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sUFFot,r TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 43546 Date: 3/11/2019 Permission is hereby granted to: Longdog Acres LLC 530 Orchard St Orient, NY 11957 To: construct deer fence as applied for. At premises located at: 14380 Oregon Rd SCTM # 473889 Sec/Block/Lot# 84.-1-12.5 Pursuant to application dated 3/4/2019 and approved by the Building Inspector. To expire on 3/10/2020. Fees: DEER FENCE $75.00 Total: $75.00 Buil actor 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. 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$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 of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 F- Date. 3/4/2019 - ] -existing New,Construction: Old or Precheck one) g Building: ( Location of Property: 14380 Oregon Road Cutchogue House No. Street Hamlet Owner or Owners of Property: Long Dog Acres, LLC Suffolk County Tax Map No 1000, Section 84 Block 1 Lot 12.6 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (che one) Fee Submitted: $ plicant Signature TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST ti BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans x TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 6(, Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.YSDEC Trustees � C O.Application x )q D I C Flood Permit Examined 20 I l !L✓J �6J' DD Single&Separate Truss Identification Form MAR - 4 2019 Storm-Water Assessment Form Contact: Approved 20/ / ILAU - -� Mall to Jonathan Paetzel,RLA Disapproved a/c eye �`a�� �� �� PO Box 478-Mattituck,NY 11952 i®►'1ia`OF '0'uPhone 631-209-2410 � Expiration 20 Buil ' Inspe r APPLICATION FOR BUILDING PERMIT Date March 4 2019 INSTRUCTIONS a This application MUST be completely filled in by typewriter or in mk 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,housin cod d regulations,and to admit authorized inspectors on premises and in building for necessary inspections ( gnatur of applicant or name,i a corporation) PO Box 478-Mattituck,NY 11952 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Landscape Architect Name of owner of premises Long Dog Acres,LLC (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No.TBD Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 14380 Oregon Rd Cutchogue House Number Street Hamlet County Tax Map No. 1000 Section 84 Block 1 Lot 1 6 Subdivision NA Filed Map No.NA Lot NA 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Use and occupancy Single Family Residence+Agriculture(Sod Farm) b. Intended use and occupancy Single Family Residence+Agriculture(Sod Farm) 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work Proposed Fence (Description) 4. Estimated Cost$6.000 Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units NA Number of dwelling units on each floor NA If garage, number of cars NA 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. NA 7. Dimensions of existing structures,if any:Front NA Rear NA Depth NA Height NA Number of Stories NA Dimensions of same structure with alterations or additions: Front NA Rear NA Depth NA Height NA Number of Stories NA 8. Dimensions of entire new construction:Front NA Rear NA Depth NA Height NA Number of Stories NA 9. Size of lot:Front 1,480,560 84 SF(33 99 acres)Rear 452 66' Depth 1.889 2' 10.Date of Purchase 2016 Name of Former Owner Mana Demchak&Michael Demchak 11.Zone or use district in which premises are situated A-c 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO ✓ 13.Will lot be re-graded?YES NO ✓ Will excess fill be removed from premises?YES NO ✓ 14.Names of Owner of premises Long Dog Acres,I.I.O Address 14380 Oregon Road,cutchogue NY phone No. 516-380-4069 end Mi Jonathan Paetzel,RLA PO Box 478,Mathtuck NY 631-209-2410 Name of chitect Address Phone No Name of Contractor TBD 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 NO---V(— *IF YES,PROVIDE A COPY. STATE OF NEW YORK) c (p SS COUNTY OFA) ����, n V-1 �'G e-, 22 / being duly swom,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)Heisthe Aet" (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 Sw iii to before me s 1 tl� day of 20 CEY L DWYER jenRy PUBLIC,STATE OF NEW Y Notary Public N0.01 Signe o pplicant (QUALIFIED IN SUFFOLK COU COMMISSION EXPIRES JUNE$0, Scott A. Russell ,��°su �� STORIM[WAT]E]K SUPERVISOR IMIANAG]EMIENIF SOUTHOLD TOWN HALL-P.O.Box 1179 0 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES '>('MS IPROJIEECT WVOLV,'E ANY OF THE ]FOILI,OWINO: Yes No (CHECK ALL THAT APPLY) ❑ ✓❑ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑® B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑© C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ ✓❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ ✓❑ E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑❑✓ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. 1000 Date District NAME JO ha etzel, RLA 84 1 12.6 3/4/2019 � Section Block Lot FOR BUILDING DEPARTMENT USE ONLY**** Contact In4/1-/. 631-209-2410 Reviewed By: Date: _ Property Address /Location of Construction Work: tj�Approved�or - -14380 Oregon Road processing Building Permit. Stormwater Management Control Plan Not Required. Cutchogue, NY 11935 ® Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 / — — — — — ._ — PARCEL DEVELOPMENT BOUNDARY LONG DOG ACRES ---- --- — - — — - - — - - - --- - - - - - - - - - - - - - - - - - - - - — -- - — — PROPERTY LINE 14380 Oregon Road I Cutchogue, New York EXISTING UTILITY EX.CONC.COVER x(75.0') EXISTING ELEVATION POLE TO REMAIN ,, I EX.GAS TANK I LINE OF CULTIVATION El PARCEL DEVELOPMENT EXISTING I BOUNDARY EXISTING BARN i I HOUSE � I PROPOSED FENCE I mashall poetel Q ! I LANDSCAPE ARCHITECTURE X(97.&) ! I Q I NORTH FORK HAMPTONS 5175 Route 48 PO Box 1397 0 ' APPROVED AS NOTED Mattituck,NY 11952 530 Montauk Hwy,#203 EXISTING I DRIVEWAY ! DATE: B.P.# S Amagansett,NY 11930 phone: (631)209-2410 Z I FEE: 4— fax: (631)315-5000 BY: email: mail@mplastudio.com I NOTIFY BUILDING DEPAR AT O N - x se.r x(97.r) 1 765-1802 8 Ql FOLLOWING AI SPO;ONS:FOR THE SURVEYOR: EXISTING ? 1. FOUNDATION - TWO REQUIRED Young &Young GARAGE I 400 Ostrander Avenue [� 4s,�o" zl 2. ROUGHFOR O- FRAMINGC& PLUMBING Riverhead, NY 11901 I li 3. INSULATION of 4. FINAL - CONSTRUCTION MUST Office: (631) 727-2303 O / BE COMPLETE FOR C.O. wl ALL CONSTRUCTION SHALL MEET THE X(s7.r> REQUIREMENTS OF THE CODES OF NEW EXISTING wl (97.4110 SOD FIELD QYORK I DESIGN OR ECOSTRUCT CONSTRUCTION I _ I!J w U- N PROPOSED GARDEN 1388 LF OF PROPOSED O 8'HT.FENCE WITH I Z z'I POSTS DETAIL 1 COMPLY WITH ALL CODES OF NEW YORK-SEE DETAIL 1 ! ATE & TOWN CODES ! I AS REQUIREDTAND CONDITIONS OF PROPOSED 8'HT. ! I GATE(TYP.) ! � 1aI11T(11AIn17A 1 -SEE DETAIL 1 RD I I nV S ^' EXISTING DRIVEWAY w _ I - ."._ -- 19821 I SITE DATA: W RETAIN STORM WATER RUNOFF N i I SCTM# 1000-84-01-1�6 / z PURSUANT TO CHAPTER 236 Lot Area: 1,480,560. 4 SF (or 33.989 acres) / I OF THE TOWN CODE. / N/O/F _ - — --- - -- - WINIFRED HAMROGUE-DONAHUE } I t ! I _ - - - - - -- - - - - - - - - - - NOTES: / EXISTING HOUSE Nbl°0728' _ X I 1022.60' 8 w _ -- LINE OF CULTIVATION _..- _ _ -- " - _ 1. Existing conditions based on survey prepared by Young &Young dated 11/08/2010. 2. This drawing is for the purpose of / ► obtaining permits only. NOT FOR I N/O/F LIEB VINEYARD LLC 3.CONSTRUCTION. EXISTING STONE 1 violation of rNYSdEducration Law.ation of is plan is a DRIVEWAY 1 I N/O/F 1 N/O/F 1 6 x 6 POST SET IN 1 THOMAS UHLINGER& EDWARD F.HUGHES 1 CONCRETE FOOTING 36" REVISIONS I KAREN UHLINGER i I BELOW FINISHED GRADE DATE DESCRIPTION V-MESH WIRE FENCE SECURED WEEN POSTS AND A INSET A HORIZONTALL BOARDS Plan 1"=30'-0" 2 x 6 GATE FRAME 2 x 6 HORIZONTAL BOARDS FASTENED TO POST(TYP.) N/O/F LIES VINEYARD LLC S e a N 60°32'14"E .�� �� �r CAO , M 0 STEVEN DUBNER - — . . - . 02710-�yOQ� bo F OF NIF Z TITLE: o . -►--SEE INSET A INro�F _ t8'-0"O.C. � Nro/F ARTOFNATURELLC pf1—pTA.G THOMAS GRAEB 8 o [� ERT A.GRAEB 6 DIANE GRAEB YLISA.GRAEB 1127.91S 60°3���E �_P V eM -_ - - �- -- -'- .-. .. - .-. . . - _- -'---- -. - _ -. -' N/a� • • • • SITE PLAN I 10. THOMAS w ha 1 THOMPSON n I N F.G. F.G. I I I 687.39' N 6 0'32'W 2 N/O/F 19821' N 60°33'08"W ! I 941.59' W MATTITUCK GUN CLUB LLC N 60°35'58" N/O/F - - - N/O/F WINIFRED - l J HAMROGUE- - �� ---'--1022-6U N 61°07'28"W MICHAEL DEMCHAK& - -DONAHUE WO/F MARIA DEMCHAK p —� — — —LIES VINEYARD LLC� ( ih ELEVATION VIEW FROM 1 I OUTSIDE GARDEN N/O/F 1 N/O/F 1 THOMAS UHLINGER 8 1 EDWARD F. I KAREN UHLINGER HUGHES .- _, _ _J L _ ______ Scale as shown DRAWN BY: T.KENNISTON/S.PAETZEL KEY MAP 1 PROPOSED FENCE + GATE DETAIL CHECKED BY:S.PAETZEL SP-1 DATE:02/15/2019 REVISED: Plan Scale: I"=200'-0" Elevation 1/2"= 1'-0" SHEET � OF 1