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HomeMy WebLinkAbout1000-71.-1-14 OFFICE LOCATION: �*OF SO�j MAILING ADDRESS: Town Hall Annex ,`O P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) y �r Telephone: 631 765-1938 Southold, NY 11971 i rouMy LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Leslie Kanes-Weisman, ZBA Chairperson Members of the Zoning Board of Appeals Cc: Julie McGivney, Assistant Town Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: March 10, 2026 Re: LWRP Coastal Consistency Review Samid Hussain, SCTM# 1000-71.1-14 This application requests to legalize an as-built hot tub and sauna at an existing single- family dwelling. The accessory structure is not permitted where constructed and the Building Inspector's December 1, 2025 Notice of Disapproval based on the fact the existing sauna and hot tub are located in the side yard at: 1415 Parish Drive, Southold. SCTM# 1000-71.-1-14 The proposed action has been reviewed to Chapter§268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the policies of the LWRP as follows: Policy 6. Protect and restore the quality and function of the Town of Southold's ecosystem. 6.3. Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. The existing hot tub and sauna, while not permitted to be constructed, do not present any undue impact on the adjacent waters of Southold Bay in their present location. The proposed action has been reviewed to Chapter §268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Pursuant to Chapter §268, the Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. 2 BOARD MEMBERS �pf so(�Ty Southold Town Hall Leslie Kanes Weisman,Chairperson ;'�0� �l4 53095 Main Road P.O.Box 1179 Patricia Acampora Southold,NY 11971-0959 Robert Lehnert,Jr. V, Office Location: Nicholas Planamento Town Annex/First Floor Margaret Steinbugler 54375 Main Road(at Youngs Avenue) Southold,NY 11971 http://soutlioldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809 December 22 2025 !DEC /"t C ' n D 0 Heather Lanza, Town Planning Director 2 2 2025 LWRP Coordinator Planning Board Office PLA j hG sOARD Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. # 8093 — Samid Hussain Dear Sir or Madam: We have received an application to legalize as built hot tub and sauna at an existing single family dwelling. A copy of the Building Inspector's Notice of Disapproval under Chapter 280(Zoning Code),and survey map,project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairpers ' V, By: Encl. Site Plan/SurveY: Gary Benz, LS. Last dated May 12, 2025 Public Hearing Date: April 2, 2026 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: December 1, 2025 TO: Patricia C. Moore (Hussain) 51020 Main Road Southold, NY 11971 Please take notice that your application received October 17, 2025: For permit to: Legalize an as-built hot tub and sauna at an existing single family dwelling at: Location of property: 1415 N. Parish Drive, Southold,NY County Tax Map No. 1000—Section 71 Block 1 Lot 14 Is returned herewith and disapproved on the following grounds: The construction, on this non-conforming 20,681 sg. ft. parcel, in the Residential R-40 District, is not permitted pursuant to Article III Section 280-15, states: "Accessory buildings and structures or other accessory uses shall be located in the required rear yard. In the case of a waterfront parcel, accessory buildings and structures may be located in the front yard, provided that such buildings and structures meet the front yard principal setback requirements as set forth by this Code and the side yard setback requirements for accessory buildings". The survey shows the existing hot tub and sauna both located in the side yard. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No.1415 Street N.Parish Drive Hamlet Southold SCTM 1000 Section: 71 Block: 1 Lot(s) 14 Lot Size: 20,681 Zone r-40 I(WE) APPEAL THE WRITTEN DETERIVIINATION OF THE BUILDING INSPECTOR DATED 12-1-25 BASED ON SURVEY/SITE PLAN DATED 5-12-25 Owner(s): Samid Hussain Mailing Address: 1415 North Parish Drive,Southold NY 11971 Telephone: 415-699-9033 Fax: Email: sammy99oz@yahoo.com NOTE:In addition to the above,please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: Patricia C.Moore for(X)Owner( )Other: Address: 51020 Main Road,Southold,NY 11971 Telephone: (631) 765-4330 Fax: (631)765-4643 Email: pcmoore(a)mooreattys.com Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), ( X)Authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED(updated)5-12-25_and DENIED AN APPLICATION DATED 10-17-25 FOR: (X )Building Permit(existing Hot Tub& proposed sauna)in a"side yard" ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( )Change of Use ( )Permit for As-Built Construction ( ) Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: III Section:280-15 Subsection: Type of Appeal. An Appeal is made for: (XX)A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law- Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal( ) has, ( X) has not been made at any time with respect to this Property,UNDER Appeal No(s)._Year(s). (Please be sure to research before completing this question or call our office for assistance) Page 2,Area Variance Application Revised 6/2023 REASONS FOR APPEAL (Please be specific,additional sheets may be used with preparer's signature notarized): 1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: The house is"L"shaped and the hot tub and sauna are located technically in a"side yard". The location of the existing hot tub is on the patio, landward of the existing pool,away from the bulkhead and retaining walls on Southold Bay. The sauna with an attached outdoor shower is adjacent to the pool. Both structures comply with the side yard setbacks. The hot tub is portable but the plumbing is buried in place. There is no other location which would be more suitable without going closer to the Bay. 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance,because: In order to comply with the town code the accessory structures would have to be relocated to seaward of the pool. The structures,closer to the water,would be against the policies of the LWRP and be located within 100' of the wetlands(bulklhead) 3.The amount of relief requested is not substantial because: Minimal variance. The variance is required due to the existing design of the house. All accessory structures,if placed in their logical location behind the living area of the house would require a variance. 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The proposed location of the two structures are more conforming to the wetlands code and LWRP(which does not encourage structures to be within 100' of the wetlands) 5.Has the alleged difficulty been self created? {X } Yes,or{ } No Why: Hot tub(portable structure)the owner was told by the contractor that no permit was required for the hot tub(7'x 7' is less than 100 SF)but because of the electricity does require a building permit. The Sauna with an outdoor shower is proposed. • Are there any Covenants or Restrictions concerning this land? { X}No { )Yes(please furnish a copy) • This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health, safety and welfare of the community. By signing this document,the PROPERTY OWNER understands that pursuant to Chapter 280- 146(B)of the Code of the Town of Southold,any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from the date such variance was granted. The Board may,upon written request prior to the date of expiration,grant an extension not to exceed three(3)consecutive one(1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMP WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Signa of Applicant or Authorized Agent � (Agent must submit written Authorization from Owner) Sworn to before me this'day MADISON MESSINA of as ,20� Notary Public,State of New York No.01 ME6370536 bffiniQualified in Suffolk County o ublic Commission Expires February 05,2&k Revised 6/2023 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises currently listed on the real estate market for sale? Yes X No B. Are there any proposals to change or alter land contours? X No Yes, please explain on separate sheet. C. 1.)Are there areas that contain sand or wetland grasses?Bulkhead 2.)Are those areas shown on the survey submitted with this application?YES 3.)Is the property bulk headed between the wetlands area and the upland building area? YES 4.)If your property contains wetlands or pond areas,have you contacted the Office of the BOARD OF TRUSTEES for its determination of jurisdiction?After ZBA Please confirm status of your inquiry or application with the Board of Trustees: within 100'of bulkhead If issued, please attach copies of your permit listing conditions of approval with a copy of the approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level?no E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting?no If any of the aforementioned items exist on your property,please show them on a site plan. F. Are there any construction projects currently in process on your property?YES If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: Interior renovation of kitchen and windows Building Permit pending G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If none exist,please apply to the Building Department to obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel?NO If yes, please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. I. Please list present use or operations conducted at your property,and/or the proposed use Existing house and pool J. (examples:existing single family,proposed:same with garage,pool or other) (,,2'6 Authorized signature Date AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use permit,site plan approval, use variance, area variance or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in an agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: Sammy Hussain 2. Address of Applicant: 1415 N.Parrish Drive,Southold 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: 5. Description of Proposed Project: accessory hot tub and Sauna with outdoor shower _ 6. Location of Property: (Road and Tax map Number)1000-71-1-14 7. Is the parcel within 500 feet of a farm operation? { } Yes { X } No 8. Is this parcel actively farmed? { } Yes {X ) No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office(765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. 2. 3. 4. 5. 6. (Please use the b h of this page if there are additional property owners) 1---� l Signature of Applicant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2. Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emplovees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : Patricia C.Moore Esq.and Sammy Hussain (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance X Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this ay f,1LL ,20 ZJ� Signature Print Name a ere Board of Zoning Appeals Application OWNER'S AUTHORIZATION (Where the Applicant is not the Owner) I,Samid Hussain, residing at 1415 North Parish Drive,Southold NY 11971 do hereby authorize Patricia C. Moore to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. By signing this document,the Property Owner understands that pursuant to Chapter 280- 146(B)of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration,grant an extension not to exceed three(3) consecutive one(1)year terms. 1T 1S THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. 5� d Samid Hussain '�Qom --% W -MIS Ig cb-q eX a a5 MADISON MESSINA Notary Public,State of New York No.0i ME6370536 Qualified in Suffolk County ►►((�� Commission Expires February 05,20 Sul APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNERS AGENT) The Town of Southolds Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: SAMID HUSSAIN PATRICIA C. MOORE NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance _X Special Exception If Other, name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees Do you personally,(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? Relationship includes by blood, marriage, or business interest. A business interest means a business, including a partnership, in which the Town officer or employee has even a partial ownership of(or employment by) a corporation in which the Town officer or employee owns more than 5%of the shares. YES NO_X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation), B)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C)an officer,director, partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of ire Z S s 5 �- Signature: SAM�AIN atricia C. Moore 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Sammy Hussain Project Location(describe,and attach a location map): 1415 N.Parish Drive,Southold Brief Description of Proposed Action: Proposed Sauna with outdoor shower and hot tub,all in"other than rear yard" Name of Applicant or Sponsor: Sammy Hussain Telephone:415-699-9033 E-Mail: sammy99oz@yahoo.com Address: 1415 N.Parish Drive City/PO: Southold State: NY Zip Code: 11971 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources t hat may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: TRUSTEES AND BUILDING DEPARTMENT 3.a.Total acreage of the site of the proposed action? .5 acres b.Total acreage to be physically disturbed? .005 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .5 acres 4. Check all land uses that occur on,adjoining and near the proposed action. 9 Urban 9 Rural(non-agriculture) 9Induslrial 9 Commercial Residential(suburban)X 9 Forest 9 Agriculture 9 Aquatic 9 Other(specify): Waterfront residential X_ 9 Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes, identify: X 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO j YES X If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES X If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ® Shoreline ❑ Forest ❑ Agricultural/grasslands ❑ Early mid-successional ❑ Wetland ❑ Urban ❑ Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, X a.Will storm water discharges flow to adjacent properties? ® NO ❑ YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ® NO ❑ YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? X If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? X If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE _ Applicant7/ o- Date: Signature�� Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archae ological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should, in sufficient detail, identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. 9 Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. 9 Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law.This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered"yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net),the Board of Trustees Office,the Planning Department,all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000-71-1-14 The Application has been submitted to(check appropriate response): X ZBA Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity,agency regulation, land transaction)❑ (b) Financial assistance(e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification:❑ Nature and extent of action: Proposed Sauna with outdoor shower and as built hot tub on existing patio both located in a yard"other than a rear yard". The house is an"L"shape and the accessory structures are loacted behind the house and landward of the pool Location of action: 1415 N. Parish Drive, Southold NY 11971 Site acreage: 20,681 SF Present land use: existing house and pool Present zoning classification: r-40 2. If an application for the proposed action has been filed with the Town of Southold agency,the following information shall be provided: (a) Name of applicant: Sammy Hussain (b) Mailing address: 1415 N. Parish Drive, Southold (c) Telephone number:Area Code(415 )699-9033 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No ® If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ®Yes El No ❑Not Applicable the accessory structures are in the rear yard but due tot he"L"shape of the house the rear yard extends beyond the house and would require the structures to be seaward of the existing pool. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ®Yes ❑No ❑Not Applicable The accessory structures are landward of the existing pool Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑Yes ❑No ®Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III —Policies; Pages 22 through 32 for evaluation criteria. ❑Yes ❑No ®Not Applicable Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑Yes ❑No N Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No N Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑Yes 0 No N Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. 0 Yes ❑ No 0 Not Applicable Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Created on 5125105 I1:20 AM / �� LIMELIGHT° COLLECTION FreshWater®IQ System Ready FLAI R ,V.. Dual Action Filtration SilentFlo Circulation freshw,bter,IQ System Ready t FiberCorO PP_ 0*.'P7 0 Poo High-Density Insulation o of 4 at Shown with Alpine White Shell J and Sable Cabinet Color LCD Display People Seating Jets Voltage 6 Seats Lounge 43 Jets 230 V Size 7' x7' x36" 1 213 cm x 213 cm x 91 cm Water Care FreshWater®IQ System Ready HotSpring, cmyaor�aaee�nr LIMELIGHT" COLLECTION HotSpriilg° Every day made better FLAIR O SHELL COLORS* Alpine Ice Platinum Desert Tuscan White Gray Sun CABINET COLORS* MEN Coastal Sable Espresso Gray =a COVER COLORS • Storm Black LEGENDARY MASSAGE SIZE 43 Personalized-Control Jets Dimensions Tx Tx 36"/ 213 cm x 213 cm x 91 cm • 1 XL Dual Rotary jet 2 XL Single Rotary jets CAPACITY 1 XL Directional jet Seating Capacity 6 seats 6 Standard Single Rotary jets 2 Standard Directional jets Water Capacity 335 gallons/1,270 liters • 31 Directional Precision'jets Weight 875 lbs./400 kg dry;4,720 lbs./2,140 kg filled" EASY WATER CARE ADDITIONAL FEATURES Water Care System FreshWatersl0 System Ready Smart Spa Hot Spring Spas App,Powered by the Connected Spa Kit Smart Monitoring System Optional Technology' Filtration System Dual action,100 sq.ft.,top loading Water Feature Vidro'O backlit ribbon waterfall Cover Lifters' CoverCradle®,CoverCradle Il,Lift'n Glide®,or UpRite9 LEADING ENERGY EFFICIENCY Steps Limelight Collection Step(Coastal Gray, Jet Pump 1 Wavemaster°8200;Two-speed,2.0 HP Continuous Duty, Espresso,and Sable),Polymer Step(Ash) 4.0 HP Breakdown Torque Entertainment' Bluetooth®Wireless Sound System Jet Pump 2 Wavemaster®8000;One-speed,2.0 HP Continuous Duty, Control System 10 202019 with LCD control panel 4.0 HP Breakdown Torque 230 V 150 amp,60 Hz Circulation Pump SilentFlo 500081 for quiet,continuous filtration (Includes G.F.C.I.protected sub-panel) Heater Titanium No-Fault'a 4,000 W/230 V Lighting System Raio®multi-color interior points of light Exterior multi-color lighting with timer Insulation FiberCor"Insulation;Certified to California Energy Commission(CEC)and APSP 14 Cooling System` CoolZone'" energy efficiency standards for portable spas -Optional Accessories Cover WeatherPro"4"Tapered Custom-Fit with Hinge Seal 'Actualcolorsand products mayvary from primreprese tat;oa See dealertov�*. 2024 Watkns Weber Rev.K "Includes viater and 7aduRs%v60dng IIS lbs.each �� - - - � . - a � - - ��\ ^ . �~� . - . °�:����� �� � � � �\\ a; � . \�/ /� ^ � `� ~ � � : 2: ' \ \ � . � Z' � � _ ,� - - � - - } , t � . j \ � ` � > � � 2 \ \ ) . . \ ` . \ � � � � � \ � ` : ( . � � � \ I . ��4� � 2» / � . . � . - \ � , . y / � : � . � . � � j{ 2 \ �\/�� �� _�� � �� � /� ' . c %�. .Z . » � ���� . . � 2/ ©y% R 2 � = a w ��/\\\»\\ �� � �{���+ . � «^ �~ � � �\\\» }. _ �`�\ \?» � LIMELIGHT° COLLECTION FreshWater®IQ System Ready FLAI R Mop P Dual Action Filtration SilentFlo Circulation freshwater IQ System Read;/ _ .. ♦ b b ! d FiberCor® — - + b ••+� High-Density Insulation . . 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Water Capacity 335 gallons 1,270 liters 3 Weight 875 tbs.1400 kg dry:4,720 lbs.12.140 kg filled" EASY WATER CARE ADDITIONAL FEATURES Water Care System FreshWater 10 System Ready Smart Spa Hot Spring Spas App,Powered by the Connected Spa Kit Smart Monitoring System Optional Technology' Filtration System Dual action,100 sq.ft.,top loading Water Feature Vidroll backlit ribbon waterfall Cover Lifters* CoverCracI10,CDverCradle 11,Lift'n Glides,or UpRitet LEADING ENERGY EFFICIENCY Steps' Limelight Collection Step(Coastal Gray, Jet Pump I Wavemaster'll 8200;Two-speed,2.0 HP Continuous Duty, Espresso,and Sable),Polymer Step(Ash) 4.0 HP Breakdown Torque Entertainment* Bluetooths Wireless Sound System Jet Pump 2 Wavemaster"8000;One-speed,2.0 HP Continuous Duty, Control System 10 2020"with LCD control panel 4.0 HP Breakdown Torque 230 V/50 amp,60 Hz Circulation Pump SilentFlo 5000,1 for quiet,continuous filtration (Includes G.F.C.I.protected sub-panel) Heater Titanium No-Fault's 4,000 W/230 V Lighting System Raio 11 multi-color interior points of light Exterior multi-color lighting with timer Insulation FibeFCOT�Insulation;Certified to California Cooling System" CoolZone" Energy Commission(CEC)and APSP 14 energy efficiency standards for portable spas 'Optionol Accessories Cover WeatherPro'4"Tapered Custom-Fit with Hinge Seal 2024MA:rs Yfdness Rev k 44 _ ,It . 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IN MINOMENEEME MEN ■0 woommmmmm ONE IN mommomom■ EMEmNEENEINNIONE NN lom mommommom mmromms Ml MENEM ommomomm moommmmmmumaimom mimmmmommmomomm :■:®:::©::::NON Town of Southold Annex 10/30/2014 s, P.O.Box 1179 E 54375 Main Road Southold,New York 11971 t ?'ar3.u„n i CERTIFICATE OF OCCUPANCY No: 37242 Date: 10/30/2014 THIS CERTIFUS that the building RESIDENTIAL ALTERATION Location of Property: 1415 N Parish Dr, Southold, SCTM#: 473889 Sec/Block/Lot: 71.4-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofSced dated 9/19/2013 pursuant to which Building Permit No. 38386 _ dated 10/4/2013 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: ATRIUM REPLACEMENT ON A ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Fahey,Sean (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38386 09-02-2014 PLUMBERS CERTIFICATION DATED A FORK No. 4 TOWN OF SOUTHOLD BUIIDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . Z .3801 . . . Date . . . . . . . . . . . . .ray. . . . . .I9. . 19.70 .W_,) THIS CERTIFIES that the building located at . .1/g. . .North.Parrish -T.V Street Map No. xx. . . . . . . . . Block No. . xx. . . . . .Lot No. . . a=. . . .S outhold . . .><.�.. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . .Get . . . . 2 . . . ., 19. 0 pursuant to which Building Permit No. . . 44"Z dated . . . . . . . . .pot . .Q. . . . . . ., 19.69., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . .Private• •one. Samily.dwalling. . . . . . 4. -approved. -by.Bd.•4peals) The certificate is issued to . . .James 4- Eirwen • •Treuahtlinger • • • • • Dvners . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Jlay. . .15;. .1970. . .by. A T1114. . . . . :. . . . . . . . . . . . . . . Building Inspe�C r Howse # 1415 tt ,. Y f r t� rpm 71 r - ;`, Y-'!*. Lam,� ... i�' - i�~ Sr�� /lf�� `�7-.��; , ,♦ i %-�� _ '�$.-. 1, 6t �f./,� ��r��� , '� •f- ��.:-C- _.j� �� ilv��.• � � - :� 'fl �' Jr��%� s�I fir s /.�♦ :;^ _ ,., ..77`; iiMM �� �,;4'1 ��� ,r�����_.fir y;y:4 V �� ��._ tt����'—.�1 :•x: _ ,`�,,�. G . ,�- � i � ., ,. .` •; . :;. — r �:� � r✓ ;- ,. � [�� �l [� �`r�`� _Syr' • � L' L j � ���� 1 ■ 1�� r� � .} �_ _ — � 1 Y .` .:,�� .' f _ 11 / '�.��....�� -� ri � r' ' ` �i�� 4�i ��� '�' �r�.'rw�Y,,�� ;� � ,�¢� is r i ;.1 G �� . Tj- • ��� � ,� rC ^•'l ,13 _ I •fir � �. Ly 11 � SI f yrf. .e�>`�-a1•:rJy-^^•=' � vim:.• t.7,•) .. `rr`y yyyy�z_ Ai:�� 1 I TOWN OF SOUTHOLD, NEW YORK DATE February 19,1970 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 1309 Dated December 8, 1969 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To James J. Treuchtlinger Appellant 60 East End Avenue Hicksville, New York at a meeting of the Zoning Board of Appeals on February 19, 1970 the appeal ,was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance ($) Request for a variance to the Zoning Ordinance 1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception { ) be granted (. ) be denied pursuant to Article ..........`......... Section .. ..........._.. Subsection paragraph ...........1........ of the Zoning Ordinance and the decision of the Building inspector ( ) be reversed ( } be confirmed because 8:00 P.M. (E.S.T. )4l upon application of James J. Treuchtlinger, 60 East End Avenue, Hicksville, New Yore, for a variance in accordance with the Zoning Ordinance, Article III, , Section 304, for permission to build new one family dwelling with less than required front yard setback. Location of property: north side of North Parish Drive, Southold, New York, bounded • north by the Bay, east by Matthews, south by North Parish Drive, west by'G: Vankleeck. 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because SEE REVERSE (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because SEE REVERSE (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because SEE REVERSE and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. SEE REVERSE PROVED ZONING BOARD OF APPEALS FORM ZB4 1 Petty Neville, Secretary C airman 8c�r Southold Town Board of Appeals After investigation and inspection the Board finds that the applicant is the owner of an itregularly shaped lot of adequate size measuring 115 feet on N/S North Parish Drive at a point 225' westerly of the intersection of North Parish Drive and Northfield Lane in Southold. ,Approximate average width of the lot is 123' while the depth average is 178' to mean high water of Peconic Bay. The applicant has constructed a home on the property at a distance of 34.8 feet from the street line a/c to a survey of Nov. 26, 1969. The adjoining Matthews residence to the east was constructed at a distance of 3516", thus establishing'the required front yard setback applicable to Treuchtlinger. The part of the Matthews house which is located at 35'6" is a two car garage. The two adjacent lots to the west of Treuchtlinger are vacant. Othekt�bouses on the north side of North Parish Drive and further to the west vary in setback from 35' to a distance approxdmately 601. The Ordinance-sets forth a minimum of 351 , unless a lesser or greater average setback has been established by previous construction. As of the date of the application the Treuchtlinger house was more than 50% complete at a cost of over $15,000. To move the house to comply with the 3536" setback would involve considerable economic loss. The applicant's attorney holds that area variances may be granted on the grounds of practical difficulties alone without a showing of unnecessary hardship. (Mcinroy vs. Ceur3ewald 218 N.Y.S. 2d 116) also Siegel vs. Lassiter 177 N.Y.S. 2d 894, , in which, "That no showing of hardship is required since the Board of Appeals has discretionary power to grant a variance in harmony with the general purposes and intent of the Zoning Ordinance. More over hardship need not be shown when, seeking an area variance. Consequently, the self- imposed hardship rule does not apply insuch cases." The Court of Appeals held in Fulling vs. Palumbo 286 N.Y.S. 2d 249, "Where the property owner will suffer significant economic injury by application of area standard zoning ordinance; that standard can be justified only by showing that public health, safety, and welfare will be served by upholding the application of the standard and denying the variance." The area variance requested in the Palumbo case is considerably greater than the area variance required by Treuchtlinger. In addition the Board finds that the applicant may have been misled about the strictness of the setback requirement when applying for a building permit. The Board finds that strict application of the Ordinance would produce practical difficulties or unnecessary hardship; the hardship created is unique and would not be shared by all properties alike in the immediate vicinity of this property and in the same use district; and the variance will not change the character of the district; and will observe the spirit of the Ordinance. THEREFOREV IT WAS RESOLVED James J. Treuchtlinger, 60 East End Avenue, Hicksville, New York, be GRANTED permission to build new one family dMelling with less than required front yard setback on property located at north side of North Parish Drive, Southold, New York, subject to the following condition: The setback of the Treuchtlinger house as established in this variance may not be used in computing the average setback of houses which may be constructed in the future on North Parish Drive. vote of the Board: Ayes:- Messrs: Gillispie, Bergen, Hulse. -5, ��7U FORM NO.4 TOWN OF SOUT14OLD BUILDING DEPARTMENT Office of the Building Inspector Town-Hall Southold,N.Y. Certificate Of Occupancy No. Z14891. . . . . . . . . . Date . . .Sept. l8 . . . . . . . . . . . . . . . . . . .. 19 86 THIS CERTIFIES that the building . . . . . . . . Inground,pool, , , , , , , , , , , , , , , , , , , , , , , , Location of Property . . . 1.4.1.5.IJo.9 th, Par i15 Southold h ,Dr;, . , , . , , , , , House No. Street Hamlet County Tax Map No. 1000 Section . 71 . . . . . . . .Block . . Q 1. . . . . . . . . .Lot . . 14 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated June 3 19 8 pursuant to which Building Permit No. .139.9.4Z dated . . .Junq,3, , , , , , , , , , , , , , , , , , 19 , 8,5 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 . . . . . . . . . . . . Zr}ground p001, and fence to code. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .NANCYE, &, MACK ,RADMIN , (owner,% (lLb{�r}6ilfeC of the aforesaid building. Suffolk County Department of Health Approval . . . . , , N/A UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . N6 9 9 5 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . Buildin Inspector Rev.1181 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No_ . .Z1488.0 . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . .. .. 19 86 THIS CERTIFIES that the building . . . . .Deck. , . , , . Location of Property North. Parish, Dr Southold House N9. Street Hamlet County Tax Map No. 1000 Section .q 7 1. . . . . . . .Block . . .Q 1. . . . . . . . . .Lot . . .14. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . • . • . • . . . • • . • • .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated , , , , .May 7 , _ , , , . . , , 19 A 5 pursuant to which Building Permit No. . U9.9.W. . . . . . . . . . . . . dated . . . June 3. . . . . . . . . . . . . . . . . . 19 8 5 ,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 . . . . . . . . . Deck addition to existing one family dwelling The certificate is issued to . . . NANCYE & MACK RADMIN (owner,�e��g�gt��}i7s.X of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . nf,a, , , , , , , , , , , , , , , , , , , , , , , , , , UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . T1.1.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev. 1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . .214881 . . . . . . . . Date . . . . . . . . . s�p. .'. . ..�. . . . . . . . . . . . .. 198. . THIS CERTIFIES that the building . . . . .QA(� .f�Lpl?I:y. dwelling: . . . . . . . . . . . . . . . . . . . 1415 North Parish Drive Southold Location of Property House ll%o. Street Hamlet County Tax Map No. 1000 Section 4?1. . . . . . . . .Block . . . . P1 . . . . . . . .Lot . . . . . 14 . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . .Sent, . 3. . . . . . . . , 19 A$ pursuant to which Building Permit No. . 1.4.�Q37. . . . . . . . . . . . . dated Sept. 24 19 .85,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 l amily. dwellinq . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . I3aneye and. Mack Radmin . (ownerye�fs7�ir?f�d�ili�Sr3f,1?� of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .n/a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . .N7 6 7 7 6 3 , . . . _ . ., . 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