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FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ...................... ....1... 19.. N° 22244 Z Permission is hereby gra ted to; � !....L...... ..........`�,, T.��-✓.......................... . A ... its`o.4�5........�.. ..:........���.7./...-..�3/3 to ..... cT........../`�..........f ir/ --............ .............. .......:........................................ � �� ............. �1.!t ....��.........1.`�.�`fC............................................... J .................................................................................................................................................................. .................................................................................................................................................................. ....................................................... ... .............................. ........I..................... CIZ (/ s .� at premises located at....................... `1........................��..............................( .�............................ ................................................................................... Q...,.,....,..................................... County Tax Map No. 1000 Section .........�L...... Block.....6.......�(..11... Lot No. ....4W.............. pursuant to application dated ...............//. ............................ 19.../.. ., and approved by the Building Inspector. Fee$..........: .......... .. . . ............................... Building Inspector Rev. 6/30/80 Page 1 of 2 pages 2415 Long Creek Drive Southold, NY 11971 June 7, 1994 Town of Southold Building Department office of the Building Inspector Town Hall Southold, NY 11971 Dear Sirs: We hereby apply for a Southold Town building permit to erect three sections of unpainted hardwood, non-chemically-treated two-rail split-rail fencing between unpainted, non-chemically-treated locust wood posts along three parts of the eastern boundary of our property (Map 1000, Section 52, Block 8, Lot 3) as follows: First section: Beginning at the cement monument marked "A" on the attached survey, extending northward for 19.50 feet and ending at a locust post marked "1" on the attached survey. Second,,'-,section: Beginning 69.78 feet northward of monument "A" at a locust post marked "2", then extending northward for 52.50 feet and ending 3.50 feet south of cement monument "B"' at locust post "3" on the survey. Third section: Beginning 1 .50 feet north of cement monument "B" at locust post "4" and extending north for 9.00 feet and ending at locust post "5". Please note that the same kind of boundary fe&-7 ng, for which permit #21351Z was granted to us on April 20, 1993, is about two-thirds completed and that the remaining one-third is in progress. Please note also that the topography of our eastern boundary is such that the five-foot gap between posts 3 and 4, together with the other_77 feet of unfenced boun- ary line north of proposed post 5, allows the adjacent property owner convenient access paths to the entire portion of the shoreline of Arshamo- maque Pond as stipulated in the enclosed easement. We have placed short green metal stakes in the ground at the proposed locations of posts 1 , 2, 3 and 4: None of the 81 feet of fending described above is on wetlands: YoG truly, Daniel N. Slatkin tl Mara B. Slatkin (See next page for list of enclosures) Albert J. Krupski, President �o� OG Town Hall John Holzapfel, Vice President y1 53095 Main Road William G. Albertson y x P.O. Box 1179 Martin H. Garrell O Southold, New York 11971 Peter Wenczel d��l �a0� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 6, 1994 \11\ Mara Slatkin 2415 Long Creek Drive Southold, NY 11971 RE: Mara Slatkin SCTM #52-8-3 Dear Mr. Slatkin: The following action was taken by the Southold Town Board of Trustees on Thursday, June 30, 1994: RESOLVED that the Southold Town Board of Trustees grants a waiver to construct a fence, first section beginning at the cement monument marked "A" on the attached survey, extending northward 19. 50 feet and ending at the locust post marked "1" on the attached survey. The second section beginning 69.78 feet northward of monument "A" at a locust post marked "21' , then extending northward for 52. 50 feet and ending 3 . 50 feet south of cement monument "B" at locust post 113" on the survey. The third section beginning 1. 50 feet north of cement monument "B" at locust post "4" and extending north for 9 feet and ending at locust post 115" . Located Long Creek Drive Southold. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert Ar4!stkl�, Jr. President, Board of Trustees AJK: jmd cc: Building Dept. Page 2 of 2' pages ,4 vier i�,�1 2 Slatkin June 7, 1994 Enclosures: Copy of survey with cited markings: Cement monuments A and B, and proposed locust posts 1 , 2, 3, 4 and 5. Copy of cited easement to the owner of Lot 2 for access to and from Arshamomaque Pond. Check for $35.00 made out to the Town of Southold (building permit application fee) . �SUFFOL�CO Town Hall Albert J. Krupski,President O G John Holzapfel, Vice President y1 53095 Main Road William G. Albertson y z P.O. Box 1179 Martin H. Garrell Oy �� Southold, New York 11971 Peter Wenczel �j�l ��O Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Jiily 6, 1994 Mara Slatkin JUG 6 1994 2415 Long Creek Drive Southold, NY 11971 TOWSLOG,DEPT OF SOUTHOLD RE: Mara Slatkin 24 15 Loh(, C� � SCTM #52-8-3 Dear Mr. Slatkin: The following action was taken by the Southold Town Board of Trustees on Thursday, June 30, 1994: RESOLVED that the Southold Town Board of Trustees grants a waiver to construct a fence, first section beginning at the cement monument marked "A" on the attached survey, extending northward 19. 50 feet and ending at the locust post marked "1" on the attached survey. The second section beginning 69.78 feet northward of monument "A" at a locust post marked 11211 , then extending northward for 52.50 feet and ending 3 . 50 feet south of cement monument "B" at locust post 113" on the survey. The third section beginning 1.50 feet north of cement monument "B" at locust post 114" and extending north for 9 feet and ending at locust post 115" . Located Long, Creek Drive Southold. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert J Krupski, Jr. President, Board of Trustees AJR:jmd / cc: Building Dept.v' BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PL.INS . . . . . . . . . . D IS L5 U 7 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . � BUILDING DEPARTMENT CIIECK . . . . . . _ . _ . . . . . . . . . . . fill 2 0 1994 j TOWN HALL SEPTIC FORM _ . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 BLDG.D P TEL.: 765-1802 t.Or I FY �. Exami TOWNOFS LD �J CALL . . 6�5 _S.S , . . . 07- • • •1•1 �91 . MAIL T0 : Approved . . . . . . . ., 191. . . Permit No. . �L�7 Z� . . . . . . _ . . . . . . . . . . . . Disapproved a/c . . . ... . . . . . . . . _ . . . . . . . (Bu d' Inspector) APPLICATI N FOR BUILDING PERMIT Date . . . . . 7�Ll c_.7. 19 INSTRUCTIONS . a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must.be drawn on the diagram which is part of this appli- cation. 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 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 whatever until a Certificate of Occupancy shall 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply,with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for ne essary i pectin . Si na ur( g t e of applicant j ) a�15lom•Creek •P-r►V1e�•sou o�GQ� /(J .//9��-�313 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician; plumber or builder. QW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . me,,_ �n p a1 P OV NUED Name5of owneiSof premises d �!?� • N,•S� I►^ IY e,,_•6.• S/���E: � • B.P.# lL� �• (as on the tax roll or lates��;e S�` gY; • NOTIFY BUILDING DEPARTMENT AT • If applicant is a corporation, signature of duly authorized officer. �l//j9 765-1802 9 AM TO 4 PM FOR'T_HE_ FOLLOWING INSPECTIONS: . (Name and title of corporate officer) 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE: 2. ROUGH - FRAMING, & .PLUMBING, Builder's License No. 3. INSULATION 4. FINAL - CONSTRUCTION MUST Plumber's License No. BE COMP . TOR C.O. . . . . . ALL CONSTRUCTION SHALL MEET Electrician' icense No. THE REQUIREMENTS OF THE N.Y.,-"� , STATE CONSTRUCTION & ENERGY' Ot Trade's License No. CODES. NOT RESPONSIBLE `FOR VQEIGN R N��S/�RUCTION E 1. Location of land on which proposed :work will be done.NgA Yl •Ct.4 oaf o?, •P,AJ�. o4,T6 �! ""�i�= �o� 3 . . •�• p / • • /�P/ease Jee a ftac�(( . . . . . . . . . . . . . . . . . . . . . . . . ..Sou.fl�o�p(.. . . . . . . . . `/ s House Number Street Hamlet , County Tax Map No. 10000 Section 11 . . . _ .n0 �1. . . . . . . Block . . . . ® . . . . . . . . . . Lot.. . 003• . . • • • • • • • Subdivision . . . . . . •(�'� ES�Qr�S J Qe r/w� �ns���. Filed Map No. ©. .!. . . . Lot . . .3. . . . . . . . .. . ?. State existing use and occupancy of premises and intended use and occupancy of proposed constriction: a. Existing use and occupancy ?S1�e�� ' . .���M1t��. .N�. S�4#�In, Qy 11 I1:� 'Q� �: J�Q.tl�in :!' I . . . . . . . . . . . b. Intended�e-and-ees affeq .o" .rY� _o,S Govu' Kr, (ova : Tp:�.Ft2ri�la�(`Ca1 P_L . .` . . r tD woi; 3. Nature of work (check which applicable): New Building . . . Addition Repair . . . . . . . . . . . . . . Removal . Demolition they Wor ✓F-2yL4�., , • , py (Description) 4. Estimated Cost . 1150. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . Fj �. .�:ce. . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . q�'�— . ' Number of dwelling units on each floor.: :prt:�2-. . If garage, number of cars �aNO. . . . ' ' ' ' ' ' 6. If business, commercial or mixed occupancy, specify nature and extent•of each type.of.ruse . . . W/1. . . . . . . . . . . . . . • . . 7. Dimensions of existing structures,if any: Front . .b•6 � St.,. Rear . ,(�Qr,3. .TL. Depth . .3 7%3 4f.-, Height 49kf- A Number of Stories . . - t -.S'fgr ; �� � OAe) • . . 1hrunensions of same structure with alterations or additions: Front .�aw} , . , ,77. . . . Rear . . . . . S.4►:^:e: Depth0 . . . . . . . .sar4._? . . . . . . . . Height . . . . . . _ . . . . . 8. Dimensions of entire new construction Freftt j ' ' ' ' ' ' Number of Stories . . . . . Height .�. gg'f; tgh�r,,...�..,, 4Ste 'es .x�Y►t=t!� � �• �1.�— '��. .�1✓-wD. 2 De�h ; . . . . 9. Size of lot: Front u/s'l.. � �•a � �-�► s-� =.`��Q�e7' .4 0. 7 Rear . . . ��s,yPut'a!oe 10. Date of Purchase 14.2Q'f;3;• W Z• ,/91/ e of F fi rmer Owner .1N.0•¢.;r'iit; ForgAg/�, ���• - 11. Zone or use district in which pre B . Naeare situated . .�,e 12. Does proposed construction violate any zoning law, ordinance or regulation: . p . . 13. Will lot be regraded .No, Will excess fill be re oved from premises, • . • .Yes . • • •.No 14. Name of Owner of premises VM%k( ar�.d„!lar0..sI�lcr.1 Address .2V/.�:4P �� 5/6 7�d= Name of Architect '•'� hone,No �. . . .�:4�cp . . . . . M. .� ddress .d�i1honeName of Contractor� .� No. . . . . , . . . ^ cone � . ��'?IS .�oy►s;�ru�fiio,� Ydiess • -� .Phone No. 15. Is this property within 300 feet of a tidal wetland? *Yes•. . ,'1f•.'' No. . *If yes, Southold T.(wn,Trdstees Permit may be required. 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. 1 0 C j+ Please. St a s �f• ;r'a►M �S'Kr�e J i f� eo�y 0 9/' J x�/a"� l STATE O`F NEW�YO14� .R 4 `'`S.S �kCOUNT .... u� �� 1'rL �� • • . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (I�ame, of individu0'sign ng,contract) above_named:`' a He is the . . . . . . . . . . . . . '. . . . . . .' . . . . . . . . . . . (Contractors agent, corporate officer, etc.) said,owner or owners, and is duly authorized to perform or have performed the'said work and to make and file this application; that all statements contained in this application are true io the best of his knowledge and belief;and that the work will be performed.in the manner set forth in the application filed therewith. Sworn to before me this 1 �QQ . . . . . . . . . . . . . . . . ay o ,Vv 19�A Notary Public, . . , . . ., County ROBERT!.S ,JR. . . . . . . . . . . . , NOTARY PUBLI ,State of At • � (Signature of applicant) Term No.472508 uffoik Cou PP ) EnpiMay 31.19 4 0 03`5 1 z ` 1 O l36 , cN GO I N 1 EASEMENTAS DESCRIBED IN DEED �. TO EDWARD J. KAOLIC a THEA KADLIC '0_ LI BER 11207 PAGE 562,AND IN DEED TO DANIEL N.SLATKIN a MARA B.SLATKIN 4j LIBER 11269 PAGE 1. ..: LA T-�k.oc 4RG /S2 aALM Y1UNG N07'0F T104 OW 0 ^O +fit:., 1 , (T� B Y)UNG Fee018y eTLANDS i•""..t w F VCR,FI 1992 6081, to P �.\V ? �341 N� i 3.:.•.... PPS 0 MpP o ul y cry ptylwF t pp0s Ry %u �C� h2000 Q' 03�g3,�E• ��• ,. N.T3 34 . t241 pPRO% g2 `•, ALONG O �Ea.U, c9 �. jcE SUavE'IE r A " • i 0.. Z � • ` N �` ViOOO W 221 N OEOK o3 S-10 B G a pGE t 4r N MOUSE 58•? y �O "B o,4o N p N. V 1 J 1 , � I�1 C.P N h 9f.s• N 0l 0 0 �, LEGEND: 0_ \ nG ■ MONUMENT SET �0 4S STAKE 'SET - - _ __.. _ O c \a ,` a rq 01 .�Q03a�AIAN�H �R• C AENVE G TO �'AVR�j �904 33/ �ONG SURVEY FOR SUFFOLK COUNTY DEPARTMENT OF HEATH SERWES DANIEL SLATKIN Nov 27, 1992 MAY 28, 1992 SINGLE FAMILY DWELLING G.NLY LOT 3 LONG POND ESTATES, SECT. ONE APRIL27, 1992 MAR. 13, 1992 6�[�A�H.S. REF. Imo. S S AT SOUTHOLD DATE: FEB. 13, 1992 The mewage 6zp sal and .va`?r sup facilities for ttlis TOWN OF S OUTH OL D SCALE: I" = 50' kxaWn ttave been '1this D,�paftmenf and/or SUFFOLK COUNTY, NEW YORK NO. 92.0107 other age. �. a •' fou o De(����y f•. O n n, . �.tl3z'ln� SURVEY ALTERATION OR AOD1710M TO THIS CERTIFIED TO SURVEY IS A VIOLATION OF SECTION 7209 OF THE DANIEL SLATKI N Chief of reeu of wastewater Man4ement NEW YORK STATE EDUCATION LAW ULSTE N K I T_q SUCCESSORS *COPIES OF THIS'SURVEY NOT SEARING THE LAND AND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL N NOT BE CONSIDERED TO BE A VALID TRUE COPY *GUARANTEES INDICATED HEREON SMALL RUN ONLY TO HEALTH DEPARTMENT-DATA FOR APPROVi4L TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED ,`Q' W. AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- * NEAREST WATER MAIN—MI.t *SOURCE OF WATERI PRIrATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED y 1 *SUFF CO. TAX MAP DIST 1000 SECTION 032 BLOCK-G.B_LOT jl= HEREON,AND TO THE ASSIGNEES OF THE LENDING *TNERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS P131DENCE OWNERS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC O OF HEALTH SERVICES.APPLICANT- PURPOSE AND ARE NOT TO BE USED TO ESTABLISH ADRES � PROPERTY LINES OR FOR THE USED OF FENCES �YSc I ADDRESS FDL14N Sv TEL. 14 YOUNG a YOUNG RRIIVOERHEAD, NEWAVENUE YORK % NOTE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUFFOLK COUNTY ON DEC. 27, 1985 AS FILE NO. 8037 AND LAND SURVEYOR N.Y_S.LICENSE NO.12845 HOWARD W.YOUNG, LAND SURVEYOR 16THE LOCATIOIIOF WELL(W),SEPTICTANK(ST)BCESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE N0.45893 ARE FROII OBSERVATIONSRO FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS BRANDIS 6 SONS INC. 1046