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HomeMy WebLinkAbout37025-Z �SUEppt,fc© Town of Southold Annex 4/16/2012 =oo Gym P.O.Box 1179 z 54375 Main Road o Southold,New York 11971 �r CERTIFICATE OF OCCUPANCY No: 35531 Date: 4/16/2012 THIS CERTIFIES that the building SHED Location of Property: 2110 VILLAGE LANE, ORIENT, SCTM#: 473889 Sec/Block/Lot: 24.-2-28.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/9/2011 pursuant to which Building Permit No. 37025 dated 2/29/2012 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: alter an existing accessory shed as applied for. The certificate is issued to ORIENT WHARF CO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth Sign re o�sU �K TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . 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#: 37025 Date: 2/29/2012 Permission is hereby granted to: ORIENT WHARF CO. P.O. BOX 243 ORIENT, NY 11957 To: altera an accessory shed per Landmark & Trustee approval At premises located at: 2110 VILLAGE LANE SCTM # 473889 Sec/Block/Lot# 24.-2-28.1 Pursuant to application dated 12/9/2011 and approved by the Building Inspector. To expire on 8/30/2013. Fees: ALTERATION OF ACCESSORY BUILDINGS $120.80 CO -ACCESSORY BUILDING $50.00 Total: $170.80 V Building Inspector Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. *Sw.om statement from plumber certifying that the solder used.in system contains less than 2110 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.$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-.existing Building- $100.00 3. Copy of Certificate o€.Occupancy-$25 4. Updated Certificate'of Occupancy- $50.00 5. Temporary Certificate of Occupancy -Residential $1.5.00,Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: "�2 l D House No. Street Hamlet Owner or Owners of Property: �11,t¢ —K Suffolk County Tax Map No 1000, Section Block Lot 0?V Subdivision Filed Map. Lot: Permit No. �!�off. Date of Permit. O/t Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certif cate Final Certificate: e(Ceck one) Fee Submitted: Applican Signature C�2 o OF SOpT�ol - - N � c G • OQ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �� G INSPECTOR d-l(o V#'14&� C4�-,,;,j _ N � cou AJ00- A- c x TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS:— ` 4/C_ ¢ DATE �� �� INSPECTOR O� yol � o • ao TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUTION [ ] FRAMING/STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR FIELD INSPE ON REPORT DATE COMMENTS } b 'OUNDATION(IST) IE FOUNDATION(210) ROUGH FRABMNC& PLUMBING H INSULATION PER N.Y. H STATE ENERGY CODE ' Y FINAL O ADDITIONAL COMMENTS Z O � m Q o TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST $4T , ,DING DEPARTMENT Do you have or need the following,before applying? TAN MALL Board of Health SOUTHOLD, NY 11971 t t 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. j Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application. En Flood Permit Examined 20 �� Single&Separate Storm-Water Asse mentForm Contact:Approved 2% Mail to: _Disapproveda/c Phone: Expiration ,201Z Building Inspector i APPLICATION FOR BUILDING PERMIT Date , 20 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 pu Isuant 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 tIl admit authorized inspectors on premises and in building for necessary inspections. - (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder I C,2 Name of owner of premises �� l ��, �[A��' (As on the tax roll or latest deed) If apMaly corporation, signature of duly authorized of cer (Name and title.of corporate officer) Builders License No. Plumbers License No. Electricians License No. A)A Other Trade's License No i 1. Location of land on which proposed work will be done: . House Number Street Hamlet County Tax Map No. 100,0 Section a 4 Block Lot a 0 4 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and oc panFy of proposed construction: 36_0 a. Existing use and occupancy /t b. Intended use and occupancy Sn tC 3. Nature of work (check which applicable): New Building Addition Alteration Repair X Removal Demolition Other Work (Description) 4. Estimated Cost - Fee, i (To be paid on filing this application) 5. If dwelling, number of dwelling units A Number of dwelling'.units on each floor If garage, number of cars 01A 6. If business, commercial or mixed occupancy, specify-nature,and"extent of each type of use. 7. Dimensions of existing structures, if any: Front /g Ream Depth 2 Height /,q ( Number of Stories A Dimensions of same structure with alterations or additions: Front /2 Rear Depth Height S`� Number of Stories �Uz r 8. Dimensions of entire new construction: Front /3 ! ©A Rear ! t © ' _Depth o� Height $' ° Number of Stories u-9 /a S'HF.O 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-4— 13. Will lot be re-graded? YES NO_�)(__Will excess fill be removed from premises? YES NO � 14. Names of Owner of premisesayiA k)MV 4O. Address ' 80X 2 Phone No. Name of Architect Address 02' 4ou 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. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NOS_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH Notary Public,state 0 New York (S)He is the No.01BU8185050 (Contractor, Agent, Corporate Officer, etc.) ( issi mon Expires Apol 14,2_ 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 tl ' q s day of f 20 Notary Public ignature Applicant James F.King,President 10 Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q Michael.J.Domino Telephone(631) 765-1892 IyCOU '� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7720A Date of Receipt of Application: January 6, 2012 Applicant: Orient Wharf.CO. SCTM#: 24-2-28.1 Project Location: 2110 Village Lane, Orient ., Date of Resolution/Issuance: February 22, 2012 Date of Expiration: N/A ✓ Reviewed by: Board of Trustees Project Description: As-built 4'X 13' shed. Findings: .The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations indicated on the plans dated January 4, 2012 stamped approved on February 22, 2012. Inspections: Final inspection. If the proposed activities do not meet,the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is pot a determination from any other agency. Jame King, Preside 7 Board of Trustees I James F.King,President O�*Qf SU(/jl Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 1197 i-0959 John Bredemeyer G Q, ® �O Telephone(631) 765-1892 Michael.J.Domino O Fax(631) 765-6641 UNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0728C Date February 22, 2012 THIS CERTIFIES that the as-built 4'X 13' shed At 2110 Village Lane, Orient Suffolk County Tax Map #24-2-28.1 Conforms to the application for Trustees Permit heretofore filed in this office Dated 1/6/12 pursuant to which Trustees Wetland Permit#7720Adated 2/22/12 was issued and conforms to all of the requirements and Conditions of the applicable provisions of law. .The project for which this certificate is being issued'is for The as-built 4'X 13' shed. The certificate is issued to ORIENT WHARF CO. owners of the Aforesaid property. Authorized Signature I I I I i ION EC FERMI C'NUMBER • EFFECTIVE DATE -00. .1104004 _ March 18;2002 16I1LITY/IFROGRAM;NUMBER(S " ` ', EXFIRAl ION DATES) . .. ,.<._ 0r♦+1t 1`y'+ Si 1 '.'. March 18,2012 °rYPr; 1T�New O R nd>hrak `MaditiC�tioit.rJ'P®malt to Construct [a Permit to ePat� 1 Jse}� nr le't5,`I1tl01 Rrof+ '�•Wa� Arlid 1fi,pities 7;8 r;PDES a Article 27,Title 9, 6NYCi2R.3.73: Heft qus WOste M4nmme nt rtlT.Ie ?5�"1►tI 15 1� Ep�y ❑ ��19 Air Pollution C,ontroi f W f G7 A 4 3 CoOsta!Erasion Arktzste 15,Title 15 Wetet' tart port f isle 23,_ fi f4lined Land i4� ngemerlt: Redarfn . #ttidlai 15,Title 1$ L004-Whd Wells t Af#k+ is 36 Fioodptaln;Managemerlt.- E7 Article 24 treshwater Wetlands i rtti;le 15,Trtle 27 Wild;Scenic and Arttces 1 3 17 19, 27 V,6NYCRR 3ttnn I R e + ja Art cle t;Tidal tAfetiariCi 380: aditift n Cont. ti f CRt -'6p8 VHater Quaiitji Cert flcatlI' D. Articlg-27 *'G[tik 7, 60 AERMIT'; SUEO1O 6Lf€P#H NENUmt tR � Triton pull - Orient Wharf Cgmpa 63 .323- 58D AIDCRE$4 F:,PEkM TTEE I';O 13vx;243, Orient, NY 1.1957 . ACT PERSON FOR PERMITTED t_C)P;�. ' `IELEI?I=iONE NUIV113ER S Usan' Long Permits,. P,4 $tax 46.,'last.Marlon, N'l 11939-A046 E3:1 477-'3455 , iV ' ..rlA1AL��'1D. k7f:,Fd�.SS c;7T�i:'C�,k!~CT/FAGItITY :ro cr F ;Ag rqF rs; ( ,rIiI=UUharf: orrt<an Villa e='Larie, idnt, iysi;.. TM1#f (i7-24 .2`$.1 a cor�rrrY TQWN WATEAOOURSE: NWM COORDINATES { , uA.Pbt Southold .: .. I �a RIPI`IQN O:F AL}THORIZEI7 AC 11/ITY;; . Maintain, repdir,:and/or replace existh pilings;dolphins; gloats, docks, ramps and decking in Kind, in place. All:work:must be:done in-accordance-Wh the attached`plans stamped:NYSDEC:appro ed., 1y acceptance,af this per 'tale-perrnittee agr6a that"06. ermit.is Contingent upon strict compliance with the IECL, all -:applicable reguldtions the•Cerieral'onditionsi ofiedtiee page-2�..3)..and.any.`Special C®ndltlens included as part P. RMsT ADM INIS'T ATOR AID ES°w r° oOb. Ua c A land .a�PI:C 'N01 "J$IY, Sty l3i•,.p C,NY. 11.79:0-235 - D SIGNATUI f s� a. .. JT�p x l ruw�' ;•, y ,�+.Md& 11 kY5 y., h f.. Page,•1 i�'sl'--� s i TO:COMPLIANCE Marine Habitat Protection NYSDEC Building 40-SUNY Stony Brook,N.Y. 1790-2356 Permit Number: 1-4738-00616/4 issue to:Orient Wharf Co. Project Location/Address: Orient Wharf Company Dock--Orient, N.Y. Contractor Name/Names:Mike Mcginness Address:21 Middleton Road Greenport,N.Y. 11944 Telephone:631-477-2895 631-477-3513 Dear Sir: Pursuant to Supplementary Special Condition D.of the reference permit,you are hereby notified that the authorized activity shall commence on October 12,2011. We certify that we have read the referenced permit and approved plans and fully understand the authorized project and permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approval plans.We can do so in full compliance with all notes and permit conditions.The permit sign, permit and approved plans will be available at the site for inspection in accordance with general Condition No. 1. (Both signatures required) Permitee Date i Contracror Date DESCRIPTION OF AUTHORIZED ACTIVITY: Maintain,repair and/or replace existing pilings,dolphins,decking,framing and sheathing in kind, in place, PVC sheathing to replace existing 3"X 10"creosote sheathing as needed. FYI:Tropical/Hurricane Irene created significant damage to the road bed(sink holes)and undermining of the walkway area and floor area of the south side of the main building.These two areas will be addressed as repairs to the existing structures. An existing swimming dock on the south side of the main dock was sheared off by the storm and created an unsafe situation. We initiated immediate repairs to that structure and replaced in kind that which was destroyed,those repairs are complete.The south side walkway area is also unsafe and broken materials have already been removed and the area cordoned off to restrict access. Repairs will commence shortly with the desire to complete prior to any further severe weather and degradation of the existing building,walkways,and road bed. i WHAT FOLLOWS IS AN ADDENDUM TO THE ABOVE FYI AND NOTIFICATION OF WORK THAT COMMENCED ON OCTOBER 12,2011. I I did not mention in the above that there was damage to three free standing sheds situated on the South side of the Orient Yacht Club building.Two of the sheds have been removed and will not be replaced. The third shed has been moved in anticipation of removal from the property.This third shed houses the water �I i purification system,water tank and supplies for the purification system. This system is there to remove MTB,Aldercore and other contaminates.The system is authorized by Suffolk County Health Department. The new structure is a three sided lean-to with doors attached to the existing Orient Yacht Club building in the same location where the third shed was located.There is no pass through except for existing piping and electrical wires that were originally there to service the water purification system and the water tank.This structure is less than 100 sq.ft. Conservation Officer Thomas Gadomski inspected the property earlier thi week and was shown and informed of what repairs were done and still ongoing. At the time of his inspection the DEC Permit/Notification had been removed for the day so we could show the Southold Town Building Department the permit/notification as they had requested. The Permit/Notification was returned and placed back in the upper left hand side of the third shed where it can be easily seen. When all of the repairs are completed we will notify by mail/fax your headquarters as instructed. Best Regards, K� Linton I.D " President Orient Wharf Co. POB 243 Orient,NY. 11957 631-375-3693 cell i I I N"i ('Fi'� Xh1 4.w T: PY t. [:- �d i�i •Y- - r4 KI Val b. •r a§ a .YY;a 4 •,� •. i TO-C.)C, Ff:IARCE INCORPOR"ED 1851 — 4. .. Marine l3a�bitPctitection- BOX �43, C)>ft'iEIdT;..I1V 1`f957 • � 'r�a�Ec gu 'ig 4 -SINY Sfpti 13>ooh:N t790-2356 ,: .. . -:•. Pe gtutNurmber 1- 738-sue16%4issueto {i kfi V+Th efGo l j f>yoc E an�Address:Orient Coin ayd lsol�--t-1 f .N.Y. Cony ctor 1 to anies:11""M 1Vtcgimtess Adc`fress 21 Mi+�dlet�n Road, - { • Greenpott,N.Y. 11944 dw Telepione f3:1-477=2895 ;. 631=477-3513 bear qir: Pursuant to Supplementary Special Condition D.of the reference permit;you;are hereby:notified`that the` _ authorized activity shall commence on October'12;2011. We certify that�ve:have read the:referenced permit.and approved plans and fully undeistand.th.e authorized project and pertnit.eonditions.We.have inspected the project site and can complete the.* J&t as described in the permit and as depicted on the approval plans.We can do so in full compliance'ith'al:t.notes and permit con ditons:'The permit sign,. permit and approved plans will be 1vailable at the site for.in in accordance with eneral,Cvnditionl No. 1. (B'oths gnatur 's required) . ' . Permte � ;Daie_�,�� Contracro DESCRI)TION,OF AUTI-GM2,ED ACTIVITY: li attain,repair and for replace`existing pilings;dolphins,deel ii1 =s11i l lge4h tt Yn l nti,-1n ace, t✓4heathing to replace existing 3'A I Or creosote:$,it tl ing*ait ed. ' ,Zv pical/llurricane enc bated st ctll+icant damage`6-heft€&,�cd f� �ltci�e�,� ud�tndermi�ing4bf lilrW&M.ay area and floor,&ea of the south side of the maiti-blf�ttb.Thest1.twa areas w1lie•atlelressed.as tdp'uits,ts 4he existing°smwAitres. An existing swimming doh on�jjf -sou£h'is' vfr#1te ta�in<docic was sh �3sd '-by the�zad created an unsafe situation W�itttti it Via, e'rWalrsttodhat structure at3lilat eal'in lcindt Itieh was destroyed,those repaazrs aimilete:�e�soenhitey=area>is J �. .Y.. alsb.: fe and brol2s-tlals°have alreadybeaCemoved andteagrdf5rtetlPto ilxtet access Rep s ll`commenet; ti y c the tilesfrettr piece prior t0aAy1fuflheYsevere=we0ihd and de nl tolz t�f the efld,*b 4�vos,e t I I . . ulon ' I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart of town officers and employees.The numoselof 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. ` n YOUR NAME: Z)� %E C.� V l D V�.uL.E; �® , (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.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance. Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parem,or child)have a relationship with any officer or employeL 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 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 applicandagent/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 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. i DESCRIPTION OF RELATIONSHIP I Submitted this by of C-. 20/L Signature � � PrintName g:- Form TS 1 I TOWN OF SOUTHOLD HISTORIC PRESERVATION APPLICATION Meetings are on the third Tuesday of the month at 3:00 pm in Town Hall, 63095' Main Road, Southold, NY. All applications must have a representative at the hearing in order to be re- viewed. Questions? Call Historic Preservation Commission (631) 765-1800. Date: l Z Property Address: Owners Name: Sections of local laws authorizing review by the Historic Preservation Commis- sion of proposed work on designated town landmark properties are in Chapter 56 of the Southold Town Code. Categories of Proposed Work ❑ Repair ❑ Storm Windows & Doors ❑ Alteration V Additions & other ❑ Painting new construction ❑ Roofing ❑ Signs Please attach a detailed description of the proposed work to the application. At the earliest stage of planning of the proposed work, the applicant should contact the.Chairman or Secretary of the Commission in order to establish a dialogue of the proposed work. I understand and agree that no work on this request shall commence until written approval has'been given by the Building Inspector if a Building Permit is required. Owner's Signature• i i Note: Applicants should review Commission Standards before planning work to insure that the application conforms to these requirements. 1. APPLICANT Name.- Address- i)i) P Telephone/email/fax: 2. PROPERTY Owner's Name: Address: Telephone/e-mail/fax: Pa Ba%c .243 t o ? Tax Map Number: Ste- / ooe) 2- Date Acquired by Current Owner: Status: Local Landmark ( ) In Local'Landmark District ( ).On National Historic Register or in NHR Dist. ( ) Use: Current: e-- 4 wa 7L/ou_s -r- Proposed: -:S4xAE 3. PROPOSED WORK Scope of Work: , tq cz G �-/ Reason for Work: j 17,3 P,[ l A t;PMAG i Architect/Engineer: Contractor: Construction Schedule: i I i i FOR LPC USE ONLY I have reviewed e enclosed application and determined the following action to be taken: Exempt � Administrative Permit Required Public Hearing Re u' Si ate 17j i I i I . t ( j . ,A, :th6 w6rkberich of::', e5;.74 :.f' ,21�C/�:. ........... ... ... ... ... ... ... ....... ... ... ..�...:...1 _� .:...:...:............. ..... ............. :...........:...:...:...:...:... :JAN.. .6.:2012... .... . BOARD:OF TRUTE :.. :...:...:... ... ... ... ...:... ... ... ... ... ... ... .. :...:... .. � TOWN OF $OUT#11.fl: ... ... ... ... ... ... . =...:... .. . ... .... ... ... ... .. 4 =- er ............. .+- Vb. . kAK).0 :. ... ... ... ... ...:...:.. =1 c ,l ... .......... ..........:...:...:...: ... :... ... .. .:... ... ... ...:... ... ... ... ... ... pEe�. : . 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A . . . . . . . . . . .. . 'NOTW ........... u., fi S APPROVED' .... Ll ..... ........ ... .... ......... .. ..... .. ....... ............ .... .. . .......... ........ ........... y. NOTIFY BUILDING DOARTME It AT ............ 9:AM:TO:4'PM'F.O :THE...: ....... .......... F LL* . 0 OWING iNSOE&IONS:.:. ....... ...... .......... .... ...... . .f. .FOUN.D*-A.TIAOMNINN -:G�T,'WPpLOUU MRB6JE .. Q .0 * . ........ F6RpOUkE-DCONCRETE- .......... .............................................. . ... . ....... P.. ..._.. ................ .......... ...... .. ROUGH. M............M.ING* STRAPPING. ELECTRICA� &Q UQ. ' J-- ............ ... ................... ......... ................... ... ...... ................ — ........................ -5--IN.SUL A.DON................ . .. .. ............ ... . . .. . . ......:.. I.t..�. .............. ........ 4 FINA'. CONSTRUCTION:& RIC:: . a _�E JT, r ......... . ............ ...... ...................... ......... .. ... .. SI jC, 0N.L."0,. .. . . ... .. .. .. .... ... .. .. . . .... . . ... . . .. .. . . . . ... ... .... ..... .. ... ... .. ... 0 -. ... ... .. . .. 4.. .. .. ;" ........... ...:... ... ... ... .......: ..:... : ; _ ............ ... ... .. .. . ........ ....... ........... -s.. ..... .......... ... ....... .......... .. . . ... . . .. . .. .. ..... ...... .. ... .. ........... ........... ..... ...... ........... . :: ::: ::: ::: ::: ::: ... ... ..: ...: :.::... : .:z 5. l .. .... Town of Southold Building Dept. 53095 Main Road P.O.Box 1179 Southold, New York 11971 Re: Amendment to application Orient Wharf Co. Dear Mr. Verity: Enclosed please find an amended plan for our application. Since we know we will need an enclosure for our gas and propane storage we should add it to the plan now. This stora e was between the old sheds, but since we are now having only one shed we need to have an outside, well ventilated and locked enclosure to store these items. Please add this plan to our exiting Dec. 9, 2011 application. Sinceroly, i Gary7Pker i i �a �� ' { �' i "?I Q 922 59 4t r5 ' a309,�pKEI `QTA,� O POB401 E MARI� ' �� Y ' 11939 ,k �o li 1 I�t SLR :M YES HA sHTb O9 CLAS5 9 + $x r03Q-0E2EPfES, tb 1 ryl5ikk � 40 ' t ORIENT. HARaOR . 1 �. THE ORfEA9'Y WHARF # PROPOSED WORK AREA j (INSIDE EXISTING BUILDING) 1OAT$ JFRA ! so 8 . } 1 OVER STONE. i MEW HAR13 R F I 3 6- 6 SITPCAN SCA' I'm 40. I I Shsel 2 of 9 PREPARED BY: 4081 SITE ADDRESS APPI-iCAINT: COSTELLO MARIN CONTRACTING Coke. ORIENT WHARF COMPANY, INC.' ORIENT WHARF i P,0.8OX 2124 GR IENPORT NY41944" P,O• SOX 243(21 i0 VILLAGE LtN:) 6 1-k77-;999 OR'ENT;NY.11957 COMPANY, INC. I. i OMGI AL:8ll= S.C.T.M. 1000-24-2-28.1 E1=-2.5 1 y x E1=-1�1 / 4' I � m / / - - - - - EI--.3j/ /E1=1.9 El=-2.6 x u Q AEI-i 0 / x'i�q E nV E; 9' - - x / -21 i -� ® Timber a t >•;l.9 m C * F11=1..8 n i E2=-10.7 588°38'35"E �f� x 1 19.'TV I o x l•� U a E1=-2.4 EI=- 4FLOW 11 Float m x 1 _ w 02O�•�3- -- 9t 'BRA a 70.4' - fill I LJ El=qI4^I • i Yi L IM1rk Ns6.l2 E Frame Qm6 Building ry � �� Asphalt Sur f St ace over one Pier _o 9 ** O , _ _ E3=$.b OTim r sh a Y t E1 5 ' Deck n T _ - pj"2'12 Zatone P ae• _ ____— _— —_.... ...__. —..___.._ ��h" \\ \\\ E1-R 9`€ x Li IIMk of stone piers �y ,}/ ',�I �:�` Platform 4** ♦ t ® � E1 i i 1 i i I I i i i —-------------- 15URVEY MAP II I "TEES OPJ= WHAM E SITUATE: ORIENT TOM: 5OUTHOLD SUFFOLK COUNTY, NY SURVEYED 05-10-2010 5OFFOLK COUNTY TAX 1000 - 24 - 2 - 25.1 CERTEFMD TO: cR=vjHARF COL41PANY 2�1 9 E1--2 5 EI=— I I b IEI=2!0 El-2A El--1.3 E1=-2 6 / X/ ,3.5 x El--0.8 /X IEI-1,'A"�2* E�-'3.2 l E)J<Q�qEl Qj ry ry El=-2.6 ' 4 El=-e.8 0�r' / "(r) =, / x / x TlmL r El El--2.8 E 1 2.6 100111E x E 1.4 El--2 4 0 tt Float o)o�t 10' 06 N540 4-;�E lcl uj 71 2 _p� 1 '70 4' 11 120 0, 20. Frame Bvj N i Asphalt Surface over stonic Pier T, E p 0-T. \ -\E1=3. --- ............. A�-53 ————------- 7- Platform E'i 9 0 b 0 Of NEW Q C, 1 aF lh, 14 erG:rrclGv —ro Pro--'— 1-3 11-4 C. EHLERS LAND SURVEYOR. GRAPHIC SCALE 1"=40' JOHN 6 EAST 114AIN STREET N.Y.S.LIC.NO.50202 NOTES: RIVERHEA D,N.Y. 11901, 369-8288 Fax 369-9287 0 40 bo 120 REF.—C.\Documentsand Scttings\OwneAMly DocumcnL%Wy Dropbox110\10-124..pro ELEVATIONS REFERENCE NOVV '2cl DATUM