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TR-9190A
r _ , ^ 4 , Michael J. Domino, President OF SU(/jyo Town Hall Annex John M. Bredemeyer III,Vice-President �� 01 0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski G � � Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 ODUIdT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 12-6 9 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction %.constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: ^7 CERTIFICATE OF COMPLIANC d)G Michael J.Domino,President '�'QF so�ly Town Hall Annex John M. Bredemeyer III,Vice-President ,`O� Ol0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone (631) 765-1892 Greg Williams �� Fax(631) 765-6641 COUNT'1,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1660C Date: November 26, 2019 THIS CERTIFIES that the demolition of existing 484.11 sqft one-story cottage; remove two existing 36sq ft steps; on existing one-story dwelling construct a 197sq ft deck onto the westerly side; construct new 45sq ft roof over entryportico• construct new roof construct 48 sq. ft. one-story addition on landward side; and install new siding windows, and exterior doors; At 260 Huckleberry Hill Road,East Marion Suffolk County Tax Map#1000-31-16-5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 31,2018 pursuant to which Trustees Administrative Permit#9190A Dated April 18, 2018,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 demolition of existing 484.11 sq.ft. one-story cottage; remove two existing 36sq ft "e s;on existing one-stogy dwelling construct a 197sq.ft.deck onto the westerly side; construct new 45sq ft roof over entry portico• construct new roof construct 48 sq. ft. one-story addition on landward side,• and install new siding windows, and exterior doors. The certificate is issued to Quiet Man Holdings,LLC owner of the aforesaid property. 0 Authorized Signature Michael J. Domino, President g�FFU(,rco Town Hall Annex John M. Bredemeyer, III, Vice-President Kek� 54375 Route 25 Glenn Goldsmith H = P.O. Box 1179 A Nicholas Krupski �y • ��` Southold, NY 11971 Greg Williams �! , dao Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1't day of construction '/2 constructed 7 Project complete, compliance inspection; Michael J.Domino,President O��QF SOUrTown Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President '` P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski • iQ Telephone (631) 765-1892 Greg WilliamsyC0U O Fax(631) 765-6641 � NT1�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9190A Date of Receipt of Application: January 31, 2018 Applicant: Quiet Man Holdings, LLC SCTM#: 1000-31-16-5 Project Location: 260 Huckleberry Hill Road, East Marion Date of Resolution/Issuance: April 18, 2018 Date of Expiration: April 18, 2020 Reviewed by: Board of Trustees Project Description: Demolish existing 484.11sq.ft. one-story cottage; remove two existing 36sq.ft. steps; on existing one-story dwelling construct a 197sq.ft. deck onto the westerly side; construct new 45sq.ft. roof over entry portico; construct new roof; construct 48 sq. ft. one-story addition on landward side; and install new siding, windows, and exterior doors. 'Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by James Thornton, Architect P.C., dated December 19, 2017, and stamped approved on April 18, 2018. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Michael J. Domino, President Board of Trustees • w Y _ N SURVEY OF PROPERTY SITUATE: EAST MARION ' _ TOWN : S O U T h O L D LAND NOW OR FORMERLY rj - ' W E JENNIFER ALICE KAMRdJvSKI l SUSAN KAMROW5KI r '` ` -�� UFFOLK COUNTY NYr Sr N89'12'00"E S;753 f , SURVEYED 1 0- 1 0-201 7 �O'E 34.38' 36 58, 00"t IJ ' JAN 3 1 2018 ' - S SUFFOLK COUNTY TAX # �N 1000 - 31 - IG - 5 S �FHti�Fpry S;;(ti`9 S). SC�Pq�ORF Board c;Truk�I qN CF 0, yF _J Rp R CERTIFIED T0: ';! E8 3�0 Al Kq,ykq��KoF DAVID JANNUZZI 203 1 a ro tip��� I SS 5 SO 9 O d -Ii —lip ^+ 363 SGx O OO,, Y \ ^1 t \ \0 G r63 \0 I 910 \ \ / CV O 0. O O j ,p 'unouthor'rzed alteration or addition to a survey y`,p !Q mop bearhg o licensed land surveyor's seal Is o (° aG' �'PT (0 0 C violation of section 7209, sub—division 2, of the New York Slate Education law.' ' vP' �" Oyw "Only copies from the original of this survey ��'9}-G. I marked with OOriginal Of the land Surveyor'sO()� stamped seal shalll be considered to be validlidtrue / L copies" 9 WATE R "Certifications indicated hereon signify that this / - M�0 survey was prepared in accordance with the ex— isting Code of Practice for Land Surveys adopted Q• /S l l OQ by the New York Slate Association of Professional hFOP " Land Surveyors Said certifications shall run only L / \ to the person for whom the survey is prepared, and on his Dehalf to the title Company, go'+ernmen— It y�.cF tat agency and lending institution listed hereon, and -"D to the assignees of the lending institution. Cerlifco— Wlr lions ore not transferable to odditionol institutions r / NOTE5: 1 / ® MONUMENT FOUND JOHN SPLIT RAIL FENCE J O H N C. E H LE RS LAND S U RVEYO R \ �s V` -o—o-- �F / Os {�•� -a—Y— STOCKADE FENCE O —X_X__ WIRE FENCE , G EAST MAIN STREET N.Y.5. LIC. NO. 50202 POLE tK Area = 30,I 2 5cl. Ft. RIVERHEAD, N.Y. 1 1901 3G9-8288 Fax 3G9-8287 Area = 0.G9 AcresO� t11C E Iu= 3 resurvey@optonhne.net wpm .8. I I REVISIONS 1 1/21/18 ALTER aN 2 3/28/18 3 4 5 6 7 8 9 10 N LAND NOW OR FORMERLY OF: JENNIFER ALICE KAMPIOV45KI 1A1 5U5AN KAMROWSKI TV N89°12'00"E SS, �_ 34.38'_--�, 36 S �� tdop dip ♦♦ S SF,e oin ff, o o Q % � �S�N</COR fi � W W Z � Z % ♦♦�� ,0� ���''��o ileo Ln Q a Z W Lo Z % u. % EX15TINO COTTAGE t: O z o a W LD TO BE DEMOLISHED ♦♦` z 3 W �s \ ♦♦ Ss � wWWUN } C3 C3 `S�>_,\s � �o>> EXISTING SANITARY SYSTEM 1f0 �O' F REMAIN. BEDROOM COUNT REDUCED NEW ROOF OVER FROM 3 BEDROOMS TO 2 ��� UI EXISTING 1 5TORY ♦♦ BEDROOMS RESIDENCE , o \�� � ♦♦ o PROP05ED WOOD S6 ° �t 4 DECK(+/- Icr 50 FT) ••<2Q 00 ��� kr •• H 0QJ *`` REMOVE EXISTING STEPS 2 `• 6 u �7% ` ` ` 7 • xL L TIONS ~®r �.. Tt°I���, REMOVE EXI5TING 5TEP5 DE516N FOR A STORM DRAIN 5YSTEM 5ER06 A ROOF AREA OF:1495-1 sq,ft VOLUME REQUIRED (3" RAINFALL), 371.'15 GU FT '' NEW ONE STORY ADDITIO�1 , r��♦, ��� i (1) &-0'1 X4'I H STORM DRAIN RIN3 = 165A GU FT t STORM DRAIN RIN55 REQUIRED(VOLUME REQUIRED/231:1) 220 RINGS REQ `��� <%� /2 ; 5TORM DRAIN RIN65 TO BE PROVIDED 3 + G t 3 3n REFER TO 51TE PLAN FOR LOCATION OF DRYWELLS NEW ROOFED OVER ENTRY ' PORTICO (+/- 45 50 FT) r LINE OF UNDERGROUND PIPING FROM ROOF �A r' (� � DRAINS.ALL PIPING SHALL BE 6" "S.D.R.35 SEWER � PIPE". oo co U PROVIDE SOLID CONCRETE COVER&DOME -,4 ate r O V GRADE �� ��` ` � \`• ; 1,Y Q� 41 epi � UT«.. 3' -i x II .� % oLE 0 42 =1 I=1 a a z cu }, J �� „� 2►U�p 1=I I - I=I STORM DRAIN RINGS O 4?7 PITCI — — b III—I I WRAPPED IN FILTER% s� < 4 ' - IC �,- III—III r _ I I I I COLFABLAR MATERIAL, C) Q (11,54 � '*. / r o J � -' --- 1—ELI 1'�m" 'L� V LINE OF PROPOSED DRY �� ��• '�j� r ---- ----- WELL SYSTEM, SEE \(j0 d ,r ' ------ rr=,� ------------- --- MIN. III—I I SEE NOTE BELOW �„i ,��, 44 CALCULATIONS FOR 51ZE �� / ' 3 c/? —III— _ - --- I I1 �'It •'" 4ZN ,' III=11 I NOTE: BOTTOM OF ALL O C � DRYWELL'S MUST HAVE ^� W ,_ „ �� �� � z 6 0 PENETRATION INTO 1— I III—III RATE ABLE MATERIAL Cn OTS p –III=III STORM DRAIN RIN III F /ell � � I�—III— EXITING GARAGE TO e "'► ' ¢ NOTE: COLLAR MATERIAL —III=III II=1 �D I II=III ►—, REMAIN fid�F r n _jSHALL BE COMPRISED OF SAND t �% r' / —III=1 t = 1 I=I &GRAVEL FILTER MATERIAL U I I=1 I I ® ® ® -I I =1 I 1 CONTAINING LESS THAN 15% FINE SAND,SILT,CLAY&1"DIA. MIN GRAVEL(SILT&CLAY U III 1 MIN III-1 FRACTIONS ARE NOT TO EXCEED a EXITING SHED TO REMAIN ` a III—III ® ® ® ® ® ® III—III 5%) �'• � III1 '—III—II Uj Q GROUNDWATERON SITE PLAN _ uiL.S�' ° e � �� I II I II S,.mn, DTII I II i 1 APPROVED BY Q Z SCALE: 1" — 20'-011 PoLE�, �D� �O o t�p —I 11 1 11=1 I z o w'.0 I—III—_. —111 1 BOARD OF I RUSTEES w O_ � INFORMATION FOR TH15 SITE PLAN WAS TAKEN TQWN QF $O�JTHOLD ,W.I � FROM A 5URVEY PREPARED BY JOHN G. FREERS �4Q-�� —11 —III—III— — - — -_ _ —III—III—III <C m LAND SURVEYOR DATE 10/30/2011 I I I I I I I I I I I I I I I I I I I I I I I I I I FEI I El I I I I I I I I I I I I I I I 1 I 1 I 1--i I 11= DATE ,�� - �, —IIT-111_1 I_II11 I x cV 10' 20' 40' SCALE: 1" = 20'-0" pr DETAIL @TYPICAL DRYWELL _ _.. 1 �~ SITE PLAN& NOT TO SCALE II r DRAINAGE CALCULATIONS FAAR 2 9 20118 DATE: 12/19/17 c JOB# 17-56 Aa REVISIONS A A 1 1/21/18 2 3/28/18 3 4 5 REMOVE EXISTING MASONRY 6 NO CHANGE PLATFORM,FILL d RE-GRADE AS REQUIRED TO ALIGN WITH EXI5TIN6 GRADE 7 5" POURED CONCRETE FOUNDATION 8 WALL ON 8"X16" CONTINUOUS B 2 9 FOOTING W/(2) #5 BARS WITH 2"x4" A-3 KEYWAY (TYPICAL) ok DOOR 10 FOUNDATION FLOOD VENT TO 3'-12 I 3'-1" 4" BRICK SHELF DOWEL INTO EXISTING BE "SMART VENT" MODEL # FOUNDATION WALL U51NG #5 _ _ _15-40-510 DUAL FUNCTION --=-- -------- EX15TINO WOOD PLATFORM 4 REBARS VERTICALLY ® 12" O.G. SMART VENT. 16" WIDE X 8" 4 ' "` `=r - STEPS TO BE REMOVED (TYPICAL) TALL. -- - -~- - - - - - - - - - - - - - � UNXGAYATD 00 d w U " 4'CONCRETE 5LA6 WITH 6X610/10 VVV�f 2-0 cx _ INSTALL 5/8"TYPE 'X'CsYPSUM Q 8" 8" OVER 6"COMPACTED 6RAVEL BOARD ABOVE BOILER/FUlIACE ALIGN OVER COMPACTED FILL @ AS PER CODE ti - - - ------------ --- - ------------------------------- W O � uj HWH CRAWL SPACE 14 o w 2" CONCRETE SCREED COAT OVER 6 MIL DOWEL INTO EXI5TIN6 w F= o Z o VAPOR BARRIER FOUNDATION WALL U51NG #5 X U ! � W Q ? REBARS VERTICALLY ® 12" O.G. cv 0 W W Z O > doWW � co (TYPICAL) Q Z u �- z /SANCUTFOUNDNTIONTOCREATE ® in Q Q FURN. ACCESS TO CRAWL SPACE. m f- z W o o PROVIDE NEW !MOVABLE OIL o o o ~ o W v - - - - - Lo LL ACCESS PANEL. - EX15TINO 3" x 6" DROPPED GIRDED_ w G R A W L 5 P,A G E Z Q 2 H w EXISTING OP6 - _ _ NO GRANGE W J W V I=- �• �EXISTING OPO ¢ $ �- EX15TINO (3) 1 3/4" X q 1/2" L.V.L. GIRDER Q = Z � � Z Q s� '— r ---- -- - - - - � 31- 0003 14 EXI5TIN6 HEATING SYSTEM d o I BASEMENT I FOOTPRINT OF NEW KITCHEN 'GROAN' #QTXE-150 EXHAUST A DUCTWORK TO REMAIN.PATCH FAN DUCTED TO EXTERIOR A-2 REPAIR DUCTS DUE TO NEW �s/4 ISLAND ABOVE, LOO NEW 2 x b I�-FLOOR JOISTS ALONG SIDE CONSTRUCTION AS REQUIRED. 6 I- - - -- - - - - -- - EXISTING FLOOR JOISTS UNDER CONTRACTOR TO PROVIDE ALTERNATE PRICE FOR THE ISLAND _ (2) _ 2-2-x ®o® I WINDOW NOTE: ADDITION OF AIR CONDITIONING m D THE CONTRACTOR SHALL PROVIDE PRE-GUT 1/2" PLYWOOD PANELS ONTO EX15TINO ZONE. t 44'-9" o - (- : " I- - TO COVER THE GLAZED OPENIN65 4 SHALL PRE DRILL E06E5 AT `- 24"x 24" INSULATED I _�� IW.I.C. �_� - BA H 1 12" OG TO ACCEPT 2-1/2" #8 WOOD SCREWS AND PROVIDE ACCESS PANEL --- TILE FLOOR ADEQUATE NUMBER OF 5GREW5 FOR FA5TENING IN ACCORDANCE - _` -= Ib"GLASS TRANSOM WITH THE RESIDENTIAL BUILDING CODE OF NEW YORK STATE. I 2 x 8 ACQ FLUSH LEDGER I 0 26 ABOVE REMOVE EXISTING 0„ - --- 8� (SECTION R301.2.1.2) LENDER TO BE BOLTED TO EXISTING �; cn BAND JOIST OF HOUSE WITH 66E A U I PROFILE OF WOOD DECK ABOVE I LLA6 BOLTS AT 36" O.G.STAGGERED Or p ( WINDOW,PATCH AS ° X68 -- - FOUNDATION I REQUIRED TO MATCH ° ry F REMOVE EXISTING PLATFORM, TOP 6 BOTTOM IN EXISTING REQUIRED ° �' ALIGN PATCH AS REQUIRED TO MATCH WITH FIGURE R50'12 I(IGGORDANGE 00 ` �EXISTIN6 REQUIRED I _ _ I 12 POURED CONCRETE SONO TUBE. �:. -INDf ,� ; , n_ I n (2)2=10 AC DROPPED GIRDER N �' 14'-0" DEEP WITH 24"c Ix 12" DEEP SPREAD CF� SCALE:1/4 —1-0 FOOTING ON COMPACTED EARTH. INSTALL :a 16"GLASS TRANSOM 10 C� 16"O.C.- J ABOVE n B I - - - J 51MP5ON STRONG-TIE #EPB44T POST TO := # _ _ = 2 = -BEDROOM' #1 I r so L - \ \ \ \ - CONCRETE BRACKET(TYPICAL) � i 1 TYPICAL WOODFLOOR A-3 --- --- - ------ - -- - - - - - ----- \\ ¢ DOOR x - - - - t9'-9 I/2"GLC,HT , w 1 " ° :_ " - = _r-r .26„ " 8-21/2" -0 7 I 7 I 111 'I-I -0 �"�� �'•:: , ., � .. -. - - - - - �6, l b 6LASS TRANSOM �* - 'GROAN #Q XE-150- - _ - I�� � 3,-0r 3�„0" EXHAUST FA�t DUCTED '�; TO EXTERI - "PENNSYLVANIA"BLUESTONE 8 x 5 CONCRETE DEADMAN ` '" I REMOVE EXISTING PLATFORM WITH FLAME EDGE 4 UNDER STEP ISTING S PS TD \a E] sD m - - p- - - J WOOD DECK r_________________ _ BRICK RISERS.BRICK TO BE -�,� REMAIN,KNISH A5 - ---------- --- - °�sLEN CORY"MODELS 53DD r 1 (ZEQUIRED r - - - - REMOVE EXISTING - - - - - NEW WINDOWS IN o N TYPICAL NEW EXI5TIN6 OPENINGS. WINDOW,PATCH AS ---_-- - REQUIRED TO MATCH u " o z o 1- 6 EXTERIOR WALL - TYPICAL EXTERIOR COLUMN VERIFY SIZE IN EXISTING REQUIRED 5' LAUNDRY LIN j Q N - "30 j FIELD PRIOR TO O V � � v r W/D 6 SHEIL? S :N: ¢ I / I I ORDERING 4-1 al V �• sTACKED `-S' I NTRY I' RTICO m ALIGN - ❑ co - - - - TYPICAL EXTERIOR COLUMN - SQUARE V U - - 3 xb 30 - - - 8" 5QUARE COLUMN TO BE 'III "PERMA CAST". SMOOTH SHAFT WITH TUSCAN 1- cu - J \ - ) dna !2)_1'18"FL PL - 10 - X�. ( )2 x to (2) 2 x 10 EXISTING HEADER TO REMAIIN STYLE CAPITAL t BASE. TOP OF CAPITAL TO BE FLASHED WITH COPPER. HEADER u r� ` 36"REF. - - - O ' ABOVE TO BE PACKED OUT TO ALIGN WITH SHAFT OF COLUMN,BOTH SIDES. a �' 3 o f �, A. H 2 m O° 1 5 2 -�\ O' \ BUILT-IN MILLWORK ,5�.� Q Z d� .- TILE '; a m SGC' � - CLOSET co NEW E6RE55 0 '� U REMOVE EXISTING - R- - -� "- '� - VENT DRYER TO NEW FRONT DOOR TO BE WINDOW.SEE TYPICAL EXTERIOR WALL - CEDAR SIDING .�.� c 06 oi WINDOW,PATCH AS - EXTERIOR - -- - T � - -r-- ---- - -_ - INSTALLED AT JAMB OF- -- - - - -2� -I ,_ " s- 5 I/ - x1 �, SCHEDULE NEW CEDAR CLAPBOARD (SUBMIT SAMPLE) OVER CEDAR BREATHER (BENJAMIN u REQUIRED TO MATCH - I 3 I/2 EXISTING DOOR TO BE �I OBDYKE) OVER 1/2" RIGID INSULATION BOARD (R-3) OVER#30 BUILDING FELT OVER °O .� (TYPICAL) _ _ _ 1 NEW LAYER 1/2 PLYWOOD SHEATHING OVER EXI5TIN6 STUD WALL (PATCH EXII5TIN6 `r+° EXI5TIN6 REQUIRED - - - - - REMOVED I-'1[l P1_ N 1-D ,� x - - - - - - J - - - -TYPICAL WOOD FLO 50"RANGE WITH -- - - -_u_ T s CURB WITH PAN sf I HOOD ABOVE - �`+ EXISTING HEARTH TO - REMOVE EXISTING �+ oo O �n W d 1 1_ SHEATHING A5 REQUIRED). EXTEND TOP PLATE AS INDICATED TO RAISE WALL. m DRAIN $FLOW. INSTALL 'WATTS' VENTED TO WINDOWS,PATCH AS 4 10'-8°GL6 HT'I- - = J1 m REMAIN SHEATHING TO BE INSTALLED A5 PER DETAILS. FILL STUD WALLS WITH R-15 U�IFAGED �- - - - - EXTERIOR-- I 2 REQUIRED TO MATCH d' INTELLIFLOW' 'SERIES AZG-M' _ - _ _ _ BEDROOM #2 „ EXISTING REQUIRED BATT IN5ULATION AND FIN15H WITH 4 MIL POLY VAPOR BARRIER. INSTALL LAYER OF 1-N �j LIVING RM ( „ „ V AUTOMATIC, WA5HIN6 MAGHI /_i 1/2 PLYWOOD SHEATHING PRIOR TO 1/2 GYPSUM BOARD. GYPSUM BOARD TO BE0 . TYPICAL WOOD FLOOR TYPICAL WOOD FL WATER SHUTOFF YAL1J I I - - - - - - - - - - - - - - - - - - 1 _ _ / - - - - - - - - -i - - - - - - - - -i+ - - SCREWED, TAPED 5PACKLED (3 GOATS), 4 SANDED, READY FOR PAINT. �' - - - - - - - - - - - - EXI5TIN6 (l� T►� COLLAR TIES TO a TYPICAL WOOD FLOOR - - - - ' EXISTING FIREPLACE TO REMAIN � u „ DINING RM 4 - - - - - - ------------------ k- = - W ESS NEW WOOD FLOOR TO BE 3 1/4 RED OAK (SELECT OR BETTER) INSTALLED OVER RED 4 m U TYPICAL WOOD FLOOR REMAIN,PROVIDE GLASS WINDOW.SEE R05B PAPER OVER EXISTING SUB FLOOR. FLOOR TO BE SCRAPED SANDED STAINED, \ 8'-6" FLAT GL6 HT '- , �L_' I ENCL09URE AS REQUIRED ° SCHEDULE SEALED,AND RECEIVE 3 GOATS POLY URETHANE. APPLY 5ANDIN5 SEALER ON BACK OF \ - x I TO MEET ENERGY CODE N 1_E ALL FLOORING PRIOR TO INSTALLATION. m " =' VERIFY DOOR CAN OPEN XI - -- -- -- - -- - -- - - - - - `� - t- �- - ----- ------i�- - - � � FULL 90 DEGREES U NI � c TYPICAL TILE FLOOR- Q o z I I \ u SD }°o so p TILE FLOOR AS SELECTED OVER I" MUD SETTING BED OVER #30 BUILDING PAPER 04 � - - - - - - - -- - - - - - w OVER EXI5TIN6 SUBFLOOR f-7 rn EXISTING BASEMENT w h m O I m0 (2)2 x 10 (2 2 x 10 F- -� (2) 2 x 10 %={�) 2 x.10 < -� (2)2 x 10 EXISTING HEADER TO REMAIN) 9 _ _ _ TYPICAL ASPHALT ROOF - ~ ACCESS DOOR TO _ _-,)- - --- ^ � � � REMAIN ---- _-1-- _-__ _ - - - - - - - - - - L - - - - - - -_- - ==u===-_1--- -- - _ NEW ASPHALT ROOFING TO BE "GAF TIMBERLINE" 'LIFETIME HIGH DEFINITION F--� 1-K SUPPORT MULLIONS 1� -- - — -1-i _ -x c;l 1-F _ \ 5HINGLEV, COLOR TO BE "SLATE" (SUBMIT SAMPLE FOR APPROVAL) OVER 30 # — — — — -- _ — — — — — — - - — BUILDING FELT OVER 5/8" GDX PLYWOOD SHEATHING OVER ROOF RAFTERS (SEE � � O � PLAN). INSTALL ICE d WATER SHIELD FROM THE EAVES EDGE TO A POINT AT LEAST W t b'-5 3/4" t 13'-8" --7'-2" -- ?�- a/2 �10" _ 2'-0" IN51DE THE EXTERIOR WALL LINE AND AT ALL VALLEYS, HIPS, d AS INDICATED ►�- m HECK ON ROOF PLAN AND AS REQUIRED TO MEET CODE. WEAVE IN ALL VALLEY'S TO U � NEW WINDOWS IN EXISTING CONGEAL FLASHING UNLE55 MATCHING EXISTING CONDITIONS. � E-1 - 14'-0" OPENINGS.VERIFY SIZE IN FIELD x _-Z PRIOR TO ORUERIN6 TYPICAL EXTERIOR DECK - o W ELECTRICIAN TO VERIFY EXISTING ELECTRICAL "TREX" DECKING TO BE SELECTED WITH 36" HIGH "AZEK" 'TRADEMARK'RAILIN5 SYSTEM w N 5ERVIGIE 4 PANEL ARE SUFFICIENT FOR NEW WORK. WITH SQUARE BALUSTERS OR APPROVED EQUAL. CONTRACTOR TO INCLUDE IN PROPOSAL PRICE FOR EQ UPGRADED ELECTRICAL SERVICE 4 NEW PANEL A5 14'-0' TYPICAL EXTERIOR DECK TYPICAL NEW EXTERIOR WALL - CEDAR SIDING Or REQUIRED NEW CEDAR CLAPBOARD (SUBMIT SAMPLE) OVER 'CEDAR BREATHER' ($ENJA�MIN HALL SYMBOL KAY 0 BUILDINC, FELT OVER 1/2'GDX, PLYWOOVER I/2" RIOID OD 5HEATHIN6LOTION VER 2"x4""STUD(R-5) OVER STUD HALLS WIITH R 5 F I R S T FLOOR PLAN FOUNDATION&FIRST UNPAGED BATT INSULATION AND FINISH WITH 4 MIL POLY VAPOR BARRIER # I/2° FLOOR PLAN EXISTING WALL TO REMAIN GYPSUM BOARD. 6YPSUM BOARD TO BE SCREWED, TAPED,5PAGKLED (3 GOAT5), 4 C 411 = I II co CARBON MONOXIDE DETECTOR PROPOSED NEW STUD WALL EXISTING FIRST FLOOR: + — 1 236 S FT SANDED,READY FOR PAINT. DATE: 12/19/17 / Q so SMOKE DETECTOR ------- EXISTING WALL TO BE REMOVED 2 OB# 17-56 ADDITION: 48 SQ FT J TOTAL FOOTPRINT: +/- 1,284 SQ FT ROOF AREA: +/- 1,487 SQ FT 2 I REVISIONS 1 1/21/18 A-- TYPICAL TYPICAL EXTERIOR WALL - CEDAR SIDING TYPICAL RAKE A 2 3/28/18 NEW CEDAR CLAPBOARD (SUBMIT SAMPLE) OVER 'CEDAR BREATHER' (BENJAMIN OBDYKE) OVER 1/2" RIGID INSULATION BOARD (R-3) OVER #30 BUILDING FELT OVER A-2 3 NEW LAYER 1/2" PLYWOOD SHEATHING OVER EXI5TIN6 STUD WALL (PATCH EXISTING SHEATHING A5 REQUIRED). EXTEND TOP PLATE A5 INDICATED TO RA15E WALL. SHEATHING TO BE INSTALLED A5 PER DETAILS. FILL STUD WALLS WITH R-15 UNFAGED $ BATT INSULATION AND FIN15H WITH 4 MIL POLY VAPOR BARRIER. INSTALL LAYER OF 1/2 PLYWOOD SHEATHING PRIOR TO 1/2 GYPSUM BOARD. GYPSUM BOARD TO BE SCREWED,TAPED,SPACKLED (3 COATS), 4 SANDED,READY FOR PAINT. i / i'. �I'I INSTALL ICE +I WATER SHIELD FROM THE 6 1 2 {' ;� EAVES EDGE TO A POINT AT LEAST 2'-0" RI7INSIDE THE EXTERIOR WALL LINE AND ALL VALLEYS 4 HIPS TYPIC ASPHALT ROOF - �� �� � I " �1+ ' /"i j � � INS � +' '�,' I MANUFACTURERS A5 PER CODE, 8 NEW ASPHALT ROOFING TO BE GAF TIMBERLINE LIFETIME HIGH DEFINITION C 1' 1SPECIFICATIONS d AS INDICATED 9 SHINGLES',COLOR TO BE "SLATE" (SUBMIT 5AMPLE FOR APPROVAL) OVER 30 # IFj BUILDING FELT OVER 5/8" COX PLYWOOD SHEATHING OVER ROOF RAFTERS (SEE i".'" ./ 1 I ±, I ;" PLAN). INSTALL ICE d WATER SHIELD FROM THE EAVES EDGE TO A POINT AT LEAST }� / r� / 10 2-0" INSIDE THE EXTERIOR WALL LINE AND AT ALL VALLEYS,HIPS, d AS INDICATED ON ROOF PLAIN AND A5 REQUIRED TO MEET CODE. WEAVE IN ALL VALLEY'S TO CONGEAL FLA5HIN6 UNLESS MATCHING EXISTING CONDITIONS. ;." x' ; 1 x R 6 !�, B .I TYPICAL ASPHALT ROOF 2 TYPICAL NEW EXTERIOR WALL - CEDAR SIDING ' i. /'. j SEE NOTE REMOVE EX15TINC CEILING AND ROOF NEW CEDAR CLAPBOARD (SUBMIT SAMPLE) OVER CEDAR BREATHER (BENJAMIN - J I' /. ''a' STRUCTURE AND INSTALL NEW A5 INDICATED OBDYKE) OVEIR 1/2" RIGID INSULATION BOARD (R-3) OVER #30 BUILDING FELT OVER 2 l I EXTEND EXISTING BRICK CHIMNEY 1/2" 'GDX' PLYIWOOD SHEATHING OVER 2"x4" STUD WALL. FILL STUD WALLS WITH R-15 _/ / 1,1 }' I" A5 REQUIRED TO MEET CODE. UNFAGED BATT INSULATION AND FIN15H WITH 4 MIL POLY VAPOR BARRIER d 1/2° J I Eli I' MATCH EXISTING BRICK OR REMOVE E 15TING ROOFING AND BUILDING GYPSUM BOARD. GYPSUM BOARD TO BE SCREWED,TAPED, SPAGKLED (3 GOATS), . , ' PROVIDE NEW STUCCO FINISH /t } /I{} ; ; : �' �i TALL NEW TYPICAL ASPHALT ROOF / , 1 �, / ! , SEE NOTE SANDED,READY FOR PAINT. IX LL - - 1 - - - - - - - - - - - - - - - - - - - - - - - - Fj Lu 12 Lu MATCH EXI5TINe� ROOF PITCH ) � / . / _..,. I // ) ' /"�, /,,';/''//i,/ /�' �/" ;// .v -�:i, �i//'/�'./' ji.';i/ " '`j T `%%�/ i/� ', �l TYPICAL NEW ROOF J Z / Qwf. UR Q ..I Z INSTALL ICE d HATER SHIELD FROM THE z - JLo z o Q EAVES EDGE To A POINT AT LEAST 2'-0" -- -- - - - --- - _ LL INSIDE THE EXTERIOR WALL LINE AND ALL J f - = '` `f' -- -- - - %j/ ' �'� rN-+ / '" ;i" - o r 6 G a T /: /' C~ Lu VALLEYS d HIPS AS PER GODS, `jam -� - - / 7 t _ ""OYER - -- _ -- >>= ,i i:// W U i! " ") z 3 In _u w MANUFACTURERS I / /, / r +I x ii/; /iii /i z Q ul G = AS INDICATED `1 '/' TYPIGALIJ +I / SPECIFICATIONS I // - - _ _ - - - - - -- =- --- - �!/i� ;� i/ �'' � W W W = I- Ln SIMP50N STRONG-TIE #5MT512 (14 IOD - =--- -_ -- --- __ - -- - ----- NAILS) INSTALL 'STRAP AT EVERY RAFTER { I/2 GYPSUM BOARD CEILINGS tt , ./ / ,i%i%' /; TO STUD CONNECTION WALLS(TYPICAL) / TRI17E� �'� EXISTING. zIDGE,Tt�/RE A tV, / TYt'IGAL RAKE I / /A TYPICAL RAKE - uPID_1=XlJT Lo HIALUMINUM DRIP EDGE RICKC �SEE DETAIL t�- AST- T -0 -MATCH U� i,- GUTTER A5 SELECTED ii; �o - -EXISTING BRICK OR �i /� // o 3�.T ------- - - -- - - - --- -- - GE�IENL��T�APPIN H /I;/ V1D1tNEW�TUGCO r -- -- - - --�: --- - ------ -- ANIS 2 3/4 X b AZEK FASCIA COR-A-VENT 5-400 STRIP VENT(WHITE) AZEKBEAD BOARD SOFFIT �L�._,�:�... .-�.:_. � '-�.� '..��...=..w��':_.r......-:_.:-.-<:. ...:.=�. .-,�.�._...:� __ ...:�,�.,:._�.�� -.�-�-._'_..�-_-=-= _ �.. 'i..,..,..✓._...� /_..:� ;j.I �,r."Ya��, 'AZEK' 3 I/2" BED MOULDING #A2M-28 ; 1�.-/ /i/,L /�,;/ ��L'. / �";,;% '/ /�///�/ iii/!/�i// ///'/// ////// //�, �`` �• T f�`'° '`�.��ti ; ' - - - - - - - - - - - - - --TYPIGALASPHALT"ROOF- - - - - - - - - - - - - - - - - - - - - - - - - GONTINUOUSLYVENTED50FFIT - - - - - - - - 1- - - - ICE- - - - - - =JLj - - - - - - - - - - - - - - - - - - - - - - - - 1 � Ct INSTALL d WATER SHIELD FROM THE " ; SEE NOTE 5TRAPPIN6 EAVES EDGE TO A POINT AT LEAST 2'-0" ' I x S AZEK FRIEZE BOARD EXISTING ROOF STRUCTURE TO BE i fI { INSIDE THE EXTERIOR WALL LINE AND ALL TYPICAL EXTERIOR WALL TYPICAL GUTTER.ALL NEW \ I REMOVED VALLEYS 4 HIPS AS PER CODE, 6UTTER5 4 LEADER TO ROOF P MANUFACTURERS DRAIN TO NEW DRYWELL � awT SPECIFICATIONS 4 A5 INDICATED SYSTEM, SEE SITE PLAN FOR PACK OUT WITH PLYWOOD TO ALIGN „- , „ CALCULATIONS WITH EXISTING SI-IEATNING - INSTALL NEW 1/2PLYWOOD SCALE:1/4 -1-0 PROVIDE 5/8 T'NRU-BOLTS SHEATHING ON ENTIRE INTERIOR FACE ROOF AREA: +/- '1,487 SQ FT (CONNECTING EXISTING t NEW PLATES) PRIOR TO GYPSUM BOARD (TYPICAL) im U ° 45" O.C.MAX, I"-0"FROM EACH 2 cc REMOVE EXI5TIN6 CEILING AND ROOF COINER,NO LESS THAN 2 PER SILL s STRUCTURE AND INSTALL NEW A5 INDICATED(TYPICA �s•-+ 2 o Q) U INSTALL NEW LAYER OF 1/2"PLYWOOD V a` SHEATHING.SEE DETAIL 4-1 1/2" RIGID INSULATION BOAR (R-3) x bA R-15 INSULATION WINDOW EXTERIOR DOOR SCHEDULE - FIRST FLOOR 12/19/2017 v , UNIT LOCATION SIZE:)APPROXIMATE) MANUFACTURER STYLE MODEL# U-FACTOR SHGC NOTES t Uw DETAIL1 A ENTRY 3'-011'x 7'-0" SIMPSON 6 PANEL EXTERIOR DOOR z 1 @TYPICAL SOFFIT 1-B LIVING ROOM 7'-4"'x 4'-6" ANDERSEN 400 SERIES CASEMENT (2) CX145 0.29 0.31 �O a{06 m 1-C BEDROOM#2 7'-8111x 3'-2" ANDERSEN 400 SERIES CASEMENT REPLACEMENT 0.29 0.31 VERIFY DIMENSIONS IN FIELD - DIRECT REPLACEMENT u 'm "t 1-D BEDROOM#2 3'-0"'x 4'-0" ANDERSEN 400 SERIES CASEMENT CXW14 0.29 0.31 LEGAL EGRESS � CZ \ RIDGE VENT d RAFTER TO RAFTER �•" STRAPPING,5EE DETAIL 1-E BEDROOM#2 3'-0"'x 4'-0" ANDERSEN 400 SERIES CASEMENT CXW14 0.29 0.31 LEGAL EGRESS oo c) L�c-•+ W 1-F BEDROOM #2 7'-811'x 3'-2" ANDERSEN 400 SERIES CASEMENT REPLACEMENT 0.29 0.31 VERIFY DIMENSIONS IN FIELD- DIRECT REPLACEMENT 1-G LIVING ROOM 6'-0"'x 6'-11" ANDERSEN 400 SERIES GLIDING PATIO DOORS FWG60611L 0.3 0.26 1-H LIVING ROOM 6'-0"'x U-11" ANDERSEN 400 SERIES GLIDING PATIO DOORS FWG60611R 0.3 0.26 , n TYPICAL ASPHALT ROOF 1-i KITCHEN 6'-011'x 6'-11" ANDERSEN 400 SERIES GLIDING PATIO DOORS FWG60611L 0.3 0.26 F-� t ` 1-1 KITCHEN 61-0111 X C-11" ANDERSEN 400 SERIES GLIDING PATIO DOORS FWG60611R 0.3 0.26 ROOF'TO WALL STRAPPING,SEE e! �o 2 1-K DINING ROOM 3'-01"x 5'-0" ANDERSEN 400 SERIES CASEMENT CXW15 0.29 0.31 MULLED TOGETHER WITH STRUCTURAL SUPPORT MULLION DETAIL. i \ 4'-6"'x 5'-0" ANDERSEN 400 SERIES PICTURE P4550 0.29 0.31 MULLED TOGETHER WITH STRUCTURAL SUPPORT MULLION � R-25 INSULATIONI � ��� � �� 3-0 x 5-0 ANDERSEN 400 SERIES CASEMENT CXW15 0.29 0.31 MULLED TOGETHER WITH STRUCTURAL SUPPORT MULLION � R-25 INSULATION W/ 1-L DINING ROOM 3'-0"'x 5'-0" ANDERSEN 400 SERIES CASEMENT CXW15 0.29 0.31 ►-� WALL TO WALL 5TRAPPING,SEE " , O CONTINUOUSLY VENTED SOFFIT,SEE DETAIL- -O CORRUGATED BAFFLE N, ILDETAIL 1-M DINING ROOM 3'-0"'x 5'-0" ANDERSEN 400 SERIES CASEMENT CXW15 0.29 0.31 Q PROVIDE 5/84 TNRU-BOLTSal 1-N DINING ROOM 3'-0"'x 5'-0" ANDERSEN 400 SERIES CASEMENT CXW15 0.29 0.31 a (CONNECTING EXISTING t NEW p TYPICAL NEW EXTERIOR WALL 1-0 BATH #2 1-9 x 31-011 ANDERSEN 400 SERIES CASEMENT CN13 0.29 0.31 LIVING RM PLATES)°45"O.C.MAX I'-0" 1-P BEDROOM #1 6'-2"'x 5'-6" ANDERSEN 400 SERIES CASEMENT 2 CXW155 0.29 0.31 MULLED TOGETHER F--i TYPICAL WOOD FLOOR ( ) , FROM EACH CORNER NO LESS � Q }•� z r.L(.i THAN 2 PER SILL(TYPICAL) INSTALL NEW I/2"PLYWOOD 1-Q WALK IN CLOSET 2'-5"'x 4'-6" ANDERSEN 400 SERIES CASEMENT CW145 0.29 0.31 R-15 INSULATION TYPICAL EXTERIOR WALL SHEATHING ON ENTIRE INTERIOR 1-R BATHROOM #1 2'-5"'x 4'-6" ANDERSEN 400 SERIES CASEMENT CW145 0.29 0.31 O W Z o FACE PRIOR TO GYPSUM 1-S BEDROOM #1 5'-0"'x 5'-6" ANDERSEN 400 SERIES CASEMENT (2) CW155 0.29 0.31 MULLED TOGETHER Q0 1:4 r4 INSTALL SILL PLATE TO STUD BOARD(TYPICAL) 1-T HALL 5'-011'x 4'-0" ANDERSEN 400 SERIES CASEMENT (2) CW145 0.29 0.31 MULLED TOGETHER m WALL 6TR4PPNG,SEE DETAIL ,, „ 1-U KITCHEN 31-5111 x 31-111 ANDERSEN 400 SERIES CASEMENT CN230 29 0.311 (, v, v v'1 dv v'v`vVv r' y^vVv v' ✓1'1 PROVIDE 5/8"O ANCHOR BOLT5 0 45" NEW CRAWL SP. ;� O.G. MAX., I'-On FROM EACH CORNER,NO Ex15TING GIRDERS To REMAI LESS THAN 2 PER SILL,AS PER GODS. R-19 INSULATION BOLTS SHALL EXTEND A MINIMUM OFT Iw-I N • �� EXTERIOR DOOR 4 WINDOW GENERAL MOTES: PRPROVIDE 5/84 ANCHORINTO CONCRETE (TYPICAL)BOLTS 9 45" BASEMENT I. WINDOW5 TO BE "ANDERSEN" "400" SERIES'. ALL GLAZING TO BE HIGH PERFORMANCE LOW- E4. O.C.MAX,1'-0"FROM EACH CORNER, 8" POURED CONCRETE FOUNDATION WALL ON 2• DOORS TO BE "ANDERSEN" 1140011' SERIES'. ALL GLAZING TO BE HIGH PERFORMANCE LOW- E4. Q� NO LESS THAN 2 PER SILL,AS PER 2"CONCRETE SCREED COAT O 3. ALL WINDOWS TO HAVE WHITE HAIRDWARE d DOORS TO HAVE BRIGHT BRA55 HARDWARE CODE. BOLTS SHALL EXTEND A 6MIL VAPOR BARRIER 8"X16" CONTINUOUS FOOTING W/(2) #5 BARS 4. ALL GLAD DOORS AND WINDOWS TO BE WHITE. ALL SCREENS IN WINDOWS TO BE "TRU50ENE" - WHITE, 50REEN5 IN DOORS TO BE STANDARD MESH - WHITE MINIMUM OF 1" INTO CONCRETE.DRILL t WITH 2"X4" KEYWAY(TYPICAL) 5. HEI6HT5 AND WIDTHS LISTED ABOVE ARE APPROXIMATE AND ARE NOT TO BE USED FOR FRAMING ROUGH OPENIN65. EPDXY IN PLACE AS PER 6. NO FINGER JOINED MATERIAL TO BE USED ON ANY PART OF WINDOW OR DOORS INCLUDING BUT NOT LIMITED TO,SECONDARY SURFACES,SUB SILL, EXTERIOR CASINGS, BLIND STOPS, ROOF PLAN &ROOF MANUFACTURERS SPECIFICATIONS INSTALL WATERPROOFING ON FOUNDATIONS ETC DETAILS (TYPICAL) WALL5. PROVIDE 2 RIGID INSULATION FOR PROTECTION PRIOR TO BACKFILLING SEC TION DATE: 12/19/17 ASCALE:1/4"=1'-0" JOB# 17-56 EXISTING FOUNDATION REMAIN Am2 REVISIONS 1 1/21/18 AL-r[ON 'AZI'K'RAKE#AZM-2$7 1"x 6"'AZEK'RAKE BOARD TYPICAL EXTERIOR COLUMN - SQUARE AZLK'31/2"BED MOULDING 8" 5QUARE COLUMN TO BE 'HB4G' "DERMA CAST". SMOOTH SHAFT WITH TUSCAN 2 3/28/18 #AIM-28 STYLE CAPITAL d BASE. TOP OF CAPITAL TO BE FLASHED WITH COPPER. HEADER 1"x 6"'AZEK'RAKE BOARD ABOVE TO BE PACKED OUT TO ALIGN WITH SHAFT OF COLUMN, BOTH SIDES. 3 1/-?AZEK'SHEATHING 4 TYPICAL EXTERIOR WALL - CEDAR SIDING 6" NEW CEDAR CLAPBOARD (SUBMIT SAMPLE) OVER 'CEDAR BREATHER' (BENJAMIN 5 TYPICAL ASPHALT ROOF SEE OBDYKE) OVER 1/2" RIGID INSULATION BOARD (R-3) OVER #30 BUILDING FELT OVER NOTE NEW LAYER 1/2" PLYWOOD 5HEATHING OVER EXISTING STUD WALL (PATCH EX15TINO 6 REMOVE EXISTING ROOFING I SHEATHING AS REQUIRED). EXTEND TOP PLATE AS INDICATED TO RA15E WALL. AND BUILDING PAPER INSTALLrROFILE' \� / 2 C� SHEATHING TO BE INSTALLED A5 PER DETAILS. FILL STUD WALLS WITH R-15 UNFACED 7 NEW TYPICAL ASPHALT ROOF � F I ;0 24" O'FYPON (OR APPROVED BATT INSULATION AND FINISH WITH 4 MIL POLY VAPOR BARRIER. INSTALL LAYER OF SEE NOTE EQUAL)LOUVERED ATTIC VENT 1/2" PLYWOOD 5HEATHING PRIOR TO 1/2" GYPSUM BOARD. GYPSUM BOARD TO BE 8 - - 5CREWED,TAPED,5PACKLED (3 GOATS), 4 SANDED, READY FOR PAINT. - - _ - - -- - - - - - - - TYPICAL WOOD FLOOR - �, - 4/2u EK' AT4 - - ----- - NEW WOOD FLOOR TO BE 3 1/4" RED OAK(SELECT OR BETTER) INSTALLED OVER RED 10 R05EN PAPER OVER EXISTING 50 FLOOR, FLOOR TO BE SCRAPED,SANDED,STAINED, - SEALED,AND RECEIVE 3 GOATS POLY URETHANE. APPLY SANDING SEALER ON BACK OF ALL FLOORING PRIOR TO INSTALLATION. TYPICAL TILE FLOOR- - /�`---- T� TILE FLOOR A5 SELECTED OVER I" MUD SETTING BED OVER#30 BUILDING PAPER -- ------- �--- OVER EXISTING SUBFLOOR _ "AXEK"RAKE MOULDINCs a ! - OAZM-281 OVER 1"Xb" 'AZEK' / \ ��eAKE BOARD TYPICAL ASPHALT ROOF - -- - NEW ASPHALT ROOFING TO BE "OAF TIMBERLINE" 'LIFETIME HIGH DEFINITION SHINGLES,COLOR TO BE "SLATE" (SUBMIT SAMPLE FOR APPROVAL) OVER 30 # BUILDING FELT OVER 5/8 GDX PLYWOOD 5HEATHING OVER ROOF RAFTERS (SEE _ / PLAN). INSTALL ICE WATER SHIELD FROM THE EAVES EDGE TO A POINT AT LEAST P x 4" AZEK"WINDOW TRIM\ / (PICTURE FRAME)(TYPICAL) 2'-0" INSIDE THE EXTERIOR WALL LINE AND AT ALL VALLEYS, HIPS, 4 AS INDICATED ON ROOF PLAN AND AS REQUIRED TO MEET CODE. WEAVE IN ALL VALLEY'S TO IG MERIDRCONGEAL FLASHING UNLESS MATCHING EXISTING CONDITIONS. LL M'ICAL EXTERIOR WALL --- - AZEK "TRADEMARK RAILING 5- G EXTERIOR DECK �- — -- - nun " ni WTREX DECKING TO BE SELECTED WITH 36 HIGH YSTEM zWITH SQUARE BALU5TER5 OR APPROVED EQUAL. � �-- W W- - zz Ln > G. OWW "PENNSYLVANIA"13LLESTOME TYPICAL NEW EXTERIOR WALL - CEDAR SIDING Q ~ Z PLATFORM WITH FLAME EDCSE t NEW CEDAR CLAPBOARD (SUBMIT SAMPLE) OVER 'CEDAR BREATHER' (BENJAMIN u Q 3 BRICK RISERS.BRICK TO BE OBDYKE) OVER 1/2" RIGID INSULATION BOARD (R-3) OVER #30 BUILDING FELT OVER ~ 0: z LL ELEVATIO 'GLEN(CAL EX MODEL#53DD O CM EAST 1/2" 'GDX' PLYWOOD SHEATHING OVER 2"x4" STUD WALL. FILL STUD WALLS WITH R-15 u LL Q C w TYPICAL EXTERIOR COLUMN UNPAGED BATT INSULATION AND FINISH WITH 4 MIL POLY VAPOR BARRIER d I/2" z 3 o W W GYPSUM BOARD. GYPSUM BOARD TO BE 5GREWED, TAPED, 5PAGKLED (3 COATS), 4 m W w = t=- } SCALE:1/8" =1'-0" SANDED, READY FOR PAINT. Q z z g L z Q 3i � 0003 REMOVE EXI5TING CEILING AND ROOF 2 STRUCTURE AND INSTALL NEW AS INDICATED C? 0 if= o RIDGE VENT d RAFTER TO RAFTER o o C STRAPPING,SEE DETAIL ALUMINUM FLASHING - -- —--- _ _ -- --------- ---- u 2"x4"COLLAR TIES 0 32"O.G. - - TYPIGAL�45PHALT-GOOF TYPICAL ASPHALT ROOF ------- -- ATTIC ` , ,�'.E' ; ROOF TO WALL STRAPPING SEE ry DETAIL a. -- --°- - -- WALL TO WALL STR:APPI NG,SEE e -----.-- ------- - -- CONTINUOUSLY VENTED SOFFIT,SEE a "AZEK"RAKE MOULDINGS - DETAIL '-0" R-25 INSULATION _-_ DETAIL AZM-281 OVER I xb AZEK / _- \ / 16 GLASS TRANSOM(TYPICAL e / \ BEDROOM NJ RAKE BOARD I A PROVIDE 5/84 THRUI-BOLTS = _ TYPICAL EXTERIOR WALL ~ "AZEK"I"x4"CORNER BOARDS \ / \ / _ (CONNECTINGs EX15TIMI�s t NEW PLATES)9 45"O.C.MAX.,1'-0" ElBEDROOM #1 \ / TYPICAL WOOD FLOOR 10 Q FROM EACH CORNER:,NO LESS CD I"X 4" 'AZEK"WINDOW TRIM THAN 2 PER SILL(TYPICAL) m (PICTURE FRAME)(TYPICAL) - ----- - --- INSTALL NEW 1/2"PLYWOOD R-15 INSULATION 0 0 _ - - SHEATHINGS ON ENTIRE INTER! n p TO GYPSUM TYPICAL EXTERIOR WALL PAGE PRIOR- --- V -------- ---- ----------- -- - BOARD(TYPICAL) INSTALL S - - -- � -- -- -- -- -- -- -_--- -- --- -- = WALL STRAPPI -- - - - - ---- --- - NCS SEE DETAIL "PENNSYLVANIA"$LUESTONE PLATFORM WITH TO FLAME EDGE t BRICK RISERS.BRICK 4 r vVk''N vv 'v'vVV'v4dV','4^r'v'v�J'vvv , „v v V EXISTINGs FOUNDATION REMAIN u "GLEN GERY"MODEL'5301) cu >,R-19 INSULATION > -"' TYPICAL EXTERIOR COLUMN PROVIDE 5/8"o ANCIHOR BOLTS'S 45" Q O.C.MAX,1'-0"FROM EACH COINER SOUTH ELEVATION NO LESS 2 PER SILL,AS PER 4 � • di � CODE.BOLTS SHALL EXTEND A 4"' SCALE: 4" =1'-0" EPO O PLACE AS PERRL DRILL t o x 1 CZ CZ SC / SECTION 0 m °° � MANUFACTURERS SPPECFICATIONS � (TYPICAL) SCALE:1 4" =1'-0" EXTEND EXISTING BRICK CHIMNEY A5 REOUIRED .moi oo O L�r,) W TO MEET CODE. MATCH EXISTING BRICK OR E-+ ALUMINUM FLASHING PROVIDE NEW STUCCO FIN15H ul) r 24" 0 rrFM'(OR APPROVED - ----- ---- - - �c n N =lir ° ---- - - --- - --_-- - -- - ----- - EQUAL)LOUVERED ATTIC VENT ALUMINUM FLASHING - . - - - GAL ASPHALT-ROOF ------- - "AZEK"RAKE MOULDINGS - - - - - - - ------ — - —0AZM-281 OVER I"xb" 'AZEK' GAL ASPHALT ROOF RAKE BOARD ----- - -- -- --- - - _ - --- - --___- -- -- u Q m --- ----- ---- Lo u u u u u u u O 00 "AZEK"1"x4"CORNER BOARDS \ \ 4- - ♦ 4- ---- ♦ H \ \ U _ I"X 4" 'AZEK"WINDOW TRIM \ / -- -- (PICTURE FRAME)(TYPICAL) o W I LL -- - - -- -- -- -- - - - - - - -- - -- - - - - - - - - - - - — _ - - - -- -- -- — — — -- -- — -- -- -- — TYPICAL EXTERIOR DECK REMOVE EXISTING CEILING AND ROOF EXISTINCS GRADE to REMAIN EXISTINCS"5ILCO DOOR" t STRUCTURE AND INSTALL NEW AS INDICATED TYPICAL EXTERIOR WALL E &CRROSS IOR SECTIONSELEVATIONS NORTH ELEVATION BASEMENT STEPS TO REMAIN WEST ELEVATION DATE: 12/19/17 SCALE:1/4" =1'-0" SCALE:1/4"=1'-0" JOB# 17-56 A=3 FORM NO. 4 ? •- TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. �. 9. b 3. Date . . . . . . . . . . . . . . '� 6 THIS CERTIFIES that the building located at Z . . .WT tzo A Street HVC►((;L kW*R N ji.L MOAU Map No. . . .` . . . . . . Block No. . . . . . . . . . .Lot No. . . .7 . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . .al.7-19-72—pursuant to which Building Permit No. 7.Z, dated . . . . . . . . . . . . . :3 .r c , f., 19 7`-was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . .)"`!!A.Y. . . . . .D W k i i- l nl G . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . W. A.�. 1�''. H. . . . .U/,i N.� (owner, 0 of the aforesaid building. Suffolk County Department of Health Approval . . . . . .1 :. ?! . ... . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER. . .b.V . . . .Street. .f! 7 D. . . . . !6. . ;V.. EAT7 M A. iev�.N . . . . . . . . . . . . . . . . Building Inspector FORK NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 6157 Z Date .........................�W-%.........3............ 1912-- Permission Is hereby granted to: . .................. t ........... ................................................. ................................................................................ to ..11111114 .............................................................. ......................................................................................................................................I.....................,... at premises located at . �,.IEQa1�1be?='y 8131 qtr l�jRl Z,aq.>�,1191 ............................... iaa*,•�U►>vlo�r............. .................................................. ....................................... .............................. ................................................................................................................................................................. pursuant to application dated .......................0p*....... ..............., 19,72-- , and approved by the Building Inspector. Fee ............ . 4f But ding Inspector .i FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ----�� SOUTHOLD, N. Y. Examined .....�...�.......... 19.�..� �N963 Application ................................ Approved .............. ..... ..............1 19. L Pemit No. .1Rq.. ..�... ... Disapprovedo/c ..................... .................................................................... ............................................................................... ........... .... ........ ....................... ..... ............ .....P ......... ........................... (Buildi Ins tor) APPLICATION FOR BUILDING PERMIT )1D Date .........................October..... 19..... 2 O INSTRUCTIONS 5F a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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, a giving a detailed description of layout of property must be drawn on diagram which is part of this application. 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 permit shall be kept oA the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have beck granted 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,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions or alterations, or for removal or demolition,as herein described.The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in buildings for necessary inspections. Geo. Bauer (Signature of applicant,or name,if a corporation) Southold (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde� Builder ..............................I................ .......................................................................................................................................5 Nameof owner of premises ..Ra.Jph.:rJenk....................................................................................................................? If applicant is a corporate,signature of duly authorized officer. ................................................................................................... (Name and title of corporate officer) T�! `l 1. Location of land on which proposed work will be done.Map No.: .....XX......... Lot No.X7C...................................... Street and Number.........N1.S...�i11,Ck;��.k�.:x....i�.7,a 1.. d r....:'rA.�...`..t 1'.H.Y.e.�. G. ..A: S OX)..................... �C �Vl' �—� Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.....dwelling............................................................................................................ i b. Intended use and occupancy ........... ........................................................................` O(� o c r ' 3. ^NuturZufwork (check vi�hicha- doke): New Building.......................Addition ....... Repair ......................... Removal ......................... Demolition ........................Other Work ........ escri' ti .......... 4 E�hnato�Co�_.—. __-.~-' Fe�-.-1� ._---.--_--__.._-___- ' --�,`~' (to mvpaid oofiling this application) Ei |fdwelling,number ofdwelling units.o.Ue.........Number oYdwelling units oneach floor......................................... |fgarage,number ufcars............................................................................................................................................. 6. If business,commercial or mixed occupancy,specify natuunand extent of each type of use..................................... 7. Dimensions ofexisting structures,ifany: Front..................... Rear........................... Depth................................... Height........................................................... Number mfStories............................................................................. Dimensions nfsame structure with alterations o,additions: Front.......................... Rear......................................... Depth .............................................. Height.........................................Number ufStories........................................ 8. Dimensions ofentire new construction: Front......... 2............ Rear-.-.1.2................ Depth ...... .6..6................. Height......u��.................................... Number of Stories......................................................................................... 9' Size nflot: Front............ 2g................... Rear..............0.........................Depth--aOfa',L..3.5.O+._-.''..~-- Height--_.-------_.-__.. Number ofStories...................................................................................... 10. Date ofPurchase.....................................Name cfFormer Owner............................................................................ 11,kn dist 11. Zone uruse district inwhich premises are situated..................................................................................................... 12. Does proposed construction violate any zoning law,ordinance oxregulation: ......................o'Q................................ 13. Will lot boregraded __-.............................Will excess fill boremoved from premises: [ l You [ ] No 14. NumeufOvw�,ufp�m�� -..D/�pdi~wayo�-_.--_-_---ddre--.--_-.—.--._-. one ~.. ---'-- NamoofA,d�t��'._-'_-_..-'_—.--..__----'(����[---_._---._.�������-_~__ Name ofContractor.......Iaa''Eaoar---_.—.----- - -.-_~--_._-'�������-_'_~- PLOTD|AGRAM Locate clearly and distinctly all buildings,whether existing n,proposed,and indicate all set- back property lines.Give street and block number or description according to deed,and show street names and indicate wheth- erintonoro,cornur/ot. Jame ofiindii�viid�uali signin o�n t) (Contractor,agent,corporate officer,etc.) of said owner or owners, and is mu/v uutmv/mu mperform v, have performed the said work and mmake and file this application;that all ^mmnmmoco"ta/"°u /"this application are true tvthe best mhis k^v°wouoe and belief;and that the work will be nwrfu,mom in the nmmm: set forth mthe application filed therewith. ........-----'�........day of ...................QG�..................` 19..... Notary Public' .............. ................................................... County . ---... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27515 Date: 01116101 THIS CERTIFIES that the building DWELLING Location of Property 260 HUCKLEBERRY HILL RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 031 Block 0016 Lot 005 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27515 dated JANUARY 16, 2001 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 WITH ACCESSORY GARAGE, PUMP HOUSE & NON-HABITABLE ACCESSORY BUILDING. The certificate is issued to MARIE WENK (OWNER) of the aforesaid building SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. thorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 260 HUCKLEBERRY HILL RD EAST MARION SUBDMSION: MAP NO_: LOT (S) MUM OF OWNER (S): MARIE WENK OCCUPANCY: SINGLE FAMILY MARIE WENK ADKr TED BY: HENRIETTA CHITUK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 31.-16-5 SOURCE OF REQUEST: RUDOLPH H. BRUER, ATTY 12/9/00 DATE: 01/16/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 1.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELaR: PART CRAWL SPACE: PART TOTAL ROOMS: 1ST FIR-: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: FLAG STONE BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: TYPE HEATER: GAS LP AIRCONDITIONING: TYPE HEAT: OIL WARN AIR: XX HOTHATER: OTHER: ACCESSORY STRUCTURES. CJUUkG, TYPE OF CONST.: ONE CAR WOOD STORAGE, TYPE CONST.: PUMP HOUSE SWIMMING POOL: GUEST, TYPE CONST_: OTHER: NON-HABITABLE ACCESSORY STORAGE BUILDING VIOLATIONS: CHAPTER 45 N Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE _ LOCATION DESCRIPTION I ART. SEC. REMARKS: AS PER SURVEY INDICATED-REAR BUILDING HAS ABONDONED ITS USE & IS NOW A NW4MPMM ACCESSORY STORAGE BLDG. BP #6157Z-COZ4963 (ADDTTICN) INSPECTED BY: ` DATE ON INSPECTION: 12/19/00 JOHN M OF IS TIME START: 9:50 AM END: 10.30 AM s Form No. 6 TOWN OC SOUTHOLD BUILDINC DL•PARTtIENT TOMi llALL 765-1802 APPLICATION FOR CERTIFICATE OF'nCCUPANCY This application must be filled in by typecrriter OP, ink and submitted to the building inspector with the following: 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 lZ lead. . 5. Commercial building, industrial building. multiple residences and similar buildings and installations, a certificate of Code Cinmpliance from archi-;ect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupbncy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . .December . . . .. 2000. .. . . .. .. . . .. .. .. New Construction, , • •, • Old or Pre-existing Building . . .x . . . . . . . . Vacant Land . . Location of Property . . 260 Huckleberry Hill, East Marion • • • • • • • • • • • • • • ,. •• . . Nouse No. Streer Hamlet Owner or Owners of Property . . • wenlc, Marie x: • • • • • • • • • • • , • •• , • , , , , . .. . . . County Tax Map No. 1000 Section 031.00 Block 16.00 , • Lot. .005 000 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Loc No. . . . . . . . . . . . . . Permit No. .. . . . . . . . . Date of Permit . . . . . . . . . .Applicant • •Rudolph H.• Bruer, Esc}. • • • ••,, Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . .. . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . .Final Certificate . . .R. . . . . . . . . . . . .. . . . . Fee Submitted S . .100:00 . . Construction on above described building and permit meets all applicable codes and regulations. . .tom �ttcpjC c2731 Applicant .� �.� /c�. . . . . . . . . . . . r CONSENT TO INSPECTION Barbara Kirby, Executrix of the Estate of Marie H. Wenk the undersigned, Owner(d) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 260 Huckleberry Hill, East Marion which is shown and designated on the Suffolk County tax map as District 1000, Section 31 , Block 16 , Lot 5 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: PreExisting Certificate of Occupancy That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. December 2000 ,_. Dated: Q/ '^2(/ � 6 (signature) Barbara Kirby (print name) 0 n SAY ..,__..._......... o A I �3 J 2 r • r , � In `�r ��,/�/�r ti � �.�ac!rxann-r are• + 1'ss ` � + 'r• 4. moria�..�ea�doo�• j .�1F �1P :L Saewrurdnuw+msrr AR:. vy Ctrar.u. f f s a �- p �p'�ly 1• .+e..dwr�reamiam�+� �I QO G 1 rrasVaaar. u b.00 ma rn \ � �� _ •�: a r �amr.L,.Kwr.�.��rn d � !� J _ �. afmirZ>t u�•rr.ro �f a`j`tt' � IP la r199n sr:rv7�aaas `f Ga�wu t'rf.w `I r dMrJA— � i 9� � :.......•....�-•-,a���-•.��`,���'� teuTkw'�`.veTi�Ue+ou 1ercuac w»cO.U.y. AWL r-etec 1 r;✓�n.e:' //�'GO i�Lri �/.P�C'ArA.is;nW .�,.1t .a/ IlC FxswR' E�eLLitrS E37 Tirlf/�nvaireLb.a�w,� a a�re,�irj v pa;e•Oec�w�rcc.�r-m s�-7L_ 9�SN r MrlaaO-01I%L'vli �,----. .-',-TOWN OF-SOU HOLD... ROPERTY RECORD CARD ! w OWNER - STREET VILLAGE DIM SUB. LOT ,FORMER ER N E ACR., C4 ylma 4ic� vvm a-6 W TYPE OF BUILDING SEAS. VL. FARM 1COhw. CB. MICS. Mkt. Value U) N LAND V- 1 IMP. TOTAL DATE REMARKS ,r, el 7k w U) 50 0. 4 7. 0 140 0 3 r 0 U 0 o to 00'1/ Y//7AR--A r—,Y'S L soca a wN zr& 0 X / 0 q 3 no 0 0 3 27!k 2.5A�msujT V Th R�ootQ owF- D I - ,124) 0 P_/2-7 % .Z�r 9, L f In QL 00 soco N-01m.71 g �ti.!!- _qctsc) Kalouij COF- Xs LD Inin-6 tag ZI-14 U') AGE BUILDING CONDITION (n Ln NEW NORMAL BELOW ABOVE FARM Acre Value Per Value LO Acre Tillable FRONTAGE ON WATER �Voodland FRONTAGE ON ROAD Ij�40 00 f Meadowland DEPTH C14 m House Plot BULKHEAD C'4 Total DOCK -mono • z iF iLh / ■EO■■EEfEO►�liOlO■Ea■■a■■!■OEM No �1! E!r !li■■■■■■■■■■!■■■■■■■■■■ _ - -_ � - - '�IIiIC`:�i r'�r■►1■■�a■Ea■■a■!a■■■■EI■ ILE!■■G:�E.7Ea■■■■■■a■■■NONE ■■■■a■t!E■■■EEE■■■■O■■NEN ■i� iP�if�l(a■■EMO■■E1�■■■a■■a■■a■! ■�■Oa■a■��IOE�OI■If moons MEN Ong! 41aEa■l■■■■Na■■■■■■■ yam OMMEN■ Elm= v ONE a ■EMINEW!!EM^LHE■■!!■ No MIMMI NIMER MEM ■■■■■ata ■!■■■■ ■ma■■■aNO■E�taa■■■■■a■■�■aaaa® iii!■■■■■NEa■�is■■■E■■■F-Ma■■N■©■■ Basement !Interior Finish • ;'Rooms Ist Floor Recreation Room Rooms 2n �L Michael J. Domino, Presides �Qg �O Town:Hall Annex John M Bredemeyer III, Vice-Pres tient h�0 GyJ, 54375 Route 25 Glenn Goldsmith ti z P.O Box 1179 A.Nicholas Krupski ® , Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 �Ol 41 �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD D—ate/Time: ` Com b : a Completed in field y N c r- .Michael Kimack on behalf of QUIET MAN HOLDINGS, LLC requests an Administrative Permit to :demolish existing 484.11sq.ft. one-story cottage; remove two existing 36sq.ft. steps; on existing one- story dwelling construct a 197sq.ft. deck onto the westerly side; construct new 45sq.ft. roof over entry portico; construct new-roof; and install new siding, windows, and exterior doors. Located: 260 Huckleberry Hill Road, East Marion. SCTM# 1000-31-16-5 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening. 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1 Residence: 100 feet 2. Driveway: 100 feet 3 Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 0 1 have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Page 1 of 2 g�FFO(,� Michael J. Domino,Presider v0 CG ti Town Hall Annex John M. Bredemeyer III, Vice-President ,`�O Gy., - 54375 Route 25 Glenn Goldsmith o '` P.O.Box 1179 Z A.Nicholas Krupski Southold,NY 11971 Greg Williams, y ® p! Telephone(631)765-1892 �p�. * �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Michael Kimack on behalf of QUIET MAN HOLDINGS, LLC requests an Administrative Permit to demolish existing 484.11 sq.ft. one-story cottage; remove two existing 36sq.ft. steps, on existing one- story dwelling construct a 197sq.ft. deck onto the westerly side; construct new 45sq.ft. roof over entry portico; construct new roof; and install new siding, windows, and exterior doors. Located: 260 Huckleberry Hill Road, East Marion. SCTM# 1000-31-16-5 Ch. 275-12 - STANDARDS FOR-ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of.any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC. LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 9Nm V3bONd a0 J R131N210d 210 MON ONVI M..00.6Z•L�:N —MLO 3d Z rn toz-902 33 VNIA TS v � M L O'3d _ fid ' ti9 Sr�o y �F Off: O 2 6 _ _ �� �y s oo'`� � C„tip'• tuna o � 0 °,��, o• ��� 15�r 6 �gtio O r vt ' ED '��++,,5 iii\. �►.�; � ^�! Li 7-1 740, as I/ I e V a� II . a t f MT. ON .: 11 / a t 1/ / J ,� . . : C. Mal y.r MiMITOWS H� t = r '�� -',�•�4,.. �_ _ _ 'ice. _ -�: F f' . . Y� r 47 l� I 2 TA O,y OR SEE SEC.NO.012 eEc ND. Ste .NO.oa �m m� N osz '♦: ��, N M11TCN UNE \a\ IMTCX UNE MATCH "Na N 119 ' FOR RCL.NO11TA SEEEC.N SO. w I w. ^^ 1 ma 1 I 4 • Is 1116 �1118 OA ww }.. w �n ]mw P \6, ' i10I1:Nawc1:1A ta1M(0) O t, 11.a 9 im ] w s i tww aEmlmutn nl `'� A a2A I,Hclo e j yyN QP • Po w \�y+`,"�p11 w ] r� 32 e1 1115 11A •• e T �,4t \eT a 4 ], 2y' 1+Hc } t Ix 2�' ] a 5 Q J Q11.7 6X ° e�0" �. 21 ••, .. ]0. 1.M1•) •0 9 w e^ Za t 1Iµ ` ae MAIN AI tsn the 3 1T"to 1e 1•a..a^ml ,�� °e e 1�I 1..c) 111) 101 119 w e \9 e e 12 13 n, SSP+\ ♦ 0 •, y O s � 0 3 ±�, 0 T 6 11 T+ 25A p. p w11111 � 119 •. 1 z]r. � ¢ / 102 s N• d ` tINC) 101 M o �j e , � e.a�1d 42 p' / 1S] +,11 1�M Nq � % y1µ � +1 ¢J �I 43 a 40/ 1neA 1x �•� 'Q s11FFOU[COUNT/ NNTERAURIONTY +e. F NNEon. 1132 ' �\ ` � 4.6 6 w /' FOR PCL.NO. 111 O q ^O S 9,1NA SEE SEC.NO. 0]003019 S w r sa e I ten, s q • e� Tovm oP sournan , .1. MARION LAKE y t4,. m ,1.3 iio1 O S ♦ M1 SOP I, a m Ta • :`' a'13` dv ' ti^°" ° •m •' s $& .` 202 O7 ' ♦ " 203 1 w ♦ ,t ry ,@ a 'e MARION LAKE �•y e 9 TOINNe.as FOR 1N1 No. ,.a aP �s 4 , 20.4 Nq e llOLO SEE @1-0622 SEC. 1'a + , ' ♦ , © 2.OA nun...wurortm 'a' 1+ 4 ♦ 20A 293 FONR NO. 11A a-� I.m '� p , 1x 11 7 • M1" .,pQ'j. SEE SEC.NO. 1WIwI10FlRLLF 10. T 090@-1b 0Et8aN6/tNvnA 11 tfa S T � Y F.1� • ^ �O• t eti --�—u1E F•� 4 / L .N.� ..r "• iw — -- w...•. -- — u. --.-- NOTICE COUNTY OF SUFFOLK © K ott 1m tawtlOF SOIIf1101D SECTION NO r...• •rr -- o .••..•1rr E ��d.- —� ..._...r.,., tz11 O e....� ` —M— Real Property Tax Semce Agency r ---- -- s..� d � .,.,..�.�.., --- , �, —.,-�— � —�—� �.�.,.N..a•„® � •e�.a..�.•..Na,p, � 031 _ • Nvuxrae M t>0 SURVEY Of PROPERTY N SITUATE: EAST MARION LAND NOW OR FORMERLY OF. JENNIFER AUCE RAMROW5K] W E TOWN : SOUTHOLD SUSAN KAMR0W5KJ I E "IN liel 5UffOLr,, COUNTY, NY N89*1 2'00"E oq�' 575.35 S 5URVEYED 10- 1 0-201 7 '(313 3 4.3 8' '00" JAN 3 1 2018 1 r0ro.5 6-5�' 1 5Uf fOLK COUNTY TAX # 1000 - 31 - IG - 5 "Ifl4tok- q4.O 1301rd 0 CERTIFIED TO: 'V1 DAVID JANNUZZI 0 203 _k ny '0 ' 0 19 SO �A 36 1p IQ 00 .47.47 67 , 40-t iv G 0 00 1-0 -7b p C\4 91. 10 04 2 0, 0 .Unauthorized alteration or addition to a survey ...... map bearing a licensed land surveyor's seat Is a Ot 11E violation of section 7209, sub–division 2, of the New York State Education Low." C/) C. "Only copies from the original of this survey Marked with on original of the land surveyorr's Stamped sea, shall be considered to be.valid true copies" WATER -i- Certifications Indicated hereon signify that this MFTE f _1Z survey was prepared in accordancewith the ex– r tq F 0 isting Code of Practice for Land Surveys adopted 4y S by the New York State Agsociallon of Professional Land urveyors Said certifica ions shall run only to the person whom the survey is prepared, , and on his behalf 0 the title company, goYernmen– tol agency and lending,ir'sulution listed hereon, and to the assignees of the ending institution. Certifico– tions ore not transferable to additional institutions NOTES: MONUMENT FOUND SPLIT PAIL FENCE JOHN C. EHLER5 LAND 5URVEYOR A" 5TOCWE FENCE a 0 A —X—C WIRE FENCE G EAST MAIN 5TREE:7 N.Y.5. LIC. NO. 50202 UT11Lf �pc h0� �-�a��o� Area = 30,112 Sq. Ft. RIVERHEAD, N.Y. I 150 1 3G9-5288 Fax 365-8287 Po Area = 0 69 Acre5 resurvey@optonhne.net LE I"= 30 orif SO OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex 41 P O. Box 1179'' 54375 State Route 25 Southold, NY 119x71 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone. 631 765�1938. O Fax: 63.1 765-3136 AUNTi, LOCAL WATERFRONT REVITALIZATION PROGRAA(_ TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From. Mark Terry, LWRP Coordinator Date: March 17, 2018 Re: LWRP Coastal Consistency Review for QUIET MAN HOLDINGS, LLC SCTM# 1000-31-16-5 Michael Kimack on behalf of QUIET MAN HOLDINGS, LLC requests an Administrative Permit to demolish existing 484.11 sq.ft. one-story cottage; remove two existing 36sq ft. steps; on existing one-story dwelling construct a 197sq.ft. deck onto the westerly side; construct new 45sq.ft. roof over entry portico; construct new roof; and install new siding, windows, and exterior doors. Located. 260 Huckleberry Hill Road, East Marion. SCTM# 1000-31-16-5 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization\'Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided the following is required 1. Identify the regulatory setback distance to theprotected natural feature. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc- Damon Hagan, Assistant Town Attorney M,chael J Dorm,no V,cc P O Boz t l79 Ja,ncs [' King Trustcc old Nc,, York tt971 0959 x , i 03,e Bergen. Trustee ', G o .- Telephone (63L) 765-1892 Charles J Sanders. TISLce Fax (63 1) 765-6641 lyCOUW,�`� BOARD OF TOWN TR.USTELS TOWN O�SOUTHOGD To_ Southold.Tow6 Building Department MD Re: Verification of Building Department Permit Requirements D FEB B 2 2018 SCTM#: 31 Jc IlVG DEPT. ( Vrlt AIA-AI HbLDl NG'5 lrtC-, TOWN OF SOUTHOLD Property Owner Mame: Date Sent to Bldg- Dept-: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES N-0 'I the proposed project require a Building Pen-nit? If the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: ()�I V I IIA"-IIAW I S gnacure of Reviewer Date Town Hall.Annex Michael J.Domino, President 54375 Route 25 John M. Bredemeyer 111,Vice-President P.O.Box 1179 Southold, New York 11971 Charles J.Sanders d Glenn Goldsmith 5 Telephone (631) 765-1892 A. Nicholas Krupski Fax (631) 765-6641. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Pe=. t Application E C E V E :Z Wetland Permit Application Administrative Pen-nit N Amendment/Transfer/Extension JAN 3 1 2018 Received Application: Received Fee: $ 100,00 — outhold Town Completed Application: — 2.Z_.TT_ Bpard of JUstees Incomplete: SEQRA Classification: Type I— Type 11 Unlisted Lead Agency Determination: Coordination:(date sent): V LWRP Consistency Assessment Forni Sent: CAC Referral Sent. Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: — . 2_Jt19 Resolution: Legal Name of Property Owner(s): Mailing Address: /92 Y3- AM" Nz y- /Z ?-,5-2- Phone Number: 4680 Zlf 7 Suffolk County Tax Map Number: 1000 - 3)- I Property Location: z40 110-0 F 15�je AY& RJ9 d5AZ --ZME/ AI e"X 2_5-0'0!�Z7 jW ff".4VA - '4&go( Z40 -r.• P4 d� - (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): 611CAVAA. AKZeACAK 2� Mailing Address: R a Rox 1047 X607-90L4, AlY 449 7/ Phone Number: r Board of Trustees Appli, tion GENERAL DATA Land Area(in square feet): Sae I/Z Area Zoning: �- do Previous use of property: 9_6% V 77,4L .1 IA16L/= 64z-VI-Y Intended use of property: &EJ'!J'"7-AL DA16946- oF4"It V Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town-Code? X Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? X Yes No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date _)No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? >e No Yes If yes, provide explanation: 6 s .— Project Description (use attachments if necessaryy) C op�_C�E l 4Bq!/S�,s dally;TWO-EaGl�'r/.1J(� STEL C o,V7.;Sf DECD 0 dGUL�ll�illG :.:C'_o/yJ_' cr_cr Al: CU.X0025," 0 VOR 4v7 Ry PC§ CO C95"S)cV, Ale R CID'F 0v�iP "5XIrT/*G --�G-d _��Es 1 r IA//, 6Z>, Q�9� ��T D O O �' IM/' �A5No V.q77yAv o� Gk1R�o�?• Hoard of Trustees Apply!I tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed.operations:, 7V XE&0 V.E 110,0"Al OWN& Carp fT/0rt/. .4 DSU V,E'cJ::�, /::�Ul? e UY PO Olt �4 C7'N/77,�5 �-ND O o e W N7144NCLQ ,o CO COX AA Area of wetlands on lot: Al 0A4L1C square feet Percent coverage of lot: . &V A/,6 Closest distance between nearest existing structure and upland edge of wetlands: 60 feet fl Closest distance between nearest proposed structure and upland edge of wetlands: _ 150 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? A11A cubic yards How much material will be filled? NOA14 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: < S�p Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters-of the town that may result by reason of such proposed operations (use attachments if appropriate): TNS PRQL6� l.0 61-6 VALE #r L.45.45,� Z o ocT S/ �° 7E cr..c 641 _H!41AYZ 04ly ,x/20 S'/D't/ ROl'1'l IUTY 6.17.20 Appendix B Short Environmental Assessment Farm instruction~ for. Cotnpletinf► Part l - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete.Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part.1 -Project and Sponsor Information Name of Action or Project: I .o_L1;7fiA1 IAcc/ MT1M1 Project Location(describe,and attach a location m1 p): Brien Description of Proposed Action. D�rloG/rh' .rro zY f',e d�.� corp-a 1(464- -"" 494. sfJ. ,P-&O V— r-Lvo �XirrrivG SPS/�6 .F��. C oNfrAl/crr- /77 D.�C� opt/ Gr/ rT .2LY 17PE C to A4Ar eUOr N -GO O o of OV,it5° RO#X tl/A e 9X IMIN61 AO WAWA G W1 wl-mpouir ,exr, ,0'0 oev Amo RWA Vii 714ou of Name of Applicant or Sponsor. Telephone:96 66rP SA0 IVICIVAE5ZLE-Mtlil. �/ W.AA Address: _ o_ ox X047 City/PO. State: Zip(.'ode 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, h0 YES administrative rule,or regulation'? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? 'NO YES If Yes, list agcncy(s)name and permit or approval IV VJ- 3.a.Total acreage of the site of the proposed action? _ _acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned n or controlled by the applicant or project sponsor? _ ffi 6 7 .._acres ----..........—.._...._..._......_.__...._._.__ _ _......._. -------...._...._..........__,........_...........__...._ - _—-------------- 4. Check all land uses that occur on,adjoining and near the proposed action. �/ [J Urban ❑Rural(non-agriculture) []Industrial [:]Commercialt�}Residentlal(suburban) ❑Forest []Agriculture ❑Aquatic ❑Other(specify):. ❑Park land Page l of'4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations'? o M-� ❑ b.Consistent with the adopted comprehensive plan? El -1121K, -❑ 6 Is the proposed action consistent with the predominant character of the existing built or natural NOYES _._....__.._._. ._....._.... landscape? ❑ 7, Is the site of the proposed action located in;or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: .._.. ...._...._...---...._..._....__.. ..____..._.. _..__.. .._..._.. _.. _.__.—._. .. _-----..__..._. 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES El b.Are public transportation service(s)available at or near the site of the proposed action? Ip( ❑ c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? YKJ YJ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: Le El 10. Will the proposed action connect to an existing public/private water supply? NO YES If' No,describe method for providing potable water: /�//� _ ❑ s 11. Will the proposed action connect to existing wastewater utilities? NO YE•S If No,describe method f'or providing wastewater treatment: _ _ NOW— © ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of l•listoric NO YES P l aces? Ix 0 b. Is the proposed action located in an archeological sensitive area? 13 a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodics regulated by a federal,state or local agency? ❑ FVI b Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? -j'Q( ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or arc likely to be found on the project site. Check all that apply. ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban Suburban 15 Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? N ❑ 16 Is the project'site located in the 100 year flood plain? NO µ(Y�E'S_ 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges now to adjacent properties? X NO ❑YF..S LJ b. Will storm water-discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe ❑NO YTYUS ._.. .. ........ Page 2 of 4 __.. ..__..._..._...._....--.-._..—---_.—............. .........._....._.... ..........._.__.___..__...__.____-....__.._._._.._ 18. Docs the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(c.g. retention pond,wastelagoon,darn)? If Yes,explain purpose and si-z..e: __ _.. _.._. � _._� —.._._.._. ._. 19 Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe• _..._.. .. —._.. .._. ..... ....__._................ ._..._.. .._.. ......_.... _.. _. __... 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste?, If Yes,describe: ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVF, IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: , _/G' Z��L /Jt!f j �'� Date: . � Qvp ._...._.._.._. Signature:... Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or� Moderate small to large impact impact may may occur oceul' I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? _ ❑ 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical.Environmental Area(C13A)? 5. Wiil the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway'? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7 Will the proposed action impact existing ❑ a. public/private water supplies? b. public/private wastewater treatment utilities? �^ ---— -------------- .. ....._. ........ _.. _... . ..... 8 Will the proposed action impair the character or quality of important historic,archaeological, ( t I architectural or aesthetic resources'? l 1 LJ 9 Will the proposed action result in an adverse change to natural resources(e.g., wetlands, waterbodies,groundwater,air quality, flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? I I Will the proposed action create a hazard to environmental resources or human health? Part 3- Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3 Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility;geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above,and any supporting documentation; that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environment-I impa s. Town of Southold-Board of Trustees 3 L l,� Name of I,ead At-"Dy nate I^ • yytI Prosident �._.___ _ __.._.. .._. .._._..._... Pint or'T'ype Nan of Re po ibl fficer in Lead Agency Title of Responsible Officer c Signature 0..spo le Officer in I_:ead Agency Signature of Preparer(il'different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Appl:, tion AFFIDAVIT 9 11 0zv1A16 S, LL G ROAA/IVUZ BEING DULY SWORN DEPOSES AND AFFIRMS MAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF _�',�1 �/,q/Z�/,.20 w 7Y Notary Public Notery MICHAEL g atelof New York 23 Qualified�In Nassau Count Term Expires Marrh 11. 1 G/OP Board of Trustees Appli, tion AUTHORIZATION (Where the applicant is not the owner) owners of the property identified as SCTM# 1000- S/—16 - _1!�— in the town of ,6A.liJ" &AA0YID� , New York, hereby authorizes HI CAA16Z A Z4/&g CZ to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Pro Owner's Si6mA#e V Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF /�(Jp�YLf,/ Notary Public '11otarMplibile'CHAeL'StA ktIUACK Ouali(ied' Kq505613238W York Plres U u y term Ex 9,9 Count r�. Zo,I� APPLICANT/AGENT/REPRESEN`X'ATIVE TRANSACTIONAL DISCLOSURE FORM Tlie"I.cnvtt tIf'S )inlll's l isle of Flhics n_ohibi s conflict%orinterest.on the port of town ofticrrs and e i) ecs ' I c;mt pose of fill.,;fornj is to" rovicle'ial'ormatinn which can atert the town of ossiU conCl.i 9_.t"iatcres iu 1 tllow it to take whlttcver acl'ion is necessary to avoid sante, YOUR NAME: — Q&A C/6 ZV CSS/" ' (Last name,first name,;niddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance _ _ Building Variance Trustee Change of Zone _ Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning ,. Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or ehil(l).have a relationship with any officer or employee or thc'rown of Southold? "Relationship"includes by blood, nlarriagc,or business Interest."Business interest"means a business, including a partnership,in-which the town officer or employee has even n parkin ownership of(or employment by)a corporation in which thc.lown officer or employee owns more than 51A of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe(lie relationship between yourself(the appliciuit/ageiit/representative)and the town officer or employee.Either check the appropriate>,line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%,of the shares of the corporate stock of-the applicwit (when the applicant is a corporation); B)the legal or beneficialowner of any interest in a non-corporate entity(when the applicant is not n corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this �—',P ay of ll/ _20,& Signature_ _ Print Name___ /C ,r�«C.� _._/ ._/'' Form TS I fl 1. APPLICANT/AGENT/REPRESENT:AATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold s Code of Ethics prohibits conflicts of interest on the pari oftown officers and ei»nlQveeti 'rhe aurnose of niis form i5 to provide information which can ateri'the fawn of possible conflicts of intcrost and allow tt to tn6e•whatever actran.is. necessary to avoid same, YOUR NAME: �/�NNU�Z/ D14VIII)p ✓2f - (Last name,first name,-griddle initial;unless you are applying in the name of someone else or other entity,such as a company..If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) , Tax grievance Building _ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you pehonally'(gr through-your company„spouse,sibling,,parent,oe child)have,-a rielationship.with any officeror employee of lhe'rown.of Southold? "Relationship”includes'by blood,ntareiagc,or business interest."Birsiitess interest"means a business, including a partnership,in-which the town officer or employee has even a partial ownership of(or enrployment:by)a corporation in which the town officer.or employee owns more than 5%u of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the-"relationship between yourself(the applicandagent/mpresentative)and the town officer or employee.Either check -the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%oftlic shares of,the corporate stock of tie applicant (when the applican As a corporation); B)the legal orbeneficial owner of any interest in anion-corpuiate entity.(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted t ' day of 20 Signatut•e . Print Nam Form TS 1 w 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action. will be evaluated as to its si.gn.ificant beriehcial-and adverse effects upon the coastal area(which.includes,all of'Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, cacti. Answer must be.exnlained..in detail, listing both supporting and noin- subporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold 's website (southoldtown:northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME Q U1g ivew-o S L C The Application has been submitted to (check appropriate response): Town Board F-1po Planning Board❑ Building Dept. !d Board of Trustees Afsj 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation, land transaction) (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action:,0,,&/yCL/,/S�y / JJYTRY AU&Z Cd ,0,j5 H4 7Wo 5x<I71ok,G��89 14 JXJ, C QAlJ`ne0Cr / Q 7 Br a,6 C,- oN fil Jnu/-Y S11016 CA EXu.P71AI P 40O M4 CONMV-u Cr-1VA&V ,e ao,4C' �JW lNl> �l Ab U JYPIMG01NDOW. -) , CT D 0,0123' ANP Q �a✓.��2QA/ /drr a� Location of action:. 26 0 -1&Ck6"A&iQY ZWV ,eD, , 4.� — IMAI CA-1 Site acreage: Present land use: ��ffJj /yr7,C1� .f'//I/G �i�t'!l1)✓ Present zoning classification: 45 '"Wr1 Z— J71V&5 A'AM/LY 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:. . (?U/251'&4AI o /Q/SVGS. LL C (b) Mailing address: )VA 777 ZZZf4o Al. V (c) Telephone number: Area Code( ) Mf 7 (d) Application number, if any: Will the action be directly undertaken, require fiulding, or approval by a state or federal agency? Yes 0 No® If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DIyE1.;OPEn COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III Policies; Page 2 for evaluation criteria. ❑Yes ❑ No Not Applicable E PCO,W ,Pe0aCIE/J' V67- 4 "-KV AZ Z&^%"4P77 � /I�aT" LOc.�T�� viL � ,�l�" ,QC�oL�(�L/ •� J�J,4�, Co s G RAO OYAW Mv 7"6/� C1625AI Jp.9 -(,45 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria F] Yes ❑ No I.L Not Applicable ��1a .42ZE . /11151117"01VC "--P 2012 AX C1aAW 0LQ6/44Z-. 11A°CE S�- QAnz` ,eAo/'ie-::�I Y—ate . V-A cr—wy- ZVA%ftl Attach additional.sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ® No ❑ Not Applicable ZM5 PW 6!' 45-0 PROV=-(7:: L0144 41D7- i5MVA'V Q5 II,U'U.a[ �1ALIZ- -7%?Z: Jri A&- C o tU 'ham A5"O VA L d 6ES' .�JG.y' �I-l�C'9- V!✓'�l.�L Q f�.�lU�. 7���i�NO Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria F] Yes°0 No Not Applicable �7J Zk 17 LZ), C'.� Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria YesEl No 2KI Not Applicable QA1JA5P !LL L IHXAC7— &1,4771-le 4R0,441 AM41dWjVM -V Attach additional sheets if necessary i Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. a 13 0 Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Ri Yes ❑No Not Applicable / Gt>��L 4�95 NA /N OV&-. 410 40,4:�V2EX 2%40, &OA0 VA MW AV= Mkt d�U>�LClJ1l(� 1.11/LL �0'tf�•�0 G/� �i � ,�NY�LOP� ��1 CL�CY . .. . . .. .. AA10 &NIV IZ,5 ./�tU5ar7W& 25i� 2--P/orL.S Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No X Not Applicable �-xs� Wv>LL ifx No Iry riz-CAPX� Paw W�,1� "P� 11 4cZ LIE & 2510 > PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the.Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye�] No© Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No F**7 -Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III–Policies; Pages 57 through 62 for evaluation criteria. El Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III – Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No YF'—"-J' Not Applicable ff .CT Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III–Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes M No Not Applicable PREPARED BY / 'A&# �/_ . ,�/ TITLE /�(j,�JVr DATE