Loading...
HomeMy WebLinkAbout27964-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29648 Date: 08/19/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 9720 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 5 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 18, 2001 pursuant to which Building Permit No. 27964-Z dated DECEMBER 18, 2001 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 ONE FAMILY DWELLING WITH FIRST AND SECOND FLOOR DECKS AS APPLIED FOR PER ZBA 44771 DATED 12/14/99. The certificate is issued to MARY KIRSCH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0198 03/15/03 ELECTRICAL CERTIFICATE NO. 1146331 06/30/03 PLUMBERS CERTIFICATION DATED 06/27/03 ROBERT KOWALSKI //,"uthqt4ized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27964 Z Date DECEMBER 18 , 2001 Permission is hereby granted to : MARY KIRSCH 555 MAIN BAYVIEW ROAD SOUTHOLD,NY 11971 for CONSTRUCT NEW ONE FAMILY DWELLING WITH ATTACHED DECK AS APPLIED FOR. ZBA 44771 DATED 12/14/99 . THIS PERMIT REPLACES 426225 . at premises located at 9720 MAIN BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 087 Block 0005 Lot No. 024 pursuant to application dated DECEMBER 18 , 2001 and approved by the Building Inspector. Fee $ 879 . 00 Authori ed Signa re COPY Rev. 2/19/98 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26225 Z Date DECEMBER 27, 1999 Permission is hereby granted to: GRACE EDSON (KIRSCH) PO BOX 1526 SOUTHOLD,NY 11971 for . CONSTRUCT A NEW 2 STORY ONE FAMILY DWELLING WITH ATTACHED DECK AS APPLIED FOR. ALL CONSTRUCTION TO COMPLY WITH ZBA #4771 . at premises located at 9720 MAIN BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 087 Block 0005 Lot No. 024 pursuant to application dated DECEMBER 16 99 and approved by the Building Inspector. Fee $ 979 . 00 Authorized Signature COPY Rev. 2/19/98 -76s o0ss Form No.6 TOWN OF SOUTHOLD ,, l 20C13BUILDING 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$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial $15.00 / Date.� O 0 New Construction: V Old ar Pre existing Building: p (check one), Location of Property: '772ar� 0 1174(4) � YL), j(0 _0 JoLjWo/_ � � House No. Street I Hamlet Owner or Owners of Property: /` ,s C 11'� Suffolk County Tax Map No 1000, Section 7 Block Lot _ Subdivision Filed Map. Loot: / Permit No. o`9 (o' Date of Permit. 1 101 Applicant: 44.,Q-`' K, )e !7 Health Dept.Approval: O Underwriters Approval: (o ,7 s 0 Planning Board Approval: / Request for: Temporary Certificate Final Certificate: v (check one) Fee Submitted: $ ��' (AppliyCnt Signature O�O%UFFO(,,co a N Town Hall;53095 Main Road G tx Fax(631)765-1823 P,O. Box 1179 ,fi 0�� Telephone(631) 765-1F Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: (please print) Plumber: -RD l 3&-W7— (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn t before me this day of 20d V� Notary Public County LYNDA M. BOHN NOTARY PUBLIC,State of New York No.01806020932 Qualified in Suffolk County Term Expires March 6, 20 APPEALS BOARD MEMBERS �StuFo[,1 C , Southold Town Hall Gerard P. Goehringer, Chairman �� Gym 53095 Main Road James Dinizio, Jr. h P.O. Box 1179 Lydia A. Tortora 0 T Southold, New York 11971 Lora S. Collins y ��� ZBA Fax(516) 765-9064 George Horning �pj �a Telephone(516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD Tr FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF DECEMBER 14, 1999 Appl. No. 4771 - LEWIS EDSON, Owner (Mary Kirsch, Contract Vendee) STREET & LOCATION: 9720 Main Bayview Road, Southold 1000-87-5-24 DATE OF PUBLIC HEARING: December 14, 1999 FINDINGS OF FACT PROPERTY FACTS: The applicant's property is vacant and consists of 54,301 sq. ft. with 135 ft. lot width along Main Bayview Road and lot depth of 450 feet. The June 9, 1999 survey also shows a 20' right-of-way at the rear of the property leading to Corey Creek. The lot is zoned Residential. BASIS OF APPEAL: The Building Inspector's Notice of Disapproval dated November 8, 1999, stating that the proposed 30-foot setback of the house from the right of way on the east side is less than the 50-foot front yard required by Code Section 100-244(B). AREA VARIANCE RELIEF REQUESTED: Applicant requests a variance authorizing location of a house as proposed in the application, at 30 feet from the right of way along the east side of the property; the setbacks from the westerly lot line (20 feet), and from Main Bayview Road and the rear lot line, satisfy the Code. REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony presented, materials submitted and personal inspection, the Board makes the following findings: (1) The location of the proposed house is constrained by the presence of wetlands. The 20-foot right-of-way along the east side of the property reduces the effective width of the property to about 100 feet in the area in which the house is to be located. Compliance with the 50-foot setback requirement from the right-of-way, and with the minimum 20-foot side yard requirement on the west side, would leave little lot width for the house. Thus, in order to build a house of reasonable size and shape, applicant requires a setback variance. (2) Grant of the requested variance will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties because the requested 30- foot setback is from a lightly used private right-of-way. The position of the house on the O rJ�rJ�cnrJrJ�rJ@PrJ�rJ��n�nrJrJ�rJ��nrJ�cPrJ��PrJcnrJ��PrJ�r n�PrJ�u�rJ�r rdJ@PrJ�rJ�cnrJrJ�rJ�cnrJ�r�-illirJ�r1rJ�rJ�rJ�i.Pr�cl RPL tPLPLLPLPLLrL3 JL3PL P Co SBY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 fj 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 5 DOROSKI ELEC. INC MARY KIRSCH P.O. BOX 781 9720 MAIN BAY VIEW RD 5 5 CUTCHOGUE, N.Y. 11935, SOUTHOLD, NY 11971 5 Located at 9720 MAIN BAY VIEW RD SOUTHOLD, NY 11971 5 Application Number: 1146330 Certificate Number: 1146330 c5 Section: Block: Lot: 83 Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: C5 Basement,First Floor,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 30th Day of June,2003. 5 5 Name OTY Rate Rating Circuit Type 5 5 Alarm and Emergency Equipment 5 5 Sensor 1 0 Carbon Monoxide 5 5 Sensor 3 0 Smoke 55 5 Appliances and Accessories �5 5 Dish Washer 1 0 1.2 KW 5 5 Exhaust Fan 3 0 F.H.P. 5 Furnace 1 0 Oil 5 5 Wiring and Devices 5 5 Outlet 31 0 Incandescent �5 5 Receptacle 26 0 General Purpose 5 5 Switch 20 0 General Purpose 5 5 Receptacle 1 0 20 amp Laundry 5 Receptacle 1 0 30 Dryer „7 5 Paddle Fan 1 0 5 5 Lighting track 9 0 FT 5 5 Receptacle 11 0 GFCI C 5 LJJ Service seal 5 5 1 Phase 3W Service Rating 200 Amperes 5 5 Continued on Next Page 1 of 2 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 51�s��s�����s��rn�s��s���ss�LPLPLPL�sass 0 D cnrJ��nrJ'�I-cnrJ�inrJ'�l-rsrrrJ�l-rJ'crrlrJ'awl-�I-r�rJ'�I-�I-rJ�rJ�rJ'rJ�rJ�cnr��l-�I-�rJ'owl-�I-cnr��l-rrJcn�l-�I-�I-�ncnrJ'r�rJ�rJ'�I-�I-cnrJ'rJ�rJ�rJ��l-rJrn�l-�I-� � 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 r5j 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 5 5 DOROSKI ELEC. INC MARY KIRSCH �7 f5' P.O. BOX 781 9720 MAIN BAY VIEW RD �C CUTCHOGUE, N.Y. 11935, SOUTHOLD, NY 11971 5 c7 Located at 9720 MAIN BAY VIEW RD SOUTHOLD, NY 11971 �7C Application Number: 1146330 Certificate Number: 1146330 5 5 Section: Block: Lot: 83 Building Permit: BDC: NS11 f5 SDescribed as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: �5 Basement,First Floor, Outside, 5 55 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 30th Day of June,2003. [5 5 Name OTY Rate Rating Circuit Type 5 5 Service Disconnect: 1 200 cb 5 Meters: 1 CC 5 .'775 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 55 5 seal 5 5 55 5 2 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 �s�� �������s�ss�������� o NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFEC71VE DATE 1-4738-02305/00001 ® September 1 1999 FACILITY/PROGRAM NUMBER(S) P E RM I T EXPIRATION DATE(S) Under the Environmental Conservation Law September 30, 2003 TYPE OF PERMIT ■ Neu ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR ` Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island Wells Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Mary Kirsch (516) 298-5503 ADDRESS OF PERMITTEE P.D. Box 668, Mattituck, NY 11952 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Kirsch property, Main Bayview Road, Southold NY 11971 LOCATION OF PROJECT/FACILITY SCTM #1000-87-05-24 COUNTY TOWN WATERCOURSE NY7M COORDINATES Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: Construct single family dwelling, septic system, deck and driveway. All work is to be done in accordance with plans stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 8 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS George W. Haamarth (CAF) Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNAT RE DATE September 2 1999 Pd9e 1 Of 4 Albert J. Krupski, President �Q$VFf01/�'C Town Hall James King,Vice-President � ��j 53095 Main Road Henry Smith O y� P.O. Box 1179 Artie Foster y Southold,New York 11971 .T Ken Poliwoda O Telephone (516) 765-1892 yfJOl �a0� Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 21, 199 Mary Kirsch (as contract vendee) P.O. Box 668 Mattituck NY 11952 Re: SCTM #87-5-24 Dear Ms . Kirsch, The following action was taken by the Board of Town Trustees during a Regular Meeting, held on July 21, 1999 , regarding the above matter: WHEREAS, MARY KIRSCH applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 29 , 1999 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 21, 1999, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of MARY KIRSCH (as contract vendee) to construct a 1, 716 octagon 2 story dwelling with wrap around deck and concrete foundation with condition that haybales be placed on west side at the property line adjacent to wetlands, and on the south side from the edge of wetlands towards the house at 50 ' line during construction, and that these haybales be drawn on survey. Located: 9720 Main Bayview Road, Southold. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES : None: None Very truly yours, aa�--S� 9. X4.4."- g. Albert J. Krupski, Jr. President, Board of Trustees AJK/djh Cc . DEC Dept. of State Health Dept. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE; November 8, 1999 TO Patricia Moore A/C Kirsch 51020 Main Road Southold NY Please take notice that your application dated November 8, 1999 For permit for one family dwelling at Location of property 9720 Main Bayview Southold County Tax Map No. 1000 - Section 87 Block 5 Lot 24 Subdivision Filed Map # Lot # Is returned herewith and disapproved on the following grounds pursuant to Article XXIV Section 100- 244B requires minimum front yard setback of 50 (fifty ) feet Subject lot has frontage on both Main Bayview and a private right of way on east side, this east frontage is shown with a 30 (thirty) foot setback where 50' would be required Authorized i ature Page 2 -December 14, 1999 Appl. No. 4771 - Lewis Edson(Kirsch) 1000-87-5-24 at Southold property will be such that, viewed from Main Bayview Road, it will have ample yards on both the east and west sides. (3) The environmental implications of the house location have been reviewed by both the Department of Environmental Conservation and the Town Trustees. (4) Grant of the requested variance is the minimum action necessary and adequate to enable applicant to enjoy the benefit of a house in a feasible and desirable location while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community- RESOLUTION/ACTION: On motion by Member Collins, seconded by Member Dinizio, it was RESOLVED, to GRANT the variance as applied for. VOTE OF THE BOARD: AYES: Goehringer, Dinizio, Collins and Horning.) Absent was: Member Tortora.) This Resolution was duly p GERARD P. GOE ER CHAIRMAN 12/21/9 Approved for Filing x.. .;- ��PD� w.i �.,, �. aj�'SrV _ .meq •'�`s`�� Board Of Southold Town Trustees . SOUTHOLD, NEW YORK eY ' PERMIT NO. so 3 DATE: . 7/21/99 ? r 7 ISSUED TO MARY KIRSCH (as.contract vendee) i x � � ,1u#f�nri�tt#inn C x f Pursuant to the provisions of Chapter 615 of the Laws of F �¢ the State of New York, 1893; and Chapter 404 of the Laws of the R State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;'.'. and in accordance with the " Resolution of The Board adopted at a meeting held on 721/99 19. 99.., and in consideration of the sum of S_150..0,0 paid by Mary_Kirsch _. of .....Southold N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to constr. an octagon 2 story house with wrap around deck & concrete foundation with condit. that haybales be placed on west side at the prop. .line adjac. to wetlands & on the south side frog edge, f et�ancj iowartls t]ze house at 50' Jine e) in accordance wA these etaued specu ica ions as presented in the originating application. during constr. and that these haybal be drawn on survey. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these Presents to r be subscribed by a majority of the said Board as of this clate. z o�os�FFot,,-�o e __ . ....._.......Ken Poliwoda .gyp. w "2M ee? N Vi=i I, ,TU'DITFI T. TERRY Town Hall. 53095 tvgam Road Y. TOWN CLERK ^' •a. - r=, P.O. Rnr 1 17() SODUiold. Ncw- Turk 11971 REGISTRAR OF VITAI,STATIS11CS Fax (S IGI 760-1fi'_i MARRIAGE OFFICER _ • %` - yb�` Tcicphonc (516, 76S-1801 RECORDS MANAGEMENT'OFFICER FREEDOM OF INFORMATON OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93) ] , and "Certificate of Compliance for Development in Special Flood Hazard Area (C/C(93) ) . DO TOWN OF SOrHOL9 �h �� Southold Town Clerk August 25, 1993 APPLICATION # PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and sitm): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein_ 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make ieasouable inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE TO THE OFY,IQJO})y EDGE AND ACCURATE. APPLICANTS SIGNATURE) x �/l�/i DATE SECTION 2: PROPOSED DEVELOPMENT (To be comolleeted by APPLICAN n M�Qt�i AMER/� ADDR SS ' &�� f#7'r(7ELFPli APPLICANT BUILDER t�,4�Z ENGINEER p 4, PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. al2fiYULD FDP(93) APPLICATION _ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure ❑ Residential (1-4 Family) V ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (FloodprooFmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction t� ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System i_/ ❑ Other (Please Specify) After completing SECTION 2,APPLICANT should submit form to Local Administrator for review. SECTION 3: FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the silt is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3OF4 SECTION 4• ADDITIONAL INFORMATION REOUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑Development plans,drawn to scale, and specifications,including where applicable:details for anchoring structures, proposed elevation of lowest floor(including basement), types of water resistant materials used below the first floor,details of floodproo£mg of utilities located below the first floor and details of enclosures below the fast floor. Also. ❑ Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. 13 Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. Other: SECTION 5: PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. O Is B. O Is not in conformance with provisions of Local Law tI , 19 . The permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION # PAGE 4 OF 4 APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the lop of the lowest Moor, including basement (in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8: CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment S SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C/C(93) AppticanU Date Owners Name. �_I YSC� cc-(A-,yn�) _ Reviewed: --JZ" Z 3- q J Architect] -- II Date Engineer: t/.�G�1^Ye.J� S�tYw/JGtC Submitted SCtM N: Q District: II 000 Section: OT Block_ _ Lot: ProjectSubdivision Location: ��a0 IF-� � _ 1_. Name.__--_ Sin&le& separate Requtr certification- Yes/ o Req Zoning Dalrict (I,of siz< __ Acmal 1 �rr ___I Ilol coverage _ Pmtxsed ___ � Rw ,f54 �'Wena Selrb CK- S Rw [Front Yard Propos Iside Yard Proposed J (Rear Yard _ Proposed. ] Project Description: bew 31 SIC t&-m 4L Jqw e UZ5 AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. /, /?/0-7?- �Q$ New York State D. E. C. CS.F. 'D.+Ac,/RteK/�Tivw+ Town Trustees2Sr/iy/bI&R,4f&,.-»—eek Dwepttis SO3 Town Zoning Board approval: / �t/3NCG a�Sei b9t ���T'C�� K741� Town Planning Board approval: � fY" 7 71 Flood Plane Elevation ??? Flood Zone: CEA-m—C97rOH ELS Requate to FA5c ,e*L'r Anew 30$ F� -i ra«�s 32� o Seroma FUM lY/pec k 2 Z O - 9,5 d 7 gbj1 i ca v 0 ��� l U�✓�L Dv res-1,802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � _ E DATEI- u-0 INSPECTOR 765-1802 BUILDING DEPT. I SPECTION [ ] FNDATION IST [ ] ROUGH PLBG. 09[ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC & CHIMNEY ARKS: '74 aZ /%lam - -- DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ /ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ Vl/�FIREP E & CHIMNEY t./ REMARKS: G n � DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUQH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE//& CHIMNEY REMARKS: DATE lO O L INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY r REMARKS: ° ti DATE 7/02 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 3 INSPECTOR R _ DATION ( IST) �i a i MAT ION (2ND) _ _ I �{ �,.,,[ ;fI FRAME 6 IT, PLUMB INGCe� �- -_ - ir -- ------------ - — -- -II _II MATION PER N. Y. it A H C� Q1 Z Yk n y gr � 2- toga x jC �� tz ___-____ H Im rn 0. � w43 A n O m n• � i zN � NTS: Lh�71 V4 N LN'MS I-Ori c •v 1 rir Mellee, lom is Anrmesf2ta aie LA �ILv Der-K FkAywho -r7 o&x)AT IDI v— >-S 0 O - - ------ ----- — H - - ----------------- G -------------------- Yc,� mC' I- BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEI.: 765-1802 NOTIFY: r ?� CALL Examined.................. 19..... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....../2;Z 3...., 19 1.1 Permit No. ¢b a-.�.. ................................... Disapproveda/c .............................. .. ................................... r n r" ilding Inspector) -'� 1 E 1999 . '� A KATION FOR BUILDING PERMIT _ INSTRUCTIONS a. ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 whatever until a certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICK IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the .Building Zane Ordinance of the Tom of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature pf applicant, or name, if a corporation) 8OX 668 A .2— (Mailing address of applicant) State uihetber applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pl nber or builder .4'Q� AZ'Atel< T...V01V ? .... ��!'1,ARY.....K,�� rl............................................. Name of owner of premises '6W16 '�� � ...................................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nave and title of corporate.officer) Builders License No. Plumbers License No. ......................... /r it Electricians License No. ..................... i� Other Trade's License No. ��—................. I. Location of land �oonuohiicrh proposed works�wi/ll be done............,...`.........................../.�.......v................ l/..4�......McFtFk11 Y.��LI�... .,�p..............?0! 477QL .....: .:.1.:.............. Haase Number Street 7 Hamlet Canty Tax Map No. 1000 Section ....Qp.7....... Block .... ........ Int ...Ali,....... Subdivision ...................................... Filed Map No. ............... int ............... (Name) 2. State existing use and occupancy of premises and intended use and o%AW89' 1 r0 construction: ,(� L.QT a. Existing use and occupancy .........Y.:l Y.:!!I ........f........ W%Wletcm oft. IY Af 1�t3...................... ..pi ....,� wetL-4Z.�7.�ir.rM... b. Intek use and occupancy .................. ♦ .. ecce _. ecce ,. ...,,..� ,._ ...,..- ecce..._.. ecce.�. .................. . ..�» ..,........h .......... .w..w.. .......... . .. .......... Repair ............ Reroval ............. Denolition ............ Other Work .................................. ec (Description) 4. Estimated Cost D.Qi�.'a a......... fee .................................. _�,p (to be paid on filing this application) 5. If dwelling, number of dwelling units 7.tA./r.NILnV Nmnber of dwelling units on each floor u - If garage, nmber of cars .......N/6...L�'CI�C. 646..... 6. If business, co mercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ileight ......................... Number of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... height .................... Nnnber of Stories ............... I �& / Jl I B. Dimensions of entire new construction: Front .. ......... Fear .. .T....... Depth ...dO.V....... height ...�.j /................ Nmniuer of Stories ../...L............... Size of lot: Front �. 1.35 /.. Rear .....lkQr........ Depth .f-. '...w ��1`ep y� e, 10. Date of Purchase 1�..V.�..!'CJ�'�y`'dr�Name of Former Owner !>�t[�!`�...�0-130 ! .............. 11. Zane or use district in uiiidi premises are situated .A:.<�...................................................... Y�s..�oR.Sr^?1�1J��Q�t &A,1 11 12. Does proposed construction violate any zoning law, ordinance or regulation: I��,y 4 0. Will lot be regraded .....jAS........ Will excess y�fill l be removeld from premises: YES NO X 14. Names of Owner of p`r'e/nises7�mLx.�I+ yo� .R/k.,0--_�ldreas po..!�Q1S.�96�„,<,YJ[IJl.1,;tk�1U•Y!!pTfiame Nane of Architect .lA'''AARO1.V-S4#4(3 G� -.5R"ress Z476y..<Oi?-.44/MEI�`�A#04.. Phone ND. �o(.®1T.y.�?^7.!.°� Name of Contractor �7 -1�,F•BrTi�'Cw.'�Nf•... Address PJDi&,�C. $M�7ll�r�l.�li Nod-LO.',.,.- 43. 15. is Lhis property within 300 feet of a tidal wetland? * YES ..x.... NO .......... *IF YES, SOlI1 M 1UWN 11d1b1FZ'S PM4rF K�.yV�BE IsgRRED. PPM 5cvr(/0 0 _TP- 2S7_4E I�J�7_4"5L °AI Gl A)D D-.F.C. P-��(-�y[[_r��,��'.//” j87#jp4�p locate clearly and distinctly all buildings, %beth rr existing or pro�oseil,FJ 3'ridih a all set-bark dimensions ` from property lines. Give street and block nuber or description according to deed, and slow street pees and indicate whether interior or corner lot. , K a e� o 0 1 1D t t srnlr•, or• wu nxac, — SS awly OF .S/ l/J.lp9l��-1 ..�........ j� ............/:24.#1!••.. .!C_/_tees c-,.`..................being duly sworn, deposes and says that he is the applicant (Nate of individual signing contract) above maned, lie is the ......... A)7_6 . A) �..porate.....v ...................................................... (Contractor, agent, corofficer, etc.) of eaid owner or owners, and is duty authorized to perform or have performed the said work and to make and file this appSicatioo; that all sLatenents contained in this application are true to the best of his knowledge and belief; and Lhat the work will be perfonred in the manner set forth in the application filed therewith. Scom to before wthis ...................day of .. 177 ..19. �r.C... Notary Public ... .. ... ... ` ecce.. ecce. . .. ......... ... BAIB11MiiEAIl0Yi810 (Signature Applicant) t10Yry� Ydt Ltq SURVEY OF PROPERTY 51TIE'ATED AT :-�O[JTHOLll TOWN OF SOUTHOLDz° SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-87-05-24 SCALE 1 "=80' APRIL 7 1999 ' ' °0 r �• ' -v,� rdA 'dy5 R Scr d BBF b.H �F PF TS P - v:;' _ •° 'nrw� y=i - 1 AREA = 54,300.93 sq. fr. 1.247 ac. ss .>/• i>1 �.ts �� CERTIF14 T0. A MARTKIRSCH 4 \f� Fo a 9 d? TEST HOLE DATA McODNAv .. L_E'J�..G uac - ,. 'i: q SA /' a: _xx i,H . vet. y N. i o ad.:, u2 ._. F, ,.as ..� _ . s. >IP�eA�A IF ,.2e_ ` ti A -F 1i rwcl.H,..r .x .. 4 i TJ W 3 N .& Wores_ LjA �4�R�ro �S FILVAnp6 41L pR.AM 1 x RI v .NY er A'EEO f"' s AAE sNwM nus: c .Mororto Of"'. ArxMa.w.EOWM nBn:FFOI x. E wcmeM w I wa WPHI LT satyr raw ar rmx nm / oiuEv.rxrz AMo/a uu cErAAm FEE TEM 1 FAW;o umc mm snu IF-' sxoWx AW9 I HNAA 6CAC.1,mRY rM. LO l YEpIWx p11SE¢SW N I�SIMWYL MG. / z E MA otrr. s. •HL 0.)FREE STRATA O M n3RY MP %trrc I ac M 11. IT .v.fe)root true.M WRIP M.uxo AxD wMEt. roM.nAMrrtM zIE fel ren ' Lll[11EB Mp rtlL IFYCMIMG IpJI. 4 .4A w E. ..r0 R V EAMEE1 VRx 1111TAEl vxo•Wva. THE S DIRK AMA.or I—APRON M To L WE¢rpttm AI THE . ro AE E.c.v.lON TO WIMI..M UrrGS.Yl2 SOE,t. B FLOOD E.II.pEyAROA.1.111 rL1.INOUII. 1 AND FE x.JE1NW rM O NE.E .1I A REF ZLIF, NEAS CA NE-1 r� HIR W T-RM I ROTH, R n,CE.THM I I.,Ox H WW.EE NFAt THIN mwE M E us Nrorzm m TTUNEEz THM AT-,ER am ..x HHAA rzTwxEansa[zs-.w FLao I A SC..]H.s enLROaE R, A.-THE IN TPPICTAI, SEWAUF DISPOSAL SYSTEM x.Wo WET T H . �, P r ..� �W , .. a . : �a -- z_ o SS M R Cp 1 I/ m SEPTIC-!AbLK--(') ,L - AD }f _ NV1 BE.AA-M Y, rO Tx a .ia F♦ `d4�1� uL u iuLL MCn NT s NWT,BJffwE xW -THE xRw FOR[M xn —HE sWID Teltr N .r Twn E 1 11 [SEPnC Swn _ nnerr EEL 'EA- wN,HH, Pa ,wcE zz. n HFI HEF PI A NHATAH1 LEACHING POOLS (21 Q' `roaz..orwa.1� TER. To z[meow.T—A z sm.A SLEW—.EL. C' OILS f' mWeI.ro x 4<NAEuolm a ERE.T MEET cm cweem oe m IE.croa PW.PE Wc.EALE REFMz W.yan sws —caw x s OF rwzT xDaORm mWERRE mw A.' � �' �6W xnhFN J.cww tools iwo..m u E Bwu 0 wW .ry, n. P'S.Ha�ErxFP.amu �s��OrcxxTual TTNI W.v HxFr � I s �l, cOuNTY�pD}F�P�A(R•T.d ENrOOFFAt�/13./T ESFRVICF,$ 4, � PERAIII7'TO$APPitOVAL VR SMV U` at0{\�RA PPEPAPEC N A'..CORUANCE J. THE MINIML.M i STANDARDS FDR TITLE SURvCTA 0.S ESTABLISHED Cfe�l►AMILY RENCS O1YLY eT THE Ar ; AN APPPov[0 AND AooerEe 4Joseph FORFS I , 011ONTHE NEN FORK -T TE JNO DATE /II z OVEDFOR MAXIMUM OFA BEDROOMS E MESTFIREE YEARS FROM DA'I80FAPPROVAL CO '" m o. �c. No49668 N��YATI RIZED +CERA GN OR AODILOnrM��/ARpTIS SEL, A 5 P v1 ORA ofw EEDU ATN D3 OF E NEW .IRx A. Ingegno COPIES OF •HISMAP V9EAaIN.. Land Surveyor THE LANDsURVE'CTA-DR'0 : 0-NFEG SEA. OR EMBOSSED SPR SHALL NOT BE CON_IOEPEL BE n VALID TRUE COW CERTIFIGTION$ INDICATED HERE06 SHALL RUN _ ONLI TO THE OEFI FOR WHOM 'HE SURVET 'S PREPARED, AND ON HIS BEHALF TO I'.IE -:III JUNCys - SI/641VISIDFIC - 54E PIR" C� IFIFIJ'IQFI L1,TD:t TITLE COMPANTGJVERNMENEAL AGENCr eN' _ENDING INSTGUTON IJSTEC HEREON. AND To THE ASSIGNEES OE THE LENDING INSTI PHONE (516)727-2090 Fex ;516)72?-5095 'UTICN CEAFFlCATpNS ARE NOT RANS°ERABLE OFFICES LJCATED 4T MOVING ADDRESS THE Of EASES OF RIGHTS R OF WAY ANY. N EASEMENTS OF RECORD, N One o Ion Square F.0 Boz 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. AOLebogbe, New York 11931 RTvemead, N!w TOFI. 1'901 99- 234A � -2 ,i i 1 APR 2 5 MI LI I!l�D p� SURVEY OF PROPERTY SR0b1� C �po�� 5 w��lanu SITUATED AT `'C w� TJ SOUTHOLD FR °I�'hT TOWN OF SOUTHOLD Y p. STRefT' h'O SUFFOLK COUNTY, NEW YORK F y� 60.Oz S.C. TAX No. 1000-87-05-24 SCALE 1 "=50' F10 APRIL 7, 1999 a G Op s>"� MAY 7, 1999 (REVISED PLOT PLAN) �� 0p•� JUNE 9, 1999 (REVISED PLOT PLAN) �' .a2 / E• OCTOBER 20, 1999 REVISED AS PER S.C.D.H.S. NOTICE APRIL 19, 2000 FOUNDATION LOCATION + + i A- AREA = 54,300.93 sq. ff, e7 e u. F, �eDF rourvDAnpN 1.247 °D. CERTIFIED T0: � �' MARY KIRSCH z ru, � +2 sc. 03T' i9 % 12 24 ' TION WE14 05 Y.a Y ,v. 'Rs. 9A r• 1.6 A' S.S 9 M� � / �• J9• yROw 9 Doc, iu6F➢ D+oN°NM,Rlii9 12 j.A.1 NOTES: G,f4 AO p� Ip �.y1 1, ELEVATIONS ARE REFERENCED TO N.O.V.O. 1929 DATUM ESISTING ELEVATIONS ARE SHOWN THUS:SP.Q 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 361=0166 G ZONE AE: BASE FLOOD DEMOTIONS DETERMINED / ry Rry y2 ZMIE VE COASTAL BASEE FLOOD OEI£V TIA ONSLOCITY DETEERMINED (WAVE ACTION): j y y0' ZONE x•: AREAS OF 500-YEW FLOOD: AREAS OF I00-YEAR FLOOD WITH AVERME DEOF LESS THAN 1 FOOT OR WITHORNWAE AREAS 166 THAN /Q41' .AV OUTSIDE SQUARE MILE, AND AREAS PROTECTED BY LEVEES FROM 100-YM FLOOD ONE x: AREAS DETERMINED TO 9EOUTSIDECO DE 500-YEAR FLOPAN. / A 3. S.C.O.H.S REFERENCE No. P10-99-0196 / / / ,.L2 j / / / dei j ryo m GP / oz � Z� Aft2A / TO THIS SUR ALTERATION OR N ADDITION Y W. SE THIS SURVEY IS A VNEW ON OF SS, / SECTION EDUCAPON LA OF THE NEW YORK STATE COPd1J •^ THEI LAND FSURVEYOR INN THIS SURVEY MAP S L OR -LA / EMBOSSED SEAL SHALL NOT BE CONSIDERED % TO BE A VAUp TRUE COPY. 6 <'g CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON POR WHOM THE SURVEY �Y �• TO THE TITLEREPAREDCOMPANY. GOVERNMENTAL BEHALF GENCY AND .L5 LENDING INSTITUTION LISTED HEREON, AND / TO THE ERIIFICATIONS ARE NOTpINTRAN�FERARLE. fv � THE EXINCE OFOF AND/OR EASEMENTSROF TRECORD,A F ANY, NOT SHOWN ARE NOT GUARANTEED. JED PREPARED IN ACCORDANCE WITH THE MINIMUM A 3 BBY THE LI FOR MILE APPROVE PS ESTABLISHED Joseph A. Ingegno ORT SUCH USE 6f THE YORK STATE Um TITLE ASSOCIATION. �oLAtio Land Surveyor '9,r.6w y U�,lYo BPH A Try cr9L � Q TWO Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS N Y.S. Lia No49666 1360 ROANOKE AVENUE P.O. Sox 1931 . RNERHEAD, New York 11901 Riverhead, New York 11901-0965 99-234C SURVEY OF PROPERTY °Qsb, p8q SITUATED 7AT e'0 w4Y�l SOUTHOLD `RHS TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S6 S.C . TAX No. 1000-87 -05-24 SCALE 1 ' =50' a s FIAD w mM `ao• u as sJ. APRIL 7, 1999 " MAY 7, 1999 (REVISED PLOT PLAN) JUNE 9, 1999 (REVISED PLOT PLAN) OCTOBER 20, 1999 REVISED AS PER S C D H S NOTICE FnME,�"WA+os" '"•r u6 %r� 4L, APRIL 19, 2000 FOUNDATION LOCATION FEBRUARY 12, 2003 FINAL SURVEY :"?'A' 4' A - FFIU o° p�' A, p \ CT '1c AREA = 54,300.93 sq. ft. 1 jp6 'a�, / �• 1 .247 EG. s° CERTIFIED 7'0: 4Fe >a ��`,^� ��` ' '�' 4, MARY KIRSCH TZ U + k NOTE, FT / S.C.D.H.S. REFERENCE No, R10-99-0198 / ,,A RAO \A`� Fuc IT trek D, + / � n A, / u EDEH_coxs�i+rti:Teva / \ — FLORIO BI On 4 sA, _ /zO • do i-- 4 r \ oo NOTES s,v, A,OKI,Q � h^ L ELEVATIONS ARE REFERENCED TO N. 1929 DATUM C� G t N COQ �,, .y� EXISTING ELEVATIONS ARE SHOWNN THUS. 1. Y761/ ° �4'e`y 2. FLOOD ZONE INFORMATION TAKEN FROM 4 FLOOD INSURANCE RATE MAP ION b610RMINED G A' Y9 ZONE AE. 845E 8000 ELEVATIONS DETERMINED HAZARD / 9 _ jONE VE DCARTBL FL ODFLUODEL VAT VELOCITY DETERMINED (WAVE ACTION). yN ARSE FLOOD ELEVATIONS OD,AREAS jDNE N AREAS OF LESS M R F1 FO AREAS OF 10AINAGE REOOD WITH AVERAGE DEPTH OF L£55 THAN 1 FOUL OR WRH DRAINAGE AREAS LEES THAN 1 SQUARE MILE. AND AREAS ROTEGIED BY LEVEES FROM 100-YEAR FLOOD YONE N AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOOPPIAIN. 3. S.C.D HS REFERENCE No R10-99-0198 / / / / / / _ 4wi r P / ffi°N / FT �v p UNAUTHORIZED ALTERATION OR ADDITION S OF a/2 SECTION 7208 OFSTITEV NEWVIOLATION STATE OOLAW COPIES COPIESPIES OFF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED/ SEAL B SEAL SHALL NOT RE CONSIDERED TO i0 BEE A A VALID TRUE COPY, CERTIFICATIONS INDICATED HEREON SHALL RUN FT ONLY TO THE PERSON FOR WHOM THE SURVEY 15 TITLF TO ER COMPANY COMPANY,ND ON HIS BEHAGENCYTHE AND / LENDING INSTITUTION LISTED HEREON, AND - TO THE ASSIGNEES OF THE LENDING INSTI- / TOUGH CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHTS OF WAY ANO/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. = A J PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR SURVEYS AS ESTABLISHED Joseph A. Ingegno M BY THE LIALS USE A A APPROVED AND ADOPTED 2 N\ �pO g3 UTLESAS$pCIAT10NY HE NEW YYORK STATE LANG y Land Surveyor y, �y COsy � £ '� J � "'" TRIe Survs — Subdivisions — Sit, Plans — ConstrucLon Layout L� ��Ba �GS�\ uII � PHONE (631)727-2090 FDr (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS `, J N Y 5 Llc No 49668 1380 ROANOKE AVENUE PO Box 1931 R VERHEAD, NOW York 11901 RIVBrhANd, New York 11901-0965 99-234D o- � � c4uNrt4� EMF­Li. ' REQUIRED UY PARL r OOO� OCCUPt11'NIZ MY. STATE BUlLD14M USE o a VVm OF Ocamm NAMNS an saw O� Y6R%fr Df Mfkm4 GLAD Ulwarlos OSd�ly 3 toson"ou"m , v&s Ti q 4•�'B '..Y [� "sFOR IN l ' IN p 'Fa'"" } tui Ne M QOUGH FROM"•ftumm 4 F$ULATM NAAL o coNSTNunm um A - - .� `- - i ncowq= ML RDCTION MALL MEtT ` 4 V THE REQUIREMENTS OF TNS N.% STATE CONSTRUCTM S tNERQr { COOEL NOT NESFONSIBU FOR MIMI�M - - DESIGN = is - X h.� t t1MBER CEATIFlGA'�K `', *MOA��tl �" F D CONTENT OEFON � Ai< � � /e CERTIRGATEOF���?�� BI Y i< NT 4 " LDEA USED $uppasys�QCEEO 1M a I �� 1 VE � v„ aet�e. r�4- RJ Ahi') 25 ;,vX!ANE l\� � �W �� � � � / ��� ��� � �� �� C^✓ w➢i.° :':.;,.3Y 91936 LI T rAw-7347482 OOL7wMGR. a 'HIP t• . j /� �Ai=T8f2 �/ 200 Rd�S 5 _ -j p 4 ZXg.. 02 e4�rsR- wEST S•l.,o t S QST _ b >�,xc )," N - -4--�(Kjer. P)-,4n/ tiR r 0 s�Tt-{ tlnnR_ �no y`I 19 ' `• taw, t o�.v 1, , <- V wc.L RAI (w' o Sl'Y2 (pgOC .. — �lR , STQt(L LIACULAR AIR r I1�( �D 51AkK QST 4 w�i L1 ?0 ME ra✓T/ ��E t'It�JI f�1 .; ���:u+ L "^� ;;5 ,SC'OPJ6a. ' n r II _ kt`�G{-I�-tiJ 1 �ST of PAn1 � �:JS STAIRS • SPAcg 2 X *,-QW LLso R CIU IvG P-Co - - , FAw g � V ry 2�pnti- S� �✓/��701,6� Ft,00�SToRY L6v6L Nof P69MNft, r rqe���c4 r:� - -- IST RAF J,.11J� Ai�2 nfo M�q�� (�u �R�M'EINYSe� ,T Lai 5 P i ►cry r STa�tiS , b Nf�A 2(1 �As-r �� of WAST Y RAI b .Dry;c� I � ti bdW N piFE ¢AtL LIVtN` 2C � Nb LJ=-UF-L_ ` 0 4 _ ;o h0.23710 c4 OP THE FiASE 6t APPEN A.SAMBACH CONSUL E iNG ENGINEERS P-0. BOX 1033 COX LANE CUTiCHOGUE,NY 119M 818-734-7462 , Nov(44 W 6L4- 57-4 LL57-4 fL WAV \ A = T- -- LU iTi I 1 11 J3^Z'x1Z � ieptes AN LNrN�' E off z f l3A27ti u vl c A.$q e, OP WAR"= A.SAMBACH s w,'M sEERS w 5`dX LANE 'r �q Ch . I iWC,NY 11836 5 S-734-7482 3 � iNSu�.ars� ftcl� Pbpa A--�(�TS 2'oKj C. R°O'er�I WFz } - ` ✓a`�oU�2 �4rJG�i �� tiles � 4wt t W 614vo ulvi r040 6 A S�ur�h 4 •iR ji.J� {'.k{yi.•a 46-a OOWLYVMNPI 16-�" ANtLrto2 - SOUTHOIA P� �s VON so" v - c AQ� G A -. Q_..... .__�1�i�_ � �� � EIJ� __ � �/(t.��•(L. ._�Q, - � �?I' Off' l ,._`_. -4" C��Iz.Tr��t�a���: �. . • � P���_�S _ .. env .. t4A RAS tem:F7 1>14"E- /� Tn� bf 51,A a YALE t i o x g - YA MIN. V � Q ao �L�v' - d/10 VON Y�� R�OrY Z�OY K lZ•� � - �G', G ��p� L. � CC'ivG�,�� • • y�.•�y_ .T i. 1! zz-_,� �P6oU ko.�23110 Ki II Q r rJ. _l=40'1 e o< ( N -r"c::i_'�t1r��.-r ; ,�.• a�_.1 �'(}U 4`j�,Tl:�' �.t — Z� $_�LCjw �� i5`rtt4� �qb� CZ �F�./v!l1 �► ��' �: -�G't�Qr= I I� i '� i'T�(��{J�"� t J�i-(_e•� I �f L';4!l:s�C 'i�� � � l`LU LS e-1 + S. �� PITCH 2. Ir Weil-? lit IV Kv� .-z4 -F"m "'L .� o' E C. C Z w: .S •e i7 0G-F- -,-77�-- ' VO OUZ ( a Wr I C"✓ w i�LL- t p I k1CC O-W--9-7Q < w✓fit � 1LA6i� ---±--tsrFV_t> / I ti r In wtaLL. S �• '�. t I -- I "vim Ans� �sr�tEce a� Q r•5+-.VR_tly� int rvS .Z�,�-' ` .^'�•?` . '� 2✓b � ✓ ��-.Ag. IN 6Rov►vt] - 4N • - lip(AG UG r 7 y - G M HO. 2371Q t`'$ THE M e lion • vr�r;�.��sa tl i N - i ,- . . ��, f , . .r ,� � �'� ,�_ ® I _ � � a � 54��R1�I :a � � I ® � ` � • Y ,• � I _-' I � ,� . ..-_- ,-, . . -_- " ._ -____ it v � =_.: --'.>,_ „�' � ::® l J' .� �� � � Y l®® � �; S ` \ J` \ �/, � /�/ • + ' , V w� �. G i �AMO KJ n � N �t3lc • � 43 ' f . p i � z � o ` ., .a• tom'"" t � �• , t .•'��.K \.?sirvocf RREM A.SkcMDACH ITI - �.N "UM2 ENGNIIEERS • 2{_LANE _— ♦`na.` f r f ! ' _ w -• cu7; i1�,.3 s:��.�Safi{ i 1935 i y" 1 rj ILI w�vD�w sT(ocT�b ZVMM6 . Y 44G 'tt R ,cwt w(K witAp6co s AN-4I- 2 yoUW /�t..atSSlpn,S � A N `.-y �, a �y � �. • � �. � .�b h` i. I s�Ts Sou c-E► VJEST w5ST i Rv284eir, cl� 4,/3 if. o, b A VO PIC)' iM COX LANE c urc- OGUE, NY 11835 616-734-7462 Zf E L EV AT,O u r � 63 I RY•28-f(I PY2846 Ps � ioL � �s3 � ��� �✓�nToU�r —1.. •f♦ • '� h C'� .lei .00P— L VUn ryr Ei l., e r a s JIM Zf B L EV AT►O" ., con- ��.�..�' RYW 63 I ��C•7"(Q� � s�c�t a� �l6ru�J w�si Rvz81F(a P-r2,84 6 PS S 1oL 1 < asM FS7 � r STA L -- -- - -� �� JZ, QuG J At(L, • -�-0 � �-- . !—C. I':Y t Stmt, AH e 8a—O u t MANi 2S 1670 �ttr� Ate»—RSSN I2�yZ F� tc1 t V-91 a `t 17 — AwW106, k1 t K.4V° 101 I IL 4 } 1 S! :s 6r2tme 4 vp � D F ^ <nit u r n f, � n z { SVV 1ZodxM t (0 \1r20 p 1��A �ID n _- fa S` 4 1 - Y 3(0 86wW �RAU6 wrr� -("�f" r ty.=LGW �.FOJT L�At� I •• �D(�IVb�4T"to1U Vl � 1 E , Nr /�fhL70GlAdf i LG y- ,4 .� SPR m � sr wI� T A o E R N s h N , �D f°�I' 1J E:+t� AfrtO� ��1I sugv Y zaA D� CWWm Tlah 618-794-740 ___ _ ------ 'Q 0 2rN d-- / _ -F i Y �(.t�4eruG �SZ ROAP Tb N011s�' � ti 7..V-S 'I ' l O e¢Ve X52 At �T w rtJh(�,QTIOU s f .9.--,,. I (�.DN�'@�' '-- '�--� �Jr I ,� 7 DI S•?A�.�F�.._ 7JT�O$LAG 5Ov7l-1 AY `TOWN &F SpUYNC�D P1644T OF V-WY l , . *AAIV �M�No� �L�tJS self (; APPROVED AS NOTED a-5J " � L� FEE:-- I91F D1-20 R NOTIFY BUILDING DEPARTMENT A 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION • TWO REOUINEO ` (// TE 7 ROUGP FOR H- FRAMINURED G& PLUMBNN 3. INSULATION h _ GA di rf • 4 FINAL - CONSTRUCTION MUST N BE COMPLETE FOR CA \K\ - ALL CONSTRUCTION SHALL MEET . THE REGUIREMENTS OF THE NA 3 s¢s STATE CONSTRUCTION A ENERGY Ob CODES. NOT RESPONSIBLE FOR `p} DESIGN OR CONSTRUCTION ERRORS -107 VZCT NF'PA zrir3 'GxbB° Lt;. QOM Uvi NC , a Ivcrp 4 , ! \� 2 i 3 P /2�- a p� 5( T .v `� srkj 2w� .-c..L, -A ' $4T H VJ.P.5 T 9 5 T 77 �OQgOFESS,HNA` PQ?,EN A. 2 //A♦��j���.41 f J1���� v rt, 6� o ST �1.C.LJ ICS• ��P4/l/ �> 'r l y y �. . r' --- - (ST I.E: UF-!_ RGb F �.I til E JUE's Gi 1 anti bdw ry LI u�(V 2Gt� PIPE R41L j 1 it I _ :�oQpOFESSiphq �PPpEN A S,91i Fac w T 40 .c rHESIA 1 ' u �' INSU►.AT� � �L(� P4P8 i 2' � 5T - i ->4=<V,�c_twc i t ! loin UtrZ s \ ` a TP MM(Z SAY L(C-uML I " losRS r2 4 v tq a f{(P / -4 2>Z8 5 �FA5(b. TF- � _ 1 kjc S O(�IL 4ANL VW41 tj __. - i - I Zoog ALU N/A - - FURFIAC� RAIL ... . 2X6 '• ZJtly 1 fir!-avY � R1`'SJ T:s 1X E'i 7CJ`iiTS I� � • ) ti�:�iAa�<TG-S 16"GC `_-V � I �-i'Gon4c`! S�TFLt is I SoIN6L5SI I PAIL - !��r� I ALVti( M TSL - I vav A77 tc . - I. : "Nnrdp �"1° $OVRp I - ✓ G Wm T, �y ARE ?GpcE - 5CF i7 - �� ✓ydT�pril CC// ' 10" Y6 e;[/� �FI.A.tiR THPFx�D iso" —j- - -w �gatHw.6 _ �x 7-ft I / �uS �l.ltNm LV �+�s�"'Vy"t71 `{- )' WALL BgGK tt1 L p a G HILLpE °.,moi re'�esTnT* t+[ 122 vE _a- c c e4-AA ks 7 SY5 -r 1 e Al - h_ 44 4545cIA � 6� 1 4"O'' �- -�, --- - - ---- ---- - ---- ...--3 - t-> 1 ERS �I+.V. I.3..3'v Cx LANE _- GUTC'iHOGUE,my lion - 616.794-7493 ' 7 v l6k +-01 s�(K)44ES Ll AU"ty j � �pic?4j't�Jr..�+-� `�� '• �' -ZS'20 ��+ .- GFf-i�P`"1��� 4F FA ascl�Tl qrG G1`r.�b�. .. . 8nzk �- _ • 41 '0� Deno R-,5 (lt u,-'9r =4? 5 `VP ' hp fg t t yL1r..� m 5 —22 1 �'?ftin7��esR`6L df +o�r�s F i�a�orz_ �a —_ r, vcK tUG L _ _ — � J - ES- L j ✓'CICI c »1 ry K ?b �� ✓ / y / i! '(� �•r Gtr G'1. t � y�' . 9HK �v G 1_ CL �. tri \ ,� `•' a v QP '9n c ~ --Av. mp _G _.- � t tl i_ w • w .�< � X41. s�� lrlcx t!-UVG i � {-fid_�t_�� �'�✓�i`—c ! Al R.v G-ttjxµ G�IbI►J6 w civ b w uvD�tu - or ( fi b . RV44. { - AW W( '� (-Z q(- z scat -z : u�( -� sSJnl.KldG WtNkbCO S AN4 i- z hn141- z P, / \ `•�' ` • 282 0 �'. ;�' of <i -. A-rtO Kl POO 21 _ -T-J� -- - � 43 ' ,N r.'4 11 .y C `_ . F - �� -�. �. ��.« <; • �' `, .t �",rw, OATH 23'�p���/ � T• � .�' 'lei.`. - -..- ------- __.__ . - -- - I29zi -lit 4- 'ri tv(s ovTt4- tAOkTNSive Arn�No i tAHS Yr+✓� I `47N�tj� — SIb ©� o�� �r ,G t ?A W 6, fCO7'( JG wZSr-.QST SfDE �FL©" q )AQT © , t wa -- Fkcaun f`cp App" Asnc OCCUPANCY OR rto7 USE IS UNLAWRX - - " ,�—__-__-____ _..�_...�___ c�_._...�___ • : ,��� � ,`► WITHOUT CERilACATE NOTIFY BUILDING DEPARTMENT AT OF OCL+11pri111 A E1 7E5-1902 9 AM TO 9 PM FOR THB tJ ecToftQQpFESS 1ppq ' __._.r_�. } •,�.• ff —".--.-.--+.. *._^ '"�-- f FPOLLO.pUWNID�0 RE c,2PPpEN A. Sg44 F?� :FOU N 1.7A r LO&.-4 MRPGUFWCORCRM & INSULATION I L FINAL - CONSTRUCTION MW ps •' BECOMPLETEFORC.O. '�oF° z3770 ALL'CONSTRUICTION SMALL rxe s7rte ® ® TNS REQUIREMENTS OF THE RH CONSTRUCTION & ENERGY ES. NOT RESPONSIBLE FOR f OR CONSTRUgTI I t, 9 1. y w f f� d 1 •- - at---—z_ -------- ---------- -­4 � utf �'oSTS � G+2�.+p F �C �•, .Q.� �s's"t w � 0�9 WAST.,., �'�j�` �IbF ��°g�C 1W L - - - _ _ c�, - 4k4 POSTS 14 u4"UP2lGuTj hlar�y;t� 'T ; rc5-r dHcilp(t� ' c' es,�►�c , sitF�Po2c QTS .� 4 VO21 N -_40 0U _ - -- L �an�G��TE � ° TU%ci{ ,� f �Ol'AaT(Otiv wrrca �� DIA • � �`Tr�c t•�-Fa Te �:flGfR S Ln«, s� PAtt vPAOF ESS/pyq S�PPPEN A. Qgy44 Fy_ F Tp�sT e3T10 �FTNP STA'EOE'