HomeMy WebLinkAbout52968-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52968 Date: 05/13/2026
Permission is hereby granted to:
1350 Hortons Ln LLC
46520 Route 48
Southold, NY 11971
To:
construct a single-family dwelling as applied for per Planning and SCHD approvals.
Premises Located at:
1350 Horton Ln, Southold, NY 11971
SCTM# 63.-1-12.3
Pursuant to application dated 03/03/2026 and approved by the Building Inspector.
To expire on 05/12/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling-NEW $3,043,75
CO-RESIDENTIAL $100.00
Total t43.
,g Inspector
tr° TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 t ps:'" .sont. oltnn�� .
,1
Date Received
APPLICATION FOR BUILDING PERMIT
// For Office Use Only +
G^
J'
PERMIT NO. ..�� Building Inspector.-_
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: 03/03/2026
OWNER(S) OF PROPERTY:
Name:1350 Hortons Lane LLC c/o Thomas McCarthy SCTM# 1000-063.00-01.00-012.003
Project Address: 1350 Hortons Lane
Phone#:516-779-6386 / 631-765-5815 Email:tmccarthy.tmccarthy@gmail.com
Mailing Address:46520 Rt 48, Southold NY 11971
CONTACT PERSON:
Name:Thomas McCarthy
Mailing Address:46520 Rt 48, Southold NY 11971
Phone#:516-779-6386 / 631-765-5815 Email:tmccarthy.tmccarthy@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:ZEN DESIGN
Mailing Address:PO BOX 88, Cutchogue NY 11935
Phone#:631-513-6589 Email:
CONTRACTOR INFORMATION:
Name:McCarthy Management
Mailing Address:46520 Rt 48, Southold NY 11971
Phone#:516-779-6386 / 631-765-5815 Email:tmccarthy.tmccarthy@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $500,000
Will the lot be re-graded? ❑Yes ONo Will excess fill be removed from premises? ❑Yes ONo
1
PROPERTY INFORMATION
Existing use of property:VACANT Intended use of property:S.F.R
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes �INo IF YES, PROVIDE A COPY.
8 eck Box AfterReading: The owner/contractor/design professional is responsible for all drain�agee and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
McCarthy Management c/o Matthew M Carthy
Application Submitted By(print name): 6RAuthorized Agent ❑Owner
Signature of Applicant: Date: 03/03/2026
STATE OF NEW YORK)
SS:
COUNTY OF )
gk j"� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the A*,R k A6
(Contractor,Agent, Corporate Officer,etc.)
of 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 to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworefore me this
day of 20 I . ....
Nota Public
THOMAS J.WCART'-IY
NIctary pudic,Stars of N'Yofk
PROPERTY OWNER AUTHORIZATION
i> >; (Where the applicant is not the owner)
Thomas J. McCarthy residing at U� " ) 6 RA—� � do,
do hereby authorize MCCARTHY MANAGEMENT to apply on
my behalf to h n of Sou hol it ing De
d
03/03/2026
Owner's Signature Date
THOMAS J. McCARTHY
Print Owner's Name
2
4 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
CD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
41,
Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION ( II Information Required) Date: 03/03/2026
Company Name:
Electrician's Name: ( �
License No.: 5 S? q Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.: 5 (" ' r� 'iYt I' .
JOB SITE INFORMATION (All Information Required)
Name: 1350 Hortons Lane LLC
Address: 1350 Hortons Lane, Southold
Cross Street:
Phone No.: 631-765-5815
Bldg.Permit#: email: tmccarthy.tmccarthy@gmail.com
Tax Map District: 1000 Section:63 Block: 1 Lot: 12.3
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
New construction-Single Family Residence
S ware Footage:: 2700
Circle All That Apply:
Is job ready for inspection?: YES[]NO F-1 Rough In El Final
Do you need a Temp Certificate?: F] YES E]NO issued On
Temp Information: (All information required)
Service Size1 Ph EJ3 Ph Size: A # Meters Old Meter#
✓'New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[]Underground❑Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
UFFQ
Albert J. Kru ski, Jr. � S STORNMATIEIK
SUPERVISOR IM[A,NA,GIEIM[IEN F
SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town
o wn of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES 0111E ACRE IN AREA OR LARGER. )
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
NAME: kM7#�u Date:
. �__...._ .._w _.. ..
_�w_.. ..
Contact Information: f I `" w _ .: " _w...ww.....
(E-glad&Telephone Numhet)
Property Address / Location of Construction Site:
S.C.T.M. 1000
�.•p �� D> tract
..........._,.. ................ __..ww__... _w�w......_.._
. . .w._
Section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
❑ - Area of Disturbance is less than I Acre. No S.P.D.E.S. Permit is Re wired 1
Project does Not Discharge to Waters of the State. No S.P.D.E.S. Perrnit 1�lred C
❑ - Area of Disturbance is Greater than I Acre & Storm-water Runoff Discharges Directly
to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit
DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Buildk"I Permit.
❑ - Area of Disturbance is Greater than I Acre& Storm-water Runoff Flows Through Southold
Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S. Permit throw h the Southold Taun En ineerin De artment
Prior to Issuance of a Buildin Permit.
�Reviewed B Date:
�: / _.. ....._
FORM 4 SMCP-TOS December 2024
TM
REScheckoWeb
9
Compliance Celt fi+ ate
Project information
Project Title: 1350 HORTONS LANE LLC
Energy Code: 2025 Energy Conservation Construction Code of New York State
Location: Southold,New York
Construction Type: Single Family
Project Type: New Construction
Project Sub Type: None OeD ApC'
Orientation: Bldg.faces 252 deg.from North Oy K S.NIC`�'
Conditioned Floor Area 2260 ft2 C O� .+
Glazing Area: 20%
Climate Zone: 4a(5572 HDD)
Project No: 1865080
All Electric: false " 04441S
O
Is Renewable: false OF Nt H
Has Battery: false
Has Charger: false
Has Heat Pump false
Construction Site: Owner/Agent: Designer/Contractor:
1350 Hortons Lane Zackery E.Nicholson
Southold,New York 11971 PO Box 88
ZEN Design
Cutchogue,New York 11935
631.513.6589
ZENicholson.ARCH@gmail.com
Project Notes:
Energy Credits
Description Credits
R408.2.1.1(1):>=2.5%Reduction in total TC 1.0
R408.2.11 Higher efficacy lighting 0.0
R408.2.2(4):High Performance Gas furnace(Option 1) 5.0
R408.2.2(2):High Performance Cooling(Option 1) 2.0
R408.2.6 Energy efficient appliances 1.0
R408.2.3(2)(a):Gas-fired instantaneous water heaters(Option 1) 6.0
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 1 of 16
Envelope Assemblies
Prop. Req.
Assembly Gross Area or Cavity Cont. U- U- Prop. Req.
Perimeter R-Value R-Value Factor/ Factor/ UA UA
F-Factor F-Factor
Ceiling:Cathedral Ceiling 1540 49.0 0.0 0.022 0.026 34 40
Skylight ZZ:Metal Frame 7 0.190 0.500 1 4
SHGC:1.0
Floor:All-Wood joist/Truss 1540 30.0 0�0 0.033 0.033 51 51
North Wall:Wood Frame, 613 30.0 0.0 0.049 0.045 21 19
16"ox.
Orientation:Front
Window A:Metal Frame 12 0.190 0.270 2 3
SHGC:0.38
Orientation:Front
Window B:Metal Frame 12 0.190 0.270 2 3
SHGC:0.38
Orientation:Front
Window LL:Metal Frame 10 0.190 0.270 2 3
SHGC:0.38
Orientation:Front
Window KK: Metal Frame 11 0.190 0.270 2 3
SHGC:0.38
Orientation:Front
Window JJ:Metal Frame 20 0.190 0.270 4 5
SHGC:0.38
Orientation:Front
Window II:Metal Frame 11 0.190 0.270 2 3
SHGC:0.38
Orientation:Front
Window HH:Metal Frame 10 0.190 0.270 2 3
SHGC:0.38
Orientation:Front
Window U:Metal Frame 12 0.190 0.270 2 3
SHGC:0.38
Orientation:Front
Window T:Metal Frame 12 0.190 0.270 2 3
SHGC:0.38
Orientation:Front
Window WW:Metal Frame 18 0.190 0.270 3 5
SHGC:0.38
Orientation:Front
Door 100:Glass Door 35 0.190 0.270 7 9
(over 50%glazing)
SHGC:0.38
Orientation:Front
Door 102:Glass Door 20 0.190 0.270 4 5
(over 50%glazing)
SHGC:0.38
Orientation:Front
East Wall:Wood Frame, 666 30.0 0.0 0.049 0.045 30 27
16"O.C.
Orientation:Right side
Window P:Metal Frame 12 0.190 0.270 2 3
SHGC:0.38
Orientation:Right side
Window Q:Metal Frame 12 0.190 0.270 2 3
SHGC:0.38
Orientation:Right side
Window R:Metal Frame 4 0.190 0.270 1 1
SHGC:0.38
Orientation:Right side
Window GG:Metal Frame 15 0.190 0.270 3 4
SHGC:0.38
Orientation:Right side
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 2 of 16
Prop. Req.
Assembly Gross Area or Cavity Cont. U- U- Prop. Req.
Perimeter R-Value R-Value Factor/ Factor/ UA UA
F-Factor F-Factor
Window FF:Metal Frame 15 0.190 0.270 3 4
SHGC:0.38
Orientation:Right side
Window S:Metal Frame 4 0.190 0.270 1 1
SHGC:0.38
Orientation:Right side
South Wall:Wood Frame, 580 30.0 0.0 0.049 0.045 20 18
16"o.c.
Orientation:Back
Window J:Metal Frame 15 0.190 0.270 3 4
SHGC:0.38
Orientation:Back
Window K:Metal Frame 15 0.190 0.270 3 4
SHGC:0.38
Orientation:Back
Window L: Metal Frame 12 0.190 0.270 2 3
SHGC:0.38
Orientation:Back
Window M: Metal Frame 12 0.190 0.270 2 3
SHGC:0.38
Orientation:Back
Window N:Metal Frame 15 0.190 0.270 3 4
SHGC:0.38
Orientation:Back
Window 0:Metal Frame 15 0.190 0.270 3 4
SHGC:0.38
Orientation:Back
Window XX: Metal Frame 18 0,190 0.270 3 5
SHGC:0.38
Orientation:Back
Window EE:Metal Frame 11 0.190 0.270 2 3
SHGC:0.38
Orientation:Back
Window DID:Metal Frame 20 0.190 0.270 4 5
SHGC:0.38
Orientation:Back
Window CC:Metal Frame 11 0.190 0.270 2 3
SHGC:0.38
Orientation:Back
Door 101:Glass Door 35 0.190 0.270 7 9
(over 50%glazing)
SHGC:0.38
Orientation:Back
West Wall:Wood Frame, 666 30.0 0.0 0.049 0.045 29 26
16"o.c.
Orientation:Left side
Window C:Metal Frame 9 0.190 0.270 2 2
SHGC:0.38
Orientation:Left side
Window D:Metal Frame 20 0.190 0.270 4 5
SHGC:0.38
Orientation:Left side
Window E:Metal Frame 9 0.190 0.270 2 2
SHGC:0.38
Orientation:Left side
Window F:Metal Frame 9 0.190 0.270 2 2
SHGC:0.38
Orientation:Left side
Window G:Metal Frame 6 0.190 0.270 1 2
SHGC:0.38
Orientation:Left side
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 3 of 16
Prop. Req.
Assembly Gross Area or Cavity Cont. U- U- Prop. Req.
Perimeter R-Value R-Value Factor/ Factor/ UA UA
F-Factor F-Factor
Window NN:Metal Frame 15 0.190 0.270 3 4
SHGC:0.38
Orientation:Left side
Window MM:Metal Frame 15 0.190 0.270 3 4
SHGC:0.38
Orientation:Left side
OEM
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.It DOES
NOT provide an estimate of energy use or cost relative to a minimum-code home.
Compliance Statement
The proposed building design described here is consistent with the building plans,specifications,and other calculations
submitted with the permit application.The proposed building has been designed to meet the 2025 Energy Conservation
Construction Code of New York State requirements in REScheck-Web and to comply with the mandatory requirements listed in the
REScheck Inspection Checklist.
Zackery E. Nicholson, RA -- 04.27.26
Name -Title Signature Date
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 4 of 16
Inspection Checklist
Energy Code:2025 Energy Conservation Construction Code of New York State
Requirements:89%were addressed directly in the RESCheck software
Text in the"Comments/Assumptions"column is provided by the user in the REScheck Requirements screen.For each
requirement,the user certifies that a code requirement will be met and how that is documented,or that an exception is being
claimed.Where compliance is itemized in a separate table,a reference to that table is provided.
Pre-Inspection/Plan Review
Section _ Plans Field
# Verified Verified
&Req.ID Pre-Inspection/Plan Review Value Value Complies? I Comments/Assumptions
105.1, Construction drawings and t O Complies
105.2 documentation demonstrate ;
[PR1]1 energy code compliance for the ; Does Not
buildang envelope.`Thermal Comply
envelope,air barriers,energy Not
credits,renewable energy, ❑
Observable
battery storage,scalar ready Not
systems and energy compliance
path represented on Ppplicable
construction documents.
105.1, Construction drawings and 0Complies
105.2, documentation demonstrate
403.8 energy code compliance for Does Not
[PR3]1 lighting and mechanical omply
systems,Systems serving Not
multiple dwelling units must yRservable
demonstrate compliance with
the IECC Commercial Provisions, Not
l�pplicable
i
302.1, IReatin and cool'ina equipment Heating: �Heating: 0 Complies
403.7 is sizezi per ACCA anua 5 (Btu/hr Btu/hr
[PR211 [used on leads calculated per does Not
ACCA Manuat I or other methods� �� i omply
approved by code o ciaL Cooling: Cooling: Not
Btu_/dC 8t 4" servable
j t Not
1pplicable
Additional Comments/Assumptions;
I
I
1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 5 of 16
Foundation Inspection
Section
I
&Req.ID : Foundation Inspection Complies? Comments/Assumptions
403.8 Systems serving multiple dwelling units D Complies Exception:Requirement is not applicable.
[FI91]z comply with Sections C403 and C404 of
I the commercial code. Does Not
Pomply
QQ Not
t5bservable
Ppp Not
1 licable
403.9.1 Heating systems installed for outdoor Complies Exception:Requirement is not applicable.
[FI92]2 heating are radiant systems controlled
by occupancy sensing or timer switch. Does Not
omply
o Not
observable
PNot
plicable
403.9.2, 'Snow and ice-melting system controls Q Complies Exception:Requirement is not applicable.
403.93, installed to shut off system when 403.9.4 pavement temperature>50F and no []Does Not
[FI92]2 precipitation or automatic controls to Comply
shut off the system when outdoor Not
temperature>40F. servable
PNot
pplicable
Additional Comments/Assumptions:
1 Hi h Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Im act(Tier 3)
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 6 of 16
Framing / Rough-in Inspection
Sectionf Plans Field
# Framing/Rough-to Verified Verified
of ReciAll) Inspection value Value Complies? Comments/Assump tions
7303-1.3 U-factors of fenestration 0 Complies
[FR4]1 products are determined in
accordance with the NFRC test Does Not
procedure or taken from the Pomply
default table. 'P Not
servable
p P Not
plicable
402.5.1.1 Air barrier and thermal barrier C:)Complies
[FR23]1 installed per manufacturer's
instructions. Does Not
amply
PNot
servable
i pNot
p plicable
1402.5.3 Fenestration that is not site built f 0 Complies
[FR20]1 is listed and labeled as meeting
AAMA/WDMA/CSA Po mDoes Not
101/i.S.2/A440 or has infiltration ply
rates per NFRC 400 that do not Not
exceed code limits. observable
PNot
lIplicable I
402.54 IC-rated recessed lighting 0 Complies
(FRI611 fixtures sealed at
housing/interior finish and P Does Not
labeled to indicate 152.0 cfm amply
leakage at 75 Pa. Not
Pservable
Not
p plicable
403,4 HVAC piping conveying fluids R= R.= 0 Complies
[FR17]z above 105-F or chille fluids
below 55 QF are insulated to�:R-
Does Not
3. P.mply
PNot
servable
PNot
pplicable
4016 Automatic or gravity dampers 0 Complies
[FRI912 are installed on all outdoor air Does Not
intakes and exhausts for
mechanical ventilation systems. Pomply
jpNot
servable
jPNot
pplicable
...............4016.1 Ventilation systems in climate 0 Complies
FR3012 zone 6 shall utilize heat or
P Does Not
energy recovery with balanced
0
ventilation and a sensible mply
recovery efficiency(SRE)>= QNot
65%at 32 F. servable
PpNot
plicable
403.3.3 Suppil and return ducts in attics i 'oComplies Exception:Ducts located
[FR12]1 insulated>=R-8 where duct is comp etely inside the
>=3 inches in diameter and Does Not building envelope.
>=R-6 where<3 inches. amply
PNot
'servable
QpNot
plicable
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 7 of 16
section Plans Field
# Framing/Rough-In Verified Verified
&Req.ID Inspection Value Value Complies? Comments/Assumptions
403.3.6 Ducts,air handlers and filter
[FR13]1 boxes are sealed with 0 Complies
joints/seams compliant with Does Not
International Mechanical Code Pomply
r International Residential Not
Code,as applicable.
servable
PpNot
plicable
403.4.1 Protection of insulation on HVAC 0 Complies
FR2411 piping. Does Not
Comply
RNot
servable
Not
pplicable
740113i =5 Hot water pipes are insulated to R R es
1 inch of insulation. f------ 0 COMP"Does Not
Pomply
PNot
servable
PNot
pplicable
402,5.5 Air-sealed electrical and 0 Complies
communication boxes installed
FR291 0 Does Not
in the thermal boundary of the
envelope seated to kmit air P.mply
leakage between conditioned Not
and unconditioned spaces. j u5servable
Not
Vpplicable
403.3.1 Duct systems are design and Complies
[FR12]1 sized in accordance with ACCA
Manual D based on HVAC sizing P Does Not
calculations in R403.7.Duct mply
systems se,v'ng multiple Not
dwelling units is sized in Pservable
accordance with AS14RAE
Handbook of Fundamentals, Not
ACCA Manual D or an equivalent Pppllcable
methodology.
403.3 Duct systems are design and 10 Complies
sized in accordance with ACCA
Manual D.Duct systems serving P Does Not
multiple dwelhn Units is sized omply
in accordance Wth ASHRAE Not
Handbook of Fundamentals, Pservable
ACCA Manual D or an equivalent Not
methodology.
Xp'plicable
1402.1, Glazing U-factor(area-weighted 0 Complies See the Envelope
402.4.1, average). U= U�
Assemblies table for
402. .3, Does Not values
1402.46 Pomply
[FR2]1 Not
Rservable
PNot
pplicable
1402.1,3 U U= C Complies
Skylight U-factor, I See the Envelope
4 =
1402W valuesAssemblies table for
[FR5]1 P.-P-1--y
Not
Observable
PNot
pplicable
Additional Comments/Assumptions:
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 8 of 16
1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Im act(Tier 3)
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 9 of 16
Insulation Inspection
Sec, Plans Field
d Verified Verified
alc Req.10 t Insulation Inspection Value Value Complies? CommentslAssuriptlorfs. j
303.1 All installed insulation is labeled 0 Complies
[IN13]2 or the installed R-values provided. D Does Not
comply
Not
Observable
Not
pplicable
303.2 Wall insulation is installed per 1 0Complies
[IN4]1 manufacturer's instructions. Does Not
amply
I
Not
Observable
PNot
pplicable
402.1, Floor insulation R-value. R R Complies See the Envelope
402.2.8 Does Not Assemblies table for
[INlh Q Wood Q Wood omply values
Q Steel Q Steel Not
� :Observable I
Not
pplicable
303.2, Floor insulation installed per 1 Complies
402.2.8 manufacturer's instructions and
[IN2]1 in substantial contact with the Does Not
underside of the subfloor,or Prnply
floor framing cavity insulation is Not
in contact with the to side of Rservable
sheathing or a pombNnation of
cavity anU cont,lnuous insulation Not
is installed so cavity Insulation Pplicable
is in contact with top side of
continuous insulation.
I
402.1, Wall insulation R-value.If this is Clies See the Envelope
/z 402.2.6, amass wall with at least' of R� R Oomp
Assemblies table for
402.2.7 the wall insulation on the wall Q Wood Q Wood Q Does Not values
[IN3]1 requirement appliesr(FRIO). n O Mass Q Mass o Noty
Steel Q Steel �servable
PNot
pplicable
402.2.3, Wood attic knee walls or roof D Complies Exception:Requirement
402.2.3.1 trusses separating conditioned is not apphcable.
[IN14]1 space from unconditioned attic 0 Does Not
space comply wKh the omply
irmulation requirements In Table Not
R402.1.3.Attic knee wails ��servable
contain an air barrier between
the conditioned and Not
unconditioned space. pplicable
Additional Comments/Assumptions:
i
i
1
1 High Impact(Tier 1) 2 Medium Im act(Tier 2} 3 Law Impact(Tier 3)
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 10 of 16
Final Inspection Provisions
Section Plans Field
o Verified Verified
&itaq.lfA Final inspection Provisions Value value Complies? Comments/Assumptions
303.1.1.1, Ceiling insulation installed per OComplies
303.2[FI211 manufacturer's instructions.
Blown insulation marked Does Not
every 300 ft2. omply
Q Not
observable
PNot
pplicable
303.3 Manufacturer manuals for Complies
[FI1,8]r mechanical and water heating
systems have been provided. Does Not
i �mply
Tot
ervable
�Not
l�pplicable
403.L2 Heat pump supplementary 0 Complies
[FI10]� heat controls to prevent
supplernentai heat when heat �Does Not
ump compressor Can.serve `Comply
hue heating load, RNot
servable
n Not
i
pplicable
401 3.2 Hot water boilers have O Complies Exception:Tankless hot
[FI26]2 automatic outdoor setback water heater.
control to lower boiler water Does Not
temperature based on outdoor [ P.mplY
temperature,indoor Not
( ]
temperature or water servable
temperature sensing.
l Not
pplicable
403.3.6.1 I Air handier leakage 0 Complies
[FI2411 designated byy manufacturer f
at <=2%of afesign air flow. P Does Not
omply
❑Not
Observable
Not
pplicable I
403.3.7 Ducts are pressure tested in f 0 Complies
[FI27]1 accordance with
ANEI/RESNET/ICC 380 or cfm/100 ft2 cfm/100 ft2 �Does Not
ASTME1554 to determine air u OmpIY
leakage with either:Rough-in PNot
test':Total leakage measured servable
with a pressure,dlfferentiM of
0.1 incp w.g,across the Not
system including the pplicable
manufacturer's air handler
enclosure if installed at time
of test.Postconstruction test:
Total leaka e measured with a
1 pressure dferential of 0.1
�nch w.g,across the.entire
system
manufacturer's including
j enclosure.
403.3.8 Duct tightness test result of O Complies I
[FI4]1 <=4 cfm/100 ft2 across the
system or<=3 cfm/100 ft2 I cfm/100 ft2 cfm/100 ft2 Q Does Not
without air handler(a25 Pa. r omPlY
Duct tightness<=8 cfm/100 (�Not
ft2 for ducts within thermal Pservable
envelope.For rough-in tests,
verification may need to occur Not
J during Framing Inspection. pplicable
i 1
403.5.1 Circulating service hot water 1 O Complies
[Flll]2systems have automatic or,
Does Not
aecrtssuble manasai controls, Pmply
D Not
Observable
PNot
IF l �... ....,�.�� pplicable I
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 11 of 16
Section Plans Field
# Verified Verified
&Req.ID Final Inspection Provisions Value Value Complies? Comments/Assumptions
403.5.1.1.1 Demand recirculation water 0 Complies
[FI32]2 systems have automatic
controls to start pump when Does Not j
hot water is requested. c Omply
QNot
6bservable
j I
1 f PNot
p Not
403.5.1.1 Heated water circulation 0 Complies Exception:Requirement
[FI28]2 systems have a circulation is not applicable.
pump.The system return pipe ; Does Not
is a dedicated return pipe or a amply
1 told water supply pipe, Not 1
Gravity and thermos-syphon servable
csrcuiation systems are not Not �
i present.Controls for i �
circulating hot water system pplicable
pumps start the pumfa witka
signal for,hot wagger dde and
within the occupancy.Controls t
automaticMly turn off Uie
pump when water is In i 1
circulation loop is at set-paint i
temperature and no demand
for hot water exists.
403.5.1.2 Etectric heat trace syystems O Complies Exception:Requirement
[FI29]2 comply with WEE 51,5.1 or UL Does Not is not applicable.
515,Controls automatically
adjust the energy input to the Comply
heat tracing to maintain the Not
desired water temperature in servable
the piping.
Not
pplicable
403.5.3 Drain water heat recovery Q Complies Exception:Requirement
[FI31]2 units tested in accordance is riot applicable.
with CSA B55.1.Potable Does Not
water-side pressure loss of Pomply
drain water heat recovery Not
lunits<3 psi for individual servable
units connected to one or two
showers.Potable water-side j P Not
sressure loss of drain water pplicable
at
recovery units<2 psi for
individual unity connected to j
three or more showers.
401.3[F17]2 Compliance certificate posted 1 `QComplies
with building specifications,
compliance path,R408 energy Does Not
credits,results and solar ; amply
ready zone if provided. Not
❑
Pservable
❑Not
Applicable
i
403.6.2 All mechanical ventilation O Complies
[F125]2 system fans not part of tested
and listed HVAC equipment Does Not
meet efficacy and air flow amply
limits perTable R403.6.2. Not
servable
PpNot
plicable
I
403.6.3 Mechanical ventilation Complies Exception:Kitchen range
[FI33]� systems tested and verified to i hoods ducted to the
Does Not
meet the minimum flow rates D
j outside with>=6-inch
required by Section R403.6. omply duct and<=1 90 degree
Not elbow.
Jj servable
PpI plicable
403.6.5 Intermittent exhaust for 'Q Complies Exception:Requirement
[FI34]2 bathrooms/toilet rooms has is not applicable.
automatic control,occupant Does Not
sensor control,humidity �mply
control or contaminant J pNot
control. servable
% Not
pplicable
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 12 of 16
Section Plans Field
# Verified Verified
&Req.ID Final Inspection Provisions Value Value Complies? Comments/Assumptions
1 403.7.1 Electric resistance heating OComplies
[FI6]1 total capacity for dwelling
units,sleeping units and Does Not
occuppanices in the building omply
<=2.0 kW. ObNot
servable
Not
applicable
402.1, Ceiling insulation R-value. R R Complies See the Envelope
402,2.1, � Assemblies table for
402.2.2„ O Wood O Wood Does Not values
402.2„7 Steel Steel omply
[Fill' O 0 ❑Not
Observable
Not
pplicable
i
403.13, Gas fireplaces equipped with Complies
403.13.1 on-demand pilot,intermittent
[FI35]3 ignition or interrupted ignition. P Does Not
Fireplace efficiency>50%in omply
accordance with C A P.4.1 ❑Not
Observable
i
PNot
plicable
404.1[FI6]1 100%of permanent fixtures Complies
have high efficacy lamps. Po DoesNot
omply
1 Q Not
t servable
PNot
plicable
404.1.2 Exterior lighting power is Complies
[FI35]3 below the allowable wattage
in Table R404.1. �Does NotI
Pm y
(�Not
servable
n Not
� pplicable
t
404.1.5 Fuel gas lighting systems QComplies
[FI23]3 have no continuous pilot light. PDoes Not
Cmply
Ob Not
servable
Not
pplicable
1404.2.1, Permanent interior lighting 0 Complies
404.2.2 shall be controlled with either Does Not
[FI36]3 a manual dimmer,occupancy
sensor or auto shut off control 1 omply
based on occupancy built with 1 QNot
manual override. Observable
Not
l�pplicable
404.3 Exterior lighting>=30 watts0 Complies
[FI37]3 shall have the following
controls:manual on/off switch Q Does Not
with automatic shut-off, 'Comply
automatic shut-off in daylight Not
hours,and controls that servable
override automatic shutoff
that returns to automatic I Not
control within 24 hours. pplicable
1404.4� �1lroere renewable energy Complies
1[FI36]3 �jeneratiorro equi went m
installed„slc�ne attestation Does Not
for renewable ener�y credits J omply
(RECs)or energy of ributable f Tot
certificates(EACs)associated servable
with the renewable energy �
used for compliance are Not
provided to the code official, I Pplicable
1
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 13 of 16
section Plans Field
# Verified Verified
Req.1D Fln.ql Inspectlon Provisions i Value Value Complies? CoFnments/Assumptions
402.2A Vented attics with air 0 Complies Exception:Requirement
(F12212 permeable insulation include is riot appficable.
baffle adjacent to soffit and P Does Not
eave vents that extends over 0 mply
insulation.
QN ot servable
Not
pplicable
408.2.2.1(2) Air conditioner installed with 0 Complies
[F14611 efficiency>=15.2
SEER2/12.0 EER2 for ❑Does Not
additional efficiency credit Comply
❑Not
serable
Nrtv
pplicable
408.2.2.1(4) i Gas furnace installed with 0 Complies
[1`14811 efficiency>=97 AFUE for Does Not
additional efficiency credit Pomply
RNot
servable
PpNot
plicable
408.2.3(2) Gas-fired instantaneous water i 0 complies
(a)[F16111 heater efficiency>=0.92 UEF
for additional efficiency credit Does Not
1 0 mply
RNot
servable
PNot
pplicable
1402.5.1.3 Blower door test @ 50 Pa. AC H 50 ACH 50 OComplies
[FI1711 <=3.0 ACH50 in Climate
Zones 4-5 and<=2.5 ACH50 P Does Not
in Climate Zones 6. mply
PNot
servable
PNot
pplicable
408.2.6 Refri and erators,dishwashers 0 Complies
LF18011 othes washers/dryers Does Not
I are ENERGY STAR rated for
additional efficiency credit i Pomply i
!pNot
servable
PNot
pplicable
h 0 Complies See the Envelope
402.3 'Radiant barriers comply with R
ASTM C1313/C1313M and are R.= Assemblies table for
[F14311' P Does Not
installed in accordance with 0 Wood values
ASTM C1743 C3 Wood mply
0 Steel 0 Steel ❑Not
observable
PNot
pplicable
408.2.11 Alt hardwired lighting has complies
LF18411 lamp efficacy>-90 lumens
Does Not
per watt for additional
credit
0 P mply
QNot
servable
PpNot
plicable
403 11 Programmable thermostats 0 Complies
(Fl91z Installed for control of primary
heating and cooling systems Does Not
anti initially set by Pomply
manufacturer to code Not
specifications. Pservable
p P Not
plicable
Additional Comments/Assumptions:
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 14 of 16
I
1 1 High Impact(Tier 1) 2 Medium Impact(Tier 21 3 Low Im act(Tier 3)
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 15 of 16
2025 Energy
Conservation
Construction Code,
of New York State
Energy Efficiency
Certificate
Above-Grade Wall 30.00
Below-Grade Wall 0.00
Floor 30.00
Ceiling/Roof 49.00
Ductwork(unconditioned spaces):PAOM
r . . a
ENEEMEMn
Window 0.19 0.38
Door 0.29 0.38
Skylight 0.29 1.00
Heating System:
Cooling System:
Water Heater:
111101001
Name: Date:
Comments:
Report Title: 1350 HORTONS LANE LLC Report Date: 4/23/26, 2:31 AM 16 of 16
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MAILING ADDRESS:
sP.O. Box 1179
PLANNING BOARD MEMBERS *` Southold, NY 11971
DONALD J.WILCENSKIC� t' °
Chair I OFFICE LOCATION:
Town Hall Annex
WILLIAM J.CREMERS c 54375 State Route 25
PIERCE RAFFER`I`Y
(cor. Main Rd. &Youngs Ave.)
DAMES H.RICH III
MARTIN H.SIDOR '■.
A.
it Southold, NY
Telephone: 631 765-1938
www.southoldtownny.9ov
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
April 11, 2017
Ms. Karen Mazzaferro
3005 Wells Road
Peconic, NY 11958
Re: Waiver for Phase I Archeological Study/Review: Approved Standard
Subdivision of Karen Mazzaferro
Located at 1450 Horton's Lane (east side of Horton's Lane), in Southold
SCTM#1000-63-1-12 Zoning District: R-40
Dear Ms. Mazzaferro:
The Southold Town Planning Board adopted the following resolutions at a meeting held
on Monday, April 10, 2017:
WHEREAS, this application subdivided a 4.28-acre parcel into 3 lots, where Lot 1
equals 41,994 sq. ft., Lot 2 equals 43,631 sq. ft,, and Lot 3 equals 90,023 sq. ft., in the
R-40 Zoning District; and
WHEREAS, on July 12, 2010, the Southold Town Planning Board granted Final Plat
Approval upon the Final Plat entitled "Final Plan for the Standard Subdivision of Karen
Mazzaferro", prepared by John T. Metzger, dated July 6, 2005 and last revised on July
8, 2010; and
WHEREAS, on January 16, 2017, the applicant requested by letter to waive the
requirement for a Phase I Archeological Study/Review listed on page 2 item #4 in the
Covenants & Restrictions filed in Liber 12629, Page 570; and
WHEREAS, on March 13, 2017, the Southold Town Planning Board, recognizing that
the procedure for identifying possible archeological/cultural resources has changed
significantly since this subdivision was approved, recommended the applicant contact
the New York: State Office of Parks, Recreation and Historic Preservation with concerns
over the presence of cultural resources on the plat; and
re
Mazzaferro Pace Two 6P1 LU,12L)_1Z
WHEREAS, on March 21, 2017, the New York State Office of Parks, Recreation and
Histodc Preservation determined that the location of the proposed subdivision is not
archeologically sensitive and neither a Phase I archeological survey, nor monitoring by
an archeologist during construction is necessary; therefore be it
RESOLVED, that the Southold Town Planning Board strike item #4 on page 2 of the
Covenants and Restrictions filed in Liber 12629, Page 570 requiring a Phase I
archeological survey and an on-site archeologist during construction on the plat.
It is recommended that the Covenants and Restrictions be amended to reflect the
approved change and refilled with the office of the Suffolk County Clerk. Please
submit a copy of the amended Covenants with proof of filing at your earliest
convenience.
If you have any questions regarding the above, please contact this office.
Very truly yours,
Donald J. Wilcenski,
Chairman
MAILING ADDRESS:
PLANNING BOARD MEMBERS �, r, I tir ,, P.O. Box 1179
. Southold,NY 11971
DONALD J.WILCENSKI
Chair `p OFFICE LOCATION:
Town Tull Annex
WILLIAM J.CREMERS 54375 State Route 25
PIERCE RAFFERTY
JAMES H.RICH III (cor. Main Rd. &Youngs Ave.)
MARTIN H.SIDOR ��,��r �'�� &
Southold,NY
Telephone: 631 765-1938
www.southoldtownny.gov
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
March 16, 2017
Mr. Thomas J. McCarthy
46520 Route 48
Southold, NY 11971
Re; Standard Subdivision of Karen Mazzaferro
1540 Horton's Lane, located on the east side of Horton's in Southold
SCTM#1000-61-1-12 Zoning District: R-40
Dear Mr. McCarthy,
The Southold Town Planning Board, at the March 13, 2017 Work Session reviewed the
request to waive the Archeological Study requirements, as outlined in your letter dated
January 16, 2017.
Based upon the review, the Planning Board has determined that the New York State
Office of Parks, Recreation and Historic Preservation should be contacted to deterrnin'e
if a Phase 1 Archeological Study/Review is required, as outlined on page 2 item#4 in
the Covenants & Restrictions filed for the Standard Subdivision of laren Mazzaferro,
If you have any further questions please do not hesitate to contact this office at 631-
765-1938.
Sincerely,
Rr
k Y n
<f 1 f
Erica Bufkins
Planner Trainee
Southold Planning Department Stair Report
Subdivision Application Work Session Review
Date March 13, 2017
Prepared By: Mark Terry
Erica Bufkins
I. Application Information
Project Title: Mazzaferro Subdivision
Applicant: Karen Mazzaferro
Date of Submission: April 3, 2006
Tax Map Number: 1000-63.-1-12
Project Location: 1450 Horton's Lane
Hamlet: Southold
Zoning District: R-40
II. Description of Project
Type of Subdivision: Standard
Acreage of Project Site: 4.28
# of Lots: 3
III: Status
Final Plat Approved
IV: Action to review
Waiver for Phase I Archeological Study/Review as per C&Rs
V: Project Analysis
• July 15, 2010 Planning Board granted Final Approval upon the Final Plat
entitled "Final Plan for the Standard Subdivision of Karen Mazzaferro"
prepared by John T. Metzger, dated September 30, 2009 and last revised
on July 8, 2010.
• January 16, 2017 the applicant requested by letter to waive the
requirement for a Phase I Archeological Study/Review listed on page 2
item #4 in the Covenants & Restrictions for the parcel as stated blow:
Item #4: Prior to excavation of a foundation for any structures to be built
on either Lot 2 or Lot 3, Declarant shall either.-
a. Submit to the Planning Board a full Phase 1 Archeological
Study/Review for its review and approval, including review by the
New York State Office of Parks, Recreation and Historic
Page 2
Preservation (NYSOPRHP), and shall conduct such subsequent
studies and take such further action as the Planning Board shall
deem advisable in order to protect significant buried historic or
prehistoric Native American remains or artifacts or such Lot, or
b. Declarant shall cause an archeologist to be on the site at the time
of excavation for such foundation on either Lot 2 or Lot 3, solely to
determine if there are any significant buried historic or prehistoric
Native American remains which will be adversely affected by the
excavation. A follow-up in writing shall be supplied by the
archeologist to the Southold Town Planning Board and
NYSOPRHP stating that an archeologist was on-site during all
excavation work for Lot 2 and Lot 3. Should any significant buried
historic or prehistoric Native American remains or artifacts be found
while excavation is taking place on Lot 2 or Lot 3, all excavation
and construction work on such lot shall cease pending further
review, analysis and verification by the NYSOPRHP. Excavation
and construction shall not recommence on such lot until allowed
and approved in writing by the NYSOPRHP. A copy of this written
approval shall be submitted to the Southold Town Planning Board.
Recommendations and Summar
Recommend the applicant contact the New York State Office of Parks,
Recreation and Historic Preservation (NYSOPRHP) with concerns over
the presence of cultural resources on the parcel as mentioned in the
August 26, 2008 letter from the Planning Board.
Southold Planning Department Stain. Report
Subdivision Application Work Session Review
Date March 27, 2017
Prepared By: Mark Terry
Erica Bufkins
I. Application Information
Project Title: Mazzaferro Subdivision
Applicant: Karen Mazzaferro
Date of Submission: April 3, 2006
Tax Map Number: 1000-63.-1-12
Project Location: 1450 Horton's Lane, east side
Hamlet: Southold
Zoning District: R-40
II. Description of Project
Type of Subdivision: Standard
Acreage of Project Site: 4.28
# of Lots: 3
III: Status
Final Plat Approved
IV: Action to review
Waiver for Phase I Archeological Study/Review as per C&Rs
V: Project Analysis
• July 15, 2010 Planning Board granted Final Approval upon the Final Plat
entitled "Final Plan for the Standard Subdivision of Karen Mazzaferro"
prepared by John T. Metzger, dated September 30, 2009 and last revised
on July 8, 2010.
• January 16, 2017 the applicant requested by letter to waive the
requirement for a Phase I Archeological Study/Review listed on page 2
item #4 in the Covenants & Restrictions.
• March 13, 2017, the Southold Town Planning Board recommended the
applicant contact the New York State Office of Parks, Recreation and
Historic Preservation with concerns over the presence of cultural
resources on the plat.
Page 2
• March 21, 2017, the New York State Office of Parks, Recreation and
Historic Preservation determined that the location of the proposed
subdivision is not archeologically sensitive and neither a Phase I
archeological survey, nor monitoring by an archeologist during
construction is necessary.
Recommendations
Based on the recommendation of the NYSOPRHP, it is recommended that the
Covenants and Restrictions in Liber 12629, Page 570 are amended and refiled
with the Office of the Suffolk County Clerk.
p�' .n„ '.all ���✓
��3 ►NL ,MT
McCarthy Management, Inc.
I --
January 16,2017
Town of Southold,Planning Department
P.O.Box 1179
Southold,NY 11971 RE: Karen Mazzaferro Subdivision C &R's
Dear Planning Board:
Please let this letter serve as written request for the Town of Southold,Planning Department to waive the
requirements for a Phase I Archeological Study/Review listed on page 2 item#4 in the Covenants&
Restrictions of the Mazzaferro Subdivision. (see attached)
We believe that the location of this subdivision will not reveal any artifacts of archeological importance. This
site is a previously farmed parcel with successional growth, it is not located near any fresh or saltwater wetlands
or features, and will result in an expense that is unnecessary,and creates a hardship for our client.
Please consider the above request. We look forward to hearing from you.
Sincere y
Thomas J. Mrtily
46520 Route 48 Tel. 631.765.5815
Southold, NY 11971 Fax.631.765.5816
office@ thomasjmccarthy.com
CC#: C10-24039
w
COUNTY CLERK'S OFFICE
STATE OF NEW YORK
COUNTY OF SUFFOLK
I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court
of Record thereof do hereby certify that I have compared the annexed with the original
DECLARATION
recorded in my office on 07/01/2010 under Liber D00012629 and Page 570 and,
that the same is a true copy thereof, and of the whole of such original.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County
and Court this 07/01/2010
SUFFOLK COUNTY CLERK
JUDITH A.PASCALE
SEAL
l i11111i llll 1llll lull lull lull 11111 lull lull iili llll
I IIIIII IIIII IIIII III!IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DECLARATION Recorded: 07/01/2010
Number of Pages: 7 At: 02 :32 :39 PM
Receipt Number : 10-0077210
LIBER: D00012629
PAGE: 570
District: Section: Block: Lot:
1000 063.00 01.00 012.000
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $35.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
TP-584 $0 .00 NO Notation $0.00 NO
Cert.Copies $5.20 NO RPT $30.00 NO
,Fees Paid $110.20
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
E2 3
RECORDED
2010 Jail 01 0 :32:79 PM
Number of pages JUDITH A. PASCALE
CLERK OF
TORRENS 'SUFFOLK COUNTY
NT''i
L'1-010.11262"
Serial# P 57i*0
Certificate#
Prior Ctf.#
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
4 FEES
Page/Filing Fee tl Mortgage Amt.
Handling i 1.Basic Tex
TP-584 � 2.Additional Tax _
Notation Sub Total
r
EA-52 17(County) Sub Total Spec.Assit
Or
EA-5217(State) Spec./Add.
RP.T.S.A. ____ TOT,MTG,TAX
Comm of Ed. 5 �0 R Dual Town Dual County
t Held for Apportionment
Affidavit i� + ,� + Transfer Tax
Certified Copy Mansion Tax
The property covered by this mortgage is or
Reg.Copy 71 will be Improved by a one or two family
Sub Total (j dwelling only.
YES or NO
Other _
/. see appropriate tax clause on page#
GRAND TOTAL If NO, of this lustruman jl
v
5 Real Property Tak Service Agency Verification 6 Cz�MMUajty Preservation Fund
Dist_ Section 1 1317 Lot donsideratlon Amount$
1000 06300 0100 012000
Stamp CPF Tax Due $�
P T Date R SFL A
`"�Initials
tI'� UN.1 Vacant Land
"17
Satisfactions/l i charg oloasos'ListPro artyC9wnersMailingAddros TD
RECORD ,R To: TD
Wickham,'Bressler, Gordon & Cease, P.C.
P.O. Box 1424 TD _w
Mattituck, NY 11952
s Title Company Information
Co.Name .
"1"Itle#
Suffolk olk Recv & Eildorsenient Page
This page forms part of the allachod AMENDED DECLARATION OF COVENANTS AND RESTRICTIONS made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
ICAREN L. MILLER A/K/A KAREN MA7ZAFERRO SUFFOLK COUNTY,NEW YORK
TO In the Township bf SOUTHOLD
TOWN OF SOUTHOLD '• In the VILLAGE
or HAMLET of SOU'THOLD
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING,
AMENDEf)DECLARATION Ob"_(:O' NANANTS D U11- TIt
DECLARATION,made this day of June,2010,by KAREN L. MILLER alk/a
KAREN MAZZAFERRO,residing at 3005 Wells Road,Peconic,New York 11958,referred to as the
Declarant.
WHEREAS,the Declaration of Covenants and Restrictions dated March 29,2010 and
recorded in the Suffolk County Clerk's Office on April 7,2010 in Liber 12621 at page 301 is
amended, superseded and replaced by this Amended Declaration of Covenants and Restrictions.
WHEREAS,the Declarant is the owner of certain real property located at 1450 Horton's
Lane, Southold,Town of Southold, County of Suffolk and State of New York, SCTM# 1000-63-1-
12,more particularly bounded and described as set forth in Schedule "A" annexed hereto, (the
"Property") and
WHEREAS,the Declarant has made an application for and has received conditional final
approval from the Planning Board of the Town of Southold for a subdivision of the premises into
three (3)parcels, as shown on map of"Standard Subdivision for Karen L. Miller a/k/a Karen
Mazzaferro",prepared by Peconic Surveyors,P.C.,dated September 23,2009,last dated Apri115,
2010,which map will be filed in the office of the Suffolk County Clerk(the Map); and
WHEREAS, in consideration of granting subdivision approval, and as a condition of said
approval of the Map,the Planning Board has deemed it to be in the best interests of the Town of
Southold and the owner and prospective owners of said lots that the within Amended Covenants and
Restrictions be imposed upon the Property, and as a condition of said approval,the Planning Board
has required that the within Amended Declaration be recorded in the Suffolk County Clerk's Office;
and
WHEREAS,the Declarant has considered the foregoing and has determined that the same
will be for the best interest of the Declarant and subsequent owners of said parcels on the Map.
NOW,THEREFORE,THIS DECLARATION WITNESSETH:
That the Declarant, for the purposes of carrying out the intentions above expressed,does
hereby covenant and agree that the Property shall hereafter be subject to the following covenants,
which shall run with the land and shall be binding upon all purchasers and holders of said premises,
their heirs,executors, legal representatives,distributees, successors and assigns,to wit:
1. There shall be no further subdivision of any of the lots on the Map in perpetuity.
2. There shall be no changes to any of the lot lines without Planning Board approval. t/
3. In accordance with Section 240-51 of the Southold Town Code,all storm water run-off
resulting from the development of any or all of the lots, including driveways and roadways,on the
Map shall be retained on,site
evvia gutters,downspouts and drywells and shall be the responsibility of
each property owner.
Declarant shall eitheri
(a) submit to the Planning Board a full Phase 1 Archeological Study/Review for its review and
approval,including review by the New York State Office of Parks,Recreation and Historic
Preservation(NYSOPRHP), and shall conduct such subsequent studies and take such further action
as the Planning Board shall deem advisable in order to protect significant buried historic or
prehistoric Native American remains or artifacts on such Lot; or
(b)Declarant shall cause an archaeologist to be on the site at the time of excavation for such
foundation on either Lot 2 or Lot 3, solely to determine if there are any significant buried historic'or
prehistoric Native American remains which will be adversely affected by the excavation. A follow-
2
up report in writing shall be supplied by the archeologist to the Southold Town Planning Board and
NYSOPRHP stating that an archeologist was on-site during all excavation work for Lot 2 and Lot 3.
Should any significant buried historic or prehistoric Native American remains or artifacts be found
while excavation is taking place on Lot 2 or Lot 3, all excavation and construction work on such lot
shall cease pending further review, analysis and verification by the NYSOPRHP. Excavation and
construction shall not recommence on such lot until allowed and approved in writing by the
NYSOPRHP. A copy of this written approval shall be submitted to the Southold Town Planning
Board.
5. Pursuant to section 240-35, of the Southold Town Code,all utilities serving the lots shall be
located underground.
6. The flag portion of Lot 3, more fully described in Schedule B hereto,shall serve as a non-
street right of way(ROW) for the benefit of ingress and egress from Horton's Lane to Lots 2 and 3,
and for installation of underground utilities for the benefit of Lots 2 and 3. The ROW area shall
contain a 12 foot wide driveway with pervious surface with a flare at the westerly terminus extending
to the full 25 foot width of the ROW as shown on the Map(the Driveway Area). The Driveway Area
shall remain free of obstructions and encroachments. The ROW will be owned in fee by the owner of
Lot 3 as part of said lot,with a deeded right of way over same for the benefit of Lot 2, as further
described in Right of Way agreement to be recorded simultaneously herewith.
7. The 50 foot by 100 foot area on Lot 3 designated"Open Front Yard Area for Turn
Around"shall be maintained as open,unobstructed lawn,driveway or parking area so as to be able to
accommodate turn around of emergency vehicles to any of the lots on the Map. No landscaping or
fencing around the perimeter of the area shall be allowed to extend or encroach into the area.
3
8. There shall be no vehicular access from Lot 2 to Horton's Lane along the frontage of Lot 2
on Horton's Lane. Vehicular access from Horton's Lane to Lot 2 shall be over the ROW.
9. Future residents of the lots on the approved subdivision map are advised that the lots are
subject to the noise,dust and odors normally associated with agricultural activities pursuant to Article
XXII, Farmland Bill of Rights, of the Southold Town Code.
14. These covenants and restriction may be terminated,revoked, or amended only at the
request of the then owner of the lot affected,together with the written consent of the Town of
Southold granted by a majority plus one of the Planning Board of the Town of Southold,after a
public hearing.
11. These covenants and restrictions shall run with the land and shall be binding upon the
Declarant,her successors and assigns,and upon all persons or entities claiming under them.
12. If any section, subsection,paragraph,clause,phrase or provision of these covenants and
restrictions shall be adjudged illegal,unlawful, invalid or held to be unconstitutional by a Court of
competent jurisdiction,the same shall not affect the validity of these covenants as a whole or any
other part or provision hereof other than the part so adjudged to be illegal,unlawful,invalid, or
unconstitutional.
13. The aforementioned Restrictive Covenants are intended for the benefit of and shall be
enforceable by the Town of Southold, State of New York,by injunctive relief or by any other remedy
in equity or at law. The failure of said agencies or the Town of Southold to enforce the same shall
not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the
Town of Southold or any officer or employee thereof.
14. The within Declaration is made subject to the provisions of all laws required by law or by
their provisions to be incorporated herein and made a part hereof, as though fully set forth.
4
IN WITNESS WHEREOF,the Declarant above named has executed the foregoing Declaration on
the day and year first above written.
KAREN L. MILLER a/k/a KAREN
STATE OF NEW YORK:
:ss..
COUNTY OF SUFFOLK:
On the day of June, in the year 2010,before me,the undersigned, a Notary Public in and for
said State,personally appeared Karen L. Miller a/k/a Karen Mazzaferro,personally known to me or
proved to me on the basis of satisfactory evidence that she executed the same in her capacity and that
by her signature on the instrument,the individual, or the person or entity upon behalf of which the
individual acted,executed the instrument.
*taryblic
Re%&rpbmillerAM ABIGAIL A.WICK M1
Notary Public State of New Vork
No.5 -4 8 1
ousllf ed In Suffolk County
Corrmission Area Sept.30.A
5
STANDARD SUBDIVISION FOR
N KAREN L. MILLER also known as KAREN MAZZAFERRO
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1 1000-63-01-12
SCALE.- 1'=100'
5 jry(I ,ALLY 6, 2005
5EPE 29,2008(s�nerorsroR)
DEC 30,2008(REWS10N5)
JAN,27,Z.U9 IREVISIONSI
FEB.13,2009 of"Mwl MIE,C k I CpsJ
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LOT 2 ACCESS FROM LOT,T FLAG NO VEHICILAR ACCESS ALONG LOT 3 AREA-90,623 SQ.FT EXCLUDING FLAG
HORTON'S LANE FRONTAGE OF LOT 3 AREA-99,,S70 SO.FT, TOTAL M LOT 2 TO HORTONS LANE
4
ZONING DISTRICT,, R-40 O a STREET TREE
SCHOOL DISTRICT 50U7NOLD
5 FREES rTW Qi N.YS L.C, AIOC 49676
FIRE OtSTRICT SOUTHOLD 5'OFF ROAD LINE OR ANY ALPERADON OR 40DIDGN TO THIS SURVEY IS A VIOLATION PECONIC SURVEYORS, P.C.
OR RIGHT OF WAY OF SECHON 72090,E ME NEW YORK STATE EDUCATION LAW. (63i) 765-5020 FAX(53I) 765-7797
0=44ONUMENT 2-ON LOT I ENCEPr AS PER SECTION 7209—SU6DIWSION 2 ALL CERTIFICATIONS P„O. BOX 909 3-ON LOT 2 HEREON ARE VALID f'OR THIS MAP AND COPIES THEREGF ONLY IF ry
AREA-186,598 SO.FT.OR 4.2837 ACRES SAID MAP OR COPIES BEAR THE 8!MW��'P1I','$'SW SEAL OF RIF SURVEYOR 12JO TRAVELER STREET 05-1/9
WHOSE SIONA!URE A-CARS HEREON, SOUTNOLD, N,Y. g1971