Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
43026-Z
TOWN OF SOUTHOLD ' BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building—Plans TEL: (631)765-1802 Planning Board approval - FAX: (631)765-9502 Survey-... ....... Southoldtownny.gov PERMIT NO. Check ' Septic Form '— N.Y.S.D.E.C. Trustees C.O.Applicatirm....... Flood Permit—... —... Exarnined1 ,20 ,Single&Separate D Truss Identification Form Storm-Water Assessment Form q JUL 1 018 Contact; 0 r*N Approved_... 201 JUL I Mail to: ���r7 Disapproved a/c........ G -A T-00 or OLD Phone Expiration—. '20 NED'n' BLi M In. ctor AUG 1 2018 APPLICATION FOR BUILDING PERMIT I;tnDJNG DEPT, Date 7,J�X_7 20AO�_ TOWN OF SOU*MOL'D INSTRUCTIONS I a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,orlIterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. applicant or ilacne,if a corporation) L Mallin address of appy meat t) State whether ap licarit )Wn lessee,a nt,architect,engineer,general contractor,electrician,plumber or builder r ....................................... Name of owner of premises J V (As 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 Lic&nse No. I(. 11 p Other Trade's License No: tt 1. Location of land on which proposed work will be done: �A-+,"I r-- 1. I.......... th use Number Street County Tax Map No. 1000 SectionA----Block_ Lot-,91-—------- Subdivision Filed Map No. Lot 2. p yarv- occupancy� c>poscd construction: State existing Existingsusenand occupancy f lac°mise intended use and � �of a b. Intended use and occupancy 3. Nature of work(check which applicable):New Building_ Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost . Fee (Description) r .. ... ( � , f e pard on filing this application) 5. If dwelling,number of dwelling units__ k c � t on each floor_ If garage, number of cars 6. If business,commercial or mixed occupancy,specify ttat;uffanA nt of each type of use. 7. Dimensions of existing sfriictures,if any:Front X&I'a ai ( — Depth Height — Number of Sto 1rt`M'f ' 1 Dimensions of same structure with alterations or additions: Front Bear Depth Hei ht �? � Number o S or iTI, " w 8. De ght ions of entire new construction: �f pont, r I Rear f "Depth Number of Stori6s " 9. Size of lot:Front G�t� Ream Depth nP 10.Date of Purchase 0 Name of Former Owner 11.Zone or use district in which premises are situated .Does proposed construction violate any zoning law,ordinance or regulation. YES„ J NO 13.Will lot be re-graded?YES NO Will excess fill be removed from anises?YES NO 14.Names of Owner of ptea°nisesl : J rens Phc1ro` F r - r , Name of ArchitectAddress - % 6. No >` Name of Conactarrc9hess� ~��� " lone No. aa 15 a.Is this property within 100 feet of a tidal wetland or a freshwater w't1'and?*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 t/ NO * IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation 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 * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF5 A(�\'�} being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing ntract)above named, (S)He is the �'". � .... � � .....____ ......_ {Cor tzactor eeak, orporatc Officer etc.) of said owner or owners,and is duly authorized to perform or have performed the avid work aMEI 'aS"1�$�lihis applict ion; that all statements contained in this application are true to the best of his knowl edg; Ig0TAft WftTATEiGF NEWWRK performed in the manner set forth in the application filed therewith. SUFFOLK COUNTY LIC.#01 DE6349898 Sworn to before me this COMM.EXP. day of w4 20 , ._ .............. .. .�. Notary Public Signature of 1p licant Town Hall Annex � I Telephone(631)765-1802 54375 Main Road U n Fax(631)765-9502 P.O.Box 1179 r Southold, NY 11971-0959 BUILDING T T NOTICE OF UTILIZAIION OF.-TRUSS TYPE CONSTRUCTION. PRE-ENGINEERED "W"OOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date:. Owner: d w Location of Pro ert - r Please a notice that the (check applicable line): New commercial or residential structure . Addition to existing commercial or residential structure . ..... Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): ... .. Truss type construction (TT) Pre-engineered wood construction (PW) � Timber construction (TC) in the following location(s) (check applicable line): Floor framing, including girders and beams (F) _ � Roof framing (R) Floor and roof framing (FR) M� Signature: � > Name (person s mi�itting this form): Capacity(check applicable line): Owner Owner representative TrussReg15.docx Effective 1/1/2015 Michael J.Domino President �� "� Town Hall Annex � � � ... 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Charles J. Sanders Southold,New York 11971 Glenn Goldsmith % Telephone(631) 765-1892 A.Nicholas Krupski „, ''N Fax(631) 765-6641 Oum q, 'zz BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 18, 2017 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: ANGELIC & JOHN DURANTE, JR. 4260 OLE JULE LANE, MATTITUCK SCTM# 1000-122-4-29 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 18, 2017 regarding the above matter: WHEREAS, En-Consultants on behalf of ANGELIC & JOHN DURANTE, JR., applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 15, 2017, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 18, 2017, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ANGELIC & JOHN DURANTE, JR. to construct a single-family, two-story dwelling with attached garage and steps, a ±365sq.ft. covered deck, a ±376sq.ft. raised masonry stone patio, a ±90sq.ft. raised masonry bluestone patio, and an 18'x36' swimming pool; install pool equipment, pool drywell, and pool enclosure fencing; install stepping stones and a gravel driveway with cobblestone inlay; install a drainage system of leaders, gutters and drywells; install a sanitary system located landward of the proposed dwelling; and to construct onto seaward side of existing bulkhead a 4'x6' cantilevered timber platform, 3'x14' hinged ramp, and 6'x20' ftoating dock secured by two (2) 8" diameter pilings and serviced with water and electricity; with the condition to establish and perpetually maintain a 15' wide non-turf buffer adjacent to and parallel with bulkhead; and as depicted on the survey prepared by Peconic Surveyors, P.C., last dated January 9, 2018, and stamped approved on February 1, 2018. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: None Very truly yours, Michael J. Domino President, Board of Trustees MJD/dd �....,.m.m ®gym w,........... -— ----------- --- ------- BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9105 1 DATE: OCTOBER 183 2017 I, ISSUED TO: ANGELIC & JOHN DURANTE JR. PROPERTY ADDRESS: 4260 OLE IULE LAND MATTITUCK SCTM# 1000-122-4-29 " AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 18,2017, and in consideration of application fee in the sum of$250.00 paid by DSelic& iolin ]Durante Jr. and subject to the Terms and Conditions as stated in.the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a single-family,two-story dwelling with attached garage and steps,a f365sq.ft.covered deck,a 1376sq.ft. raised masonry stone patio,a f90sq.ft. raised masonry bluestone patio,and an 18106' swimming pool; install pool equipment,pool drywell,and pool enclosure fencing; install stepping stones and a gravel driveway with cobblestone inlay; install a drainage system of leaders, gutters and drywells; install a sanitary system located landward of the proposed dwelling; and to construct onto seaward side of existing bulkhead a 41x6' cantilevered timber platform,31x14' hinged ramp,and 61x20' floating dock secured by two(2)8"diameter pilings and serviced with water and electricity;with the condition to establish and perpetually maintain a 15'wide non-turf buffer adjacent to and parallel with bulkhead; and as depicted on the survey prepared by Peconic Surveyors,P.C.,last dated January 9,2018,and stamped approved on February 1,2018. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate`Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. An I DECLATIOI�OF QovLE ANTS THIS DECLARATION made this—T�l day of (, 2018, by John Durante, Jr. & Angelic Durante, residing at 19 Flower Lane, Manhasset, NY 11030 hereinafter referred to as "DECLARANTS": WITNESSETH: WHEREAS, DECLARANTS are the owners of certain real property located at 4260 Ole Jule Lane, Mattituck, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 70, Block 4, Lot 29, which is more particularly bounded and described as set forth in Schedule"A" annexed hereto,hereinafter referred to as the Property; and WHEREAS, the Property is'situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold(hereinafter the"Trustees")pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; and WHEREAS,the DECLARANTS therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, on October 18, 2017, the Trustees approved the application and issued a permit with terms and conditions;and WHEREAS,the issued permit,terms and conditions of the permit,as well as the survey prepared by Peconic Surveyors, last dated January 9, 2018, and stamped approved on February 1, 2018, upon which the permit is based,are annexed hereto as Schedule"B;"and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a fifteen-foot wide "non-turf buffer" be established and maintained landward of the bulkhead, as depicted on the survey prepared by Peconic Surveyors, last dated January 9, 2018,and stamped approved on February 1,2018; NOW,THEREFORE,the DECLARANTS do hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained landward of the bulkhead on the subject premises a fifteen-foot wide "non-turf buffer" as defined by Chapter 275 of the Town Code, as depicted on the survey prepared by Peconic Surveyors, last dated January 9, 2018, and stamped approved on February 1,2018. 2) The DECLARANTS shall at all times comply with the Terms and Conditions of the permit, a copy of which is attached hereto in Schedule"B"annexed hereto. 3) These covenants shall run with the land and shall be binding on the DECLARANTS, their heirs, assigns,purchasers,or successors in interest and may be modified only upon resolution of the Board of Trustees. (THIS SPACE LEFT BLANK INTENTIONALy) 2 IN WITNESS WHEREOF, the owner has duly executed this instrument this !7 v.. ._. y of 2018. 19 --------------- ...,. hn Durante�Jr. �.. Angelic Durante i STATE Ola; � --> . u COUNTY+ ' ss: On the--I+—h day of MQ VL41 , in the year 2018, before me the undersigned, a Notary Public in and for said State, personally appeared.ohn_ uranJr. personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual or the person on behalf of which the individual acted, executed the instrument. Not, Public ROSA A.TROIA Notary Public,State of Mew York N t 753' STATE OF Y - OulWon s � a �'csr��al��rw Nwr tarc�r, Id / ss: COUNTY OF On the��day of 11Uh in the year 2018,before me the undersigned, a Notary Public in and for said State, personally appeared A gglic Durapte personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual or the person on behalf of which the individual acted,executed the instrument. Notary Public 3 SCHEDULE A ALL that certain plot,piece or parcel of land, situate, lying and being at Mattituck, in the Town of Southold, in the County of Suffolk, and State of New York, and being more fully bounded and described as follows: BEGINNING at a point on the Southeasterly line of Ole Jule Lane, distant 686.87 feet southerly and southwesterly from the corner formed by the intersection of the easterly line of Ole Jule Lane and the southerly side of Kraus Road, said point also being where the northeasterly line of premises descn'bed herein and the southwesterly line of lands now or formerly of Kelvin Kubo and Carrie Shigetomi intersect the southeasterly line of Ole Jul Lane; RUNNING THENCE along the said lands now or formerly of Kubo and Shigetomi, South 30 degrees 29 minutes 40 seconds East, 184.60 feet to a bulkhead located at the mean high water mark of James Creek; THENCE along a tie line along the mean high water mark of James Creek, South 58 degrees 34 minutes 00 seconds West, 99.87 feet to lands now or formerly of Eric Muntner and Marie Muntner; THENCE along the said lands of Muntner,North 30 degrees 29 minutes 40 seconds West, 180.91 feet to a rebar set in the southeasterly line of Ole Jule Lane; THENCE along the said southeasterly side of Ole Jule Lane,North 56 degrees 27 minutes 10 seconds East, 100.00 feet to a rebar set and the point or place of BEGINNING. 4 nI BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9105 DATE: OCTOBER 18, 2017 ISSUED TO: ANGELIC & JOHN DU T E1 JI . PROPERTY ADDRESS: 4260 OLE JULE LANE,MATTITU K � l { SCTM# 1000-122-4.29 AUTHORIZATION I Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 18.2017,and in consideration of application fee in the sum of$250.00 paid by Angelic&John Durante.Jr.and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a single-family,two-story dwelling with attached garage and steps,a t365sq.ft.covered deck,a f376sq.ft. raised masonry stone patio;a t90sq.ft.raised masonry bluestone patio,and an 18106'swimming pool; install pool equipment,pool drywell,and pool enclosure fencing; install stepping stones and a gravel driveway with cobblestone inlay; install a drainage system of leaders, gutters and drywells; install a sanitary system located landward of the proposed dwelling; and to construct onto seaward side or existing bulkhead a 41x6'cantilevered timber platform,3104'hinged ramp,and 6'x20' floating dock secured by two(2)8"diameter pilings and serviced with water and electricity;with the condition to establish and perpetually maintain a 15'wide non-turf buffer adjacent to and parallel with bulkhead;and as depicted on the survey prepared by Pcconlc Surveyors,P.C.,last dated January 9,2018,and stamped approved on February 1,2018. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. rod a i TERMS AND CONDITIONS The Permittee n cliffJohn Durante Jr— residi gat 4260 Oke.lulc ,q: 1' a�tt"itu 1 cw York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5, That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. & The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, of interest in real or personal property held or vested in a person not a party to the permit. 0 C0013 0 10 0 i ol LL ol 00 U I ARMzi • r &NMI* Iota MJ own 0 LL go LU LMAMJI LU C003 J i n � w�� o ao® u a� { , a "� ,�,,, P�+r" • � ° .racy� f ��"k'M I" �� ", 1 Id y a. 0 b l NN o � .,S, w � s^ hurngoil � 5 � s� sd �; IN in NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY A Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-0365 1 F:(631)444-0360 www gov April 5, 2018 Mr. John Durante, Jr. 19 Flower Lane Manhasset, NY 11030 RE: Permit No.: 1-4738-04562/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit for the referenced activity. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of.Commencement/Completion of Construction. Please note, the permit sign and Notice of Commencement/Completion of Construction form are sent to either the permittee or the facility application contact, not both. Sincerely, � 4 Laura J. Scovazzo Permit Administrator LJS/Is p NEWYOR Departmentof Sw7 r cr.aau AIITf Oaarud^ tt'MARCo'M1Vm4'r'Gtal Conservation NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Row Facility DEC ID 1-4738-04562 PERMIT Under the Environmental Conservation Law (ECL) Permittee and Facility Information Permit Issued To: Facility: JOHN DURANTE, JR DURANTE PROPERTY 19 FLOWER LN 4260 OLE JULE LNISCTM 1000-122-4-29 MANHASSET,NY 11030 MATTITUCK,NY 11952 Facility Application Contact: EN-CONSULTANTS 1319 N SEA RD SOUTHAMPTON,NY 11968 (631) 283-6360 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Mattituck Facility Principal Reference Point: NYTM-E: 707.954 NYTM-N: 4539.88 Latitude: 40°59'01.0" Longitude: 72°31'41.0" Project Location: 4260 Ole Jule Lane - Watercourse - James Creek Authorized Activity: Construct single family dwelling, septic system, deck, patio, garage and swimming pool. Construct platform, ramp and float. All authorized activities must be in strict conformance with the attached plans stamped NYSDEC approved on 4/4/18. Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-04562/00001 New Permit Effective Date: 4/4/2018 Expiration Date: 4/3/2023 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator:LAURA J SCOVAZZO, Deputy Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony Brook150 Circle Rd Stony Brook,N '11790 -340J9� g r ;°� nature LA Authorized Si / / _ Page 1 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04562 Distribution List EN-CONSULTANTS Marine Habitat Protection LAURA J SCOVAZZO Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project,the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 4. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 5. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 7. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash,broken concrete or demolition debris). Page 2 of 6 Aft fabow NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04562 8. Use of Treated Wood The use of wood treated with Pentachlorophenol or other wood treatment not specifically approved by the Department for use in wetlands and/or marine waters, is strictly prohibited in the construction of structures that will be in contact with tidal waters. 9. Float Installation The float shall be installed only at the approved location with a minimum water depth of 2%feet, measured at apparent low tide. 10. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 11. No Permanent Structures on Dock No permanent structures shall be installed on dock/catwalk/float without first obtaining written Department approval (permit, modification,or amendment). 12. Docks at Property Lines Docks/catwalks/floats must not: a. extend laterally beyond property lines, b. interfere with navigation, or c. interfere with other landowners riparian rights. 13. No Structures on Pilings No structures, other than structures specifically authorized by this permit, shall be constructed on pilings without further authorization from the department(permit, modification or amendment). 14. Establish Vegetated Buffer To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 15 linear feet landward of the tidal wetland boundary. 15. Install,Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of any disturbed area.' This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 16. No Drywells in or near Wetland Dry wells for pool filter backwash shall be located a minimum of 100 linear feet landward of the tidal wetland boundary. 17. No Pool Discharges to Wetland There shall be no draining of swimming pool water directly or indirectly into wetlands or protected buffer areas. 18. Driveway/Parking Area of Pervious Material Driveway and parking areas shall be constructed of NYSDEC-approved pervious materials. 19. Sanitary Systems above Groundwater Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2 feet above seasonal high groundwater. Page 3 of 6 Am dafto NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04562 20. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt curtains (or other NYSDEC approved devices)placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 21. Ground Area The ground area cleared for the construction of a foot path through the buffer is limited to a maixmum width of four feet. Cover material used for the foot path is limited to natural wood/bark chips, stone, gravel or sand. 22. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 23. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation,.or other modification of the watercourse hereby authorized shall not be completed, the owners, shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the,navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 24. State May Require Site Restoration If upon the expiration or revocation of this permit,the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 25. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 26. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by EnConsultants dated 9/12/17, survey prepared by John T. Metzger last revised 1/9/18, all stamped NYSDEC approved 4/4/18. Page 4 of 6 Am dabow NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 1"W Facility DEC ID 1-4738-04562 GENERAL CONDITIONS.- Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; Page 5 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04562 e. noncompliance with previously issued permit conditions, orders of the commissioner,any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 6 of 6 N i"'I M 4,,,IJI L 5 �+I I,.� 4m��i,n�lu��� fk�i�l �l f 9 ������q �1�44u��� II � e��� y r�� � �_ � •�j� IY$%duB��u ��1 � r AVN{ 1�•;�. ��� '��M ;w JI 51T�(ACa55 VIA 5WICT PROKM) w...... ..__ Suffolk Canty Hagstrom Map 46 I" - +2000' ti Ik o NYSDEC e APPROVED AS PER TERMS AND CONDITIONS OF VACANT LAND PERMIT N{ ,,,,,-,,, )k DAT. c� CP 6 ° 1'• = 30' 4' Notes: � 14' I. f upose:fo provide floatinq dock for accessible, private,nonco urwrclal boat dockage 0 61 20' 2. l9atum:MLLW- 0'-0" `a 3, Water depths recorded 6y En-Comdtants durinq PROP. 4' z 6' PLATFORM, 3' z 14' low tide event on May 10,2016 HINGED RAMP, AND 6' z 20' FLOAT 4, Proposed dock components to consist of untreated �kaw SECURED BY (2) 8" DIAME'T'ER PILES decking materials,treated timber structural members, and hot-dipped galvanized steel hadwae �+ 5, Plan and crossvlew JuTams are schematic In nacre A w and are nbciid6d to eAaH141 ct location,5cope and basic construction details for permit N prposes y and are not Intendedyta a5 suebsttate for MOPO5�n FLOMNG nOCK FR engineering or comtructla,plans for ca5huctim paposes ` JOHN & AN6�LIC PURN9 ON JAWS 6. Project locahm:4260 Ole Jule Lane, Mattituk,NY;5CfM%.1000-122-4-29 CMK, AW ITUCK, 5TFOLK CO,, NY 15H�ff I OF 2 9-12-17 5�C1' ON THPI"U pp0F05�b61 P�AT�OPW BOCK I —� 6 ' FLOAT �— PAM '. MHW-3' -0' �X, 4' WOOn WU MLLW-O' -O'n �X WOOP [31I HMn , ( 2) 8" x 20' 5UPPOPT PU5 NYSDEC TERMSAPPROVED AS PER AND CONDITIONS OF PERMIT NO,� r�- °�� DA`s ��� n �J� 1 P �" NY 11968, MOF05W FLOATING nOCK FOO JOHN & ANCZLIC nUPAN1e ON JAM�5 G�, K MW1WITUCK 5TFOLK CO., NY 5H�Tf 2 OF 2 9-12-17 First American ritle D [ECIEUVIE July 25, 2018 ii 21 AUG 2018 Town of Southold 53095 Route 95 Southold NY 11971 TOWNOFSOUTHOLD RE: Title No.: SSA-37229-16 Tax Map No. District 1000, Section 122.00, Block 04.00 and Lot 029.000 Dear Sir or Madam: Please be advised that ADVANTAGE TITLE AGENCY,INC.is a duly constituted and authorized agent of First American Title Insurance Company. As such agent, said Company can act fully on our behalf and in our stead and has the authority to prepare and issue Certificate and Report of Titles, omit title exceptions,collect title insurance premiums and issue Title Insurance Policies and Endorsements thereto. If you have any questions in this regard, please feel free to call me at any time. Very truly yours, „. 0 rlitchell <it.ck''-` Senior Underwriting Counsel Agency Division MG/gb cc: ADVANTAGE TITLE AGENCY, INC. 201 Old Country Road, Suite 200 Melville,NY 11747 (631) 424-6100 140 East 45`h Street,44th Floor, New York, NY 10017 TEL 212.381.6600• FAX 212.381.6615 www.firstamny.com ill , Vill 'I 2 r ..'Y NiV ii.. .--., III. ,. � 2 Advantage Title Agency Inc. j hereby certifies to: UILI) t ,DEFT. TOWN OF SOUTHOLD That a search has been made for a chain of title of the premises in Parcel A (subject premises) and for a chain of title for each parcel adjacent to said Parcel A from January 1, 1957 to date. The purpose of this examination is to determine if any contiguous property was owned by an owner of the subject premises since the date of any previously applicable zoning ordinance as of January 1, 1957. This affidavit is made to assist the Board of Zoning Appeals of the Town of Southold to reach any determination which requires as a basis therefore, the information set forth herein, and knowing full well that said Board will rely upon the truth thereof. Liability of Advantage Title Agency Inc., under this Certificate, is in no way to exceed the sum of $25,000.00. First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. Kathy Randazzo Executive Vice President Sworn to before me this3 day of Q LkCLL�± 20J�. 3�' ICE GORMAN Notary PublicN Nota ^ � �� ew'"� No. a Oualmed in Suffolk CCU commission Expires Marth 11- Title No.: SSA-37229-16 Reference: 4260 Ole Jule Lane,Southold Effective date: June 15, 2018 at 9 a.m. 2010LD COUNTRY ROAD,SUITE 200,MELVILLE,NY 11747 •20 WEST MAIN STREET,RIVERHEAD,NY 11901 °245 PARK AVENUE,NEW YORK,NY 10167 °631.424.6100 •ADVANTAGETITLE.COM Page 2 of 13 SSA-37229-16 PARCEL"A" Subject Premises District 1000;Section 122.00, Block 04.00 and Lot 029.000 DEED Julius Zebroski Dated: September 29, 1951 Recorded: October 1, 1951 to Liber: 3271 John J. Eller Page: 427 NOTE: Covers premises and more. DEED John J. Eller Dated: October 27, 1966 Recorded: November 21, 1966 to Liber: 6072 Harold W. Wilsberg and Ernest E. Wilsberg Page: 49 First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. Kathy Randazzo I Executive Vice President Sworn to before me this day of V 20A. 4otaP ACY NICOLETTI C L1 H E b Notary PUbglc,St,-Me of Nein York No.01 N16071474 Oualified if,Suffolk County . Commission Expires Match 18,201) Page 3 of 13 SSA-37229-16 PARCEL"A" Subject Premises District 1000,Section 122.00, Block 04.00 and Lot 029.000 DEED Harold Wilsberg and Ernest E. WilsbergDated: October 28, 1986 Recorded: July 2, 1987 to Liber: 10332 Page: 375 Harold Wilsberg DEED Harold Wilsberg Dated: June 28, 1990 Recorded: August 21, 1990 to Liber: 11123 Harold W. Wilsberg, as Trustee for i,' Page: 358 Harold W. Wilsberg Trust, agreement dated 4/6/88 First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC.. V nr Why Randazzo ' „ Executive Vice President Sworn to before me this day of 20-2 w TRACY NICOiLETTI CALLAHAN Notary Publi Notary Public, tate of New York No, 1 NI 0 1474 UE-11ified in Suffolk County � Commission Expires �a��ca 1 , :. �°, Page 4 of 13 SSA-37229-16 PARCEL"A" Subject Premises District 1000,Section 122.00, Block 04.00 and Lot 029.000 LAST DEED OF RECORD, Harold W. Wilsberg, as Trustee of the Harold W. Dated: June 21, 2016 Wilsberg Trust Recorded: July 11, 2016 to Liber: 12870 John L. Durante,Jr. and Angelic Durante, his wife ` Page: 830 First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. 6/L Ir- Kathy Kathy Randazzo ., Executive Vice President Sworn to before me this- day of 20 ) k ,.. TRACY NICOLETTI CALUM-i N Nota Publi notary 6'U bkC,Suite gat New`Od( Notary No. l N160-11474 ualifierl in SufioN County Commission Expires M rcjl 18, Page 5 of 13 SSA-37229-16 PARCEL"B" Premises adjacent to the West District 1000,Section 122.00, Block 04.00 and Lot 028.000 DEED Julius Zebroski Dated: September 29, 1951 Recorded: October 1, 1951 to Liber: 3271 John Eller and Viola Eller, his wife, Page: 430 as tenants by the entirety NOTE:John Eller died April 30, 1961, a resident of Queens County. LAa f GLEED OF RECORD Viola Eller Dated: January 20, 1999 Recorded: March 5, 1999 to Liber: 11949 Eric Muntner and Marie Muntner, his wife Page: 546 First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. hfat y Randazzo Executive Vice President Sworn to before me this�day of 2® a ` TRACY NICOLETTI CALLAHAN Notary ',bl Notary Public, State of New York No.01 N16071474 uallfitsd in Suffolk County Commission ExplreS March 18,2 Page 6of13 SSA-37229-16 PARCEL"C" Premises adjacent to the East District 1000,Section 122.00, Block 04.00 and Lot 030.000 DEED Julius Zebroski Dated: February 24, 1954 Recorded: April 21, 1954 to Liber: 3682 Walter Gauer and Tessie Gauer, his wife Page: 216 DEED Walter Gauer and Tessie Gauer, his wife Dated: June 13, 1955 to Recorded: June 17, 1955 Liber: 3909 Ernest E.Wilsberg Page: 132 First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. Kat y Randazzo " Executive Vice President Sworn to before me this day of 20LJ. � W 1I � iiM't9x��CrM..�g�N i2 I��, AN �r���V' No, Notary Public C i ti d ifl LI 1474 Gu c SIHf dOI..un'Ry Cl r rnis:�iok E pii' ,q i" amh tib, M Page 7 of 13 SSA-37229-16 PARCEL"C" Premises adjacent to the East District 1000,Section 122.00, Block 04.00 and Lot 030.000 DEED Ernest E. Wilsberg Dated: October 25, 1994 to Recorded: November 18, 1994 Liber: 11703 Ern st E.Widsb rg, as Trustee of the Page: 99 Ernest E. Wilsberg Revocable Trust dated March 26, 1991 DEED Ernest E. Wilsberg, as Trustee of the Ernest E:-Wilsberg Revocable Trust Dated: November 10, 2000 dated March 26, 1991 Recorded: November 13, 2000 to Liber: 12084 Ernest E. Wilsberg Page: 44 First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. Kathy Randazzo . �.'� Executive Vice President Sworn to before me this day of 20� f A A Notary PubfiC,StLAe ot New Ybrk TFIACY NfCt ETTI CAL1A1 GA Notary PUb ,.. Na 01 N16071474 Qualified in Suffolk County C�ar�arr'rijsrai'7 Ex)ij"cs arcl°i lt3, Page 8of13 SSA-37229-16 PARCEL"C" Premises adjacent to the East District 1000,Section 122.00, Block 04.00 and Lot 030.000 DEED Ernest E. Wilsberg Dated: October 10, 2002 to Recorded: December 12, 2002 Liber: 12224 Sanford Bernhardt and Sarah M. Bernhardt, his wife Page: 879 DEED Sanford Bernhardt and Sarah M. Bernhardt, his wife Dated: December 22, 2004 to Recorded: January 6, 2005 Liber: 12364 Ole Jule LLC Page: 542 First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. Kat iy I;an acro Executive Vice President Sworn to before me this day of 20 TRACY NICOLE"m CAL AHAN " Notary Public, Slaie of New York No.01 N16071474 Notary PullI Qualified in Suffolk County Commission Expires March 18,2 .__ Page 9 of 13 SSA-37229-16 PARCEL"C" Premises adjacent to the East District 1000,Section 122.00, Block 04.00 and Lot 030.000 DEED Ole Jule LLC Dated: January 3, 2006 to Recorded: February 22, 2006 Liber: 12437 Tracie M. Villani Page: 50 LAST GEED OF RECORD Tracie M.Villani Dated: March 23, 2012 Recorded: April 11, 2012 to Liber: 12690 Kelvin Kubo and Carrie T. Shigetomi, his wife Page: 207 First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. 17 L�C) Kathy Randazzo e Executive Vice President Sworn to before me this 4 day of 201,.. T . "• ���,, u � �.. k�J�:�«"Y h�i+�.�����.`i°Ti("� 1._lal..{��J otal.y F Ubli�., �� : . ea r i . : NCa�iil��a�r'1��T� Notary PLf6uc 0,j�aic ied it,sij[ ]: ,County 20 C�u C��r�rurTii��rc�i��xiu Ex�':)ir����hl1��u�u�i� 1 , Page 10 of 13 SSA-37229-16 PARCEL"D" Premises adjacent to the South District 1000,Section 122.00, Block 04.00 and Lot 044.008 James Creek DEED Dated: January 24, 1944 Leslie R. Birmingham Recorded: January 25, 1944 to Liber: 2338 Julius Zebroski Page: 444 NOTE: Covers premises and more. NOTE: Covers Tax Lot 044.008, formerly known as Tax Lot 044.001, which was formerly known as Tax Lot 044.000. First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. Kathy Randazzo Executive Vice President Sworn to before me this day of 20 TRACY NICOLETTI CFrI._d~.AHAN Notary Public, State of New Fork Nota PUbli No. 4� 0IN1607647 ry CPual�fir d in Suffolk County Corn rrlDsvrlcxi Expires March 18, 20... Page 11 of 13 SSA-37229-16 PARCEL"D" Premises adjacent to the South District 1000,Section 122.00, Block 04.00 and Lot 044.008 James Creek DEED Jean M.Tuthill, as the County Treasurer Dated: March 2, 1984 of the County of Suffolk Recorded: March 2, 1984 to Liber: 9522 The County of Suffolk Page: 9 NOTE: Covers premises and more. NOTE: Covers Lot 044.008,formerly known as Tax Lot 044.003. NOTE: Correction Affidavit recorded September 18, 1984 to correct the Tax Lot number from 044.003 to 044.003 and 048.000. First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. Kathy Randazzo Executive Vice President Sworn to before me this day of 20 -9 TRACY MCGLEFT1 CAf LM AN Notary Pubic, State of New York Notary PAA No. 01 NI 60714 4 Q ual icA in Suffolk County Page 12 of 13 SSA-37229-16 PARCEL"D" Premises adjacent to the South District 1000,Section 122.00, Block 04.00 and Lot 044.008 James Creek DEED Dated: October 31, 1985 The County of Suffolk Recorded: January 31, 1986 to Liber: 9970 Julius Zebroski Page: 508 NOTE: Covers premises and more. NOTE: Cover Tax Lots 044.008,formerly known as Tax Lot 044.005. LAST DEED dF RECORD General L. Rains, as the County Treasurer Dated: May 19, 1993 of the County of Suffolk Recorded: May 24, 1993 to Liber: 11630 The County of Suffolk Page: 161 NOTE: Covers premises and more. NOTE: Cover Tax Lots 044.008,formerly known as Tax Lot 044.007. First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. Kath�Ran601-7-0 ,.. Executive Vice President Sworn to before me this d day of 1 2d 11 �.v + Ire Y �1 I AL NhhAN , Notary Public f1i; 1�a alifi �1 in Suffok Ccnirfty o Gornrnn sk',,n Expires 6Marchu 18 20!� 1 = Page 13 of 13 SSA-37229-16 PARCEL"E" Premises adjacent to the North Ole Jule Lane Ole Jule Lane is a street. First American Title Insurance Company (See letter annexed hereto.) ADVANTAGE TITLE AGENCY, INC. 61 Kathy Randazzo Executive Vice President Sworn to before me this day of 20 r ,. TV � - TRACY NIC U York Notarl Notary Publi rr7 �SEQ C C a o flan y9t�1 l ��.b 11 ."-i�%r�6ch lea.N� *" LIMITATION OF LIAR LITY FOP IN,E;G RMATI0, 9A,IIT-REPORT IMPORTANT - READ CAREFULLY: THIS REPORT IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY. THIS REPORT IS NOT AN INSURED PRODUCT OR SERVICE OR A REPRESENTATION OF THE CONDITION OF TITLE TO REAL PROPERTY. IT IS NOT AN ABSTRACT, LEGAL OPINION, OPINION OF TITLE, TITLE INSURANCE COMMITMENT, OR ANY FORM OF TITLE INSURANCE OR GUARANTY. THIS REPORT IS ISSUED EXCLUSIVELY FOR THE BENEFIT OF THE APPLICANT THEREFOR, AND MAY NOT BE USED OR RELIED UPON BY ANY OTHER PERSON. THIS REPORT MAY NOT BE REPRODUCED IN ANY MANNER WITHOUT THE PRIOR WRITTEN CONSENT OF ADVANTAGE TITLE AGENCY, INC. ("ADVANTAGE"). THE INFORMATION HEREIN IS PROVIDED AS IS AND WITHOUT WARRANTIES OF ANY KIND. AS A MATERIAL PART OF THE CONSIDERATION GIVEN IN EXCHANGE FOR THE ISSUANCE OF THIS REPORT, RECIPIENT AGREES THAT ADVANTAGE'S SOLE LIABILITY FOR ANY LOSS OR DAMAGE CAUSED BY AN ERROR OR OMISSION DUE TO INACCURATE INFORMATION OR NEGLIGENCE IN PREPARING THIS REPORT SHALL BE LIMITED TO THE FEE CHARGED FOR THE REPORT. RECIPIENT ACCEPTS THIS REPORT WITH THIS LIMITATION AND AGREES THAT ADVANTAGE WOULD NOT HAVE ISSUED THIS REPORT BUT FOR THE LIMITATION OF LIABILITY DESCRIBED ABOVE. ADVANTAGE MAKES NO REPRESENTATION OR WARRANTY AS TO THE LEGALITY OR PROPRIETY OF RECIPIENT'S USE OF THE INFORMATION HEREIN. REScheck Software Version 4.6.4 ompiliance Certificate Project Proposed Durante Residence Energy Code: 2015 IECC Location: Southold, New York Construction Type: Single-family Project Type: New Construction Orientation: Bldg. faces 0 deg. from North Conditioned Floor Area: 2,740 ft2 Glazing Area 30% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 4260 Ole Jule Lane Frank Notaro-Agent Frank Notaro R.A. Mattituck, NY 11952 Arch itecn ologies Architecnologies@yahoo.com 648 Roanoke Ave. 648 Roanoke Ave. Riverhead, NY 11901 Riverhead, NY 11901 631-298-1129 631-298-1129 architecnologies@yahoo.com aArchitecnologies@yahoo.com uoi Compliance: 19.4%Better Than Code Maximum UA: 459 Your UA: 370 Maximum SHGC: 0.40 Your SHGC: 0.01 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. ® ° e Wall South Lower: Wood Frame, 16" o.c. 384 15.0 15.0 0.034 8 Orientation: Front Window L: Wood Frame:Double Pane with Low-E 42 0.340 14 SHGC: 0.01 Orientation: Front Window L:Wood Frame:Double Pane with Low-E 42 0.340 14 SHGC: 0.01 Orientation: Front Door 1: Wood Frame:Double Pane with Low-E 60 0.340 20 SHGC: 0.01 Orientation: Front Wall South Upper: Wood Frame, 16" o.c. 302 15.0 15.0 0.034 7 Orientation: Front Window H: Wood Frame:Double Pane with Low-E 21 0.340 7 SHGC: 0.01 Orientation: Front Window H copy 1:Wood Frame:Double Pane with Low-E 21 0.340 7 SHGC: 0.01 Orientation: Front Window D: Wood Frame:Double Pane with Low-E 19 0.340 6 SHGC: 0.01 Orientation: Front Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 1 of1l 0 II W Ilm Window H copy NlWood: NFrame:Double PWane with Low-E SHGC: 0.01 21 0.340 7 Orientation: Front Wall West Lower: Wood Frame, 16" o.c. 2 Orientation: Left side 85 15.0 15.0 0.034 8 Window J: Wood Frame:Double Pane with Low-E SHGC: 0.01 28 0.340 10 Orientation: Left side Window G: Wood Frame:Double Pane with Low-E SHGC: 0.01 14 0.340 5 Orientation: Left side Window G copy 1:Wood Frame:Double Pane with Low-E 14 SHGC: 0.01 0.340 5 Orientation: Left side Wall West Upper: Wood Frame, 16" o.c. 1 Orientation: Left side 55 15.0 15.0 0.034 4 Window F: Wood Frame:Double Pane with Low-E SHGC: 0.01 11 0.340 4 Orientation: Left side Window F copy 1:Wood Frame:Double Pane with Low-E 11 SHGC: 0.01 0.340 4 Orientation: Left side Window B: Wood Frame:Double Pane with Low-E 14 SHGC: 0.01 0.340 5 Orientation: Left side Wall North Lower: Wood Frame, 16" o.c. Orientation: Back 358 15.0 15.0 0.034 6 Window M: Wood Frame:Double Pane with Low-E 66 SHGC: 0.01 0.340 22 Orientation: Back Window C: Wood Frame:Double Pane with Low-E 24 SHGC: 0.01 0.340 8 Orientation: Back Window G: Wood Frame:Double Pane with Low-E 13 SHGC: 0.01 0.340 4 Orientation: Back Window G copy 1: Wood Frame:Double Pane with Low-E 13 SHGC: 0.01 0.340 4 Orientation: Back Door 14: Glass SHGC: 0.01 28 0.340 10 Orientation: Back Door 13: Glass SHGC: 0.01 28 0.340 10 Orientation: Back Wall East Lower: Wood Frame, 16" o.c. 285 15.0 15.0 Orientation: Right side 0.034 8 Window C: Wood Frame:Double Pane with Low-E 24 SHGC: 0.01 0.340 8 Orientation: Right side Door 12: Glass SHGC: 0.01 12 0.340 4 Orientation: Right side Ceiling Upper: Flat Ceiling or Scissor Truss 1,425 38.0 38.0 0.014 20 Ceiling Lower: Flat Ceiling or Scissor Truss 1,308 38.0 38.0 0.014 18 Floor 1:All-Wood J oist/Truss:Over Unconditioned Space 1,308 19.0 19.0 0.025 33 Crawl 1: Solid Concrete or Masonry 1,308 19.0 19.0 0.076 80 Wall height: 5.0' Depth below grade: 3.0' Insulation depth: 3,0' Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 2 of11 Ccrnpliance 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 2015 ICCC requirements in fme chneck Version 4.6A and o comply with the mandatcry requirements listed In the R check Inspection Checklist. 'pit e Sign°tore' Date Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 3 ofll QTREScheck Software Version 4.6.4 Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and hour that is documented, or that an exception is being claimed.Where compliance Is itemized in a separate table,a reference to that table is provided. Section ��erifle.d �..._.Plan ReviewPlans Vericomplies. Comments/Assum tions & IR03.1, .ID ContructioncValuelue p p drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the 44building envelope.Thermal ❑Not Observable envelope represented on ❑Not Applicable construction documents. ... ... ...... ,., ,, .� w.._. .. 103 1, !Construction drawings and ❑C omplies 103.2, �documentation demonstrate ❑Does Not 403.7 !energy code compliance for [PR311 lighting and mechanical systems. ❑Not Observable " ;Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. .. — eating rPmenHeating: Heating: ❑Complies403.7 sized per Manual S .. ...... based Btu/hr Btu/hr ❑Does Not [PR212 on loads calculated per ACCA Cooling: Cooling: Manual J or other methods Btu/hr Btu/hr ❑Not Observable approved by the code official. ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) —_3].Low Impact(Tier 3) Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 4 ofll Section Plans Verified Field Verified # Foundation Inspection Value Value Complies? Comments/Assumptions & Rec) I_D 1402.2.11 Unvented crawl space wall R- R- -� ❑Complies ;See the Envelope Assemblies [FO7]1 insulation R-value. R_ R_ ❑Does Not table for values. ❑Not Observable [ 303.2 .2 insulation instal ❑Not Applicable 3 2 'Unvented crawl space wall ❑Complies 0 1 led per ❑Does Not manufacturer's instructions. ❑Not Observable ❑Not Applicable 402.2.11 Unvented crawlpace continuous ��.. .A. .. FlComp ies 1 vaporretarder installed over Elooes �..... Not exposed earth,joints overlapped by 6 in. and sealed, extending at ❑Not Observable least 6 in. up and attached to the ❑Not Applicable wall. [.0_ p space.. -- ot table for values. W FO10] insulation de th pOf bur al or � .....�.�in._.� ❑C [FO1011 i stanCeUnventef a tocrawl Of wall II In. ❑Does N See the value peAssembli Assemblies ❑Not Observable ❑Not Applicable _ __ .....w. „ .,.,. � ._ .... 303.2.z to A protective covering is installed (❑Complies [F011 ] protect exposed exterior ❑Does Not insulation and extends a ❑Not Observable below wF...�.:....... �,�wF......❑�.-.N.._o.t...Applicable 403,9 Snow-and ice-melting system ❑Complies [FO12]2 `controls installed. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 l-llgh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(l"ler 3) Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 5 of 11 Section FComments/Assumptions # Framing/Rough-In Inspection Plans Verified Field Verified Complies? & Req.IDValue Value402.1.1, Glazin U-factor(area-weighted .g pe _'."'..A Glazing (area-Wel h U ❑Does Not �,See the Envelope Assemblies ted U- 402.3.1, average), table for values. 402.3.3, 402.3.6, ❑Not Observable 402.5 ❑Not Applicable [FR2]1 , ... ..._� .�.-..... 303.1.3 U-factors of fenestration products ❑Complies [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or taken from the default table. ❑Not Observable ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier ❑Complies FR2 1 [ 3] installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable 40 20]3 :Fenestration ls. . ....-w w.,:, ..._ ,,. ....... .... .- ... _... _. t site built (❑Complies 1 slabeled as �AAMA/WDMA/CSA 101/I.S.2/A440 [Does Not or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code ❑Not Applicable limits, �[2.4. sealed at house ed lighting fixtures ❑Complies housing/interior finish ❑Does Not and labeled to indicate<-2.0 cfm leakage at 75 Pa. ❑Not Observable _ � ...... . ..-.... ...._ _�. []Not Applicable able 403.2.1 Supply and return ducts in attics ❑Complies [FR12]1 insulated — R-8 where _....m.. .. WW duct is ❑Does Not >= 3 inches in diameter and >_ ❑Not Observable R-6 where < 3 inches. Supply and return ducts in other portions of ;❑Not Applicable the building insulated >= R-6 for diameter>= 3 inches and R-4.2 for< 3 inches in diameter. 403.3.3.5 Building cavities are not_ used as :❑Complies [FR15]3 ducts or plenums. ❑Does Not [-]Not Observable []Not Applicable 403.4 � �HVAC piping conveying � R-- R- — � - fluids ❑Complies [FR17]2 above 105 4F or chilled fluids ❑Does Not below 55 QF are insulated to zR- []Not Observable ❑Not Applicable 403.4.1 Protection of insulation on HVAC ❑Complies [FR2411 'piping. ❑toes Not ❑Not Observable ❑Not Applicable 403`.5.3 Hot water pipes are insulated to R- R- mm ❑Complies i[FR18]2 >—R-3. ❑Doe 'Not ❑Not Observable ❑Not Applicable _mm . . ....... .... ..... 403.6 Automatic or gravity dampers are ❑Complies [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: q1 p edium Impact(Tier 2) 3 Low Impact(Tier 3)Hf hd Im act(Tier 1) 2 M .... Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 6 ofll ..1 ,High Impact(Tier 1) n � Low—Imp—act—mer 3)2 i MeumImpact(Tier E3 � Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 7 of 11 Section Plans Verified Field Verified ................Insulation Inspection Value Value Complies?T--C---0 ---- 303.1 mments/Assumptions Re ID All insta ...........-.�...�, ._...� .. �..__�. -�D�Co _ ...... installed insulation is labeled mplies [IN13]2 or the installed R-values ❑Does Not provided. ❑Not Observable ❑Not Applicable 402.1.6 _._ ❑ ❑ Wood ....mm 1❑C�oe shot See t f.... ........ 40i.]l.l, 'Floor insulation R-value. R- R- ❑conn Ile See the Envelope Assemblies Wood or values. ❑ Steel ❑ Steel i❑Not Observable ❑Not Applicable 303.2, .Floor insulation installed per ElComplies 402.2.7 manufacturer's instructions and [IN2]1 in substantial contact with the Q[ underside of the subfloor, or floor ❑Not Observable framing cavity insulation is in ❑Not Applicable contact with the top side of sheathing, or continuous insulation is installed on the underside of floor framing and extends from the bottom to the top of all perimeter floor framing members. 402.1.1, Wall insulation R-value. If this is a R- R- r1complies See the Envelope Assemblies 402.2.5, mass wall with at least V2 of the ❑ Wood ❑ Wood j❑Does Not table for values. 402.2.6 wall insulation on the wall [IN3]1 exterior,the exterior insulation EJ Mass ❑ Mass ❑Not Observable requirement applies (FR10). ❑ Steel ❑ Steel ❑Not Applicable 303.2 X -� 303. Wall insulation is installed per ❑campiies 1 manufacturer's instructions. '❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 ,High Impact(Tier 1jµµµ 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 8 ofll Section Plans Verified Field Verified # Final Inspection Provisions Value Value FComplies"? Comments/Assumptions 402.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, 402.2.6 E] Steel E] Steel ❑Not Observable [Fill' ❑Not Applicable 303.1.1.1, Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ❑Does Not [FI2]1 Blown insulation marked every 300 ft2. ❑Not Observable _ ❑Not Applicable ,.. attics with air permeable _.. ... _-.., _❑. Complies [FI22 includebaffle adjacent ODoes Not to soffit and eave vents that extends over insulation. ❑Not Observable _ ❑Not Applicable 402.2.4 Attic es Not ad scent access assemblyand doorITmmmmm R- -IT W R ❑lComplies - [FI3] insulation >R-value of the 1 y I❑Not Observable ❑Not Applicable 402.4 Blower in Climate Zones 1 �.... _plie_ W 402.4.1.2 .Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ❑Complies 1 -2, and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable _.._. 403.2.3 Duct tightness test result of<=4 cfm/100 cfm/100 ❑lomplies [FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ❑Not Observable tests,verification may need to ❑Not Applicable ,occur durin FramIrwspectlon _ g m, Ducts are pressure tested lies 403.3.2 either: Rough-init ea leakage Total 0 2 cfm/100 2 cfm/100 ODo spNot - [FI27] determine air leaks a with ft ft'leakage measured with a []Not Observable pressure differential of 0.1 inch ❑Not Applicable w.g. across the system including the manufacturer's air handler enclosure if installed at time of test. Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch w.g. across the entire system including the manufacturer's air handler enclosure. 403.3.2 1 ,Air handler leakagedesignated desi ❑Cpmplies y manufacturer at<=2%of ❑Does Not design air flow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats ,❑Complies [FI9]2 installed for control of primary ❑Does Not heating and cooling systems and initially set by manufacturer to ❑Not Observable code specifications. ❑Not Applicable 403.1.2 oHeat n heat pumps. _ ..... ,. .-. �.�.. ._�.o. thermostat installed []Complies 2 ❑Does Not ❑Not Observable ❑Not Applicable .... ....... _.. �.....w_ 403.5.1,,,.. Circulating service hot water ❑Complies [FI11]2 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable L.� _._ �..__ L..._.....� Vim..... .. ........_ p ( ) P (Tier 3) 1 Hi h Im act(Tier 1) 2 Medium Im act Tier 2 3 ow Im act� Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 9 ofll Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & 403.6 All mechanical ventilation system � � - - ❑❑Cornpes Not � [F125] fans not art of tested and listed HVAC equipment meet efficacy and airflow limits. ❑Not Observable ❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies [FI26]2 through one-or two-pipe heating ❑Does Not systems have outdoor setback control to lower boiler water ❑Not Observable temperature based on outdoor ❑Not Applicable _ temperature. _ 403.5.1.1 Heated water circulation systemsf ❑Compli es I[F128]2 have a circulation pump.The []Does Not system return pipe is a dedicated return pipe or a cold water supply []Not Observable pipe. Gravity and thermos- ❑Not Applicable syphon circulation systems are not present. Controls for circulating hot water system pumps start the pump with signal 'for hot water demand within the occupancy. Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. 403.5.1.2 Electric heat trace systems ❑Complies [FI29]2 comply with IEEE 515.1 or UL ❑Does Not 515. Controls automatically adjust the energy input to the ❑Not Observable heat tracing to maintain the ❑Not Applicable desired water temperature in the 'piping. 40 403..5.5. have recirculation pumps that�. ....� ....- 2 .Water distributions stems that ❑Comp lies 3 ❑Does Not pump water from a heated water supply pipe back to the heated ❑Not Observable water source through a cold ❑Not Applicable water supply pipe have a demand recirculation water system. Pumps have controls that manage operation of the pump and limit the temperature of the water entering the cold water piping to 100F„ 403.5.4 Drain water heat recovery units ❑Complies [FI31]2 tested in accordance with CSA ❑Does Not B55.1. Potable water-side pressure loss of drain water heat ❑Not Observable recovery units< 3 psi for ❑Not Applicable individual units connected to one or two showers. Potable water- ,side pressure loss of drain water heat recovery units <2 psi for individual units connected to three or more showers. 404.1 75%of lamps in permanent ❑Complies [FI6]1 fixtures or 75%of permanent ❑Does Not fixtures have high efficacy lamps. Does not apply to low-voltage [:]Not Observable lighting. ❑Not Applicable �.. m .----------....... 404.1.1 Fuel gas lighting systems have ❑Complies [FI23]3 no continuous pilot light. ❑Does Not ❑Not Observable ❑Not Applicable 1 Hih Impact(Tier ..� � .. 1 g p 1) , 2_[Medium Impact(Tier 2) 3 Low Impact(Tier 3) �mm ...._._.._ ..... .._. Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 10 ofll Section Plans verified Meld Verified..... LCrnFinal Inspection Provision Value Value oplies? Cornrnents/ ssumpt�ions w 4023 Compliance certificate posted, OComplies ,11747.71 ElDoes Not ONot Observable ONot Applicable k .3 Manufacturer manuals for OComplies 11g mechanical and water heating 0poes Not systems have been provided. ( Not Observable El Not Applicable Additional Comments/Assumptions: �1 Hi i1 im acf(Tier 1) �, Medium Irn act(.. .. � mmmg p F Tier 2) 'Low Impact(Tier ) Project Title: Proposed Durante Residence Report date: 07/12/18 Data filename:J:\\Durante.rck Page 11 ofll 9 2015 IECC Energy Eff VIII '° Illlf EMIZEEMEMEMENIMMEM Above-Grade Wall 30.00 Below-Grade Wall 38.00 Floor 38.00 Ceiling / Roof 76.00 Ductwork (unconditioned spaces): muW� W Window 0.34 0.01 Door 0.34 0.01 W W N W W W I Heating System: Cooling System: Water Heater: Name: Date: Comments y.. SCol.l. A. Bussell G� c 1" C' SUPERVISOR I��JC.A\1� A\ IEhvilIE1� SOUTHOLDTOWN HALL-F.O.BOX 1179 O Town ofSouthold 53095 Main Road-SOTJTHOLD,NEW YORK 11971 �r CHAPTEIR 236 .. STO A'TEH MANAGEMENT WORK SHEET ( TO_BE COMPLETED BY THE APPLICANT ) jut . _ N. . . _. .,. w. . PROJECT DOESTHISINVOLVE ANY OF *THE FOLLOWINQ (CHECK Alla THAT APPLY) b Yes No __ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface.. 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. ElD. 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 [' on FIRM. Map of any watercourse. F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Storrnwvater 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 oabove, STOP! Complete the Applicant�section below with your Name, �,....�'idnai4u�-Contaet:lnfttnu4�on�-.Date-�c '8�-- doe�t�t.a 1 tm-p ` 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 wJtll your"Building Permit Application. S.C_T.M. 1000 . tete~ APPLICANT: (Property owner.Design Profe5sional,Agent,Contractor,othcr,,„ t? trlrt NAMESection Block Lot ttL�71�V DLA V-0 ( 4 ONLY I�ORBI Coned In(ormahon Reviewed By: r V Date- Properly Addre5S Location of Consil-tcton Work: ApprovedforpngBBuilding Permit. d Management ng Plan No t Required. t m m�em Ml(�Forwafd Storaro���°ater Iag ee m Control Plan a Perlutreai- � �Department for Revie-.) FORM SMCP - TOS MAY 2014 1�/� LT 0o a ; N E O . .roo CL C o U I Q`Q CL Zca E ca o u 0 9 0 N c „ 43 W ` G v Q. - �o a c � a 0. O W c O U 0. >r N 0 v c .. .. _..- 4 ._...._.. ..._ a""� -0, p P. r _m 1 _a cC. > n.tip- O � z Y a�Ei tea ±° a� 0 O = T x �' 04 U Cc Ca 00 �• Z: C V (1) 10 Q ca to r Y ty C 43 0C Q w C Z O " LA N Ctic En it E ti C O 4� 70 GJ ca ct3 Ca - G wu O C ti- t4 t� z o ,rP � �o � c 0 3 3 — .� 0 � E m woo U a, -d s b �- pr r r 't7 - Cd _ - r� A tr u o v �' v c n. a� o m 1.4 Q. 43 `O � O -4-3 7- a -. c. 4. p C/3 ca _ w. w� mmmmm P Ca Cb y C o is U ` G7 n to T76. C 113 a r w Doc � I '�b0 O w - m O w 3 ytj Ef~_ as w p5- U O � N co O N C C 3 = xxCIO a "w.. x... . U Y 'O •� t... C :O G C tib ro 2 ,,,) E. O 3 co p U a] wr-^ tCtl a+ o Q y a^� c = GD o� dJ +'-. O p cr V Cn to rn N rn O O ns c v a) rx S:3 A v O O - O ca J o p M V s c N .�O in d �QJ cYd o' _ ca E. y 0 `'-' to > b0 3 .� O 0 0- CL _ U3 43vw O ii w0 -0 `a O a o �_ a3 m o E O [n ` Q F- M — O a L U O 00 u O ` p '•n O c o >, ttiA O a) wi v3 : c0 Q O no� [= cn cn � U � c E E `o CZ O T M ' C =- ✓i 'D -'aa c0 - cj cs "O (oJ j 7 :n u (J tis C m tO to tV r arr — - 4 o o oo n 3 a oo. o „ ¢ u O cl O - O tv - a 0y a" - r > - to O to — ,-�j G.1 C) '< ',Z m Cl-'.s-- N in a.- w.=..� Ck, c.- w - wo G a! O TC O O O o 2 3 c c o +�-.:. od U —cu o 7 CIO ,.. 0 c.__ r- co 4J r r O r r ` E ` V r ..,. v O u O x _0 O o in on cn o 0 3 U J' o o .� c to v to 0 2 co j � c3 m to 'a 3 1. t as .o = > o f- ca !^a _ n � .... � � v . C O U t..! :� U � v - n r. O r _ Z U O X v x O - 2 2 O O O E ms _ Lil l.J — ,.. ) 2 o 3 r LU C F- J u T' C� `e o .� u ai 0- < 0 v ,;, w- t965xlx0.17=334 cu.ft. DRIVEWAY(PERVWOUS) = 2376 sq.ft. 2376xO.8x0.17=323 cu.ft. RAISED STONE PATIOS= 466 sq.ft. 376x0.8xO.t7=64 cu.ft. TOTAL = 721 cu.ft. 708/201=3.6 DW's PROVIDE(4)DRYW£LLS 80 x 4'DEEP OR EQUAL I PROPOSED LOT COVERAGE TOWN OF SOUTHOLD BUILDABLE LAND=18218 SQ.FT. HOUSE WITH GARAGE= 1600 sq.ft. COVERED DECK = 365 sq.ft. POOL = 760 sq.ft. RAISED NATURAL STONE PA770 = 376 sq.ft. RAISED BLUESTONE PA770 = 90 sq.ft. 3191 sq.ft. 3191/18218 = 17.57 PROPOSED DEC COVERAGE ADJACENT LAND AREA WITHIN 300' OF H.W.M. = 18218 SQ.FT. HOUSE KITH GARAGE= 1600 sq.ft. k,`w.�"` �.�� COVERED DECK = 365 sq.ft. Q RAISED NATURAL STONE AAO = 376 sq.ft. oG DRIVEWAY COBBLE STONE INLAY= 296 sq.ft. RAISED BLUESTONE PA770 = 90 sq.ft. S7EPPING STONES = 64 sq.ft. 3551sq.ft. t^1 3551/18218 = 19.5% Excavation lnspe n RI For Sanitary Syci l PROPOSED SEP77C SYSTEM BY Health DepartmE (4) BEDROOMS [7]1200 GALLON PRECAST SEP77C TANK. 10 0 x 2.5 EFFEC77VE DEPTH [6]8 FL DIA.x 2 FT. DEEP PRECAST CONCRETE LEACHING POOLS BACKFILL MATERIAL COURSE SAND AND GRAVEL (3'COLLAR) 2'MIN. ABOVE GROUND WATER TEST HOLE DATA McDONALD GEOSCIENCE 04/27/16 EL.72' MIXED SAND AND LOAM ---- 2.0' BROWN SILTY SAND SM EL.1.5' ------ 5.7' WATER IN BROWN SILTY SAND SM -- 6.0' WATER IN BROWN FINE SAND SP 130' NOTE.' WATER ENCOUNTERED 5.4'BELOW SURFACE • = REBAR SET = WETLANDS FLAG = JEST HOLE EL.72' FLOOD ZONES FROM FIRM 36103C0482H 9/25/2009 ELEVATIONS&CONTOUR LINES ARE REFERENCED TO NAVD 88' The location of public water, wells and cesspools shown hereon are from field observations and or from data obtained from others. I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDEBY THE CONDITIONS 4" c SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT. 4"cast ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION Htx. t � OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS V%* fl,,, HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. w I— raw aq.n 376 sq.ft.66 sq. \\ 64 cu.ftt \ ® �Q`'P���1 EEP OR EQUAL E TOWN OF SOUTHOLD \\ ?18 SQ.FT. =1600 q.ft. 365 �\ 760 sq. \Cl 376 sq.ft. = 90 sq.ft. 3191 sq.ft. f>' 3218 = 17.5% E 11 RAGE L = 18218 SQ.FT * 1! 1600 sq.ft. \„\.'+ p'�;.'e \� gyp ,, - � r49a ¢fggte = 365 sq.ft. Q 760 sq.ft. = 376 sq.ft. = 296 s.ft. ,��✓ 90 sq ft. �Q\}?I\ ' 0a"©R"'W'" c "t. n = 64 sq.ft. d� r m a p e�ge0 5 y 355tsq.ft. ,� `✓ 3.5% Excavation Inspe n R 4 � c'+ For Sanitary Syf.�_-rpt By Health Department P 6 V) 4:tia SEPTIC PTH C TANK. D09 �. P�y.. PRECAST CONCRETE LEACHING POOLSeat ✓�F r otd v-4 RSE SAND AND GRAVEL (3'COLLAR) WATER oy6q.cp,P �Sa� e a ye ff� m. * a e0 p� AND LOAMd'a P o=r e Y SAND SMtp g1 I 5.. Y Z Sew ?OWN SILTY SAND SM cF' '' h", �i�, "�w�` �"tN $ 20WN FINE SAND SP =RED 5.4'BELOW SURFACE 'Dkypa�, TEV W�N Tp �maa � '" m •( 1 S 1482H 912512009 REFERENCED TO NA VD 88' SEPTIC SYSTEM DETAIL fresh air Inlet with bug screen NOT TO SCALE velts and cesspools flexible support ring connector bservations and or from HOUSE at pvc/c1.Joint F.F. EL. 10.5' - steel cover plate -clean outs FINISHED GRADE E EL. 9' EL 8.6' E ARDS FOR APPROVAL AND I.E. -: I E z4^1� AS�TNaRr cH✓ 2isoNARY G�1MN SEWAGE DISPOSAL SYSTEMS FOR 7.5' sfiarN. MIN WILL ABIDE BY THE COND177ONS MAX E PERMIT TO CONSTRUCT. h 4'° conretepit—�, 6.5' 6. t6 LE. ®®®L� fiV"i�4 y, 6.0 114-PER FOG T I I. 110®®11 2' 4"cast iron..,house trap MINIMUM PITCH �'�.8 ®� I TO THIS SURVEY IS A VIOLATION s.PIPE �K F}txwL 0. /+`PER FTC 4 � MtN.4 DIA.PIPE itl' L61 8'0.x 2 FL DEEP YORK STATE EDUCATION LAW. P MINIMUM PI PCM min.t: GAL.PRECAST - 2 vn�n. LEACHING POOLS -SUBD/VtS1ON Z ALL CERT/FtCAT/ONS "Or' P4 rrr�1'ttsL SDR-3s I sEPncTANx MINA"DIA. PIPE 2 ---GROUND WATER II----,- IAP AND COPIES THEREOF ONLY IF A-- ------- ---- EL.1.5' IMPRESSED SEAL OF THE SURVEYOR huGHEST REaaRaEa GROUNDWATER I; :REON. „6ACKFIp. tTERIAL TO BE CLEAN SAND &GRAVEL NOTE CHANGE(S) KRA IIS RD. SURVEY OF PROPERTY AT MATTITUCK TOWN OF SO UTHO.LD SUFFOLK COUNTY, MY 1000-122-04-29 SCALE. 1'= 30' JUNE 2, 2016. NOVEMBER 30, 2016 (PROP. HOUSE) DECEMBER 13, 2016 (REVISIONS) MAY 02, 2017 (PROP. POOL) MAY 12, 2017 (REVISIONS) SEPTEMBER 08, 2017 (PROPOSED POOL) DECEMBER 22, 2017 (REVISIONS) JANUARY 9, 2018 (REVISIONS) 0 j 47� R1 4; .._ SUFFOLK COUNTY DrR%RTMENTeo^HEALTH SERVICES PERMIT FOR APapROVAL 0V!'0N5TRUC-'0N FOR A SINGLE FAMII:-,RESIDENCE ON.I,Y Y 0 2 2018 f DATE-- APPROVED ATE_APPROVED — / FOR MAXIMUM OF EXPIRES THREE YEARS FROM DATE OF APPROVAL SOF NEp,,,- J/SHED GRADE EXP. POOL g``"' I r r `C) EL. 8.6' EL 7.4' '• • R (II ""':MASONARY OHIMEY �' r r r 7 MIN. MAX ul CERTIFIED T0: ====1--f I JOHN L. DURANTE JR. � ANGELIC DURANTE t JPOOLS STEWART TIRE INSURANCE COMPANY4 PECOIO--. 1.1 VEYORS, P.C. -- AREA= 18,250 SQ. FT (631) 765-5020 FAX (631) 765-1797 to TIE LINE P.O. BOX 909 1230 TRAVELER STREET SOUTHOLD, MY 11971 116-037 SURVEY OF PROPERTY AT MATTITUcK ; TOWN OF ,SO UTHOLD SUFFOLK COUNTY , NY 1000-122-04-29 SCALE.' 1'= 30' JUNE 2, 2016 NOVEMBER 5D, 2016 (PROP. HOUSE) DECEMBER 15, 2016 (REVISIONS) MA Y 02, 2017 (PROP. POOL) MAY 12, 2017 (REVISIONS) SEPTEMBER 08, 2017 (PROPOSED POOL) DECEMBER 22, 2017 (REVISIONS) JANUARY 9, 2018 (REVISIONS) APPROVED AS PER TERMS AND CONDITIONS OF PERMITN_O. I- o DATE � 1 EROSION&SEDIMENT CONTROLS Shall include but not be limited to: A well maintained Construction Entrance, Wire Backed Silt Fencing,stabilization& Seeding of exposed and/or inactive soils. DRAINAGE INSPECTIONS ARE REQUIRED Contact TOS Engineering at 765-1560 before Backfill,OR Provide Engineers Certification that the drainage has been installed to Code, APPROVAL OF STORMWATER MANAGEMENT COWDate;ROL_ T s Code C pt e 236 Date„ � APProv d b Ge y 5.MEr 61 g¢ A' RANCE COMPANY ! , YORs, P.C. SD FT (651 7.5020 FAX (631) 765-1797 KRAUS RD. SURVEY i AT M TOWN 0j SUFFOLK 1000- SCAJ Jul NOVEMBER 30, DECEMBER 1 ClleMAY 02, " °� MAY 12, Q�\ SEPTEMBER 08, DECEMBER ; JANUARY S Sti �h+I APPROVED A AND CONE g4�,441 PERMIT NO.�'� 2`r° DATE - q 6� 0� /.any,, A N� I �1 ✓, �� Quo gac��ct I j a 0p�� EROSi Shall i A well Wire I 4 3 4�et Seedir aPa � DeRAI Ca eta a / Backfi / lei that tl �-� AI>PRf7VA CONTROI SEP71C SYSTEM DETAIL Date; �t xith bug screen NOT R7 SCALE Appto'-' ring connector late RNISHED GRADE EXP. POOL C,3F't EL. 8.6' EL. Z4' „�- 24' .41C ASONARY CHI 5 VIN. _ 1...'. rl_ m �r, MASONARY CHIMNEY - ;”MAX 7 12 .,,,,,.•® IL CER77FIED T0: I.E. CEO 50 Cm Cal JOHN L. DURANTE JR. 6'0 i/4'PER FDat'--71TI,E, ®®®F 2' ANGELIC DURANTE MINIMUM PITCH -5.8 ®C STEWART TITLE INSURANCE COMPANY SDR-35 MIN.4'DIA.PIPE p' (6)8'0.x 2 FL DEEP 1200 GAL.PRECAST 2 h. LEACHING POOLS - SEP 77C TANK GROUND WA TER I (6,31 6 ---------------------7 EL.Is - j-----------..____ -----_- W_ AREA= 18,250 SO. FT. -HIGHEST RECORDED GROUNDWATER ._. •.._wl=t .,_ 4— mrw T Txrw P.O. BOA RAIN RUNOFF CONTAINMENT HOUSE, GARAGE& COVERED DECK= 1965 sq.fL 1965xlxO.17=334 cu.ft. DRIVEWAY(PERWOUS) = 2375 sq.ft, 2376xO.BXO.17=323 cu.ft. RAISED STONE PATIOS = 466 sq,ft, 376x0.80,17=64 cu.ft. TOTAL = 721 cu.ft. lF 7081201=3.6 DWs PROVIDE(4)DRYWEILS 80 x 4'DEEP OR EQUAL PROPOSED LOT COVERAGE TOWN OF SOUTHOLD ell BUILDABLE LAND=18218 SQ.FT" HOUSE WITH GARAGE= 1600 sq.ft. COVERED DECK = .365 sq.ft. POOL = 760 sq.ft. RAISED NATURAL STONE PAHO= 376 sq.ft. RAISED BLUESTONE PAHO = go sq.ft. 3191 sq.ft. 3191118218= I7.5X IIND PROPOSED DEC COVERAGE ADJACENT LAND AREA j00OF, H.W.M. = 18218 SQ.FT WITHIN , VoG HOUSE WITH GARAGE 1500 sq.ft. 4� ol COVERED DECK = 365 sq.ft. POOL = 760 sq.ft. RAISED NATURAL STONE PATIO= 376 sq.ft. DRIVEWAY COBBLE STONE INLAY= 296 sq.ft. i RAISED BLUESTONE PATIO = go sq.ft. STEPPING STONES= 64 sq.ft. 0A 3551sq.ft. 3551118218 JI PROPOSED SEP77C SYSTEM d?' (4) BEDROOMS .0\1 4�1 [1J 1200 GALLON PRECAST SEPTIC TANK 10 0 x 2.5 EFFECTIVE DEPTH G [6]8 FT. DIA.x 2 FT DEEP PRECAST CONCRETE LEACHING POOLS BACKFILL MATERIAL COURSE SAND AND GRAVEL (3-COLLAR) 2'MIN. ABOVE GROUND WATER TEST HOLE DATA 1% MCDONALD GEOSCIENCE 04127116 EL.7 2' MIXED SAND AND LOAM 2.0' BROWN SILTY SAND SM EL.1.5' ----- 5.7' WATER IN BROWN SILTY SAND SM &0' eta WATER IN BROW FINE SAND SP Z U-- 13.0, NOTE WATER ENCOUNTERED 5.4'BELOW SURFACE 0 = REBAR SET # = WETLANDS FLAG it = TEST HOLE EL Z2' FLOOD ZONES FROM FIRM J6103CO482H 912512009 ELEVATIONS&CONTOUR LINES ARE REFERENCED TO NAVo 88' SEP77C S fresh air Inlet with bug screen NOT flexible support ring connector The location of public water, wells and cesspools HOUSE at pvc/cl.jolot shown hereon are from field observations cod or from F.F. EL. 10.5' steel cover plate data obtained from others. clean outs .. 91 STANDARDS FOR APPROVAL AND I.E. 24" �.&INk SON,4RY, I AM FAMILIAR WITH THE STA SEWAGE DISPOSAL SYSTEMS FOR 7.5' 6VIN. CONSTRUCTION OF SUBSURFACE BY THE CONDITIONS concrete pit 12" SINGLE FAMILY RESIDENCES AND WILL ABIDE 4" C 6.5' 6 18" I.E., SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT. 6.0 114' MINI 4"cast iron house trap 4 114"PER FOOT MIN.4 T ANY AL TERA TION OR ADDITION To THIS SURVEY IS A VIOLATION MINIMUM PITCH ""'ri-V SEPTIC TANK GROLI OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. 1200 GAL.PRECAST SDR-35 2� EXCEPT AS PER SECTION 7209 _SUBDIVISION 2. ALL CERTIFICATIONS MINA"DIA. PIPE J---------------------- HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF �"—HIGHE$T RECORDED GROUN,DWA' SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR BACKFILL MATERIAL TO BE CLEAN SAN'