HomeMy WebLinkAbout47251-Z SUFFOLk ti•
°�o coG Town of Southold 1/18/2022
CO P.O.Box 1179
m 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42692 Date: 1/18/2022
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 76375 Route 25, Greenport
SCTM#: 473889 Sec/Block/Lot: 48.-1-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/21/2021 pursuant to which Building Permit No. 47251 dated 12/21/2021
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"alterations, including half bath and storage,to existing non-habitable non-sleeping acceessory building as
applied for.
The certificate is issued to Kremer,Valerie&Charles
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-17-0041 11/18/2021
ELECTRICAL CERTIFICATE NO. 47251 12/10/2021
PLUMBERS CERTIFICATION DATED
A h ri ed Signature
O�SUFF TOWN OF SOUTHOLD
j� aye BUILDING DEPARTMENT
N TOWN CLERK'S OFFICE
Woy • 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 #: 47251 Date: 12/21/2021
Permission is hereby granted to:
Kremer, Valerie
76375 Route 25
PO BOX 689
Greenport, NY 11944
To: Legalize "as built" accessory apartment in accessory building as applied for per SCHD
& ZBA approvals. Additional certification may be required. Replaces BP#43077
At premises located at: ,p
76375 Route 25, Greenport � �• �� Mrl ' 1�`Q�1( ove
SCTM #473889 .e,(— owl er�M - i p f a$ a,� &6
Sec/Block/Lot# 48.-1-2
Pursuant to application dated 12/21/2021 and approved by the Building Inspector.
To expire on 6/22/2023.
Fees:
PERMIT RENEWAL $336.20
Total: $336.20
:_—�k -
Building Inspector
sem' TOWN OF SOUTHOLD
�SUFfQi
��o y BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
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#: 46939 Date: 10/7/2021
Permission is hereby granted to:
Kremer, Valerie
76375 Route 25
PO BOX 689
Greenport, NY 11944
To: Upgrade electric service.
At premises located at: R� � � �=
76375 Route 25, Greenport D 9 � I
SCTM # 473889
Sec/Block/Lot# 48.-1-2
Pursuant to application dated 10/7/2021 and approved by the Building Inspector.
To expire on 4/8/2023.
Fees:
ELECTRIC $170.00
Total: $170.00
Building nspector
4�sorF® TOWN OF SOUTHOLD
�� Gy BUILDING DEPARTMENT
z TOWN CLERK'S OFFICE
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#: 43077 Date: 9/27/2018
Permission is hereby granted to:
Kremer, Valerie & Reeve, Charles
76375 Route 25
PO BOX 689
Greenport, NY 11944
To: legalize "as built" accessory apartment in accessory building as applied for per SCHD &
ZBA approvals. Additional certification may be required.
At premises located at:
76375 Route 25, Greenport
SCTM # 473889
Sec/Block/Lot# 48.-1-2
Pursuant to application dated 7/10/2018 and approved by the Building Inspector.
To expire on 3/28/2020.
Fees:
AS BUILT-ACCESSORY $622.40
CO -ACCESSORY BUILDING $50.00
Total: $672.40
Bspector
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
Date.
New Construction: ✓ Old or Prefexisting Building: (check one) 1
Location of Property: �0 J� 0 7-
House No. Street Hamlet
Owner or Owners of Pr
rQperty: {-
Suffolk County Tax Map No 1000, Section Block Lot Z---
Subdivision A, / A,- Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
Of SO(/Pyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 e Q sean.deviint-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Valerie Kremer
Address: 76375 Route 25 city,Greenport st: Ny zip: 11944
Building Permit#: 4 Section: 4$ Block: 1 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph X Heat Duplec Recpt 1$ Ceiling Fixtures 1 Bath Exhaust Fan 1
Service 3 ph Hot Water 30A GFCI Recpt 3 Wall Fixtures Smoke Detectors 1
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches $ 4'LED Exit Fixtures Pump
Other Equipment: Central Vac, 44' of Track Lighting
Notes: " AS BUILT NO VISUAL DEFECTS " Garage w/ Bathroom
Inspector Signature: Date: December 10, 2021
S.Devlin-Cert Electrical Compliance Form
OE SO(/ly� I �
# # TOW OF70 THOLD BUIL 1ZG5D"EPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND - " [ ] lNSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION' [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: L (A
. DATE 1.20101V INSPECTOR
FIELD INSPECTION REPORT7DATE COMMENTS
FOUNDATION(15T) y
'�lc
'FOUNDATION(2ND) a
' l
c 4
ROUGH FRAMING& J
PLUMBING
• C7
INSULATION PER,N.Y: y
STATE ENERGY CODE
bIV
ICU
FINAL .-
ADDITIONAL COMMENTS
�s
0 + y qo
a � a8-
A-t4-� aMC �jo
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,N.Y. 11971 4 sets of Building Plans
TEL.: (631) 765-1802 Planning Board approval
FAX: (631)765-9502 Survey
www.northfork.net/Southold/ PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined /,ice 0� Contact:
Approved 98 v U Mail to:SUFFOLK ENVIRONMENTAL
Disapproved a/c P.O.Box 2003;Bridgehamnton,NY 11932
__ h Phone: (631)537-5160
Expiration-, nT6
APPLICATION FOR BUILDING PERMIT
Date July 9,2018
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 waterway.
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 HERBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the wn 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.
D _� - �
D (Signature of applicant, or name, if a corporation)
JUL 1 0 2018 Suffolk Environmental Consulting,Inc.
P.O.Box 2003;Bridgehampton,.NY 11932
(Mailing address of applicant)
13UYLDING DEPT.
State lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
AGENT
Name of owner of premises Foster Reeve
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
N/A
(Name and title of corporate officer)
Builder's License No.
Plumber's License No.
Electrician's License No.
Other Trade's License No.
1. Location of land on which proposed work will be done
626 Front Greenport
House Number Street Hamlet
County Tax Map No. 1000 Section 48 Block 01 Lot 2
Subdivision N/A(Described Parcel) Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.Existing use and occupancy Residence with accessory building
b.Intended use and occupancy Residence with accessory apartment/Storage in accessory building__
3.Nature of work(check which applicable): New Building Addition Alteration X
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost $10,000± Fee
(To be paid on filing this application)
5.If dwelling, number of dwelling units N/A Number of dwelling units on each floor N/A
If garage, number of cars N/A
6. If business,commercial or mixed occupancy, specify nature and extent of each type of use N/A
7. Dimensions of existing structures,if any: Front 40.3 Rear 40.3 Depth 24.4
Height 10-feet Number of Stories 1
Dimensions of same structure with alterations or additions: Front N/A Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front N/A Rear Depth
Height Number of Stories
9. Size of lot: Front 200' Rear 191' Depth 151'
10. Date of Purchase 6/10/94 Name of Former Owner McCarry
11. Zone or use district in which premises are situated R-40
12. Does proposed construction violate any zoning law, ordinance or regulation: YES NO X
13.Will lot be re-graded YES NO X Will excess fill be removed from premises: YES NO X
P.O.Box 689
14. Name of Owner of premises Foster Reeve_Address Greenport,NY 11944 Phone No. (631)236-2630
Name of Architect Joseph Fischetti, P.E. Address POB 616,Southold,NY 11971 Phone No. (631)765-2954
Name of Contractor Mark Baxter Address 5805 Main Bayview Road,Southold 11971 Phone No.516-356-4897
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 X
*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.
STATE OF NEW YORK)
SS: f
COUNTY OF SUFFOLK
Bruce A. Anderson being duly sworn, deposes and says that he is the apjzlicalif U,77 71.
(Name of individual signing contract) above named. cs '`.S`'0ff
(S)He is the Agent-Suffolk Environmental Consulting,Inc.
(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 this knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before noW
day of 2018
tart'Public Signature of Applicant
Matthew D. (vans
Notary Fuhlic of New York
No. 01 iVG053&59
Qualified in Suffolk County
Commission Expires January 22, 2011
I
•Y' 4 TOWN OF SOTTI'HOLD—BUILDING DEPARTA ENT
Town Hall'Annex 54375 Main Road P.O.Box 1179-Southold,NY 1197-1-0959ca .
��� • T -802 Fax(63 )765=95Q -htts://www.southoldoel1wnny.iov
Date Received
APPLICATION FOR BUILDING PERMIT- ; _ __ *_ _
For Office Use.Only
' - :, , - . - �OCT •.2•.1:..202.1 �;� • ,
PERMIT NO. Building Inspector
BUILDING DEPT.
tiAppl cations and forms must be filled out'in theirent�rety Incomplete TOWN OF 50UTHOLD
{apphcattons Sunil not be accepted:; Whe[ejthe Applican#is not the owner,
YilOwner'sludaonzat+on tartn{Page 2j shall be completed -
r?4Date:10-19-2021
OWNER{S)OF PROPERTY
Name:Charles Toster,Reeve sCTM#1000-48-1-2 <'
Project Address:
76375 Main Road (Front Street), GreenQort NY 11944 '
Phone# 631-23612630 C _ " ^Emai! FReeve' FRAPLASTERicom
@.
MailingAddress:76375 Route 25,, Greenport NY 11944 _..v...._ ' - z._r .:..:........ ....... _._:
ft CONTACT PERSON
r y,
s�
Name:Nd Mazzaferro,-PE
tUrlai
ling Address:PO BOX 57, Greenport NY 11944'
Phone#:516-457-5596 Email:maz lin@msn.eam
1k:4 t ;,.�:, Y ..t�'. ,S ry it i r l00,. 5 i N"6i q�1r,W extti}y „ry1F7
DESI6N PROFE5510NAL INFORMI�TIN , r t, N t s +ag
1,. �3
Name:N Mazzaferro. PE .._
Mailing Address:p0-Box 57, Greenport NY 11944
Phone#:516-457-5596 Email:maZ lin msn.com
CONTRACTOR INFORMATION: `
t[ �a
Name:As-Built
Mailing Address: 21 j
Phone#: _ , Email: ,..
s;f f 4{it ,..;#'+5i ..•.. .... ,. .� ,,. - $ Kt a,�^a_i i � •
DESCttIPT10N OF PRQP05ED CONSTRUCTION 1 x
❑New Structure ❑Addition'-IDAliemtion, E]Repair-. ODemolition-,I,..,,, Estimated CostbfjPtoject:r'*.,
(i]OtherAmend Expired Permit#43077'issued9-27-2018 $5000.00
Will the lot be re-graded? ❑Yes•®No Will excess fill be removed from,,premises? iYes ®No
i
1
V�V,
OPER IY IH RIWA'fION'
xb �y4-.. xtei"„° 4' u�]J $ ;r'I,tL •� ::•_�f�ir ti ..7 T r.�:'b n.7., sl
Existing use of Property5ingle:Residential Intended use of;prop"_:Single. Residential.,
Zone or_use district-in-which premises is situated: .. _ _,__ Are there any covenants and restrictions with respect to-
'A
.- this property? DYes®No IF YES,PROVIDE A COPY.
F 5 fr -0-,z . , J onF1P tl�ry.a 7��y �4 1tiY+r`,ti x.'?♦4 Y.wwY, tr, .h
®Cliett{9O3i�i �i'R� d1�ig The owner/ooatractar/desrgn professional is rtsgosiblre:far ap drainage anal storm water r �r as p by r
Chapter 236 ofthe Tbwn Code APPUCATION IS HEREBY MADE to the Building de.,aitinent for the issnence of a Binding Permit pursuart to ftee Bsaldit►g ne}.
, a r
0rd1nan4eofth6TownofSouth�d,SuffoUycfluntY,NevaYorkandotherappiitablelaws,Ord€nances`orRegutaBot fogtlteco p�tc ,'(� ,;
adelftions,afterat+gnsor#ar remoVat or demotrtion as herein desmbed The appfi�r►t agrees to tompty v�tNi aft ate Laws,ar+firsces,bua mde,>;
��housing code and mgufallons arm to admit authorized inspectors on'prem�,Ps'and in'buslding(sJ for'aetes`�sa'ryinspe�ioi�. Ease statesaen[s madelhereiie are��'
puntskiable'asaQass'Amisdemeanor¢ur�arrt•to5ection;23045 ofth�eHewXorkStBte't�e�ia1Law.c ..,,,�,. , r`r :�V ,
Application Submitted By(print nam ):NJ azzaferro,-,'PE BAutfiorized Agent ❑Owner.
Signature of Applicant: Dater
'STATE OF NEW-YORK) - - -- - -
SS:
;COUNTY OF
lU �2Z -being duly"sworn,deposes and says that-(s)he,is the applicant
,(Name of individual signing contract)above n med, - -
(S)he is the Agent _ -
(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 per-formed-in the.manner set forth in the application file therewith..
Sworn before me this -
2� day of Q c , 20
_ Notary Public
1 _
MDOW
PROPERTY OWNER AUTHORIZATION JE�tlic,StateofN w
Notary Public,State of New York
(Where the applicant isnot the owner). No.010D62 lk-Cou "
Qualified in L�.�ffolk-County, Z
Commission Expires November 14,20_-
,, Charles Foster Reeve _residing at-76375 Route 25, Greenport
:-NY 11944 ' NJ Mazzaferro,_PE
dohereb authonzeto pp; -on
;my behalf to1he;Town of,Southold Building Department_for,approval as described:herein.:,
-. 10=1,9=20.21
Date :.,,' . .;;
Charles-foster-Reeve
,
Print Owner's Name
-2
TOWN OF SOUTHOLD BUIL G PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do u have or need the following,before applying? /
TOWN HALL Board of Health
SOUTHOLD,N.Y. 11971 4 sets of Building Plans
TEL.:(631)765-1802 Planning Board approval
FAX:(631)765-9502 Survey
www.northfork.net/Soutliold/ PERMIT N Check
Septic Form
N.Y.S.D.G.C.
f f Trustees
Examined 2IlOGr� h !y Contact:
Approved ?A9(��v�0 Mail to:SLFFOLKENMONMGNTAL
Disapproved a/c P.O.Box 2603:Bridgehamulon.NY 11932
Phone:(631)537—5160
p
Expiration 6
Qat di ns or)
APPLICATION FOR BUILDING PERMIT
Date July 9,2018
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 waterway.
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 pennit shall be required.
APPLICATION IS HER BY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the r1lown 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.
� C'C�C DdC� �• �,
(Signature of applicant,or name,if a corporation)
JUL ��� Suffolk Environmental Consulting,Inc.
P.O.Box 2003:Bridgellampton,NY 11932
(Mailing address of applicant)
YJIY DING
DEPT.
State lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
AGENT
Name of owner of premises Foster Reeve
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer.
NIA
(Name and title of corporate officer)
Builder's License No.
Plumber's License No.
Electrician's License No.
Other Trade's License No. J
1. Location of land on which proposed work will be done
626 Front Greenport__
House Number Street Hamlet
County Tax Map No. 1000 Section 48 Block 01 Lot 2
Subdivision N/A(Described Parcel) Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.Existing use and occupancy Residence with accessory buildine
b.Intended use and occupancy Residence with accessory apartment/Storaee in accessorybuildin¢
3.Nature of work(check which applicable): New Building_ Addition Alteration X
Repair Removal Demolition Other Work
(Description)
4.Estimated Cost $10,00 Nee
(To be paid on filing this application)
5.If dwelling,number of dwelling units N/A Number of dwelling units on each floor NIA
If garage,number of cars N/A
6.If business,commercial or mixed occupancy,specify nature and extent of each type of use N/A
7.Dimensions of existing structures,if any: Front 40.3 _Rear 40.3 ____Depth_ 24.4
Height 10-feet Number of Stories 1
Dimensions of same structure with alterations or additions: Front NIA Rear
Depth Height _Number of Stories
8.Dimensions of entire new construction: Front N/A Rear Depth
Height Number of Stories
9.Size of lot: Front 200' Rear 191' Depth 151'
10.Date of Purchase 6/10/94 Name of Former Owner McCarry
11.Zone or use district in which premises are situated R-40
12.Does proposed construction violate any zoning law,ordinance or regulation:YES NO X
13.Will lot be re-graded YES NO X Will excess fill be removed from premises: YES NO X
P.O.Box 689
14.Name of Owner of premises Foster Reeve_Address Greenport,NY 11944 Phone No.(631)236-2630
Name of Architect Joseph Fischetti,P.E. Address POB 616,Southold,NY 11971 Phone No.!631)765-2954
Name of Contractor Mark Baxter Address 5805 Nlain Bayview Road,Southold 11971 Phone No.516-356-4897
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 N0_X
*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.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK JUL
Bruce A.Anderson being duly sworn,deposes and says that he is the awivafitD%^ .,?FTJ9
(Name of individual signing contract)above named. lt1110-1.1 w;; L,C;KYfm
(S)He is the, Agent-Suffolk Environmental Consulting,Inc.
(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 this knowledge and belief;and that the work will be
performed in the planner set forth in the application filed therewith.
Sworn to before tis
day of q_ ''018
J
1 T A)--
ry Public Signature of Applicant
P,Wlhe%a D. lyans
Notary f u7!r of Near York
No. 01116 [i?G�9
Quafiice in Sutlok County
Commission E_xpires January 22,20 f
yO�U�):DL,f-C BUILDING DEPARTMENT- Electricq
ec o`�TOWN OF SOUTHOLNOV
CD
- Town Hall Annex - 54375 Main Road - PO Box 117J?Q?1
w Southold, New York 11971-0957�)vevN0F//VG DlpT
p� Telephone (631) 765-1802 - FAX (631) 765-951 'TNoto
rogerr(a southoldtownny.gov sea nd(a,southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: �1•Z�.
Company Name: d� 1v CYbs�
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB. SITE INFORMATION (All information Required)
Name: ���le� Fd ;y- Ve r-\) K femc
Address: 3� �N_E b (Q� O l .y. alp Wk-
Cross Street: I'7v-bkAc
�P i ne No,: 317.. :�wxe . :: L "1 �.�0 ,n -e .
--- - --BIdgPermit#: t-4 2�)O--]-1 -------- ----- . email: --- -------- -- - - � -------
Tax Map District. 1000: Section: �} Block: 1 Lot:
E
BRIEF DESCRIPTION OF` ORK, INCLUpE SQUA E FO.OTAG (Please:Punt C early):
l:ac)b � `(U�.•(, ; Csora q r'b(.C,essUc. �Ui�(� 1
Square Footage:
Circle All That Apply:
Is job ready for inspection?: V YES.❑ NO ❑Rou.gh In ® Final
Do you need a Temp Certificate?: ❑ YES NO Issued On
Temp Information: (All information required)
Service'Size❑1 Ph[:]3 Ph :Size: A # Meters .T Old Meter#
F-1 New Service❑fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhe'ad
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
_...C �v��
PAYMENT DUE WITH APPLICATION O
b (I,\
PERMIT# Address:
Switches f` I
Outlets ^
GFI's
Surface
Sconces
H H's
U C Lt-s
Fans _."°F"rrdge HVV
Exhaust Oven W/Df
Smokes DW Mini.
_ -
Carbon : icro......_ ._. -. . ... :. Generator
Cooktop
'...t.n.,' .:..:r-. e.v.- ..,[:.[- as n)w::w....:.✓...0..:::t... ..r:'.+.:.. .....,....�:'....nv.•,.n.,,•.:...�...�.a..+..... ... .. ... ...._..... ..r - ... ...--.._, y_�...n ... ..
AC-. AH : -Hood Service
`
'Am'ps-
'Special.-.:
mps S'ecial.-.: r ... `
Comments.
'
qs
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- ....:sem .;: _ ...:.....:...:........ ,v::::+.:,.... .....,,... .. _,,;.. .. .. ._. - .. ......,. :...,, ,.. ..... ... .. .. .
}
gUfFO UILDING DEPARTMENT- Electrical Inspector
4
TOWN OF SOUTHOLD
o�;own Hall Annex- 54375 Main. Road - PO Box 1179
-eov so Southold, New York 11971-0959
of
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(@.southoldtownny.gov — seanda-southoldtownny.dov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 10/4/21
Company Name: Owner
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Charles F. Reeve (631-236-2650)
Address: 76375 Route 25, Greenport, NY 11944
Cross Street: 7th Street
Phone No.: 516-457-5596-Nick Mazzaferro-Agent
Bldg.Permit#: As-Built— 6q'j9 email: maz_lin@msn.com
Tax Map District: 1.000 Section:48 Block: 1 Lot:2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Upgraded Electrical Service
Square Footage: 2400
Circle All That Apply:
Is job ready for inspection?: 0 YES ❑NO Rough In 0 Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 PhF_13 Ph Size: A #Meters Old Meter#
FIN ewServiceE1Fire ReconnectOFlood ReconnectOService ReconnectQUndergroundQOverhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:Inspection and Compliance Certificate required as part of obtainng Pre-Exisitng CofO for property.
PAYMENT DUE WITH APPLICATION f 2�
� ,\ I o00
PERMIT# Address:
Switches
Outlets !J CJ
G F I's
Surface
Sconces I i
H H's `
UCLts ' 1.�:� .:
Fans Fridge .r _
HW
_
Exhaust Oven �:� v W/D,
_. .
Smokes DW Mini =
Cerbon -.:>. ,_ _ ;"IVticro... Gene:gator
Combo..:. Cooktop Transfer
AC AH.y.. Flood Service
. _
Amps Vave .- ase
Special:_
Comments:
'Ale—
C C"
f
�: ..
BOARD MEMBERS ®�S0Vp Southold Town Hall
\Leslie Kanes Weisman,Chairperson �� _ �® 53095 Main Road-P.O.Box 1179
Southold,NY 11971-0959
Eric Dantes Office Location:
Gerard P.Goehringer Town Annex/First Floor,Capital One Bank
George Horning 54375 Main Road(at Youngs Avenue)
\ Kenneth Schneider C®�N�9� Southold,NY 11971
http://southoldtown.northfork.net
ZONING BOARD OF APPEALS D
TOWN OF SOUTHOLD
Tel.(631)765-1809-Fax(631)765-9064 1 6 �Ql�
BLDG.DEPT.
TOWN OF SOUTHOLD
TO: SOUTHOLD TOWN BUILDING DEPARTMENT
RE: VERIFICATION OF LIVABLE FLOOR AREA Special Exception Application
to establish an accessory apartment in an accessory structure /
r�aU1
ZBA Application No.:#6926 REEVE, Charles Foster RECEIVED �1
Date sent to Building: 1/26/2016 JAN 1 SIM
�narar�rae6g®OF APPr-ALS
Pursuant to Town Board Resolution No. 2011-353, effective April 26, 2011, the Office of the
Zoning Board of Appeals is forwarding the above referenced application for verification of the
livable-floor area, per code Section 280-4, to be returned to this office within 14 days of receipt
POR BUILDING DEPARTMENT USE
Our office has reviewed the following documents provided in the above referenced application:
Based upon the information listed above
The livable floor area is determined to be square feet and is conforming to
Section 280-13B (13) (a) of the code
t/ The livable floor area is determined to be2u,56 square feet and is not allowed pursuant
to Section 280-13B(13)(a) of the code which states: "The accessory structure shall contain
no less than 450 square feet and shall not exceed 750 square feet of livable floor area..."
The livable floor area cannot be verified.
COMMENTS. J
10
t
Signature of revier
Date:
Adopted by the Board oJAppeals. May 18,2011
TFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR OFFICE JM ONLY. .
- OFFICE OF WASTEWATER MANAGEMENT
360 YAPHANK AVENUE,SUITE 2C,YAPHANK,NY 11980 HeaWi Department
(631)852-5700 ORHealthWWM@suffolkcountyny.gov
APPLICATION TO UPDATE AN EXISTING PERMIT TO CONSTRUCT SEWAGE DISPOSAL AND
WATER SUPPLY FACILITIES FOR A SINGLE FAM MY DWELLING
REFER TO REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS
PLEASE COMPLETE APPLICABLE SECTIONS OF THIS FORM. ALL SIGNATURES MUST BE ORIGINAL
FOR ALL RENEWALS AND TRANSFERS
EXISTING REFERENCE NUMBER: RIO-17-0041
Tax Map No.: 1000 148 District Section Block Lot
1 2
= a oeApt30cs:F.flser
Mai Adits02*` r�rr freef}` qnpprt;:N .1.x#:944
[Name
of Current Agent: Tel#: -
Mailing Address:
Email Address:
DATE OF ORIGINAL APPROVAL: *If more than 6 years old and SCDHS site inspections have not been
erformed,a new application will be required
FOR TRANSFERS WITH PREVIOUS APPLICANT/AGENT PERMISSION
Name of Previous Applicant/Agent: Tel#: ( -
I hereby transfer all rights and interest in the above referenced permit to the new applicant named above;
Signature of Previous Applicant/Agent: Date:
:#> FOR TRANSFERS WITHOUT PREVIOUS APPLICANT/AGENT PERMISSION
Name of Previous Applicant's
Arcbitecft • eerlStuv or• Tel#: —
I hereby authorize the above named current applicant to use the previous applicant's survey/site plan for this
project prepared by me; for the purpose of transferring the above named reference number and its site design.
Architect/Engineer/Surveyor's signature: Date:
. .. FOR ALL RENEWALS AND TRANSFERS
Application is hereby made to[ ]TRANSFER,[ I RENEW(check applicable) a permit to construct in accordance with this
application,surveys and plans submitted. I hereby certify that I have examined this complete application and the statements therein
are true and correct,and that all work shall be done in accordance with all applicable Town,County,State and Federal Laws. "Any
false statement made herein is punishable as a misdemeanor pursuant to S210.45 ofNew York State Penal Law."
Signature of Current Applicant/Agent Date
_ 10-18-2021
Print Name o Current Applicant/Agent Title
C. Foster Reeve Owner
: . .
'DEPARTMENT.USE-4NI Y.:
Nil C'i;'`r i s faired eii wed Untlt Number of$edrvo ro
. igaiatieifT�epa>itneutItekitesenitative . "Date
. 777777
WWM-104(Rev. 02/12)
COUNTY OF SUFFOLK
STEVEN BELLONE
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES GREGSON H. PIGOTT,MD,MPH
Commissioner
BRUCE ANDERSON October 12, 2021
NEWMAN VIL. P.O. BOX 2003
BRIDGEHAMPTON, NY 11932
RESIDENCE @ N/S 626 FRONT ST, 97.53'
W/O SIXTH AVE
R10170041-ZEC
Inspection Corrections Required
BRUCE ANDERSON,
The Office of Wastewater Management has performed an inspection of your site on . The
following corrections are required:
Submit revised surveys showing changes in water line location. Permit expired Jan
2021. Submit renewal form WWM-104 and 125.00 filling fee.
Please do not hesitate to call with any questions. The field inspectors are available between
8:30 a.m. and 9:30 a.m, to answer questions.
Regards, NOTICE OF INSPECTION COMPLETION
Office of Wastewater Management --WAGE DISPOSAL-WATER SUPPLY
CC: Job Permit No. QCI 13 -0041
CHARLES FOSTER REEVE ❑ Disposal System Inspection Completed-OK to Backfill
KENNETH M. WOYCHUK, L.S., PLLC
❑ Inspection Not Completed:
❑Water Supply Inspection Completed-OK to Backfill
❑ Inspection Not Completed: ,SCI V���1. - I 0
0?W
WDatelns'pected by
SUFFOLK COUNTY DEPARTMENT OF HEALTH SE ES
INSPECTION COMPLETION DOES NOT CONSTITUTE APPROVAL OF INSTALLATION
REV(ares)
(631)862-5700
DIVISION OF ENVIRONMENTAL QUALITY-OFFICE OF WASTEWATER MANAGEMENT
360 Yaphank Avenue,Suite 2C,Yaphank,NY 11980 Page 1 of 1
n (631)852-5700 1 Fax(631)852-5755
BOARD MEMBERSSouthold Town Hall
f S00
Leslie Kanes Weisman,Chairperson �� , 53095 Main Road•P.O.Box 1179
�® �® Southold,NY 11971-0959
Eric Dantes 'Office Location:
Gerard P.Goehringer Town Annex/First Floor,Capital One Bank
George Horning �® ® y® 54375 Main Road(at Youngs Avenue)
Kenneth Schneider r�C®U � Southold,NY I1971 . .
http://southoldtown.northfork.net R.ECE`V
ED
ZONING BOARD OF APPEALS 4,L g
TOWN OF SOUTHOLD MAR 2 2 2016
Tel.(631)765-1809•Fax(631)765-9064
ahold Town Clerk
FINDINGS,DELIBERATIONS AND DETERMINATION
MEETING OF MARCH 17,2016
ZBA Application No.: SE 6926
Applicants/Owners: Charles Foster Reeve
Property Location: 626 Front Street Greenport,NY SCTM#1000-48-1-2
SEORA 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 requirements under SEQRA.
SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the
Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of
Planning issued its reply dated February 9, 2016 stating that this application is considered a matter for
local determination as there appears to be no significant county-wide or inter-community impact.
LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed
under the Minor Actions exempt list and is not subject to review under Chapter 268.
REQUEST MADE BY APPLICANT: The Applicant-Owner requests a Special Exception under Zoning
Code Section 280-13(B)(13)to establish an Accessory Apartment in an existing accessory structure. The
Applicant also requests the grant of an area variance for the proposed accessory apartment size of 836 sq.
ft. because Town Code states that the size"...shall not exceed 750 sq.ft. of livable floor area." -
PROPERTY FACTS/DESCRIPTION: The subject property contains 35,361.8 square feet with 200.00
feet along Froiit Street,206.07 along the west property line, 177.94 along the south property line and
151.08 on the east property line. The property is improved with a two-story single-family frame residence
a one story accessory masonry building with attached outdoor shower and an accessory shed as shown on
the survey by Kenneth M.Woychuk LLS dated April 13,2005, updated 10-22-15. The accessory
structure has a(CO)of record dated March 26, 1982 under Certificate of Occupancy#zl0926
confirming that the accessory garage was built prior to January I,2008 or the applicant has-proved that
the accessory structure was eligible for a CO prior to January 1,2008.
ADDITIONAL INFORMATION:The proposed site plan shows a door providing access-from the
accessory garage and the storage room. Since the storage area is accessible from the proposed accessory
Page 2 of 4—March 17,2016
ZBA#6926—Reeve
SCTM#1000-48-1-2
apartment the building department determined the square footage to be 836 square feet which included
the storage area.That door needs to be removed and walled off. Additionally,the proposed accessory
apartment shall contain a bathtub or shower in the interior of the building.
FINDINGS OF FACT:
The Zoning Board of Appeals held a public hearing on this application on March 3,2016,at which time
written and oral evidence were presented.Based upon all testimony,documentation,personal inspection
of the property and the surrounding neighborhood,and other evidence,the Zoning Board finds the
following facts to be true and relevant.
In considering this application,the Board has reviewed the code requirements set forth pursuant to Article
II1, Section 280-13(B)(13) to establish an Accessory Apartment in an Accessory Structure and finds that
the applicant complies with the requirements for the reasons noted below:
1. The Accessory Apartment unit will be located on the first floor of the accessory garage with an area of
597 square feet of livable floor area in conformity as proposed,as described and shown on the floor plan
by Joseph Fischetti,PE dated October 1, 2015 and signed by Joseph Fischetti,PE. The Building
Inspector in a memorandum titled"Verification of Livable Floor Area"dated January 28,2016,
determined the livable floor area as 836 sq. ft.which included the storage area,with the door removed
and the area walled off the livable floor-area will be 597 sq. ft.which conforms.
2. The dwelling unit complies with the definition of same in §280-4 of the code and complies with the
code requirements as defined in Section 280-13(B)(13) of the Zoning Code. The owner confirms that the
accessory apartment shall not contain less than 450 sq. feet nor will the accessory apartment exceed 750
square feet of livable floor area, all on one floor with only one full bathroom.
3. The applicant herein, owns and resides at the property and will continue to occupy the single-family
dwelling as a principal residence in conformance with the code requirements as set forth in Article III,
Section 280-13(B)(13)0, 1-4), and as documented by New York State Driver's license, voter registration
card and recorded deed.
4.The occupants of the accessory apartment will be either a family member or a resident who is currently
on the Southold Town Affordable Housing Registry,and the occupancy shall not exceed the number of
persons permitted, in conformance with the code requirements as set forth in Article III, Section 280-
13(B)(13)0, 1-4). The renter is the applicant's daughter Bridget Frederique Kremer Reeve. The applicant
provided a copy of her birth certificate.
5. The owners' plans comply with the on-site parking requirements and provide for a total of three (3)
parking spaces, two for the principal use and one for the Accessory Apartment, utilizing the existing
driveway areas, as shown on the site plan or survey by Kenneth M. Woychuk LLS dated April 13, 2005,
updated 10-22-15.
6. Only one accessory apartment will be on the subject property and no Bed and Breakfast facility, as
authorized by Section 280-13(B)(14) hereof shall be permitted in or on premises for which an accessory
apartment is authorized or exists.
7.This conversion is/shall be subject to a building pennit, inspection by the Building Inspector,and
annual renewal of the Certificate of Occupancy.
Page 3 of 4—March 17,2016
ZBA#6926—Reeve
SCTM#1000-48-1-2
REASONS FOR BOARD ACTION DESCRIBED BELOW: Based upon all testimony, documentation,
personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board
finds the following facts to be true and relevant:
1) The Accessory Apartment, as applied for, is reasonable in relation to the District in which is located,
adjacent use districts,and nearby adjacent residential uses.
2) This Accessory Apartment shall be in conjunction with the owner's residence in the Accessory
structure, and as proposed will not prevent the orderly and reasonable use of districts and adjacent
properties.
3) No evidence has been submitted to show that the safety, health,welfare, comfort, convenience, order
of the Town would be adversely affected.
4)The special exception is authorized under the Zoning Code through the Zoning Board of Appeals as
noted herein,and issuance of a Certificate of Occupancy from the Building Inspector is required by code
before an Accessory Apartment may be occupied.
5)No adverse conditions were found after considering items listed under Sections 280-142 and 280-143
of the Zoning Code.
BOARD RESOLUTION: On motion by Member Dantes,seconded by Member Schneider, it was
RESOLVED,to
GRANT a Special Exception for an Accessory Apartment, in the existing Accessory Structure, as applied
for.
SUBJECT TO THE FOLLOWING CONDITIONS:
1. This Special Exception Permit requires an annual renewal by a Building Inspector in the
Building Department. It is the applicant's responsibility to apply to the Building Department each
year to renew the accessory apartment permit.Failure to do so may require a public hearing before
the Zoning Board of Appeals to review potential action to revoke the Special Exception Permit
granted herein.
2. This Special Exception permit cannot be transferred to new owners
3. The entrance from the apartment into the storage space must be removed and walled off.
4. A bathtub or shower shall be installed per code, where only a toilet and sink currently
exists.
That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued.
NOTE:Any deviation from the survey, site plan and/or architectural drawings cited in this decision, may
result in delays and/or a possible denial by the Building Department of a building permit, and may
require a new application and public hearing before the Zoning Board of Appeals.
Any violations of the conditions, occupancy or other requirements described herein, may require a public
hearing before the Zoning Board of Appeals to review potential action to revoke the Special Exception
Permit granted herein.
Page 4 of 4—March 17,2016
ZBA#6926—Reeve
SCTM#1000-48-1-2
Vote of the Board: Ayes: Members Weisman (Chairperson), Dantes, Horning, Goehringer, Schneider.
This Resolution was duly adopted(5-0).
f4l
4Lt- r
Leslie Kanes Weisman, Chairperson
Approved for filings /2016
Scott A. Russell
SUPERVISOR J � AMANAGIENHENT
SOUTHOLD TOWN HALL-P.O.Box 1179 Q
53095 Main Road-SOUTHOLD,NEWYORK 11971 y�0 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
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 floodplain 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: ��C.d AIJO °KJOAf 48 1 Z ' 8
r �• (N.2, . Section Block Lot
FOR BUILDING DEPARTMENT USE ONLY
Contact Information: 93/— ?7—,r/40 A
Reviewed By:
— — — — — — — — — — — — — — — — — —
Date: 7—/o-/2
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
��` * ® Approved for processing Building Permit.
Stormwater Management Control Plan Not Required.
A)y 1 dV9
1:1
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
APPLICANT: S.C.T.M. #: 1000 T�
(Property Owner,Design Professional,Agent,Contractor,Other) CH
„- bdS FQk APTER 236
Stormwater Management Control Plan CHECK LIST
NAME: -3ate "VI%14
sectio, Block Lot o S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application.
Yleuse Prmr
Date: * The applicant must provide a Complete Explanation and/or Reason for not providing
�•� 5,160 Letys all Information that has been Required by the following Checklist!
�ignalmc Tei<plwne NumLer:
I. A Site Plan drawn to scale Not Less that 60' to the inch MUSTIf You answered No or NA to any Item, Please Provide Justification Here!
show all of the following items: YES NO NA If you need additional room for explanations, Please Provide additional Paper.
a. Location & Description of Property Boundaries 0=®
b. Total Site Acreage.
c. Existing - Natural & Man Made Features within 500 L.F.
of the Site Boundary as required by§236-17(C)(2).
d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water.
e, Limits of Clearing & Area of Proposed Land Disturbance. �0
f. Existing & Proposed Contours of the Site (Minimum2'Intervals) �0®
g. Location of all existing & proposed structures, roads,
driveways, sidewalks, drainage improvements &utilities.
h. Spot Grades & Finish Floor Elevations for all existing &
proposed structures.
I. Location of proposed Swimming Pool and discharge ring. �0®
j. Location of proposed Soil Stockpile Area(s). ®
k. Location of proposed Construction Entrance/Staging Area W. =O
I. Location of proposed concrete washout area(s). 00 IV
M. Location of all proposed erosion&sediment control measures. 00
2. Stormwater Management Control Plan must include Calculations showing
that the stormwater improvements are sized to capture,store,and infiltrate
on-site the run-off from all impervious surfaces generated by a two(21 inch 00
rainfall/storm event.
3. Details&Sectional Drawings for Stormwater practices are required for approval.
Items requiring details shall include but not be limited to:
a. Erosion & Sediment Controls. 00
b. Construction Entrance & Site Access. ®
c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.)
d. LeachinS Structures (e.g. infiltration basins,swales,etc.)
FOR l:tiC.IItiEER.INC:i DEPARTMENT USE ONLY
Additional Information is Required.
Reviewed & 1:1 Stormwater Management Control Plan is Not Complete.
Approved By: — — — — — — — — — — — — — — — — — — — — — — — —
❑ Stormwater Management Control Plan is Complete.
Date: i ❑
SMCP has been approved by the Engineering Department.
FORM * SWCP Check List -TOS MAY 2014
S.C.T.M. NO. DISTRICT: 1000 SECTION: 48 BLOCK: 1 LOT(S):2
#R 10-17-0041
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RE–LOCATED �� N�DOp DE 1 .8'•
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57 S 89°35'30" W Wpm
FRONT STREET
U.P.#44
NOTE: LOTS SHOWN .REFER TO LOTS ON MAP OF THOMAS F.
PRICE SR. FILE DEC. 1927 AS #851
REVISED 10-06-17
ADD WATER & SEWER LINES 05-31-17 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
UPDATE SURVEY 10-22-15 LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 35,361.8 S.F. OR 0.81 ACRES ELEVATION DATUM:
UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY 1S A WOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCA71ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO 7HE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 7777-E COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
774E OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: CHARLES FOSTER REEVE;
MAP OF: VALERIE HILL KREMER;
FILED:
SITUATED AT: GREENPORT
TOWN OF: SOUTHOLD - KENNETH M 1WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
+ + � P.O. Boz 153 Aquebogue, New York 11931
FILE # 25-39 SCALE: 1"=30' DATE: APRIL 13,2005 PHONE (831)298-1588 FAX (831) 298-1588
N.YS. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk
�
S.C.T.M. NO. DISTRICT. 1000 SECTION: 48 BLOCK: 1 LOT(S):2
[S�U�FFOLK COUMN DEPA
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S.C.T.M. NO. DISTRICT: 1000 SECTION: 48 BLOCK: 1 LOT(S):2
#R 10-17-0041 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
APPROVAL OF CONSTRUCTED WORKS
DATE 1/18/2021 H.S. Ref. No.� R10-17-0041
The sewage disposal and water supply facilities
at this location have been inspected and/or
certified by this department or other agencies
41 v and found to be satisfactory
73
J CRAIG KNEPPER,P E.,CHIEF
a ro +1 LAND OFFICE OF WASTEWATER MANAGEMENT
EN/F OF
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a U.P./44
NOTE: LOTS SHOWN REFER TO LOTS ON MAP OF THOMAS F.
PRICE SR. FILE DEC. 1927 AS #851
THE WATER SUPPLY, WELLS, DRYWELLS AND, CESSPOOL
UPDATE 12-17-18 LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS
AND OR DATA OBTAINED FROM OTHERS
AREA: 35,361.8 S.F. OR 0.81 ACRES ELEVA7701V DATUM: _
UNAUTHORIZED ALTERA77ON OR ADD177ON TO 774IS SURVEY/S A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EOUCA77ON LAW. COPIES OF 7H/S SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO 7HE PERSON FOR WHOM IRE SURVEY IS PREPARED AND ON HIS BEHALF TO 7HE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777IJ770M
LISTED HEREON, AND TO 7HE ASSIGNEES OF THE LENDING INS777UPON, GUARANTEES ARE NOT 7RANSFERABLE.
7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 7HE PROPERTY LINES TO 7HE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERE077ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE S7RUE7URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF. DESCRIBED PROPERTY _ , CERTIFIED TO: CHARLES FOSTER REEVE;
MAP OF: = FOSTER REEVE & ASSOCIATES INC.;
FILED: m "_ FIDELITY NATIONAL TITLE INSURANCE COMPANY;
SITUATED AT: GREENPORT � :^ -_ - �_ _ SAVOY BANK, ISAOA;
TOWN OF: SOUTHOLD - - _ KENNETH M WOYCHUK LAND_ SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
�f f P.O. Boz 153 Aquebogue, New York 11931
/
' 4� PHONE (831)298-1588 FAX (831) 298-1588
FILE # 25-39 SCALE: 1"=30' DATE: APRIL 13, 2005 N.YS. USC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk
V
A ,PR"Y D AS NOTED
DATE: ,?D
PLUMBER CER TIFICA
I" T/ON`
FEE:. BY. ON LEAD CONTENT
NOTIFY BUILDING DEPAR FORr
ENT AT CERTIFBE
765-1802 ICA TE OF OCCUPANC
8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: SOLDER USED IN WATER
FOUNDATION - TWO REQUIRED SUPPL Y S YS TEM CA NNO T
FOR POURED CONCRETE EXCEED 2110 OF I/LEAD.
2. ROUGH• FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW PUM$ING. .
YORK STATE. NOT RESPONSIBLE FOR ,AL•'L�I'LUMBING WASTE
�;
DESIGN OR CONSTRUCTION ERRORS. >1NATER LINES NEED
ORE COVERING
COMPLY WITH ALL CODES OF ELECTRICAL
NEW YORK STATE & TOWN CODES INSPECTION REQUIRED
AS REQUI D AND CONDITIONS OF
SOUTHOLD TOWN ZBA
V8UH6EII6WN-FL�4N11G BQARD
V9UTH9EB�9WNT�ES
AI V e nrn Fire separation
-- required as per
NYS Code
OCCUPANCY OR TRUSS PLACARDING REQUIRED
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY Blower door
and ductwork
testing required,
Additional
Certification Must provide Manuals
May Be Required. D, J and S as per
NYS Energy Code
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PROFESSIONAL ENGINEER
P.O.BOX 616
SOUTHOLD, NY
(631)765-2954
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SOUTHOLD,NY
(631)765-2954
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SHEET NO:
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