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HomeMy WebLinkAbout25580-zFORM NO. 4 TOWN OP SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26801 Date: 11/29/99 THIS CERTIFIES that the building ACCESSORY MATTITUCK Location of Property: 4375 MILL LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 4 Lot 2.5 Filed Map No. -- Lot No. -- Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 1999 pursuant to which Building Permit No. 25580-Z dated MARCH 9, 1999 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 ACCESSORY STORAGE BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to KEITH & CHRISTINE PIACENTE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBER8 CERTIFICATION DATED N/A N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26802 Date: 11/29/99 THIS CERTIFIES that the building ACCESSORY MATTITUCK Location of Property: 4375 MILL LA (HOUSE NO.) (STREET) (HA~ILET) County Tax Map No. 473889 Section 107 Block 4 Lot 2.5 Filed Map No. -- Lot No. -- Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 1999 pursuant to which Building Permit No. 25580-Z dated MARCH 9, 1999 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 ACCESSORY STORAGE BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to KEITH & CHRISTINE PIACENTE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A 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. 25580 Z Date MARCH 9, 1999 Permission is hereby granted to= KEITH & CHRISTINE PIACENTE 4375 MILL LANE MATTITUCKiNY 11952 for : CONSTRUCT TWO ACCESSORY BUILDINGS IN THE REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BUILDING PERMIT #23724-Z. at premises located at 4375 MILL LA County Tax Map No. 473889 Section 107 pursuant to application dated MARCH Building Inspector. MATTITUCK Block 0004 Lot No. 002.005 9 1999 and approved by the Fee $ 417.20 ~t~orlzed Signature ORIGINAL Rev. 2/19/98 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 inspector with the following: 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. For existing build~ngs (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 a comment to inspect sig~ed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~-riting to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to ~welling $25.00, Sw~,~ming pool $25.00, Accessory buitding~~ Additions to accessory building $25.~0. ~. Businesses $50.00. 2. Certificate of Occupancy on Pre-existi~g Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Tempora~ Certificate of Occupancy - Residential $[5.00, C~ercial $15.00 ConsCmction.. ~ ....... Old Or Pre-~ist~ Building ................. ~ation of Property .......................... '. .~ ........................ ~ouse Ho. Street Ha~et ~r or O~ers of Property ...... - ............ ~ ......... ~ .......... ~unty Ta~ Hap No 1000 Section Block Lot .... lbdivision Filed Map Lot .. ~mi~ o .... ate emit ................ can~ ..... z · .... ..... ...... ............. TOWN OF $OUTIiOLD 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 inspector with the following: for new building or new use: 1. FSnal 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 chat 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" la~d uses: 1. Accurate survey of property showing all property lines, streets, building and uunsuai natural or topographic features. 2. A properly completed application and a consent to inspect siffaed by the applicant. If a Certificate of OccupaRcy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. · 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, A terations to d elling $25.00, Sw ing pool $25.00, Aocsssory buildtng. P Additions Co accessory building $25.~0. ,, Bus~esses $50.00. 2. Ce~tificate of OccupanCy on Pre-~tst~K Build~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Tempora~ Certificate of Occupancy - Residential $15.00, C~ercial $15.00 ....... ............... ~%W Const~CtiOB ........ Old Or Pre-~ist~ Building ................. ~ouse No. Street ~a~et ,vet or O~ers of Property... { t ~.9~. } .q¢~. ..~,.- ....... } .... ;u~ty T~ ~p No 1000 Section Block . Lot . lbdivtsion Filed ~p . Lot · App App ~alt~ ~ept. royal .......................... equest for. Temporary Certificate .......... Final/~,rt$~ate. · · ~. ~/' ) R gO I II II 8'OUNDATION (2ND) II ii ZOUb--'~ FRAHE & PLb~I~IN~ II INSULATION PER N. Y. STATE ENERGY ][ l] ~ ' ' CODE fl I MEMORANDUM SUPREME COURT~ SUFFOLK COUNTY P,ART V WOLF PiT ASSOCIATES, Plaintiff(s), -against- KEITH PIACENTE, Defendant(s), · BY: DOYLE, R.W., J.S.C. DATED: February 10, 1997 MOTION DATE: 11-6-96 INDEX NO.: 96-27316 Seq. #O01-TRO MD PLTF'S/PET'S AT'P(: JOHN HANSEN, ESQ. 60 Prospect Street Huntington, NY 11743 DEF'S/RESP'S ATTY: SMITH, FtNKELSTEIN, LUNDBERG, iSLER & YAKABOSKI, ESQS. 456 Griffing Avenue P.O. Box 389 Riverhead, NY 11901 This motion by plaintiff for an order granting them a preliminary injunction preventing defendant from erecting an additional building or buildings on property he owns on Mill Lane, Mattituck, New York, pending the resolution of this action is considered by the Court and is granted. Plaintiff is a partnership, formed in 1990, which purchased 65 acres of land in Mattituck, New York which plaintiff subdivided into 13 five acre lots. A subdivision map entitled "Map of Subdivision of Wolf Pit Pond Estates" was filed in the office of the Suffolk County Clerk on June 21, 1990, as map no. 8963. Plaintiff also filed 'a six pag~ declaration citing covenants and restrictions placed upon the properties within Wolf Pit Pond Estates. The declaration states in part; "2. That no structure shall be!erected, sited, placed or permitted-to remain on any lot other than a detached sing'le family dwelling with attached or detached private garage for not more that three car~ and such other building or structures as may be ~r~age 2 /'~olf Pit v PJacente Index No. 96-27316 appropriate to a country residence...." and "4. No building, structure, or improvement of any kind shall be erected, moved onto or maintained upon the premises until the design, location, plans and specifications thereof,..., be transmitted to and approved in writing by Wolf Pit Associates General Managing Partners...This clause includes . pre-fabricated houses which are not permitted." Defendant, having been advised of the filed declaration, its terms, and restrictions, purchased lot no. 6 in Wolf Pit Pond Estates and built a single family dwelling and a three car garage upon the property. Later, defendant requested and . was allowed to build a 42 x 46 foot building on his property which now houses part of his collection of automobiles. In or about September, 1996, after completion of the above mentioned additional building, defendant obtained a building permit from the Town of Southold to erect two more additional bui(dings on his property. According to plaintiff, although the defendant has been advised that Wolf Pit Associates will not allow additional structures upon the property, defendant has begun excavation for the foundations of these buildings which appear to be as large as the first additional building.. Plaintiff contends in support of its application that the placement of two or more large outbuildings on defendant's property is in violation of the covenants and restrictions filed in the Suffolk County Clerk's office and will cause immediate, irreparable and permanent injury to both the character ¢~nd value of the other properties within Wolf Pit Pond Estates. Plaintiff requests that this Court grant plaintiff's application for a preliminary injunction enjoining the defendant from erecting additional buildings upon his property, pendi0g a final determination of this action. In opposing plaintiff's motion, defendant contends that the construction of these two additional structures does not violate any of the covenants and restrictions. According to defendant the barn a~d shed which defendant intends to construct have the same architectural design, appparanbe and use as the barn and house already built, and since the covenants relied upon do not limit the number of accessory structures permitted on the five acr? parcel and indeed contemplate multiple buildings, defendant contends thatihe is entitled to summary judgment dismissing the complaint. I Before a party will be grante~ a preliminary injunction it must establish three essential elements: (1) a likelihood of ultimate success on merits; (2) irreparable injury absent the granting of the preliminary injunction; and (3) a balancing of the equities in Page 3 Wolf Pit v Piacente Index No. 96-27316 favor of the moving party (Albini v Solork Associates, 37 AD2d 835). As a drastic ~remedy, a preliminary injunction should be granted sparingly and only when a party seeking it has established a clear legat right to the relief requested (Camardo v Board of Education of the City School District, 50 AD2d 1073). In the case at bar,. it is clear, at the very least, that prior to the erection of any building on any lot at Wolf Pit Pond Estates, "the design, location, plans and specifications thereof, including plans for grading and landscaping of premises, be transmitted to and approved in writing by Wolf Pit Associates General Managing Partners or by their heirs, successors and assigns, which approvals will not be unreasonably withheld". It does not appear that either party takes issue with this provision in the covenants and restrictions. Neither does it appear that defendant submitted his plans to plaintiff for approval as required by this covenant prior to commencing construction of his additional buildings. For this reason alone, defendant is in violation of the provisions outlined above and plaintiff is entitled to the preliminary injunction it seeks. In so holding, the Court notes that by plaintiff's proof that defendant failed to submit his plans to plaintiff for approval, plaintiff has established its likelihood of success on the merits, a threat of irreparable harm and a balancing of equities in its favor. The covenants and restrictions in place at this residential development were established to maintain a certain character in the community. Defendant does not deny that he was aware of the intept of these covenants when he purchased the property. In order to insure that the covenants were complied with, a procedure was established to permit the review of any construction plans for structures on the lots in this development to insure that there is compliance with these covenants. Defendant has not submitted his plans to plaintiff for approval thereby not only subverting the procedure but also the intent of the covenants as well. As set forth in the Declaration of Wolf Pit Associates, as filed in the Suffolk County Clerk's Office, individual lot owners were not to be the arbiters 'of what was appropriate under the covenants and restrictions. Rather, plaintiff reserved to its managing partners or their heirs, successbrs or assigns the dght to Cetermine, in a rational manner, whether construction complied with the cov'enants and restrictions. Defendant's failure to proceed in a manner consistent wiih the covenants and restrictions compels this Court to grant plaintiff's application'. Insofar as defendant seeks Summary judgment dismissing the complaint, that application is denied. For the reasons stated hereinabove, defendant has not convinced the Court that it is entitled to dismissal of the complaint. e4 ,/ Wolf Pit v Piacente Index No. 96-27316 r~,~,= Upon submission of an order, the parties shall submit whatever proof they deem appropriate regarding the amount of the undertaking to be posted by plaintiff. Submit order JOHN P. BRACKEN LINDA U. MARGOLIN OLYMPIA GOUVIS* WILLIAM J. (~RAHAM PATRICIA Id. MEISENHEIMEr PETER L. VERDON BI{ACKEN &; MARGOLIN, LLP June 30, 1999 Richard F. Lark, Esq. 28785 Main Road Cutchogue, NY 11935 Re: Wolf Pit Pond Estates Application of Keith and Christine Piacente Dear Dick: Pursuant to our conversation of June 29, 1999, this letter will confirm David Saland's consent, on behalf of Wolf Pit Home Owners Association, to the application for construction submitted by Keith and Christine'Piacente. Please acknowledge consent by signing and returning the enclosed copy of this letter. Very truly yours, iRACKEN & MARGOLIN, LLP John P. Bracken JPB:dd Enc. By. ~~~.C~NSENT ACKNOJZqLEDGED: cc: Mr. and Mrs. Keith Piacente Saland Real Estate, Inc. Licensed Real Estate Brokers MAIN ROAD, JAMESPORT, NEW YORK 11947 516-722-4990 · Fax: 516-722-5369 June 29,1999 Mr. Keith Piacente 4375 Mill Lane Mattituck, NY 11952 Dear Keith: Let this letter serve as notice that as the property owners of Wolf Pit Pond Estates have been unable to form a Homeowners Association after severel requests, I will no longer be responsible for administering the covenants and restrictions. My suggestion is that one or more of the homeowners take over the administration of the covenants and restrictions. cc: Richard Lark, Esq. Sebastian Navarra, Esq. MEMORANDUM SUPREME COURT, SUFFOLK COUNTY P,ART V WOLF PIT ASSOCIATES, Plaintiff(s), -against- KEITH PIACENTE, Defendant(s), · BY: DOYLE, R.W,, J.S.C. DATED: February 10, 1997 MOTION DATE: 11-6-96 INDEX NO.: 96-27316 Seq. #001-TRO MD PLTF'S/PET'S AT'I-Y: JOHN HANSEN, ESQ. 60 Prospect Street Huntington, NY 11743 DEF'S/RESP'S AT'FY: SMITH, FINKELSTEIN, LUNDBERG, ISLER & YAKABOSKI, ESQS. 456 Griffing Avenue "P.O. Box 389 Riverhead, NY 11901 This motion by plaintiff for an order granting them a preliminary injunction preventing defendant from erecting an additional building or buildings on property he owns on Mill Lane, Mattituck, New York, pending the resolution of this action is considered by the Court and is granted. Plaintiff is a partnership, formed in 1990, which purchased 65 acres of land in Mattituck, New York which plaintiff subdivided into 13 five acre lots. A subdivision map entitled "Map of Subdivision of Wolf Pit Pond Estates" was filed in the office of the Suffolk County Clerk on June 21, 1990, as map no. 8963. Plaintiff also filed a six page declaration citing covenants and restrictions placed upon the properties within Wolf Pit Pond Estates. The declaration states in part; "2. That no structure shall belerected, sited, placed or permitted to remain on any lot other than a detached single family dwelling with attached or detached private garage for not more that three car§ and such other building or structures as may be ~ ~Page 2 ,j~Wolf Pit v Piacente 'Index No. 96-27316 appropriate to a country residence...." and "4. No building, structure, or improvement of any kind shall be erected, moved onto or maintained upon the premises until the design, location, plans and specifications thereof,..., be transmitted to and approved in writing by Wolf Pit Associates General Managing Partners...This clause includes pre-fabricated houses which are not permitted." Defendant, having been advised of the filed declaration, its terms, and restrictions, purchased lot no. 6 in Wolf Pit Pond Estates and built a single family dwelling and a three car garage upon the property. Later, defendant requested and · was allowed to build a 42 x 46 foot building on his property which now houses part of his collection of automobiles. In or about September, 1996, after completion of the above mentioned additional building, defendant obtained a building permit from the Town of Southold to erect two more additional buildings on his property. According to plaintiff, although the defendant has been advised that Wolf Pit Associates will not allow additional structures upon the property, defendant has begun excavation for the foundations of these buildings which appear to be as large as the first additional building._ Plaintiff contends in support of its application that the placement of two or more large outbuildings on defendant's property is in violation of the covenants and restrictions filed in the Suffolk County Clerk's office and will cause immediate, irreparable and permanent injury to both the character ¢~nd value of the other properties within Wolf Pit Pond Estates. Plaintiff requests that this Court grant plaintiff's application for a preliminary injunction enjoining the defendant from erecting additional buildings upon his property, pendiog a final determination of this action. In opposing plaintiff's motion, defendant contends that the construction of these two additional structures does not violate any of the covenants and restrictions. According to defendant the barn and shed which defendant intends to construct have the same architectural design, appearance and use as the barn and house already built, and since the covenants relied upon do not limit the number of accessory structures permitted on the five acr~ parcel and indeed contemplate multiple buildings, defendant contends that'.he is entitled to summary judgment dismissing the complaint,i' Before a party will be grante~ a preliminary injunction it must establish three essential elements: (1) a likelihood 'of ultimate success on merits; (2) irreparable injury absent the granting of the prelimin~.ry injunction; and (3) a balancing of the equities in /~Page 3 Wolf Pit v Piacente Index No. 96-27316 favor of the moving party (Albini v Solork Associates, 37 AD2d 835). As a drastic remedy, a preliminary injunction should be granted sparingly and only when a party seeking it has established a clear legal right to the relief requested (Camardo v Board of Education of the CitV School District., 50 AD2d 1073). In the case at bar,. it is clear, at the very least, that prior to the erection of any building on any lot at Wolf Pit Pond Estates, "the design, location, plans and specifications thereof, including plans for grading and landscaping of premises, be transmitted to and approved in writing by Wblf Pit Associates General Managing Partners or by their heirs, successors and assigns, which approvals will not be unreasonably withheld". It does not appear that either party takes issue with this provision in the covenants and restrictions. Neither does it appear that defendant submitted his plans to plaintiff for approval as required by this covenant prior to commencing construction of his additional buildings. For this reason alone, defendant is in violation of the provisions outlined above and plaintiff is entitled to the preliminary injunction it seeks. In so holding, the Court notes that by plaintiff's proof that defendant failed to submit his plans to plaintiff for approval, plaintiff has established its likelihood of success on the merits, a threat of irreparable harm and a balancing of equities in its favor. The covenants and restrictions in place at this residential development were established to maintain a certain character in the community. Defendant does not deny that he was aware of the intept of these covenants when he purchased the property. In order to insure that the covenants were complied with, a procedure was established to permit the review of any construction plans for structures on the lots in this development to insure that there is compliance with these covenants. Defendant has not submitted his plans to plaiptiff for approval thereby not only subverting the procedure but also the intent of the covenants as well. As set forth in the Declaration of Wolf Pit Associates, as filed in the Suffolk County Clerk's Office, individual lot owners were not to be the arbiters 'of what was appropriate under the covenants and restrictions. Rather, plaintiff reserved to its managing partners or their heirs, successors or assigns the right to ,determine, in a rational manner, whether construction complied with the coEenants and restrictions. Defendant's failure to proceed in a manner consistent wiih the covenants and restrictions compels this. Court to grant plaintiff's application. Insofar as defendant seeks summary judgment dismissing the complaint, that application is denied. For the reasons stated hereinabove, defendant has not convinced the Court that it is entitled to dismissal of the complaint. Page 4 Wolf Pit v Piacente Index No, 96-27316 Upon submission of an order, the parties shall submit whatever proof they deem appropriate regarding the amount of the undertaking to be posted by plaintiff. Submit order J,.S, C, DECLARATION OF COVENANTS, EASEMENTS, RESTRICTIONS AND DEDICATION OF WOLF PIT ASSOCIATES (DECLARANT) OF WOLF PIT POND ESTATES AT MATTITUCK THIS DECLARATION made on the date hereinafter set forth by WOLF PIT ASSOCIATES, hereinafter referred to as "Declarant", c/o SALAND REAL ESTATE,.Main Road, Jamesport, N.Y. 11947, W I T N E S S E T H : WHEREAS, Wolf Pit Associates, c/o Saland Real Estate, Main Road, Jamesport, N.Y. 11947, is the owner of certain pro- perry situated in District 1000, Section 107, Block 4, P/O Lot 2.1, which p£operty is situate at Mattituck, in the Town of Southold, County of Suffolk, State of New York, and which is shown on a final subdivision map prepa£ed for Wolf Pit Associates by Young & and revised date of December 1, 1989, Young,{ dated May 20, 1988 and pa'~ticularly described on said map as Wolf Pit Pond Estates, ~ Mattituck, Town of Southold, Suffol~ County, Schedule A annexed hereto. WHEREAS, portions of said real property constitute a£eas Qf n.m~nral wetlands and scenic vegetation and these areas of scenic beauty, openness and natural conditions, on said £eal p£operty, if retained, would enhance the p£esent and potential value of abutting and surrounding properties and would enhance the con- servation of the wetlands and natural~ scenic vegetation and ~esources, and WHEREAS, preserve wetlands it is the intention of and scenic easements in ?.J :'-::Z -1- the owners to create and those portions of the herelnabove described property as shown on a final aubdivision map entitled "Wolf Pit Pond Estates" Southold, Suffolk County, dated May December 1, 1989, prepared by Young areas are described on said map as Retention Buffer" Buffer"; and WHEREAS, at Mattituck, Town of 20, 1988 and revised date of & Young, and said designated "Wetland and Natural Vegetation and "Scenic and Natural Vegetation Retention the property herein described will be conveyed by Declarant together with and subject to certain protective covenants, conditions, restrictions, reservations, liens and charges herei~aftec set .forth, and WHEREAS, it is the intention of the owners that the wetland and scenic easements together with its'natural vegetation and resources shall remain undisturbed and in its natural state, and the same shall not be dedicated to any municipality having jurisdiction thereof and that the sai~ owners, their successors, grantees and assigns, reserve the right for the exclusive use of those areas insofar as such use is not inconsistent with the covenants, easements, and restrictions set forth herein and the general public or any person for the use of the said wetland and scenic easements, and WHEREAS, the declarant has made application to the PLanning Board of the Town of Southold, for final approval of aforesaid final subdivision map, and the -2- WHEREAS, for and in consideration of the granting of said approval the Planning Board of the Town of Southold has -. deemed it to be the best interests of the Town of Southold and the owner and prospective owners of said subdivision that there be a dedication to ~he Town of Southold of land outside a thirty- five degree turning radius at the intersection of Mill Lane and Mill Road as shown on the said final map of Wolf Pit Pond Estates at Mattituck, Town of Southold, Suffolk County, dated May 20, 1988. and revised on December 1, 1989, by YOung & Southold shall accept, subject to the Long 'Company easement which exists thereat. Young, and the Town of Island Lighting WHEREAS, for and in consideration of the granting of its approval, the Planning Board of the Town of Southold has deemed it to be in the best interest of the Town of Southold, the owner, and prospective owners of said subdivision that there be front yard setbacks for the various lots along Mill Road; and WHEREAS, for and in consideration of the granting of its app. roval, the Planning Board of the Town of Southold has deemed it to be in the best interest, of th~ Town of Southold, khe owner, and prospective owners of Lots 10, 11, 12 and 13 whose property are so situated on a cul de sac as shown on said map and known as, or be designated as, "Paddock Way" on said final plat, that such use of said road/right of way shall be restricted for the use and benefit of the owners of lots designated 10, 11, 12 and 13; and FURTHER, that ,access by the owner and prosepctive owner of Lot 9 to said road/right of way as shown oE to be designated Paddo~ok~a~r.~.,.~ pr hibited. Lot 9 shall be~ accessible from Mill ~ ~,,, -3- Lane only; and WHEREAS, said road/right of way/easement as shown and/or to be designated as "Paddock Way" has been created to benefit and shall be used exclusively by the said owners of Lots 10, 11, 12 and 13 that they shall share equally the responsiblity and cost in the maintenance, repair, including but limiting thereto, snow removal Of said mutual road/right of way/easement. NOW, THEREFORE, in consideration of Ten (~10.00) Dollars and other good and valuable consideration, the receipt and suf- ficiency of which is hereby acnkowledged, the Declarant hereby ~eclares that the property described above shall be held, sold, and conveyed, subject to the following easements, restrictions, reservations, covenants and conditions, all of which are for the purpose of enhancing and protecting the value, desirability and attractiveness of the real property. These easements, r~servations, covenants, restrictions and conditions shall run with the real property and shall be binding on all pa~ties having or acquiring a right, title or interest in the property or any part thereof and shall inure to the benefit of each such party. 1. That there shall be no further subdivision in per- petuity of any of the lots within the subdivision as submitted and filed and described as Wolf Pit Pond Estates at Mattituck,' Town of Southold, Suffolk County. 2. That all successors, grantees and assigns of the' parcels/lots within the subdivision herein filed are hereby advised that this subdivision lies within one mile of the Mattituck Airport, Town of Southold. 3. That the land hereinbefore referred to as Wetland and Natural Vegetation Retention Buffer and Scenic and Natural Vegetation Retention Buffer, and as such easements are shown, described and designated on the map entitled "Wolf Pit Pond Estates" at Mattituck, Town of Southold, Suffolk County, dated May 20, 1988 and revised date of December 1,1989, prepared by YOung & Young, and as is intended to be filed simultaneously wit5 this declaration in the Office of the County Clerk of Suffolk County and with the Town of Southold Planning Board, and the same is hereby executed and declared a Wetland and Natural Vegetation Retention Buffer Easement and Scenic and Natural Vegetation Retention Buffer Easement. 4. That the terms and conditions as set forth herein apply ~o all land lying within the said wetland and natural vege- tation easement and scenic and natural vegetation easement, as areas are shown on the hereinabove mentioned map. 5. That the said owners, their successors, grantees or assigns shall keep the said Wetland and Natural Vegetation Retention Buffer Easement and Scenic and Natural Vegetation Retention Buffer Easement open and free of buildings and other structures including any billboards or advertising signs (the term "structure" and "Building" shall be interpreted as including, but not limited to, swimming pools, patios, storage buildings, structures for housing of domestic animals, boat or other trailers, recreational vehicles, retaining walls and bulkheads). 6. That the natural vegetation and resources of said easements in its conditions shall remain undisturbed, and in its natural state, and ko this end no top soil, sand, gravel, rock or minerals, shall be excavated nor removed therefrom, no grading shall be conducted on the said designated areas and no planting of fill shall be placed upon the said designated areas which -5- would contribute to the erosion of the land, and no trees on the said designated areas shall be cut or removed and no other plants or vegetation in said designated area shall be destroyed or removed. 7. That there shall be no prohibition on the owners, their successors, grantees or assigns, who may seek to traverse said designated easement areas as the same may be traversed by a walkway, whether elevated .or on the ground, provided proper wetland permits be obtained from the applicable agencies, including the Board of Trustees of the Town of Southold and the New York State Department of Environmental Conservation. 8. That any disturbance to the land within the designated easement areas shall be redressed by the restoration of slid land to its prior natural state, within sixty (60) days of the disturbance or of the date of the disturbance is reported to either the Planning Board or the Bay Constable. 9. That the said owners, their successors, grantees or assigns reserve the right for the exclusive use of those areas within the confines of the lots affected by this Declaration insofar as the use is not inconsistent with the purposes of this covenant as set forth and the said owners, and assigns may exclude the general public from the use of that portion so designated successors, grantees or any person or persons on their premises, except that the Town of Southold shall have the right to enter the easement are only where it exists on Lots 1, 2, 3 and 4 for the purpose of maintaining the berm and vegetation so as to provide for the ongoing functioning of the area for storm water drainage and retention purposes. -6- 10. That in consideration of the Town o£ Southold's approval of the final subdivision map as herein stated and its acceptance of that portion of the.lands outside of a thirty-five degree turning radius at the intersection of Mill Lane and Mill Road as shown on the final map of Wolf Pit Pond Estates at Mattituck, Town of Southold, Suffolk County subject to the easement of the Long Island Lighting Company thereat the declarant dedicates that portion of the land to comply with the required thirty-five deg~e~ turning radius at the intersection of Mill Lane and Mill Road of the Town of Southold Planning Board. 11. That the following front yard setbacks shall be complied with by the owner, prospective owners, their successors, grantees and assigns as to the following lots along Mill Road, as shown, described and designated on the map entitled "Wolf Pit Pond Estates" at Mattituck, town of Southold, Suffolk County, dated May 20, 1988 and the revised date prepared by Young & Young: Lots 2 and 3 shall have a one yard setback; Lots 1, 4, 5, 6, 7, 8 and 9 shall have fifty (150) foot front yard setback. 12. That in consideration of the Town of December 1, 1989, hundred (100) foot front a one hundred of Southold Town Planning Board approval, successors, grantees and described and designated on the map entitled "Wolf Pit Pond at Mattituck, Town of Southold Suffolk County, dated May 20, and the revised date of December 1, 1989, prepared by Young and said road/right of way/easement the owner and prospective owners, their assigns of Lots 10, 11, 12 and 13 as shown, Estates" 1988, & Young, designated "Paddock Way" -7- ¢ on said final plat shall be for the use and benefit exclusively for the owners of said Lots 10, 11, 12 and 13: FURTHER, that access by the owner, prospective owner, its successors, grantees or assigns, or Lot 9 to said road/ right of Way/easement designated "Paddock Way" is prohibited. Accessibility to Lot 9 shall be from Mill Lane only. 13. That the owners, prospective owners, successors, grant,es and assigns, of Lots 10, 11, 12 and 13, shall have an unobstructed easement of said road/right of way/easement for purposes of ingress and egress to their respective lot. 14. Further, that said exclusive owners, propsective owners, successors, grantees and assigns, of Lots 10, 11, 12 and 13, shall be responsible and make payment of all maintenance and repairs, including but not limited to the removal and clearance of snow, each of said owners so benefited shall share equally the cost and expense and contribute equal'amounts as required. 15. That these declarations and dedication shall run with the land and shall be binding upon and inure to the benefit of the owners of the respective parcels, their grantees, assigns, and all persons hereinafter owning or occupying the premises affected by the same. 16. That these declarations and dedication may be enforced by proceedings at law or in equity, and that the invalidation of one or more of the provisions herein shall in no way invalidate the remaining provisions herein. -8- IN WITNESS WHEREOF, the parties have affixed their hand and seal hereto, this day of , 1990. :, STATE OF NEW YORK County of Suffolk I, EDWARD P. ROMAINE, Clerk of the County of Suffolk and Clerk of the Supreme Court ofthe State of New York in and for said County (said Co~urt being a Court of Record) DO HEREBY CERTIFY that I have compared the annexed copy of .,t~~' - . _., .. and that it is a just and tru~ copy of such original ~ ,/,... and of the whole thereof. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said County and Court this ............................................ Form No. 104 -9- 'A ~ ~a~'cerzaiu ~lot, piece par:el of land, st:uata, ;ng and be;nj ak Mattituck, Town of Southold, County of Suffolk and State of New York, 6~unded and described as follows: BEGINNING at a monument on the~northerly line of the "Old Road" 291.89 feet westerly along said northerly line from Mill Lane, said point of beginning being the southwesterly corner of land of Bmockbank; from said point of beginning running along said northerly line and along the northwesterly and then the westerly line of said "Old Road" four courses: 1) South 35 degrees'54 minutes 38 seconds West 66.85 feet; thence 2) South 9 degrees 6 minutes 18 seconds West 120.24 feet to a monument; thence 3) South 6 degrees 29 minutes 12 seconds East 78.5! feet to a monument thence 4) South 10 degrees 23 minute~ 52 se~n.ds East 158.05 feet-'!o or formerly Ho Mattituck Park District; thence along said land, three courses: 1) South 78 degrees 6 minutes ~8 seconds West 24.26 feet; thence 2) South 42 degrees 59 minutes 38 seconds West 732.~7 feet; 2) thence South 39 degrees 37 minutes 22 seconds East 12B.46 feet to the Westerly side of Wickham Avenue (Middle road-CR 27); THENCE along said Westerly line, South 52 degrees 6 minutes 54 second~ West 20.01 feet; to land now or formerly of Frances A. Tutn~l~; THENCEEalong other land now or formerly of Frances A. Tuthlll, Ralph W. Tuthil],sr., Ralph Tuthil],jr., Frances Tuthill, Dean F. Tuthill, and Lots ?. Herr,:thbefo~lowing two courses: 1) North 3g degrees 37 minutes 22 seconds West 613.76 feet; thence 2) South 83 degrees 6 minutes 38 seconds West 298.19 feet to ordinary high water ~ark of Long Creek; THENCE NorHhe~l¥ along the following s~x tie high water mark of Long Creek; J) North 16 degrees 45 minufes 2' N6rt~'16 ~grees' 33"min~te~ lines following the 36 seconds East 90.50 feet; and 5~ se:on~s West 132.~9 ~,ee.,*' approximate ,',2) '~,~rtn 3 oegrees ~1 mlnu~ ] zz seconds East · ~'4.) North 53 degrees 08 minutes 13 seconds West 5) Norht 23 degrees 04 minutes 6] North 31 degrees 56 minutes 51 seconds East 162.19 fC~; 51.23 feet; 115.25 feet; 67.05 feet to a point; THENCE along said land now or five (5) courses and distances: 1) North 62 degrees 03 m'inutes 19 2) North 31 degrees 24 minutes 41 3) North 32 degrees $0 minutes 51 4) North 28 degrees 47 minutes formerly of Grace. L. Schantz the following seconds East 489.40 feet to a monument; seconds West 8~g9 feet to a monument; seconds West 209.52 feet':to a monument; 12 seconds West 220.92 feet to a monument; feet to a point~ thence north 57 degrees 25 minutes 18 East 266.67 feet to a point; thence south 32 degrees 34 42 seconds east 152.17 feet to a monument at the point or 150.00 seconds minutes place cf 5) North 30 degrees 31 minutes 51 seconds west 907.98 feet to a monument on the southerly line of Mill Road~ THENCE along said southerly line the following two courses and distances: 1) North 71 degrees 19 minutes 49 seconds East 475.19 feet to a point; 2)' North 67 degrees 05 minutes 09 seconds East 323.41 feet to the intersection formed by the southerly side of "Mill Road" and the westerly side of "Mill Lane"; Thence along said westerly line the following two courses and distances: 1) South 32 degrees 54 minutes 52 seconds East 1199.69 feet; 2) South 32 degrees 26 minutes 2 seconds East 1087.63 feet to a monument and land now'or formerly of Fanning; Thence along said land of Fanning and land now or formerly of Brockbank south 57 degrees 25 minutes 18 seconds West 283.B3 feet to a monument; thence South 57 degrees 25 minutes 18 seconds West 266.67 feet to a point; thence south 32 degrees 34 minutes 42 seconds East STATE OF NEW YORK ) COUNTY OF SUFFOLK ) ss.: On this~ day of . ~ ', 1990, before me personally came DAVID SALAND, to me known and known to me to be the indivi- dual described and is a managing general partner of Wolf Pit Associates, and authorized to execute the foregoing instrument, and he duly acknowledged to me that he executed the same. LAURIE E. GRAEB Notary Public, State of New York No. 4821818, Suffolk County~;a,~ Term Expires SeptemJ2er 30, 19/ STATE OF NEW YORK ) COUNTY OF SUFFOLK ) ss.: On this3 Caay ofkn~w~'Mn ' 1990, before me personally came LUIS SAN ANDRES, to me and known to me to be the indi- vidual described and is a managing general partner of Wolf Pit Associates, and authorized to execute the foregoing instrument, and he duly acknowledged to me that he executed the same. NOTARY PUBLIC LAURIE E. GRAEB Notary Public, State of New Yolk No. 4821818, Suffolk County Term Expires September 30, 19 JOHN P, BRACKEN LINDA U. MARGOLIN OLYMPIA WILLIAM J, GRAHAM PATRICIA M, MEISENHEIMER PETER L. VERDON *AOMITTED NY AND CT BRAOKEN & MARGOLIN, LLP ~T~ORNE¥$ AT LAW S~TE 300 (516) 234-8585 FAX: (5~6) 234-8702 June 30, 1999 Richard F, Lark, Esq, 28785 Main Road Cutchogue, NY 11935 Re: Wolf Pit Pond Estates Application of Keith and Christine Piacente Dear Dick: Pursuant to our conversation of June 29, 1999, this letter will confirm David Saland's consent, on behalf of Wolf Pit Home Owners Association, to the application for construction submitted by Keith and Christine Piacente. Please acknowledge consent by s~gmng and returning the enclosed copy oft}tis etter. Very truly yours, ;RACKEN & MARGOLIN, LLP John P. Bracken JPB:dd Enc. BY'~~~4~C~NSENT ACKNOYgLEDGED: cc: Mr. and Mrs. Keith Piacente Saland Real Estate, Inc. Licensed Real Estate Brokers MAIN ROAD, JAMESPORT, NEW YORK 11947 516-722-4990 · Fax: 516-722-5369 June 29, 1999 Mr. Keith Piacente 4375 Mill Lane Mattituck, NY 11952 Dear Keith: Let this letter serve as notice that as the property owners of Wolf Pit Pond Estates have been unable to form a Homeowners Association after severel requests, I will no longer be responsible for administering the covenants and restrictions. My suggestion is that one or more of the homeowners take over the administration of the covenants and restrictions. cc: Richard Lark, Esq. Sebastian Navarra, Esq. ROO,F, CONST. WALL CONST. , SLAB CONST. SILL PLATE "~- ....... STANOAED MONOLITHIC SLAB CONDITION FRAI,E WALL - CONCRETE FOIJNDATIO~ WALL SECTION TOTAL PAGE.001 ** SILL PLATE ~ BOL~S NOT O~ STANOA, RO MONOLITHIC SLAB GOI~)!TION FRAME WALL - CONC~TE FOUNOATION WALL SECTION ** TOTRL PRGE.00! ** TOWN OF S,DUTHOLO c COUNTY, ,19~4 : .~. ~ ...,. At a Special Term~ PRESENT: .on.. ARRY E. S£1DELL Justice ' '~'Supreme~Court~of~the~State~0~ York, h~d. ln and for the~County Suffolk, at the Grlfflng Avenue~ RiVerhead, he Fda 'ofoct , ,,, , ,,, ..... ,- FOR A'! Upo~ the annexed 'affidavit'of~David-_ ,and General Pa=trier o~ Wolf Pit Associates,. 28; 1996, the ~u~ons and verified ~omglaln~ undertaking annexed ~eret?( and i~ appearing ~atis~aetion t~at the ~lain~iff has a cause against the defendant for a permanen~ injungtlon i~edtate ~es~raint ~f defendant is neeessary~ and defendant is t~reat~ning to ~o~tin~e ~laintiff,s rights respecting the ,subject ' and' ~o., rgnder .the ultima~e jud~enC inef~ectua and irregarabZe injury~ loss~ or damage 91aint~f unlems t~e defendant ,is restai~ fo~ a preliminary ~njunetJo~ ( ~o~on attorney fo= ~lain~iff ORDERED, that',defendant ~elth Ptau~n~e sho~.:cauSe~ at a Special Term, Part ,,~ this ,Court to' Courthouse Griffing Avenue~ :~ ' NY 1996 at 9:30 ~ or as soon thereafter as oounSer'canbe , heard, why an order,'~ pursuant to Sec, 6713 CPLR, 'should not e made and entered against defendant, h~s agents, servants and emploTees and their respective heirs, executors,,,:~ .} ~n~8~rago~ ~uec.~8ors~ and a~s~n~ ~njo~n~n~ ,nd rostra~n~n~ each and all of ~hom from ondeav~r~n~ ~o oro~t place, move to, or maintain an additional building buildings (structures) on their propertry located at Mill :; Lane, Mattituck, New York; ORDERED, sufficient cause appearing therefore, ~ha~ pend~n~ ~h6 ~ of th~s mo~on~ the defendan~ hi~ agents, servants and employees~ and their respectivehe~rs~' executors, a~inistrators, .successors, and assigns are ~''~?'."?' hereby restrained and enjoined from endeavoring to erect~'}~ place, move to,. or maintain an additional building or ,-. buildings (structures) on their property located at Mill Mattituck New York; ' ' ....... Lane, , . ,~ , ~ ~ ORDERED, that service of this order and the papers upon which at 1~ .granted, t.ogether .with a.copy'of the" ' ' summons and verlf~ed comPlaJ, nt hereJ, n, be deemed good suffidient if made before October , 1996 by leaving a true and complete copy of said papers personally with the ':' defendant. Dated: October~, Riverhead, N.Y. 6RANTED' ENTER: HARRY E. SEIDELL J.S.C. Edward P, omaine CIm'k of Suffolk County EDWARD FORRESTER Director of Code Enforcement BUILDING DEPARTMENT TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 March 8, 1999 Mr. & Mrs. Keith Piacente 4375 Mill Lane Mattituck, N.Y. 11952 Re: Building Permit #23724-Z Premises: 4375 Mill Lane, Mattituck, N.Y. surf. Co. Tax Map #1000-107.-4-2.5 Dear Mr. & Mrs. Piancente: In reference to the above premises, please be advised that the building permit has expired. According to the Code of the Town of Southold, A building permit expires in 18 months from date of issue, but work must begin within a 12 month period or the building permit becomes void. We have voided out this~permit. If you have any questions regarding this matter, please do not hesitate to contact this office. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Edward Forreste~, Director of Code Enforcement EF:gar ADD I T I ONAI. C()HHI[N'rl;: lvO~ NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDIHG PE~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~/°~°~,~z b~~ .........../Q _/__~........~........ ........................... , ~.--..--~ Dote / Permission is hereby granted to: ~~..~.,;~..~....~.,...~ ,Z..~.~.~.....C~..~'~ ...... ~.~.-...~. .~~.....~.~,....z~z~ .... ,o ~~ ......... ~ ......... ~.~Z~ ....... ~~ ......... ~......~. .... ~ .......... ~z~ ........................ ~~..,.~ ....................................................... ~, ~,,~,,, ,=~ ~,.....~zz~ ........ ~..~4 ....................................................... .................................................... ~~~ ......................................... .............................................. 5~..~.5 .................... ::.:. :...::::: ::.:: :.::. :.:... ~,~ ~ ~ ,o. ,0oo ~,~,,o, ..Z~.2 ........ ~,~ ..... ~.... ~o, ~o ......... ~.~. ~ ~ ~ 19.~ appro,~ by the pu~uant to application dat~ ............. ~ .......... /~ .............. , and Building Inspector. Fee ,.i. i'~ !2:.~:0- Rev. 6/30180 765-1802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FOUNDATION 2ND [ ] FRAMING []FIREPLACE&CHIMNEY INSPECTOR FOIRt NO. I TO~I[I OF SOUTHOLB BUILDING DRPARTHENT TOt/N ItALL SOUTHOLD, N.Y. 1197 I TEL: 765-1802 lC~mleed ................. , 19 .... ~ ................., ,9 .... Pe~t NO..~.~..~..~" ~-~ Disapproved a/c ............................. . ... . BOARD OF HEALTH ............... 3 SETS OF PLi~,~IS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ......... ~ ......... 'CALL ..%q. HAIL TO: .................... APPLICATION FOR BUILDING PERHIT INS?RUCTIONS ........... Date ......... a. lhis application n~st be conpletely filled in by type~iter or in ink and submitted to the Deilding Inspector wit 3 sets of plm~s, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho~ing lecation of lot and of buildings on premises, relationshlp to adjoining premises or l~blic streets or areas, and giving a detailed description of layout of property mast be dra~a on the diagram ~ddch is part of this application. c. The ~onk covered by this application may not be coramnced before isan~ca of Building Pemit. d. Upeo appr~al of this application, the ~uilding Inspector ;~ill iasse a l~uilding Permit to the applicator. Such pemit shall he kept on ~ premises available for inspection throughout the ~ork. e. No building shall be occupied or used in ~aole or in part for any purpose ~atever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATfCll IS ~S~mt t4~E to the Building Department for the issu~ca of a Deilding Permit pursuant to the Building Zone Ordinance of the Tonn of Sontlmld, Suffolk Ceonty, l~ York, and other applicable La~s, Ordlnm~es or lk-~ulations, for the constn~ctlon of buildings, additions or alterations, or for removal or demolition, as herein described. ~ applicant agrees to cauply with all applicable la~, ordinances, building code, housing code, and - (l~ailing addye_ a~ of appliqant~ .~ ~- ~ State vdm~ar applicant is ¢xvner, lessee, agent, architect, engiseer,'geseral contractor, electrician, plm~er or builder. (as un the tax roll or latest d~t) If applicant is a corporation, signature of duly authorized officer. (Nam and title of corporate officer) Ph~hers Licanee No ............ Electricians License No ...................... Other Trade's License No ..................... ~ ,. tion un. ,ch . will be .... ...................... .......................... .................. ~ ~r St~t ~let ~T~. ~ ~t~ ..~ ............ ~ ............... ~t ................ (~) ~. ~,~ ~ ~ ~ .~.~ ................... "~c_:::~;.~:~.~,~ ....... b. ~t~ ~ ~ ~ ...... ~;,~;.;~.~Cy;~..'. ..... 15. 3, N~tnre of ~ork (check ~hid~ applilcable): Ne~ Building . ~ ...... ~i~i~ .......... Alteration .......... ~ir ............ ~al ..... ~.~ ...... l~liti~ ............ O~lmr ~ ................................... .... ~_ _~ ~ (~rip~i~) / (to ~ ~ifl m [ili~ this a~liati~) If garage ~r of ~rs ' ' 7. Dimnsi~s of ~isti~ st~, if ~: ~t ..... ~ ......... ~ar ............... ~pth ................. ~e ~ t~ Di~nsi~ of ~ st~ alterati~s or ~itions: ~nt ........... ... . ~ar ....... .... . ... PLOT DIAGRAM [~cate clearly and distinctly al property lines. Oive street ~at x~aether interior or corner lot. [ buildings, ~hether exlsti~g or proposed, and indicate all set-back dir~asions )lock rtmber or description according to deed, and sho~ street names and indicate ~FA'IE {3F I~'~q YOlk, SS ................... (~ of i~ivi~l Si~iug c~traet) ~ .... ,.....__............... ................................................ (~traet~~ ateof[ e e c*)~r lc of aid ~r or ~rs, ~ is ~ly i~tl~i~ to ~rfom or h~ ~rfo~ fl~ aid wl afl to ~ ~ ~ile this a~lication; ~at all stat~nts c~t~i~ in ~is a~llcatlon are t~ to that ~e w& rill ~ ~rfo~ in t[~~ mawr mt forth in , N~W.~ ~ Nw York ~o 01~79~5 C~m ~ ~lr~ ~. 6, ~ ~q ~ FORM NO. 1 TOWN OF $OUTHOLD BUILOING DEPARTMENT ToWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 3 SET[; oFi PLANS .......... SURVEY ; .................. ClIECK¢ .................... SEPTIC FORH .............. NOTI FY ~ CALL ................... FLAIL TO: Date ................... 19... INSTRUCTIONS a. Tiffs application must be conrpletely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagrmn which is part of this appli- fcation. c. The work covered by this application ~nay not be com,nenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit sh~ttl be kept on the premises available for inspection throughout the work. e. No buildiug 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordiuance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construcfion of buildings, additions or alterations, or for removal or demolition, as herein described. The applicaut 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 inspe~c~'.9~s. / ,.~ / . ,z~..~...c~...,.. z~... 0.~...~.~ff. ........ (Mailing address pf applica, nt) C_/Dz'~t4o~tL ,gq' II~' lessee~rchitect, engineer, general contractor, electrician, plumber or builder. State whether applicant is owner, Na,ne of owner of premises ...~.~.7'~.... ~.~.t~ ..... .~.,~.~m...~.~--/~..~ ............ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No../..~....~..7.~...~L~....~. ........ Plumber's License No ......................... Electrician's Liceuse No ....................... Other Trade's Liceuse No ...................... ~) Location of la,id on which proposed work will be doue. .. q..$. 7..5..'7 ..................... ./..~z~. z~,~ ............ g~4.7~,,7. ~.cr~.. ............. llouse Number Street Ilandet County Tax lvlap No. 1000 Section ..... d~..~. -~. ....... Block .... .~, .~/. ......... Lot ..... .~:.*.~"7 ......... St,bdivision...~.g~...~...~.7...J::~5,/./~..~.~FiledMapNo. ...~.f.~....~. .... Lot . ~ ...... (Name) 2. State existing use and occupancy of premises and i, tended use and occupancy of proposed construction: a. Existiug use and occupancy ...~1~¢/"5~ .................................................. 'T~ o . ~e-A~5...LFz~......~.7oz~d4..~-.~. ~-,~.~. b. Intended use and occupancy . · · ... ' ' ' 3. Nature of work (check which applicable): New Building ....... ~-..- Addition .......... Alteration ....... '.:. Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cos · · ./.H.-/...~--.. ........... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling u~.~ ............... Nmnber of dwelling onits on each floor ......... · If garage, nomber of cars . .'~. i ............................................................ 6. If business, commercial or mixed o~cupancy, specify nature anti extent of each type of use ..................... 7. Dimensions of existing structures, it' any: Front...'Y ........ ' ....Rear .............. Depth .....'-~'::w~... ....... Height .~ ............ Number of Stories .... .~.'. ................................................. Dimensions of same stmctnre with hlterations or additions: Front .............. '... Rear ... ~.. ]..~.. ........ Depth .... 7. ........ -'; ....... !Heigh! ........... ~..., ...... Nt tuber of/Stories .... 7. ...... : .... 8. Dimensions of entire new construct;ion: Fro~t ~/g/...~q Rear .~/.~.-./~g-/ Denth . ~.~./~"~'" · ,' . ' ................ .t .... ~ .... ,- · · '~r ........ Hmght .... I.~ ......... Number of Stories .... ~?~.E.-. ..........  Sizeoflot: Front...~,~.~ ,, i n,~.,- Z,~'~l .... ;~,;,~ ' '~/d'/ ............... Date of Purchase . .t3/./.~.~¢~.~.~ ...... . ......... Name of Former Owner . .'.~.~... ~'"/ /~-~, Zone or use district in which premises are situated .......................... 12. Does proposed construction violate!any zoning law, ordinance or regulation: ..~ .......................... 13. Will lot be regraded ..Y,~.~.,,...i.. ............ Will excess fill be renmved from premises: Yes (l~ 14. Name of Owner of premises .r-t...F~..~,/.~..~gl Address ................... Phone No ................ Name of Architect ............ i ............. Address ................... Phone No ................ 15. ts this property withfn 3001 feet of a tidal wetland? *Yes ......... Qi:,N?~ . · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or cra'net lot. STATE OF NEW~YOI:~K., CouNTY ...... : ~ ............. being dnly sworn, deposes and says that he is the applicant (Name of individual signing ~ontract) above named. He is the ~ (Contractor, agent, corporate officer, etc.) af saki owuer or owners, and is duly agthorized to perform or bare performed the said work and to make and file this application; that all statements containe~l in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me Qualified in Suffolk (]otmw ~ // ' ' ~ ' ~gnatur~of app icant) ~mmission Expires r)~cember 8, ~ 9 _1.~ ~ ~ '