. N 1) ��I 811 fit iftfoi*y06 -rug '4WALL#'Q0 DIS USE IS UNLA L AIN I '0_p1topwAvo,40wctV9 41?, uf Iu* 4w or i�pr, WITHOUT CERTIFICATE "W Ny4kt�Z,k�V *iV � "tCUPANCY OF A %Vt$41) c VV/'Tl 1'�1:1? 4E till Ar� UPLI)0011vil I)Zvl(:NOT A4�' NAGE INSPECTION4 ARE REQUIRED 4.1 TSIX11 11y 6' talk 4 Z FOY T17 VWVW'dreirtideh�0 od tO Code.- 811C11111111 OR PiovIde Engln"r!s Certifidation'.,,," 'bILL's W/ (it u" AIVAL Olt COWACt YOS Engin6bring at 74&160.9 beifore Iu SUCH A4 NaNUFCIF UIW4t I 0AVAN'1411 -4 14 N 110 JU A4 ge'n Igo AAER TI F1 C11 I I u,pj CoI, Al'PLUMBER r I:r ER TIF10A TE c' AA "1!, 6'F 0N LEAD CdNTE[� EFORF S UA5ED /N V/Al Ti�R Aaj) Ayo V SUPPLY S AALAGEED f ��O.F4 I4 '7, UMBINd WAS' PLUMBIW�. 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