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HomeMy WebLinkAbout20981-z FORM NO. 4 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22839 Date JANUARY 18, 1994 THIS CERTIFIES that the building NEW DWELLING Location of Property CENTRAL AVE. FISHERS ISLAND N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 6 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 24, 1992 pursuant to which Building Permit No. 20981-Z dated SEPTEMBER 25, 1992 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 ATTACHED DECKS AS APPLIED FOR The certificate is issued to ALFRED & ANN FERGUSON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-83-JAN. 10, 1994 UNDERWRITERS CERTIFICATE NO. N-292825-10/18/93 & N-292822-10/18/93 PLUMBERS CERTIFICATION DATED OCT. 16, 1993-Mario Zanghetti, Jr. Bu' in Ins ector Rev. 1/81 FORK No. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N2M 20961 Z Date t9.~ ~1 Permission is hereby granted to: / .......Z .,CT" f...(..~. LAtle i f/.......~ G . 63~~ ................a12:.:..... . . F 4 at Premises located at ...........Y1......... ep; County Tax Map No. 1000 Section .......:V............ Block .....f.... Ll Lot No.... pursuant to application dated . 19.y9f and approved by the Building Inspector. .3...,~o Fee 5... Building Inspec or i Rev. 6/30/80 i i v 93 l to ~4 r'.Ut F, a r c h i [ u c t s• i n C 'l L? 49, Pages to follow: Cho- facsin-Ale phone s attar i 61 -451-2309. 51 Win Ie,- Strec. . 9'*StC-t • vdnfi=alcitusetts 02i0i` tclepbotie (i17- 451 5740 i Form No. 6 TOWN OF SOUTHOLD .s`? BUILDING DEPARTMENT TOWN HALL ~.r4 g 765-1802 ~LICATION FOR CERTIFICATE OF OCCUPANCY' A. This application must be filled in by typewriter OR 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 30 For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a.-Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Occupancy - $50.00 5: 'temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date Oct 20, 1993 ew Construction.......... Old Or Pre-existing Buildingg . Dcation of Property..Central Ave, Fishers Island,N.Y. 0639Q House No. Street Hamlet ewer or Owners of Property.., Alfred & Ann Ferguson . )unty Tax Map No 1000, Section...... Block 4..........Lot... 5 lbdivision ....................................Filed Map............ Lot...................... rmit No..2p9.$1.7r...... Date Of Permit. Sept 25: 199~pplicant.Z.&S.CpI?tr:~Lcting,Inc alth Dept. Approval.~~911~.i4... p`~....... !?xW;..0,z K-.~ 0/-r fa.. a; .Underwriters Approval"1 `p//(f / anning Board Approval...... quest for: Temporary Certificate........... Final Certicate........... Submitted: $•,,,,25; 00......•..••...•. -IV .....PRes. Z.: CANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PACK 1 10006511 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK. NEW YORK 10038 Date OCTOBER 18,1993 Application No. onfile 18213992192 N 292$15 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ALFRED & A~N FERGUSON, RUNNATIWIKFT ROAD, FISHERS ISLAND, N.Y, in thefollowin~ ~fjhcation; FN Basement_.. [E ]st Fl. ? 2nd Fl. OUT Section Block Lot was exornined 3n.. O C T O N O R 1`1,1993 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECFPYACLES SWITCHES INCANDESCENT FLUORESCENT OTHER 11 AMT. K. W. AMT. K W. AMT. W. pMi X. W. AMT HP 98 55 'F1 78 29 1 8.6 1 1.h 2 F T DRYERS 4~14IRNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. Oil H*GAS H. P. AMT. NO. AW. G. AMT. AMP AMT. AMS. TRANS. AMT, NO . ST SYSTEMS FEET AMT WATTS 2 2 SERVICE DISCONNECT S E R V I C E OF Cc COND. A, w. G. PMT. MIP. TYPE EOF CC COND. NO. OF HIAEG OF N IG NO. OF ?99 % ! 210 1 2I0 OTHER APPARATUS: JACUZZI-1 G.F.C-1 r-33 TRACK LIG11TING:-1.9 Z O 9 CONTNS. INC. LTC.492°F P.O, BOX 2W N1311FRS .ISLAND, NY, 96390 GENERA/ MANAGER 14 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER: THE NEW YORK BOARD OF FIRE UNDERWRITERS DA1°rF 1 r1000656 BUREAU OF ELECTRICITY 88 JOHN STREET. NEW YORK, NEW YORK 10038 OCT'OBRR 18,1993 Application No. on file 3%'i°2$99(43 N 7.°'L9:?2 Dote THIS CERTIFIES THAT only the electrical equipment" described below and introduced by the applicant named on the above application number in the premises of ALFRED FERGUSON, CENTRAL AVENUE, F12HER ISLAND, N.Y, in thefollowing location; IT Basement 0 Ist FL ? 2nd Fl. Seetion Block Lot was examined on OCTOBER 1 5 , 1 9 9 3 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K. W. AMT. K. W. AMT K.W AMT K.W AMT. , H P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W OIL H. P GAS H. P. AMT NO A. W. G AMT. AMP AMT AMPS. TRANS. AMT H P SYSTEMS AMT. WATTS NO. OF FEET SERVICE DISCONNECT NO. OF S E R V I C E METER NO. OF CG COND. A. W G A. w. G. A W. G. AMT. AMP. TYPE EQUIP. 1 p ]W 1 R 3W S 9 3W 3 %4W PER 9 OF CC. COND NO. OF HI-LEG OF MAW NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SMOKE 11ETECT'ORS°4 p FIRE-LIGHT HINISCAN 4012-1 HEAT 1350 - SIRE,NES-2 DULL STATION-2 Z & 33 CONT'It"u. INC. I1IC4924--E D.O. BOX 202 FISHERS ISLAND, N`[, oo3n GENERAL MANAGER 11 Per, This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~NNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNDO C5J BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY c5 55 40 FULTON STREET - NEW YORK, NY 10038 S 5 CERTIFIES THAT 6 , ' N S 55 PCSJ Upon the application of upon premises owned by 5 C-CAT CO. COLIN RATSEY C5 5 9280 SOUND AVE. 74495 MAIN RD 5 C5 MATTITUCK, NY 11952, GREENPORT, NY 11944 5 5 Located at 74495 MAIN RD GREENPORT, NY 11944 5 Application Number: 2061873 Certificate Number: 2061873 5 C 5 Section: Block: Lot: Building Permit;,, 08 / BDC: NS37 S 5 Described as a Commercial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: S rC~ pole service, Outside, /D ~2,,~ O A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 14th Day of July, 2005. 5 5 Name OTY Rate Ratine Circuit Type 5 5 Service 5 1 Phase 3 W Service Rating 200 Amperes S 5 Miscellaneous 5 5 Commercial Inspection Fee 5 5 Service 5 Service Disconnect: 1 200 cb 5 5 Meters: l 5 5 5 5 5 5 5 sea/ 5 5 55 C 1 of 1 C 5 This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. 5 5 5 NNNNNNNNr~rJ'NNcPNNNNNN rrJ 3fNNr~N N N N~Jr~PrJ~NrJr~f~ NNNNNrJcPNNNN NNrJNNN i TEL. 165-1,802 o~~FFour C~y TOWN OF SOUTHOLD .•P sl' rc OFFICE OF BUILDING INSPECTOR fi ~y~;"-` -,rte; z P.O. BOX 728 ~rn If'r-'t_ TOWN HALL t SOUTHOLD, N.Y. 11971 1 r f, Vii) j C E R T I F I C A T I O N Date 10/16/93 Building Permit No. 209BIZ owner Alfred & Ann Ferguson ' (please print) i Plumber Mario Zanghetti Jr.. (please print) i I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. i i ; i I (plum r' signature) swgr/~t to bef ej me this ll~~~ day of l/L.ro15t/L- r 199 . Notary Public Notary Public t!f L-te- County i Now'ry 0441t4 StAte of New York No, 4800559 Ouilifloe in Suffolk County Term Expires 12i31190L- / i Y o~~gOFFQI,~-co - TRUSTEES ~S Gy John MrIlredemeyer, III, President SUPERVISOR Henry P. Smith, Vice President w SCOTT L. HARRIS Albert J. Krupski, Jr. John L. Beduoski, Jr. Town Hall John B. Tuthill 1 53095 Main Road P.O. Box 1179 Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES Southold, New York 11971 Fax (516) 765-1823 TOWN OF SOUTHOLD October. 28, 1991 ' J.M.O. Consulting P.O. Box 447 Quogue, NY 11959, RE: Ferguson, Fishers Island Dear Mr. Just: Presently parcels on Long Island Sound are not within the jurisdiction of the Town Trustees under Chapter 97. As per phone conversation with you and the clerk to the Board, the $35.00 fee will be credited to the Sam Gordan application for the inspection. If you have any questions, please do not hesitate to contact this office. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jmt I` . r New York State Department of Environmental Conservation B hiding 40--SUNY, Stony Brook, New York 11790-2356 . Aft DATE: 1 G1&_ clclA 'RINEW Re: Thomas C. Jorling - / ),4' . CI (f J 3/~l)f)J)/~ ' U Commissioner -_,l A review has been made of"your proposal to: r"Lt.a-GwcCi ~~•ti ~t~~,.Cc2,;Pt1S(r%?,.r_,~~~r~,,...c~o~~-er~~: / Based on the information you have submitted, the New York State Department of Environmental. Conservation has dete-rmiried that the parcel a(.x project is: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than 100' in length which was constructed prior to 9 20 77. Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elewa ion Abov~P mean so level.. / O~ ,LCl s.tt,L)"t.e G-9 " (cfi. -S /%t a tG LtzG.et IV/7~y~d /IJG,V1e/` 7/ Therefore, tho permit i_ required under the Tidal Wetlands Act (Article 25 ` of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic.crest without a permit. It is your responsibility to ensure that all necessary precautions are-taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. i Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Cy, Very truly yours,, Deputy Regional Permit Administrator James Volney Righter a r c h i t e c t s~~ c 3 January 1994 Tom Fisher Building Department Town Hall 53095 Main Road F.O. Box 1179 Southold NY 11971 Re: Ferguson house Fishers Island NY Dear Mr. Fisher: Mr. and Mrs. Ferguson have agreed to lower the berm in front of their house to a height of no more than four feet from the road, in order to comply with the code. This will be done as soon as the weather permits. Very truly yours, Jacob Albert ti k JA 11 V ' 0"" 58 Winter Street Boston Massachusetts 02108 telephone • 617 • 451 • 5740 LD I.` Z .1J:i~ IIJ :n II' C: (i4LNTS C m _ H OUNDATION (1st) OUNDATIOtJ (2nd) OUCH FRAIME & -PLUMBING H m H ))SULATIO;] PER N. Y. STATE ENERGY CODE I _ FIi1AL ADDITIONAL COMMEN S: m . ro H A v m~ A INSPECTORS o~'C016 t~{ ~o 516 765-1802 SCOTT L. HARRIS, Supervisor VICTOR LESSARD, Principal CURTIS HORTON, Senior COD Southold Town Hall VINCENT R. WIECZOREK, Ordinance P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire Southold, New York 11971 Building Inspectors Fax (516) 765-1823 THOMAS FISHER Telephone (516) 765-1800 GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 15, 1992 Mr. John H. Thatcher, Jr. President Fishers Island Conservancy Inc. Box 553 Fishers Island, N.X. 06390 Dear Mr. Thatcher: This letter is in regard to your letter to Mr. John Bredemeyer about the building project of the Fergerson property, Suffolk County Tax Map #1000-006-004-05. The permit for the above project was approved on September 25, 1992 by myself. At the time the permit was written all necessary papers were complete for this project including a letter from the Town Trustees that the project was out of their jurisdiction, and also a notice by David DeRidden that no permit was required by D.E.C. The Coastal Erosion Act Chapter 37 was not adopted until October 8, 1992, therefor it was not in effect when the permit was written. Also according to 37-3 This chapter shall not go into effect until "Twenty" calendar days from the date of this chapter adoption. 1 r Mr. John H. Thatcher, Jr. Page "2" Before this permit was issued we had several calls from you people about setbacks etc. A date was set up to meet on Fishers Island at the firehouse, I was to bring all the necessary papers and discuss them. I went to Fishers Island along with Tom Fisher with all the papers, and nobody showed up. We even tried to call to no avail. I will gladly discuss this subject with you at my next trip to Fishers Island. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Curtis W. Horton, Senior Building Inspector CWH:gar cc to J. Bredermeyer, President Board of Trustees M' TRUSTEES o~pSUFFOUkcO SUPERVISOR John M. Bredemeyer, III, President SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President W o Henry P. Smith y • Town Hall John B. 11ahill 53095 Main Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 131 e February 15, 1993 !J F~ 1993 J.M.O. Consultants Glenn Just P.O. Box 447 Quogue, NY 11959 RE: Ann Posey Ferguson SCTM #1000-6-4-5 (93.1) Dear Mr. Just: An inspection was made of the above referenced.site today by representatives of the Town Trustees and Conservation Advisory Council. The following items should be considered in completing your application for Town Permits: It was found that the deck as proposed will have approximately 195 sq.ft.. within the Coastal Erosion Building Hazard Area and that the house is just beyond that area. Since the deck is proposed within 20 feet of the point of inflection of the bluff, the bluff setback is at variance from the Coastal Erosion ordinance on an average of 200. (Section 37-13D requires 25 foot setback for movable structures) Since the property was cleared within the hazard area we would request that restoration and planting plans for all areas seaward of the house be submitted as part of your application. Fortunately, it was found that our initial concerns of a permanent foundation existing within the hazard area were not realized and I will be recommending approval of a variance for an open constructed deck by the entire board of Trustees. I believe the property is constrained and the circumstance are unique such that a variance is warranted. As soon as we receive the restoration plan and written conformation that an open constructed deck is possible, we will conclude SEQRA and schedule a joint Wetland-Coastal Erosion Public Hearing. I want to thank you for your cooperation in this matter. S' cerely, John M. Bredemeyer,III President, Board of Trustees JMB:jmd cc: Bldg. Dept. Mr. Ferguson Stephen Ham J.M.O. Consulling P.O. Box 447 104 Industrial Path LETTER o TRANSMITTAL QUOGUE, NEW YORK 11959 _ (516) 653.0607 DntE g tax 006- Fox (516) 653-0603 AiikIFIJON TO nn(~IC S F, ,e.~.s Ssca,~, I~ X14: 1122V WE ARE SENDING YOU ? Attached ? Under separate covet via 11re•,following items: o Prints t] Plans ? Forms ? Specifications C.t`r 11 i / ? Copy of letter ? Change order ? 4° DESCRI LION COPIES DATE NO. THESE ARE MANMITTED as checked below: ? For approval ? Approved as submitted ? nesubmit copies for approval ? For your use ? Approved as noted ? Submit copies for distribution As requested o neturned for corrections ? nelurn corrected prints ? For review grid comment ? ? Sign and return E3 FONTS RETURNED AFTEn LOAN TO US REMARKS ar- r?-1 f j O r1 ndilvr jac~__m O eA 1~9,- - COPY TO SIGNEb: ~1'Y .L J MATTHEWS & HAM i I~ P Cr ~ ° ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD ,°4g JEP 16 SOUTHAMPTON, N.Y. 11968 J d.•j W 510-283-2400 PHILIP R MATTHEWS TELEOOPIER 516-289-1070 + - ^ ue~eneem STEPHEN L. HAM, III September 15, 1992 Mr. Curtis Horton Building Department Town of Southold Town Hall Main Road Southold, NY 11971 Re: Application of Ann Posey Ferguson (SCTM # 1000-6-4-5) Dear Curt: At the request of the FergusonsI architect and in connection with their application for a building permit, I have enclosed a Plan of Munnatawket Cottage Sites prepared by Chandler & Palmer. This plan reflects, among other things, the locations of the structures on the three parcels immediately to the west of the Ferguson property and their relationship to the front yard lot lines. Although the setbacks are not shown on the Plan, it is clear that the average setback is significantly less than the one proposed in the referenced application. Sincerely, 45ve 4 Stephen L. Ham, III SLH:ja Enclosure BY EXPRESS MAIL SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES BUREAU OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER RIVERHEAD,-NEW YORK 11901 516-8~2-2100 NOTICE OF NON-CONFORMANCE FINAL APPROVAL FOR RESIDENTIAL/COMMERCIAL TO: l FILE REF.: f>O~aUx-//~-f Your final approval cannot be processed because of the following: ( ] Need your Health Department Reference Number. ] Need final as-built surveys/plans. ( ] Final surveys/plans have wrong/no measurements. Have them cor- rected and resubmit (correct measurements enclosed). [ ] Show water line and/or sewer line location on final surveys/plans. [ ] Show driveway, parking area and walkways on final surveys/plans. [ ] Need certificate from installer of sewage disposal system. [ ] Need certification from sewer district (S-9 forms or equivalent). [ ] Need well drillers certificate and/or water analysis. [ ] Need water line tap letter from water company or district. [ ] Water analysis does not conform to drinking water standards. [ ] Covenant required. See enclosed. [ ] Other 14? S'/glib L ~.L'C F;O 7/~c Sc ~c y ~c,G~ E: ALTERATIONS OF SURVEYS/PLANS MUST BE MADE BY THE LICENSED DESIGN PROFESSIONAL AND PROPERLY CERTIFIED. PHOTOCOPIES OF DOCUMENTS AND "PENCILLED" IN CORRECTIONS ARE NOT ACCEPTABLE. 2LEASE RETURN ONE COPY OF THIS FORM WITH YOUR RESUBMISSION. A- A BY DATE WWM-052 (Rev. ,i/93) 18.1400..4/93 Ht SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES BUREAU OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER DEC 91gm RIVERHEAD, NEW YORK 11901 516-852-2100 ~ NOTICE OF NON-CONFORMANCE FINAL APPROVAL FOR RESIDENTIAL/COMMERCIAL TO : S o FILE REF. G Otis. f461 T zOC ( /f 17~~ Your final approval cannot be processed because of the following: [ ] Need your Health Department Reference Number. [ ] Need final as-built surveys/plans. [ ] Final surveys/plans have wrong/no measurements. Have them cor- rected and resubmit (correct measurements enclosed). [ ] Show water line and/or sewer line location on final surveys/plans. [ X] Show driveway, parking area and walkways on final surveys/plans. Need certificate from installer of sewage disposal system. [ ] Need certification from sewer district (S-9 forms or equivalent). [ ] Need well drillers certificate and/or water analysis. [ ] Need water line tap letter from water company or district. [ ] Water analysis does not conform to drinking water standards. [ ] Covenant required., See enclosed... r! [ ] Other s#(? /t S lt v C C~G~ T/~S 1ZL Grp GAS T T NOTE;. ALTERATIONS OF SURVEYS/PLANS MUST BE MADE BY THE LICENSED DESIGN PROFESSIONAL AND PROPERLY CERTIFIED. PHOTOCOPIES OF DOCUMENTS AND "PENCILLED" IN CORRECTIONS ARE NOT ACCEPTABLE PLEASE RETURN ONE COPY OF THIS FORM WITH YOUR RESUBMISSION BY 7/ ell ~SG/t DATE WWM-052 (Rev. 3/93) ie-uoa sis3 ` ey'-.#~;="-~'l-•ypyr$Ju+x,.nsn"u5+4,.,., .t-!r..uraKr ,.,+3.ar. ~i.4v_+vwr''.w'fi~a'~' .r;a*£,"~..~.r&w~~`~t~.„A^~L`~.~`'#~mf.'~'.?~s. James Volney Righter ~A a r c h i t e c t s i n c 30 November 1993 Tom Fisher Bui ding Department Town Hall Main Road Southold NY 11971 Re: Ferguson house Fishers Island NY Dear Mr. Fisher: At your request, we are submitting this acknowledgement that we have seen a crack in the concrete foundation on the southwest side of the Ferguson house. We are not concerned that this crack is a serious problem, as the foundation is well-reinforced with steel. We will continue to watch it. Very truly yours, Jim Righter Copy to: Z & S Contracting 58 Winter Street • Boston • Massachusetts • 02108 • telephone • 617 • 451 • 5740 ~ t TRUSTEES q SUPERVISOR John M. Bredemeyer, TII, President ~rg1,., g SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President: Henry P. Smith r._ 1 Town Hall John B. Tuthill b 53095 Main Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 t' Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit Number: 6-4-5 Name of Applicant/Agent: J.M.O. Name of Permittee: Ann Posey Ferguson Address of Permittee: 181 Lewis Lane Fairhaven, NJ 07704 Property Located: Central Ave., Fishers Island DESCRIPTION OF ACTIVITY: to construct a single family dwelling, associated sanitary system, gravel driveway, decks, with public water for a variance under Town Code Section 37-13D, insufficient setback or movable structures (deck) within the building hazard area. (see Attached). Date of permit issuance: April 30, 1993 This permit is valid for a period'of two years from the date of issuance. SPECIAL CONDITIONS: **XXX Bluff restoration through a re-vegetation agreement is attached hereto and is a necessary special condition of this permit. NA A relocation agreement is attached hereto and is a necessary special condition of this permit. NA A maintenance agreement is attached hereto and is a necessary special condition of this permit. The deck construction shall be open with a wood deck and concrete on wood piles. The site seaward of the house shall be planted with salt tolerant species as proposed on the March 24, 1993 1of3 additions to the October 4, 1990 Chandler Palmer and King survey. This shall serve as the planting agreement for this site. There shall be one inspection of this site to confirm that the construction and planting requirements have been met. 77 John M. Bredemeyer, III President, Board of Trustees JMB:jmd cc: Building Dept. Attachments 2of3 COASTAL EROSION HAZARD AREA VARIANCE ANN POSEY FERGUSON Variance Application #k6-4-5-93.1 J.M.O. consulting on behalf of ANN POSEY FERGUSON Structural Hazard Are; bluff setback: 37-13-D Insufficient bluff setback for movable open constructed deck. Structure proposed 20' to bluff where setback required is 25' Application History, Finding of Facts, Determination and Permit Conditions: HISTORY AND FINDING OF FACTS 1. Applicant submitted a joint wetland, Coastal Erosion Variance application on January 28, 1993 in response to-a request from the Trustee office when it was found that construction started in the deck area without the required permits. 2. The Trustees concluded SEQRA with a negative declaration on March 10, 1993. 3. The wetland public hearing was held on March 25, 1993 with no person in opposition. 4. The Coastal Erosion Variance application was held on April 29, 1993 with no person in opposition. DETERMINATION The requested variance is approved for the following reasons: 1. No reasonable prudent alternative site exists for a deck on the seaward side of this house. 2. The proposed open constructed deck is less than 200 square feet in size and as such is considered a minimal impact structure which would not ordinarily require a permit if it were a dock or access stairs in the beach area. 3. The variance requested is the minimum necessary to overcome the practical difficulty of siting a deck on this lot which has severe setback limitations. 4. The proposal is reasonably safe from flood and erosion damage there having been no damage to the vicinity from major coastal storms of December 11, 1993 and March 13, 1993. 5. No public funds are utilized for this project. 3of3 x TRUSTEES Foi SUPERVISOR John M. Bredemeyer, III, President. SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President Henry P. Smith Town Hall John B. Tuthill 53095 Main Road William G. Albertson P.O. Box 1179 f~do' , Southold, New York 11971 Telephone (516) 765-1892- Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 30, 1993 J.M.O. Consulting P.O. Box 447 Quogue, NY 11959 Re: Ann Posey Ferguson SCTM #1000-6-4-5 Dear Mr. Just: The following action was taken by the Board of Town Trustees during its regular meeting held on Thursday, March 25, 1993 regarding the above matter: WHEREAS, J.M.O. on behalf of Ann Posey Ferguson applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated January 28, 1993 and, WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on Thursday, March 25, 1993 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 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 approves the application of J.M.O. Consulting on behalf of Ann Posey Ferguson to construct a single family dwelling, associated sanitary system, gravel driveway, decks, with public water as per maps dated March 24, 1993. Located Fishers Island. Permit will expire two years from the date it is signed. Fees must be paid, if applicable,_ and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: No Fees Very truly yours, John M. Bredemeyer, III President, Board of Trustee JMB:jd ` • r 1 $/,,,T( ~.rp•.~~~. 1 '...INS.. F4.1.: ! Ay:r ' 1\`H, ~)F)4Y~r , S s, a}u__.='~!/~rv'.P~ a41}"~'.!`P...~C`N~?~r "~'i~.y..,...,~.~~ y±.~~~aTf'2tlN} ~ ~;J Board Of Southold Town Trustees SOUTHOLD, NEW YORK !F I/ Ih# PERMIT NO. 4157 DATE:. April 30, 1993'. r ISSUED TO i' Ann,Posey Ferguson Aut4arization 11 Pursuant to the provisions of Chapter 615 of the Laws of PPP 1 z the State of New York, 1893; and Chapter 404 of the Laws of the `r~. State of New York 1952; and the Southold Town Ordinance en- !Rx ` titled "REGULATING AND THE PLACING OF OBSTRUCTIONS I•:: t IN AND ON TOWN WATERS AND PUBLIC LANDS and the b ` y!! REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM jY - >i r 3ai LANDS UNDER TOWN WATERS;" and in accordance with the it Resolution of The Board adopted at a meeting held on March 25., a~ 19 93.., and in consideration of the sum of $ 150.00 paid by J.M.O. Consultant, on behalf of Ferguson, of N. Y. and subject to the ~•1 Terms and Conditions listed on the reverse side hereof, ~:~;I , .t of Southold Town Trustees authorizes and permits the following: r- c to construct a single family dwelling, associated sanitary system ravel driveway, decks, with g public water as per map dated March 24, 1993 , all in accordance with the detailed specifications as presented in the originating application. ~R a IN WITNESS WHEREOF, The said Board of Trustees here- b causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. FO ~ r 3 V p1 ~O~' D _Trustees \ .ru... ••r.Li. .~„r~, uw°.~ y G,...' uL..' e...d'!d"wY '°gd6.G~!au.,,dL'~ '~.?`f'..a:.,1C.~'G.i~3,°7a~~~ ;::d° / i f • o Lai cc Lai j Vf ®®4 Z i V COOD 0 NONE# LL ® ® z ~ N ( Cno LL 4°, o E-: - U') ear J V ..e A IL J IA ® ® ~ LU 4A a 6Y 4A 4A IA" c3mm tu ~yy moo f 7 to I z 0"' 49 EA A~ daft - - - - TRUSTEES L'ERVISOR John M. Bredemeyer, III, President _0 S O:TT L. HARRIS Albert J. Kra ski Jr. Vice President c' Henry P. Smith 1wn Hall John B. Tuthill 53095 Main Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1923 BOARD OF TOWN TRUSTEES TOWN OF SOU THOLD ~,Qcvcryrc yc/L rS ovr ~"dwn CrI~- ~ov~ <J' c/t~e~~/~"Z ~~~rrt Q `f d/~ f~ yo O/ O- eye Y IBS ISLAND C ONSERVA1VINC. DEC 141992: t y BOX 553 6 ~SHERS ISLAND, NEW YORK 06390 j e>LE)fa..i~.f'6s f i December 11, 1992 Mr. John Bredeneyer - Chairmai Southold Town Board of TrusteAs Town Hall, wain Road, Southold, M.Y. 11971 Dear, Mr, Sredemeyer: This latter is written in the tropes taat you or Your agency can review the buildin prois:t now underway on Fisher, Island known as the Forg on-Posey pooperty (Lot f 1001-006-Opts-05). It is our surmise that this project maly be in violation of the Southold Coastal Erosion Hazard Act (Ciapter 37 of the Town Code) with special reference to _.aragrapls 11,12,13, 22, and 30 of that Chapter. We are also very upset that tae County Law creating a Critical. Environmental. Area (CEA) over all of `r'ashers Island has so far been ignored in that no "long form" environmental assessment form has been filed in this case iiaspi.te the relative ease (20 minutes or so) Pith which it can be filled out. It should be noted here that the Conservancy is by no cleans opposed to proper building; ccaszruction on Fishers Island, We feel it essential, however, that all property Owners buil,.ling holies on Fishers Island follow proper procedure„ and environmental regulations, fill out all relevant fonDs, and file for all needed permits - just as I woul6 have to eio, vane I to build a new hone there. In short, . We are a3klttt for a fair e'18sES[3YItGYIt of th °e E;1tUat7.On, and if violations, are found, we are requestinC that appropriate action he taken - whether this :Means additional permitting, correcting mistakes, or seeking a variance from an arpropr9_ate agency. We have every confidrnee, lastly, than, this structure will see completion and proper use. As we have noted, we are asking a review by your. agency to determine if all is prooeeding according to Sout`iold's own regulationE. We feel it of extreme importance that if violations or mistakes exist here that they be corrected. We NO it would be a most h rnful precedent if a structure were completed and occupied withott following proper procedure and evaluations - only to be use{ later again and again as a precedent for other buildings and strut Lure which have likewise not followed proper channels and paths. Stch an occurrence would spell disaster for Fishers Island's conservation and environmental efforts, as well as promote. helter-skelter delelopment. ,I / d ~'~Crr tr~z 12, - ye,z ~G~ (L v ipf// /l~r~ %CrTJ,,FJ~ C_ ( ' ll v(J/.?~fiW' i i fiTrt"- ry,~ /ccw 0 of v17 tV1 11e14- vh e~G-J ~cc''rQ~^ 60 S"A 7/ 3~ ~S l y yo 1014 l41 -7 y ~6 X ~s y air 7S. 6 - tis Sy - S'd ~a r_ ~J i y93'/o Ste- i LEGAL NOTICE NOTICE OF PUBLIC HEARING ON LOCAL LAW PUBLIC NOTICE IS HEREBY GIVEN that there has been presented to the Town Board of the Town of Southold, Suffolk County, New York, on the 6th day of October, 1992, a Local Law entitled, "A Local Law in Relation to Setback Requirements". NOTICE IS FURTHER GIVEN that the Town Board of the Town of Southold will hold a public hearing on the aforesaid Local Law at the Southold Town Hall, Main Road, Southold, New York, on the 24th day of November, 1992, at 4.32 P.M., at which time all interested persons will be heard. This proposed "Local Law in Relation to Setback Requirements" reads as follows: BE IT ENACTED by the Town Board of the Town of Southold as follows: 1. Chapter 100 (Zoning) of the Code of the Town of Southold is hereby amended as follows: 1. Section 100-239.4(A) (Building setback requirements adjacent to water bodies and wetlands) is hereby amended to read as follows: A. Lots adjacent to Long Island Sound, Fishers Island Sound and Block Island Sound. (1) All buildings located on lots adjacent to Legg 4-91-and Sound sounds and upon which there exists a bluff or bank landward of the shore or beach shall be set back not less than one hundred (100) feet from the top of such bluff or bank. (2) Except as otherwise provided in Subsection A(1) hereof, all buildings located on lots adjacent to tong I}sfand Sound sounds shall be set back not less than one hundred (100) feet from the ordinary high-water mark of tong 4-91and Sound said sound. 11. This Local Law shall take effect upon its filing with the Secretary of State. * Underscore represents addition(s) Overstrike represent deletion(s) Copies of this Local Law are available in the Office of the Town Clerk to any interested persons during business hours. DATED: November 10, 1992. JUDITH T. TERRY SOUTHOLD TOWN CLERK * * * PLEASE PUBLISH ON NOVEMBER 19, 1992, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO JUDITH TERRY, TOWN CLERK, TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK 11971. Copies to the following: The Traveler-Watchman The Suffolk Times Town Board Members Town Attorneys Southold Town Planning Board Southold Town Board of appeals Southold Town Building Department Town Clerk's Bulletin Board TI7 R BOARD OF HEALTH 1J L5 D FORM NO.1 3 SETS OF PLANS "I........ TOWN OFSOUTHOLD SURVEY . .M ! 6 BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC F0RM BLDG. DEPT. SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOLD TEL.: 765-1802 t: DT I F Y ; CALL Examined 119 h MAIL T0: Approved/ K O"?• 19~ ermit No. A Disapproved a/c ~ 1. . (Building Inspector) APPLICAI ION FOR BUILDING PERMIT Date 19 p INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ats 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 issued a Building Permit to the applicant. Such permit :tall 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 whatever until a Certificate of Occupancy :zall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws,'ordinances; building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. ZAS dovtYwc"~' LHt (Signature of applicant, of name, if a corporation) (Mailing address of applicant) hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber.or builder. f neT!t9enzI/ e / Z"C-.4 . dame of owner of premises ~ !h?1 ustA7 (as on the tax roll or latest deed) I applicant is a corporation, signature of duly authorized officer. (Name title of corporate 0, Builder's License No. ......c/ . Plumber's License No. ? Electrician's License No. Other Trade's License No . Location of land on which proposed work will be done. . Al~ • „e°elfll, , , , , , House Number Street Hamlet County Tax Map No. 1000 Section .....16 Block ......41 Let h; . Subdivision Filed Map No. Trot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed cons true tionc_ a. Existing use and occupancy "cJ~~....~ : . b. Intended use and occupancy 5~ ~'./I~ 3. Nature of work (check which ap;plicable): New Building ,X Addition Alteration Repair Removal • , Demolition Other Work (Description) 4. Estimated Cost , , yP~v 6)0 F 7347 ~ 5. If b be paid filing dwelling, , , Number of dwelling units on each this application) . ea.•'.•••••.•.••••.••,••••.•••••.•.•.•.• units If garage, number number of of dcarswel floor. . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . Is, if any: Front Rear Depth............... Height . .lions. .of. .ex.is.U.ng. . . , structure ber of Stories . Dimensions of same structure with alterations or additions: Front Rear , , , . . Depth........ I . Height Number of Stories . . . . . . 8. Di mensions of entire new construction: Front . Rear . . Height bier of Stories . 9. Size of lot: Front . Rear Depth ••••••••••••••••••'•........Name ofForinerOwner 101. Zone or use district "in which premises p 13, Will lot be regraded construction violate are situated , , . 12. proposed to any zoning law, , ordinance or regulation: . • • • • , , , Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ................Address ...................Phone No. ;Name of Architect Address Plione No............... . Name of Contractor Southold . . . . . T feet of Address ............1.j Phone No. 15. Is this property within . 3 00 feet of a tidal wetland? *yes../5.....N,,,,,,,,, Town Trustees Permit may be required. esrArr&W PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NEW YORK, S.S , . UNTY OF .(Name of individual signing . . • • being duly sworn, deposes and says that he is the applicant contract) bove named. d `e is the I' ~jeslP.ul, (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this iplication; that`all statements contained in this application are true to the bestOf his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. .vom to before rileY this ....dayof.t 19 2 otary P 4 r" L(C~ DM" " DDHEflf'(~Ao td bhc Stele bbff``II ro' e *o,4, 808559 2Z/~ Sutfolk County • , /.~ys y . • • . . (Signature of applicant) I r s~Ees S ~S 9 ` ~'2 3 I ] t Y " d~e'uu e c, S e k s 0 $ L F r O a 0 ~ g O 6 ~zl t) ~L fPr e q` K~ 6~ W - - LDC_dT 1 0U I-UP ~a 1~ o zm . ! 'ym 44 ~f46 38 TOTAL 126.4 TEST HOLE DATA NOTES, AREA NOT TO /O \ _ ''''II BE DISTURBED N ~ 2/28/91 1. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION - - \ \ 0" - 10" TOPSOIL STATION "PROS" r FENCE ENCE II ~ 10" - 26" ORANGE, BROWN SANDY J SANDY 2. SITE IS IN THE TOWN OF SOUTHO'..D, COUNTY OF Apo- \ N- LOAM, SUBSOIL SUFFOLK, TAX MAP 1000, SECT10'J 006, BLOCK 4, _J 26" -106" MED COARSE COMPACT TILL OMPACT TILL LOT 5 / OF .tr oscx ~ O / 106" - 17' FINE SAND 3. SITE IS TO BE SERVICE BY MUI'ICIPLE WATER AND ON SITE SEWAGE DISPOSAL SYSTEM IN \ DacK o \ O WATER AT 16'1/2" COMPLIANCE WITH THE STANDARDS AND REQUIREMENTS OF THE SUFFOLK COUNTY ~nar osso \\o ~ ~ DEPARTMENT OF HEALTH REST OE Flfl ST Fl \ \ 5 n RESIOCNCE FIRST FLOOR E 4V. 21.0 \ ~^I, u 4. SITE IS IN R-80 ZONE y2 E 4 V Y 1J'~ 5. OWNER: Ann Ferguson \ C KNOCKOUT INLET AND 181 Lewis Lane OULET OPENINGS Fairhaven, NJ 07704 (201622-4444 DRIV', FUTURE I RIBS INSME-'::7~ r 6. BASE FOR LEVELS NGVD RpP 9NED STONE) EYPAN610N / o ' \ c0. SNED ~ 7 -----16------ FXISTING CONTOURS ~ +iao J 1000 0:1 1000 GAL. / nwc1E.- oE~16 SEPTIE TANK s J L -J 8.~, ''-POSED CONTOURS L C v ~~t ~W i~\~ / / 0.tP, ~1T v~ SEPTI 34' 5. L S 34' S3' p' 1Z1 CAST 9. 16.8 _ PROPOSED INVERT ELEVATIONS 'I~ L1 5z2~.24 CONCRETE COVERS ID. TEal PROPOSED SPOT ELEVATIONS IOiT6" \ \C 32m 95 / Dry S and E and EoGC oP- PAJCFIt~Jr' \ II PLAN . ms bs ti9 1-j -T L .d.. V~i..I U E zO LOCKING CASTING TO GRADE CHIMNEY AND MANHOLE COVER AT GRADE - \ _ FINISHED GRADE L CHIMNEY ~x z6/12.6 GA. WRE MESH 30" d'a 12" `6 x 6 6/6 GA WIRE MESHd MESH 24 DIA. COVER ESH ! iZ 2A"nvrc / VOLJU46LIT ~OLJU4UlT 11L11U11C41T '2 0 0 (q)_8" DIA. KNOCKOUTS INLET VENT~t Y vENTJ OUTLET TOUTLET o o o e ~61?4ivr 0 11 UOUID LEVEL io o v v v o I 0 0 0 0 0 \ CONTINUOUS HOT 1 4 OU T ' v v o I ASPHALT SEAL LIBAFFLE NED MTH o d INLET BAFFLE 80' GAS 'p 1'a 4' By 0' DIA 0.4 1/ Z~ \ SCHEDULE A40 1 OEn£CTOR W~ ~K ~~S 4" 5-81• V-3" ~--a^ SPECIFICATIONS CROSS SECTION CONCRETE MINIMUM STRENGTH-5,000 P.S.I. AT 28 DAYS STEEL REINFORCEMENT-ASTM-A-615-68, GRADE 60, 1" MINIMUM COVER DESIGN LOADING-STANDARD UNITS: AASHO-HS20-44 1000 GALLON MANUFACTURED BY: ROTONDO & SONS, INC. 2 COMPARTMENT HEAVY DUTY CESSPOOL SEPTIC TANK CROSS SECTION a NOT TO SCALE NOT TO SCALE SUFFOLK COUNTY DEPARTMENT OF HEAL'.TH SERVICES s~aa or miiv yov \L Of PlEIV y~ FOR APPROVAL OF CONSTRUCTION OF X-011 -CH crr\ ry Single Family Residence Only u~ y DATE 12zo<ZI ISREF ~g~ ;nl s,~ ,=em L, APPROVED a cr, v' f. PZpP@ZT~] cj r EXPIRES Z YEARS FROM DAT OF PROVAL s sE Nn „o ' For 90F °SI 'ULY~ G~1JTP~ L d dt; l lU~ 1=15N~2-5 ISLAI.~~, A.lG-bU `jOY~)L 20 10 0 20 cl.-iAVOL-e2 , P.4.1-uee a e. ll-l c~ ~ ~~fpp ' 1-lOZ-IJ ILL-1GOl)l1EG-TIGUT ],p~/paCy4L'~~ I am familiar with the standards for approval IX-TOFE'Z Q, 19~ 1~1{IlV~6{I~r~lyl`E:i.Y and construction of subsurface sewage disposal systems for single family residence and will abide by the conditions set forth therein and I== JULY 18, 1591 AUG 27 1992 Auyu ST 24 1%91 on the permit to construct. 'l3V ~01-15 C~TLE-F1#Y. ~ IR31 dam's ' * S.C. DEPT. OP HEALTH SERVICES APPLICANT ~y, SEP E 4V'; CIS yE~s ~ I Q c~u ~ ~ SI~~ ~~O _,.:.I L I d3S , , 6 3 z 3 ~ ~ L F a ^ ® a 0 4 3 \J ~ ] JJJ 1 ] J ~ 'CL 3 J `uyV e ~ ~ PROPERTY LINE v O fPT s 6 q` t~~ eti rye F s lloftE LINE 305 goy n l LOC_d"T I Ot_1 I~IP 3 - - - 4- zm iw o xm 1 -d is ~i obi a TOTAL lid TARE NOTES: 38 A N07 To TEST HOLE DATA old \\'i BE DISTURBED 2/28/91 1 COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION 1I ~ STATION PROS" FENCE ENCE 0" - 10" TOPSOIL _ BROWN SANDY Jul 10" - 26" ORANGE, SUBSOIL LOAM, DECK 26" -106" MED/COARSE COMPACT TILL N SANDY 2. SITE IS IN THE TOWN OF SOUTHO'-J, COUNTY OF SUFFOLK, TAX MAP 1000, SECTIO'; 006, BLOCK 4, :OMPACT TILL LOT 5 \ \ \ 1- 106" - 17' FINE SAND 3. SITE IS TO BE SERVICE BY MUL!CiPLE WATER I AND ON SITE SEWAGE DISPOSAL SYSTEM IN DECK = \ O \ WATER AT 16 1/2" COMPLIANCE WITH THE STANDARDS AND D elv REQUIREMENTS OF THE SUFFOLK COUNTY PROPOSED \ \ \ G J DEPARTMENT OF HEALTH RESiD$ RES DE RESIDENCE \ \ 5 FIRST FLOOR \ 4ja \ / _f• FIRS7 F C"V i ELE.V 210 4. SITE IS IN R-80 ZONE 5. OWNER Ann Ferguson '2. \6c 1 ~1~ j \ KNOCKOUT INLET AND \ OULET OPENINGS Fairhaven, Iaj 0, 04 1 181 Lewis Lane (201)622-4944 4. ' / / I oPpSE RDPDS DE `t DR/1/E FUTURE RIBS INSIDE HE STONE) 1Ep E%PANSION 6. BASE FOP LEVELS NGVD / / Ib `c0.°5 n +mo i 7.------16--- - TXISTING CONTOURS J ~c 0.5 0 - - + _ - \ fl I 1000 GAL. SEPTIC TANK ~ES 34" SS 60' ~-1Z1 0' Ci/-.» J _ _ J 8 POSED CONTOURS 34' 5, CAST 9 16.8 PROPOSED INVERT ELEVATIONS y / Ll SZZIO 2~ I a I/ i"o~T~^+ \ ~\e' 3zu 93 CONCRETE COVERS lu. 13 0 PROPOSED SPOT ELEVATION5 ~ti ~a EoGe maPa"t u~.~~- \ llri FLAN ki T 2- -T 2- L- A- ETU 0 It: LOCKING CASTING O GRADE (-CHIMNEY AND MANHOLE COVER AT GRADE \ FINISHED GRALL s 4 1 x 4 4 1 30" _ 4 2.6/12.6 GA. WIRE MESH MESH s• 24" CIA. COVER J K 12" /-6 x 6 6/6 CA WIRE MESH ESH /~I-~pIJUlAFA1T -'OIJUNFA~T ~IpJUNtI.~T~ INLET r ~ o 0 0 0 1 o v v v o OUTLET (4)-8" OIA. KNOCKOUTS v 7/ / <17 1- a' vENT~ ! o' vExT~ OUTLET m o v v v o I 1\ F~ LF LIQUID LEVEL BAFRU~ r~-~/1 N i. l a HOT O I UR ASPHALT SEAL f n m o o ~ v v v ~ c V ` \ LINED INW INLET BAFFLE 60 60' GAS T N 1I11 1 L J 0.4 L~ ? N a SCHEDULE 040 ' PA n OM~ 1 OFfIECTIXi ° 4'-I a 8'-0. OIA o a 1 ~ A I, ` r r ~3" G-3" SPECIFICATIONS CROSS SECTION CONCRETE MINIMUM STRENGTH-5,000 P.S.I. AT 28 DAYS s, STEEL REINFORCEMENT- ASTM-A-615-68, GRADE 60, 1° MINIMUM COVER / DESIGN LOADING-STANDARD UNITS: AASHO-HS20-44 1000 GALLON MANUFACTURED BY: ROTONDO & SONS, INC. 2 COMPARTMENT SEPTIC TANK HEAVY DUTY CESSPOOL a NOT TO SCALE CROSS SECTION NOT TO SCALE PPM ceTy o OF NEW YOTi a ~o li s~.~r NjEOGf HEW ?0,, Clt7uTz-&L I&Vl L.IUE- I rU, ,a 20 to o w "ysf use No. ~I OP tise NO, sc-s~E r -zn• F Np F Np cNJ-I-IOI.EL ~ f ~LNEp. £-L 11-1 C~ 1-lp2.vJIGH, CAUI.JcGTIC.U'T I am familiar with the standards for approval GY-TOP£'e- Q, 19 b and construction of subsurfcce sewage disposal JULY 13, 1991 systems for single family residence and will /a~y~Sr ¢G 1991 abide by the cend'tions set forth therein and ice, n~u, w on the permit to cogstr-,c' ADDITIONS l9CVI510N5 SEPT 16,1992 LPPI ICAN 1 5333 t U WEST HARBOR s 0 0 a ~ v a i- c a °a fY1 z H WATER z D o LIMITS OF TIDAL WETLA-NDS /-HIGH WATER PROPERTY LINE o0 s - s zm z _ o CLANG E~ ! \ \ \ ~o a mRFO c T in _ ~ a^ S A TOE OF SLOPE ~N~ 09W 2990-= G = ~ n ca m ~~qn m, NVA _ / ToP OF \ \ \ I2 14 ~ / ~ ~ \ V 9 'T:'~1': n? raft/VO.1 15.6 SZ ~6 \ N \ BILCO DECK IC N Z o \ ~ V _ :f 0 Z fwr T ~ Q\\ NC10 NN. oc \ EXISTING F y \ FF L W/ RESIpEN \ < <\ma \ 9SMT E EV 19.5 OECX c \ V1\\\ / STEPS EL~ II D oS \ ~ M ~0 r ~ Q~ / Al GRAVEL \ n~ ELECTRIC / ORIVEWAy\ W \ \ \ a BOX \ I\ ~4. APPROXIMATE nA \ 20 i UNDERGROUND UTILIT( LOCATIONS/' \ \ \ y ~1 m- l \ 4' NOTE: \ 1) FOUNDATION LOCATED ON NOVEMBER 16,19G2. J\ \ 0 HYDRANT ZD E \ S" o5'I COVER 34.53, 2) TOTAL AREA = 0.77± ACRES f 6T'~ aI6.6 GRADE \1201 \ 5) COORDINATE DISTANCES ARE MEASURED FROM J EDGE \ U.S. 0OA5T $ GEODETIC SURVEY TRIANGULATION RR. IKE CENTQq / DF R4VfMEN T \ i1 y\ \ s STATION "PR05". (SET) MONUMENT 4) BASE FOR LEVELS: N.O.V.D. IQ29 \ N 5226.24 \ `zp E 32693 ^I VC~~I \ SURVEY MAP °REPAREP FOR ALFRED L. I ERI50N 7}'~~ $ 2C c 20 10 00 0 ANN I .FE Ra./ U 5I 1 1 GRAPHIC SCALE IN FEET CENTRAL AVENUE ~()F I Evro F15HER5 ISLAND, NEW YORK ~~~seP° ~F srq R N REVISIONS M - CHANDLER, PALMER do KING LEGEND: D DATE DESCRIPTION n vJ 1111.1.011111111111 VIIIIIII, Architects. Engineers and Surveyors N/F NOW OR FORMERLY 12/ C 12,03/93 ADDITIONS 8 REVISIONS ~ - 110 BROADWAY NORWCN, CT OB360 20"aY-]3B] FAX 10 06-t6DI 6UARAN' CED_ ~ O SV FF FIRST FLOOR 12/1- TO: ELEV ELEVATION 12/ 14/ 93 ELEV'S a REV DRIVE mm i'red L Ferguson, Ann F. Ferguson, FlrSt Fldellty Sank, HSA4T BASEMENT s Tlcor Title Guarantee Gompan, 'i ac~o'•dance with the minlm'r. / las AVERAGE SPOT ELEVATION "i s;andords for Title Surveys of ;ho n!ew .'o,4: State Land T'tia A55oeloelon. D DATE: NOVEMBER 12, 1993 N N r:r: , s 1293-G'OI s SCALE: 1" = 20' s SHEET 1 OF 1 F 2 -.y3 P~ Clp _ u. L ma r s 80.3 I 0.~~ ,149. W ty. 1 . f - sill 36 3t, O)' IOWIV 4 I}S mo Y~'nl - Ito. 0. rp 14 55-as. f6 W.L01.0i to 'S 9d tq d• W __V_ 55 , p ,ars ~ ~ d i 10 u B I _ ..,W C,gE Q' ore OF All Il,. T K543*. . N 541 , y, p ZLW W 57. w sy ro Ap 4 ry a C e~T~ 396'. loth W ,,lf a ,I I~ z Wr. I I Ir M" I I LAW tOr i 51 I ` 4; F ~ TQ F ]iF r ~ rr 17"'W~V~G'iT'A,r175•,~~1 ~~R.4 {~?rp'b- 11r'Mfr~~,l'~, ~A w Lfr .~`~1?VICH ~ FT 1 ~ ,1i4~Y~ ~~~1~~ ~ ,yI f ~ 'It tinr ~7 ' 1 ~a +a U~.~e 't 3' r y'' y ut u 1 , ' t i~q1 a o g? t 'big. i. jFrf y 5 PO T-1- Y _. Y 5 ' � �',,, ,��'�" SITE. • su��iuE 4 401 4 µ 6 2 r b . e�ti 7 1 f _ - C/ ' 6-I O --,...40 —� 5 . --�'ITK' �� 3 i LI�� ;L.9 .00� U N►.►►.TAW KG1 VEN '� .• 0177 L OGAT I N M Ar � 100 0 bj rE�.GuSow HOUSE. vo 1V E L.tA 8 �( le Iota l3,aJ... 0 0 `, _ � / - - S 3µ'S5' Sri' E iz-0�} � i --- - HoNuHE�.1 - i•�V�H E 12 Ho►JumcwT — — — HoNuME APPROVED AS NOTED FEE: 13 vile Y �� �y�• �/� NOTIFY BUILDING DEPARTMENT AT �) SITE" �, S � Q�,�F S. 765-1802 9 AM TO 4 PM FOR THE ���� 10� �'� ��� �� II� _ \ FOLLOWING INSPECTIONS: T M L-k~ 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE • �"I . F. 0A 1` 'S 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4 FINAL - CONSTRUCTION MUST /�,qZQQr i'LP�}.1 • / BE COMPLETE FOR C.O. / ALL CONSTRUCTION SHALL MEET r 1, t r 1 v� THE REC3UIREMENTS OF THE N.Y. Aa `Sowm 1JOKT -� LLE_\4�j1dW� STATE CONSTRUCTION & ENERGY , CODEf- NOT RESPONSIBLE FOR 6 -ram WLST T I� ., ZUI�I�• 6 ,6--TkOl 5;l DESIC ' OR CONSTRUCTION'ERRORS i ����v I© II•I rr-?- i'I� V to S : � I�.ITGPCW A7 �--� >�T N SEAT �M AS II.IT �oK F1.FV�TIONS ; '(I�> MS HA-. X7XK ZEtbI�H { • Al WALL S�Tia�s I _T C. f , LA� w Ak2 Wk. L �TIONs , t�r.T�IL4 S6,H�ULFe6 Nc�f�.s �. 1ZFFE� 7o SITE pLkj l P�CPI rri.) By G-4A44bLEZ I�4J-HF-p, E'r �II1Ca, f lTl1p aFc.. 3 , I�1°II C=oR Ho ,f: Gor-jt'l.��C. 5uizvEy (l,l�vrMJIoI.t, .1 � T -L. T�1L�1- ' IJ 5�TIc- bES16Q -PEST HoLr- PTA , r_TL. 2, VERIFY �i�IIS�-! GP!'�t�r FIP�T �l.c�� ll�EvA"�IoNS �.uT�t 1 u-}'T. �� FIRST FIm(� �.L Talc. �. I'I- N • 3, A C. H'T• 10 BE- Mr-5r-uT OR S1 106, r2F NoUS� 9 � 5 20 . I►�h I GA�E�/' t'1;OPc�SEA GOuToU P,S " .. 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(617) 451-5740 °' 1'• zy' •' Fax (617) 451-2309 I Olt THE E - • 01 12 t I ell GE�AI� t'ce�F SHI�Je�I•.�S i - HTI— GUTreR �a•}I I.IGLES 3 i��'' T W, 3- � Oki AID -- -' 5 fZF-: 4,sE1T P$ ( CMAK RmF - --_ — f•-(rl-.cur I - OL Ot Oi O 1 _( �I I (� -= - - _= I INc�vl-t.w, - -- — I I - -- _--1 s/-x 4 �ulj I - Ix�7-111�WIIFCN5 - O.G. lo ' -- -- - — NWT J ' _ s/13oARb WJ F-R F.uT� -Fln vtUT vca,f l- —4 i • �P�P� C�c� P4-PSN I IJG ?RIM _(_ I - E - _- -- _�- SHINGIFS, 5n -t W. 4 F I iZ o s rt,W. t�►' IJK �9 AOII — - Lit a CoAy-Eb CoPP�P. CYR� RE, 1=�_-- 1^LA,r�1lirJt> ALL k�cOF/ Wb.LI, - - ---------------- IL f - ® U ® �r> 1. 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James Volney Righter Architiects, Inc: + o�u' ! ^ a • . . � - - - �. :Q �� m; j\\ � �-z.. . . 58 Winter Street �t lea • • , , . -. z • o. ._ .� , _ Boston, _ Massachusetts 0 108 ti a. 3 Tel. 617 451-5740 - .. it •.....• • / - • -'£"� a O .y0"ME siw�E _ Fax (617) 451-2309 •.,, • e 4