Loading...
HomeMy WebLinkAbout34195-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33346 Date: 10/21/08 THIS CERTIFIES that the building ADDITION/ALTERATIONS Location of Property: 345 PRIVATE RD #21 SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 40 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 30, 2008 pursuant to which Building Permit No. 34195-Z dated SEPTEMBER 30, 2008 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 "AS BUILT" DECK ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA 46190, DATED 9/4/08, AND NEW YORK STATE VARIANCE PETITION # 2008-0411. The certificate is issued to ANNE M ANASAGASTI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4014455 10/14/08 PLUMBERS CERTIFICATION DATED N/A t Au orized Signature Rev. 1/81 -� Form No.6 ! D f TOWN OF SOUTHOLD i I I BUILDING DEPARTMENT OCT 2 OAli U TOWN HALL 765-1802 bLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY L TQW—N-Q—F S '-TM-_0_. This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple.residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 d Date. /0 New Construction: Old or Pre-existing Building: (check one) Location of Property: 3` Y 1 A4 VA t-E r24 -66-)—[ , -�,��l House No. Street Hamlet Owner or Owners of Property: MI c,14^6 R/JA r•16t-w s . Suffolk County Tax Map No 1000, Section Block Lot �eo Subdivision Filed Map. Lot: Permit No. 3 46/2 S Z Date of Permit. 08 Applicant: S--'« Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: J/ (check one) Fee Submitted: $ ;P-S. Applicant Signature �---4i T'` -.�. 7. •.i i 7:y i�..,."7T"_'•9f ..iY -�'! T: ''�Ii 1 ca �����n�n�n ���n����n�r�.nr�El-�n�n�r���������������n����� o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 S NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 S 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 c5 5 5 5 • CERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by 5 5 5 5 MICHAEL ANASAGASTI ANNE ANASAGASTI 360 JASMIN LANE 345 PRIVATE RD#21 5 5 SOUTHOLD NY 11791 SOUTHOLD, NY 11971 5 Located at 345 PRIVATE RD#21 SOUTHOLD, NY 11971 c� 5 5 Application Number: 4014455 Certificate Number: 4014455 c5 5 5 Section: Block: Lot: Building Permit: * BDC: ns11 5 5 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Second Floor, 5 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having 14tn October, Zoos. 5 y g jurisdiction, and found to be in compliance therewith on the Day of 5 5 Name OTY Rate Rating Circuits Type [' 5 AdditionalCharges 5 5 as built 1977 5 5 finished attic 5 Alarm and emergency equipment [, 5 Sensor 2 0 0 Smoke 5 5 Appliances and Accessories C 5 Electrical Heat Baseboard 1 0 .75 KW 5 5 Wiring And Devices 5 Fixture 3 0 Incandescent 5 Outlet 3 0 Fixture 5 Outlet 20 0 Gen,Purpose 5 5 Paddle Fan 1 0 5 Receptacle 1 0 GFCI 5 Receptacle 16 0 Gen,Purpose f5+ 5 Switch 4 0 Gen,Purpose 5 C5 5 Seal 5 Continued on Next Page 1 of 2 5 '� 5��3h� ecrtdlifae�may�totf�e-altergtl any Waylandlls Valldated,only;;b.y the preseheelof_-a;rals�dsea at the;location Indleated - =311 pf Imo! ;.b i 11..i.,�l•ai i�,1:� i! 1!�.I,j.I,;�E.#i 5�'yi �1.fi.��..f! ��a-i-%_t.l�1.� fl..l�q7 ��-,1�:.1�_"�1:1.1__14.��'.a}1t.::I4if�9.i..l� , 11�:�a �f_'.f� - '{'.l'5 -- ri rrJ�rJ���nrJ�r.��r01LJ1 ncJ�rJLAIr. J�r�rJ��nrl�nf`nrl�n a Pr rL3�n P,_ _t—,e• ��������������� ]UpPL0 0 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS5 S 5 5 BUREAU OF ELECTRICITY CS 5 40 FULTON STREET NEW YORK, NY 10038 5 S 5 5 CERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by 5 5 5 5 5 MICHAEL ANASAGASTI ANNE ANASAGASTI 5 360 JASMIN LANE 345 PRIVATE RD#21 S 5 SOUTHOLD NY 11791 SOUTHOLD, NY 11971 5 5 Located at 345 PRIVATE RD#21 SOUTHOLD, NY 11971 5 5 5 S Application Number: 4014455 Certificate Number: 4014466 5 5 5 5 Section: Block: Lot: Building Permit: * BDC: ns11 5 5 Described as a Residential 5 occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Second Floor, 5 5 5 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 14tb Day of October, Zoos. 5 5 Name OTY Rate Rating Circuits Tyne 55 5 An as built visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is 5 5 believed to be in conformance with the applicable reference standard for the estimated period of construction of the premises wiring system. ij 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 sea/ 5 5 2 of 2 5 5 s°This certificate may np vv t be altered in any y'a-q-d is;validated only by the presence of a raised seal;at the'locatlpr_rndlcated" - _l, 1, �l . T �-s!-:lt ��-- }El [J�rJGf[J�[J�CJ�[nrJ�[.f]�.fcJ[J�[n[J�c.(�P�frJ�rJ�rJ�rJ�rJ�rJ��.fr_l'rJ�rJ��.fcJ��r�cJ�rJ'r1c1r�r�rJ�ticfc4i�r�cJ��cnrJ�tJ�cnrJ�r�rJtJ�r�cicnrJrsrJ�� FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34195 Z Date SEPTEMBER 30, 2008 Permission is hereby granted to: CHARLES & WF ANASAGASTI 345 PRIVATE RD #21 SOUTHOLD,NY 11971 for AS BUILT ADDITIONS AND ALTERATIONS PER ZBA AND NYS VARIANCE AS APPLIED FOR at premises located at 345 PRIVATE RD #21 SOUTHOLD County Tax Map No. 473889 Section 078 Block 0009 Lot No. 040 pursuant to application dated SEPTEMBER 30, 2008 and approved by the Building Inspector to expire on MARCH 30, 2010 . Fee $ 684 . 00 Authori ed i nature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT NOTICE OF DISAPPROVAL DATE: May 6, 2008 TO: Mike Anasagasti 345 Private Road Southold,NY 11971 Please take notice that your application dated April 22, 2008 For a permit for an"as built" deck addition to a single family dwelling at Location of property: 345 Private Road, Southold County Tax Map No. 1000 - Section 78 Block 9 Lot 40 Is returned herewith and disapproved on the following grounds: The proposed construction of an"as built"deck addition to a single family dwelling on a non-conforming 38,575 sq. ft. parcel, is not permitted pursuant to ArticleXXIII Section 280-124 which states: "This section is intended to provide minimum standards for rig of a building permit for the principal buildings of lots which are recognized by the town under 280-9, are nonconforming and have not merged pursuant to 280-10." Lots measuring between 20,000 & 39,999 shall have a minimum rear yard setback of 50'. The survey indicates a rear yard setback of 19'. Also, the construction of the deck is not permitted per Art. III, Section 280-15 which states: In the AC Disrict&Low Density Residential District, accessory buildings ... shall be located in the required rear. arm The construction of the deck, caused the accessory building to be in other than a rear yard. 6`;0_9 Authorized Signature 2 5 2(1�$ ;k STATE OF NEW YORK DEPARTMENT OF STATE ONE COMMERCE PLAZA 99'WASHINGTONAVENUE DAVID(&v,E `-T'k'50N LORRAINE A.CORTES-VAZOUEZ OVERNOR ALBANY, NY 1 223 1-0001 SECRETARY Or STATE ---------'----------`-------------------------------------------------- In the Matter of the Petition of: DECISION Mike Anasagasti For a Variance to the New York State PETITION NO. 2008-0411 Uniform Fire Prevention and Building Code -------------------------------------------------------------------- Upon the application of Mike Anasagasti, filed pursuant to 19 NYCRR 1205 on July 07, 2008, and upon all other papers in this matter, the Department makes the following determination: NATURE OF GRIEVANCE AND RELIEF SOUGHT The petition pertains to alterations to an existing one-family dwelling,'two stories in height, located at 345 Private Road, Town of Southold County of Suffolk, State of New York. The petitioner is seeking relief from: 19 NYCRR Part 1220, The Residential Code of New York State, Section R305.1 exception 4,which allows not more than 50 percent of the required floor area of a room or space to have a sloped ceiling less than 7 feet 6 inches with no portion of the required floor area less than 5 feet in height. [The petitioner requests spaces on the second floor with maximum sloped ceiling heights of approximately 7 feet 4 inches.] FINDINGS OF FACT 1. The building that is the subject of this petition was constructed with only the first story finished and with an expandable attic with a dormer. At some point, the attic was finished, without the benefit of a building permit, providing a bedroom, an exercise room and a bathroom. 2. The petitioner proposes that at least one window in the bedroom on the second story will meet the requirements of Section R310 of the Residential Code of New York State for an emergency escape and rescue opening. 3. The petitioner proposes to install hard wired smoke alarms that will be interconnected with devices in the rest of the building and monitored by an approved central station supervisory service. 4. The collar ties used for the ceiling have been set at a height of 7 feet 6 inches, however when the flooring WWW.DOS"STATE.NY.US E-MAIL:INFO@_DOS.STATE.NY.US Petition No. 2007-0411 Page 2 and ceiling finish were installed the height was restricted to less than 7 feet 5 inches. Although this is 2 inches lower than required, there is ample ceiling height for the use of this space and the 7-foot 4-inch ceiling height is over greater than 50 percent of the floor area. 5. The petitioner has proposed that the alterations will meet all other applicable provisions of the Residential Code of New York State. 9. The local code enforcement official has been contacted in this matter and does no object to the granting of a routine variance under the provisions of 19 NYCRR 1205.6 CONCLUSIONS OF LAW Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would produce.a negligible additional health, safety and security benefit to the occupants of the building. DETERMINATION WHEREFORE IT IS DETERMINED that the application for a variance from 19 NYCRR Part 1220, Section R305.1 exception 4, to permit spaces on the second floor with maximum sloped ceiling heights of approximately 7 feet 4 inches, be and is PROPOSED TO BE GRANTED with the following conditions: 1. That at least one window in the bedroom on the second story will meet the requirements of Section R310 of the Residential Code of New York State for an emergency escape and rescue opening. 2. That hard wired smoke alarms be installed that will be interconnected with devices in the rest of the building and monitored by an approved central station supervisory service. 3. That the alterations will meet all other applicable provisions of the Residential Code of New York State. This DECISION is issued under 19 NYCRR 1205.6. Unless objected to by the petitioner in a writing received by.the Department, the decision shall become FINAL after fifteen days of receipt of the decision by the parties This decision is limited to the specific building and application before it, as contained within the petition, and should not be interpreted to give implied approval of any general plans or specifications presented in support of this application. R nald E. Piester Director, Codes/Diivviision DATE:rl�IIOO RAS:sg s - NYS DEPARTMENT OF STATE DIVISION OF CODE ENFORCEMENT AND ADMINISTRATION Variance Attest List Petition No: 2008-0411 The persons below are advised to TAKE NOTICE of the attached document. The attached document pertains to a petition for relief related to code requirements. If there are any questions, call (518)474-4073 and ask for the Variance Unit. Please refer to the petition number in all -- - - --related conversations-or-c-orre-spondence-with-u,% — -- --- -- -- — -- --- -- -- - - MICHAEL VERITY TOWN OF SOUTHOLD BLDG DEPT 53095 MAIN ROAD PO BOX 1179 SOUTHOLD, NY 11971 MIKE&CAROLYN ANASAGASTI 360 JASMINE LANE SOUTHOLD, NY 11971 -76 S( --9�6 -- -- -- Ga 07/11/2008 Page 1 of 1 APPEALS BOARD MEMBERS �OF so Mailing Address: Gerard P. Goehringer, Chairman �p� OlO Southold Town Hall 53095 Main Road•P.O. Box 1179 Ruth D. Oliva Southold,NY 11971-0959 James Dinizio,Jr. • Office Location: Michael A. Simon O Town Annex/First Floor,North Fork Bank Leslie Kanes Weisman ou ,� 54375 Main Road(at Youngs Avenue) Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD n Tel. (631)765-1809 •Fax(631)765-9064 L1 L! SEP 15 I� 4 2008 FINDINGS, DELIBERATIONS, AND DETERMINAT ON= T WBLD • DEPT. MEETING OF SEPTEMBER 4, 2008 ZBA# 6190 - MICHAEL ANASAGASTI & OTHERS, APPLICANTS PROPERTY LOCATION: 345 Private Road, Southold CTM 78-9-40 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. PROPERTY FACTS/DESCRIPTION: The subject property is a 38,575 square foot non-conforming lot in the Residential R40 District fronting on a private paved road (50 ft. wide R.O.W.) located off North Bayview Road, measuring 235 feet along the front and rear property lines, and 167.14 feet along the south and 161.15 feet along the north property line. The property is improved with a single-family dwelling, an attached deck and two accessory buildings. BASIS OF APPLICATION: Request for Variances under Sections 280-15 and 280- 124, based on the Building Inspector's May 6, 2008 Notice of Disapproval concerning an as-built deck addition to the dwelling, which construction is less than 50 feet from the rear lot line and which has caused an as-built accessory building to be in a yard other than the code-required rear yard. RELIEF REQUESTED: The applicants propose to legalize an as-built wooden deck attached to a single-family dwelling with a rear yard setback of 19 feet when the code requires a minimum of 50 feet, and to legalize the location of'an as-built accessory building (shed) which the deck causes to be partially located in a side yard instead of the code required rear yard. ADDITIONAL INFORMATION. Letters were received by the Board of Appeals from the adjoining neighbor to the south (Judith Terry dated August 6, 2008) and the east (Mr. and Mrs. Edward Deptola dated August 18, 2008) both in support of granting the variances as applied for. Page 2—September 4, 2008 ZBA#6190—M.Anasagasti&Others CTM 78-9-40 REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Town Law &267-b(3)(b)(3)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The deck and shed have both been in existence for more than 20 years, having been built by the owner's late husband in the mid 1970s' and early 1980's prior .to existing codes. The rear property line is heavily vegetated with mature trees and shrubs and has minimal if any visual impact on the adjoining neighbor's privacy (see additional information above). 2. Town Law §267-b(3)(bL). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance since both the deck and accessory building are as built. Further, since the applicant's house is located at 41.1' from the rear property line, any deck in the rear yard would have to be non-conforming, and therefore requires a variance. 3. Town Law §267-b(3)(b)(3). The variance granted herein is not substantial for the as built accessory building (shed) since it is a small structure —measuring 10.1' x 124- setback 12.5' from the rear property line, and only 3' +/- of the northwest corner is located in a non-conforming side yard. The variance for the as built attached deck with a 19' rear yard setback is substantial since it is 62% more than the minimum allowed by code. 4. Town Law §267-b(3 () b)(5). The difficulty has been self-created since the deck was built by the current owners/applicants without a building permit. . 5. Town Law §267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. 6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an attached as built deck and accessory building while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Weisman, seconded by Member Oliva, and duly carried, to GRANT the variance as applied for, and shown on the survey by John T. Metzger, Licensed Land Surveyor, dated October 24, 2007, and elevation diagram prepared November 20, 2006 by Penny Lumber, subject to the 4 ' Page 3—September 4,2008 ZBA#6190—M.Anasagasti&Others CTM 78-9-40 following Conditions: 1. The deck shall remain open to the sky; and 2. The applicants/owners must obtain a building permit and certificate of occupancy. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Goehringer (Chairman), Oliva, and Weisman. Nay: Member Simon. Member Dinizio w sen This Resolution as duly adopted (3-1-0). j Gerard P. oehringer, C$airm 9//212008 Approved for Filing SO(/jyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: C/C DATE � a. `� INSPECTOR FIELD INSPECTION REPORT DATE I. CONIlVIENTS FOUNDATION(IST) y ------------------------------------- ry FOUNDATION (2ND) z 0 ?V ROUGH FRAMING& �C H PLUMBING o� �y. INSUi,ATION PER N.Y. - — STATE ENERGY CODE FINAL ADDITIONAL COMMENTS L O Z 1 rn v H cz ..3 x d h b H TOWN OF SOUTHOLD li C� «- __' BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL +PR;2 2 Board of Health SOUTHOLD,NY 11971 -_ 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO � Check Septic Form N.Y.S.D.E.C. Trustees Examined 120 Storm-Water Assessment Form Contact: Approved ,20 Mail to: i te,f Pro k s A-,5 1-1 Disapproved Phone: J '' 17 8 6 Expiration ,20 Lg WIqA )r APPLICATION FOR 4UILDING PERMIT Date , 20y `v INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the, property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months.Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applic or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises CAP_,1,L_4 rs A INt-5-�-s er5T l r 5 0TV1 e,rs (As on the tax roll or latest deed) If appli nt is a corporation, signature of duly authorized officer Co owRrr r,.e SisTer tJaV 49p-i-Q Name and title of corporate officer) Builders License No. 5'V`c,P Plumbers License No. fPdL•w ( 1 Z3 ? Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section `� ` —Block-Wasul slue Lot Subdivision W&W Lot 7&- oft, (Name) 1*elate 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a.. Existing use and occupancy r4ru-t i Le 1)LrLsc -,. b. Intended use and occupancy ► e- 3. Nature of work(check which applicable): New Building Addition AS f)u►�-r' Alteration Repair Removal Demolition Ot (Description) 4. Estimated Cost Leo 6� (,s e,� b;.�e 15-r -S Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units t Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. WLY i�es p 7. Dimensions of existing structures, if any: Front 6 Z Rear S'S-'c`` Depth Z a Height Za' Number of Stories Dimensions o same structure with alterations or additions: Front 61jo c �- Rear rs-,Y` ri, ch-'7� Depth P. c y t Height ii�ae-j-)_Number of Stories 8. Dimensions of entire new construction: Front Rear 5 iLe, Depth Height Sj Number of Stories v 9. Size of lot: Front L3 f Rear 2 �� Depth (6 (AS"' L&I 2 N J1rhr��' 10. Date of Purchase(© G o-( Name of Former Owner 11. Zone or use district in which premises are situated 12 e 5 v �- 12. Does proposed construction violate any zoning law, ordinance or regulation? YES O NO 13. Will lot be re-graded? YES NO__� Will excess fill be removed from premises? YES NO_&_ 14. Names of Owner of premises Cdkcu I y P A Asti vrAddress 3'(�'Ior J• ILJ Phone No. 7 G '6T3 a Name of Architect --� Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. S e b I Pew u-1 1 o/y ( 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. t40-j- goc'&"' to` 18. Are there any covenants and restrictions with respect to this property? * YES NO-� - * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) fj(1(- A-fJ1Y5 A1rr&5 u being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the �O _ ®tOORX (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 knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this a a day of ," 20 QS' o's L' �td" -t:j Notary kAblic may, Signature of Af4licant )6ft TOWN OF SOUTHOLD PROPERTY RECORD CAR® DOWNER 1 STREET VILLAGE DIST. SUB. -LOT .Vlc..�'y.W.!�• _ d @'�. �.�+-• Y / 1} V �..ie^" �—�F..'r .��: r . - �r- ~', J OR Elk OWNF. N l E ACR. C(r PS F, Q� as€ t�1 � - f1 9 r TYPE OF BUILDING r � �--, W RES.�g/o SEAS. VL. FARM COMM. CB. MILS. Mkt. Value LAND IMP. TOTAL DATE REMARKS / mod ` e 6 O� o ;S" 3 a Ap V 0D 3 7 7 - sr-t. -L- -.7 >_ av s- 300, -L 12,3 ,5 '- Anasac4astl s sfil AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland i FRONTAGE ON ROAD L 3 " Meadowl,and DEPTH House Plot BULKHEAD Total DOCK 6 wY ! ■■■■■■■®■■■■■■■■■■■■■■■■■■■■■ a '. `^ a 0 ,}'{ iYf I % ZL � fr� •1i%1.�� ' S 135 BK AR i.' ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ IS _ r = ' ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■ ■ii �w�l�®■1 t'■■■■■■■■■■■■■ IMMIMMIMMIME ■■■■■■■■■■■■■■ M OMEN ■■■ON ■■ - ■■�OO�■■O■■■■■MOO■�O�O■■OOOOO Basement ., • Fire Place Recreati6h Room Rooms 2nd Floor i I • • N SURVEY OF PROPERTY AT BA YVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY MY 1000-78-09-40 B�y� OCTO ER.24,' 2007 J?pk 4? / o ry / q R ss�s?o. �?v S (�•. CVO ?9• cf. / A to ��3.0�v gyp• • Q. O y �S OF NZW T.fViET�P�.p� AREA=38,575 SO. FT. .4 a¢ -ANY AL7ERA770N OR ADDI77ON TO THIS SURVEY IS A WOLA77ON 49618 ECONIC S RI/EYO OF SEC77ON 72090F 7HE NEW YORK STA IE EDUCA 710N LAW. ' EXCEPT AS PER SEC77ON 7209-SUBDIVISION 2. ALL CER77FICA77ONS (631) 765-5020 FAX (611) 765-1797 HEREON ARE VAUD FOR 7HIS MAP AND COPIES 7HEREOF ONL Y IF P.0. BOX 909 SAID MAP OR COPIES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR ■=MONUMENT 12JO TRA VELER STREET 7 WHOSE SIGNATURE APPEARS HEREON. 9=P/PE SOUTHOLD, N. Y. 11971 O —216 FLOOD ZONE X_ _._. COMPLY WITH CH ER"46" o FLOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE. 9 Lo STT tf o 37 —146L ............ ----------- J ksiDli.DEPT. J ,t � 3 ------ TQWN QF SC'!TNOLD S �+o 130 Lu 3h" a ! --�p o u c two Oa ; NOTED DATE: — B.P.#♦' 4 FEE:`y .'» P,Y: .------- NOTIFY BUILDIPdG DEf 'ARTMENT AT 765-1802 8 AM TO 4 PM FOR THE _ FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED � FOR POURED CONCRETE �r 2. ROUGH - FRAMING & PLUMBING e IL o 3. INSULATION C 4. FINAL - CONSTRUCTION BUST Z T _ -- CTION 31,1�LL MEET THE MIS l YO,K STATE. NO RESPOt SIBLE FOR Q DE >IGN OR CONS RUCTIO ! ERRORS. TION OF .01 Ti d NNECTIONS � � /� �_ . - .p- - $k'f' � I� NAIL +s RE I ED. co I �.1�.1 I � i `' ! m C o w v I z ' W CUPAq L:1 k ; t4`' = USE IS U LA �- ? c0 Ps:cacw- - II I1 UL VVITHOU CERTIFICATE OF OCC ��aN Y ° w z z ti PLUMBING AtlJ QJIVIBIN WASTE I (, — &WATER LINE'S NEE TESTINGIBEFOR COVEF NG II Ir I I ALL CON TRUC ION SH ALL ' ' MEET THE RMUIRE ENTS CE ,Z'� a-^+t;'-o-�— (I � THE _ - --` CODES Off NEVI PLUMBER CERT1F16ATION ' ON LEAD ONTr*T . ,ORE CERTIFICATE C CG'ZTPANCY _ \a = I SOLDERIUSED IN +✓A. E .j �,n� �,�►,�.,,, I I I SUPPLYSYST v NO --. ._.._ EXCEE ,-- 1 D A /kS_��Ull.t1=�id?�i'I�TUtrrs.-�'_ a- � . '�� ?•ate 5U+LT '�L�csR FLAB F'RAMiti1G.: _14 ------- 11ro�_. . ;� ,; w � ~ 1 0322,-4.1 V O A RaFESSIONP � l LL CODE'S OF NEW YC7r ,�� ��"_1 �: & TOWN CODES AS REQU'; 'N.� COND71CNS OF DT BOARD 0 /• I 14I Tt- W i lUily'D D''J��'r.N iKUS?EIS 0 o N.Y.S.DEC na. - UNDERWRITERS CERTIFICATE, REQUIRED o o A � p v d �► V) V- 3 fo- co co tw fl Tt y, -�� �4ta.S SgFt Fcw'r '►'• /'/t•H�ora�•r '`� �ti SI Sct CSC Strt�c HF�C�rtoa• - rT 4�,irss • y.z']. �ow� Ec�_r1{z a JD d I 1 Z i t' -e N u� Z�o�t o - �N STrt�-�-�� S��'T• �� 317/,S k 2-6'/y. U. O W 0 Q tl M e