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N SURVEY OF PROPERTY
FOR LOT LINE CHANGE
AT MATTITUCK
TOWN OF SO UTHOLD
SUFFOLK COUNTY, N.Y.
1000-122-06-35.5, 35.7
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MARCH 11, 2020
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ALL PROPERTIES WTHIN 150'ON PUBLIC WATER AREA SCTM# 1000-122-06-35.7= 1.8473 ACRES
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A V40UTION OF AREA SCTM# 1000-122-06-35.5=0.5126 ACRES NO. 49618
SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW EXCEPT PE O IC SURVEY .C.
AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON TOTAL AREAS=2.3599 ACRES (631) 765-5020 FAX (631) 765-1797
ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP P.O. BOX 909
OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR OHOSE
SIGNATURE APPEARS HEREON. 1230 TRAVELER STREET
SOUTHOLD, N.Y. 11971 19-070
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FORM NO. 3 'j LJ N I a: a 01"�
TOWN OF SOUTHOLD ' �� � +���+4 Tow
BUILDING DEPARTMENT d
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE: June 9, 2021
TO: James A. Richter, R.A. (7217 Main Road LLC)
705 Front Street
Greenport,NY 11944
Please take notice that your application dated May 8, 2021:
For permit to: Construct new structa,es (contractor )can vacant land and a proposed.
lot line cliaa at:
Location of property: 7255 Main Road, Mattituck, NY
County Tax Map No. 1000—Section 122 Block 6 Lot 35.7
Is returned herewith and disapproved on the following grounds:
Pursuant to Article XXIII, Section 280-127, the pro)osed use re uires site la-11-412P-LQ-V41
from the Southold Town Planning„Board.
You may now apply to these agencies directly.
" Y)
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application,
may require further review by the Southold Town Building Department.
CC: file, Planning Board
P
,,, .. _.....Wm ONLY
""VED FOR INTERNAL USE
J'U 02 .
SITE PLAN USE DETERMINATION
sm..rdA"t0 Tr° ire
Plan a ing IBoard
ge ertmitinhattioumn
Date Sent: �—
Date: �—
Project Narne:
Project Address: �
�__ Zoning District:
Suffolk County. Tax Map No.:1000�_ _
Surf �
I
Request: – _ •`> a
Leo n-f ' lice ion and supporting documentation as
(Note: Copy of Bulldl sg Per App
-proposed use or uses should be submitted.)
- ermitted: �"
initial Determination as to whether use is p
Initial-Determination as to whether site plan is required:
Signature of Building Inspector
artment(P.D.) ReferraE:
Planning Dep' �—
Date of Comment:_ —
P.D. Date Received = —
Co ,ments: - ,
Signature of Planning Dept.-Staff Reviewer
F nall Determ`111011"'"
Decision:
Ci.YnaftlrP (lf
InsnPntnr
pX C�art„�,
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-18.02 Fax (631) 765-9502 1itt p �:Hwww sout�'holdtoa Li , ori
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ( 4 Jh
PERMIT NO. Building Inspector:
MAY 1 0 2021
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Date:May 8, 2021
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Name Terry .00of 22oh
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Protect Address:7255 Main Road State Route 25, Mattituck NY 11952
Phone#:631-680-0982
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Name James i.�
�. ._ _chter., R/�
..
Mailing Address:705 Front"Street, Greenport, Y 11944
Phone#:631 '477-0998 Emau lamier1 Ooptonline.net _.___...
��braa'�ftdltl J�uer✓X��r�,�Ar�a4„h„�' s„u w„91�',l;"a�ip++mY�� il'�ln„J, ramal, r e,,,;,rte rt�,a.,.,_w� ,;, orn,,.rar ,,,r„r,✓.Yr�a, Y;,���:.rlG ��/cw.:a/,��,r.f,W�:,..e ,a 6r.�:,�..d.tri 9,rr,.d.+r71.a1„�;�e�xn�m'+'1,�1.
Name:James A. Richter
Mailing Address: Same as above.,
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Mailing Address:
Phone
DES Ri TiON OF PROPOSED iW 'pN5TRU TION
New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
[]Other Contractors Yard
Will the lot be re-graded? ..Yes ❑No Will excess fill be removed from premises? ❑Yes i� No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:.
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? QYes ❑No IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPLICATION 15 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,Newyork 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
ptantsh bie as a C I Par,lMs.detnea aaroia!$� r, y d +,,�✓„�a5„ o l hm (1 2
statements made herein ore
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Ir�,urd l�sor,v`rJ:/h�f#r�U rrr�!, /,m✓(r, ` r r,r, it ri ,i�.l'��I�n!,���;
Application Submitted By(p " name :JarneS A. Richter
❑Authorized Agent ❑Owner
Signature of Applicant. Date: May10, 2021
STATE OF NEW YORK)
COUNTY OF S U � �)
�/ � , D being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent, Design Professional
(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.
Sworn before me this
day of M(1XZ , 20.9ZL
J ,No
ry Public #
ENOTARY
L.Richter Geier
PROPERTY OWNER A UTHOR�IZATIOON nNo. TEO7778M RK
n No.O1GE47771309(Where the applicant i not the.owner) in Suffolk County
pires April 30,2022
residing at
�� do hereby authorize _t— to apply d - Y _ � y o n
_ �
my beh tri he Town of Southold Building Department for approval as described herein.
O . " ignature --Aate
Te Woodhull
Print Owner's Name
2