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HomeMy WebLinkAbout49413-Z Town of Southold 7/15/2023 a P.O.Box 1179 53095 Main Rd Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 44309 Date: 7/15/2023 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 415 Goldin Ave, Southold SCTM#: 473889 Sec/Block/Lot: 135.-2-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/19/2020 pursuant to which Building Permit No. 49413 dated 6/23/2023 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: interior alterations and raised patio addition to existing single family dwelling as applied for per ZBA#7779, dated 5/18/2023. The certificate is issued to Bauer,Thomas&Courtney-Bauer,Jenifer of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 20-67124 8/11/2020 PLUMBERS CERTIFICATION DATED 7/22/2021 NJohnNichert A o 'zed i nature Suf ice. TOWN OF SOUTHOLD Coya BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE AMENDMENT "oy • oma '' SOUTHOLD, NY .�aep — 2 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 49413 Date: 6/23/2023 Permission is hereby granted to: Bauer, Thomas 750 Shearer St North Wales, PA 19454 To: make interior alterations to an existing single family dwelling as applied for, replaces BP 44735 *6-22-202-3-AMEND-PERMIT:,to include legalize as built raised patio as per plan, and with ZBA#7779 approval.make interior alterations to an existing single family dwelling as applied for. At premises located at: 415 Goldin Ave, Southold SCTM # 473889 Sec/Block/Lot# 135.-2-12 Pursuant to application dated 6/23/2023 and approved by the Building Inspector. To expire on 12/22/2024. Fees: PERMIT RENEWAL $195.40 AMENDMENT TO PERMIT $220.00 Total: $415.40 Building Inspector -� TOWN OF SOUTHOLD oo�S�FFotK�oGy BUILDING DEPARTMENT a � � TOWN CLERK'S OFFICE ' SOUTHOLD, NY o ; Allio�x��; BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44735 Date: 2/27/2020 Permission is hereby granted to: Bauer, Thomas & Courtney-Bauer, Jenifer 750 Shearer St North Wales, PA 19454 To: make interior alterations to an existing single family dwelling as applied for. At premises located at: 415 Goldin Ave, Southold SCTM #473889 Sec/Block/Lot# 135.-2-12 Pursuant to application dated 2/19/2020 and approved by the Building Inspector. To expire on 8/28/2021. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $340.80 CO- ERATION T WE $50.00 Total: $390.80 Building Inspec Form No.6 W CA �t l cil 0 —1-0 6 W7 ,A TOWN OF SOUTHOLD BUILDING DEPARTMENT P_0_� TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. ©? 124920 New Construction: 11 Old or Pre-existing Building: (check one) Location of Property: �`1' 5 6. 0 I h L TV14 �c G17 House No. Street Hamlet Owner or Owners of Property: 01 nng� S &L Lt c� e'vi (�Or -e-,' Suffolk County Tax Map No 1000, Section 3 Block �� Lot ��— Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ �O, Applicant Signature i `.. ' FEB 2 0 2020 ! Building Department Application AUTHORIZATION ! (Where the Applicant is not the Owner) i II I i ��+'►a►s &,U P.+ — residing at 15O40tre� (print property owner's name) (Mailing Address) �'x IVU,4 041,05 �� SY do herebyauthorize �RW,k 0WICM (Agent) to apply on my behalf to the i i` Southold Building Department. i _47e (Owner's Signature) (Date) r� (Print Owner's Name) P(,0e&Ae, Agk v-m r l 5 Go t& h LK J- 5oc c4��� N�f 11971 P a t 6 P I i I Certificate of Compliance ............................................................................................................................................................................................... CERTIFIED ELECTRICAL INSPECTIONS, INC. 188 PARK AVENUE AMITYVILLE, NY 11701 P: (631) 598-5610 ............................................................................................................................................................................................... CERTIFIES THAT Upon the application of Upon premises owned by 5th Generation Electric Tom Bauer PO Box 2723 415 Goldin Lane Aquebogue, NY 11931 Southold, NY 11961 Located at: 415 Goldin Lane, Southold, NY 11961 Application Number#: 20-67124 Certificate#: 20-67124 Electrical License#: 58846-ME Section: 135 Block: 2 Lot: 12 Building Permit#: 44735 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Kitchen A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 11th day of August 2020 Name QTY Microwave Circuit-20 Amp, 120V 1 Dishwasher Circuit-20 Amp, 120V 1 Fan Light Fixture- 15 Amp, 120V 1 Duplex Receptacle- 15 Amp, 120V 5 Branch Circuit- 20 Amp, 120V 3 Switch - 15 Amp, 120V 4 GFI Receptacle- 15 Amp, 120 V 2 ARC-Fault- 20 Amp, 120V 3 Exhaust Hood -20 Amp, 120V 1 --a Electrical Inspector: Anthony Giordano AUG 1 7 2020 APPROVEDo BUILDING DEPT. THOLD This certificate is not valid unless raised seal is present. Town Hall Annex Telephone(631)765-1802 54375 Main Road :' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 , BUILDING DEPARTMENT TOWN OF SOUTHOLD D J U L il 2021 Bu,DrNG DEPT. f0��+-T CY SOI MOLD CER..T..I.FICATIQ.N: Building Permit No. .... _ Owner: `o--A, (3.Q yE 2 y i (Please print) a Plumber: ,7:2.//!v _- c/ (Please print) I certify that the solder used in the water supply system contains Iess than 2/10 of 1% 5 lead. (P umbers Signature) aa�d Sworn to before me this i day of J 20 2( i i NotaryPublic, , l e . . ,County `fRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,202 4 I f 2 # # TOWN OF SOUTHOLD BUILDINGDEPT. 765-1802 INSPEC ION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION/CAULKING - [ FRAMING./STRAPPING [ ] FINAL [ ] FIREPLACE.& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ "]-FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: �� -bl , ti � fin. a v� • DATE INSPECTOR t / �OFSOUIy how o� # TOWN OF SOUTHOLD BUILDING DEPT. °�ycournr ''� 765-1802 INSPECTION [ ] FOUNDATION 1ST [FGH PL13G. FOUNDATION.2ND LATION/CAULKING FRAMING/STRAPPING [ L [ ] ;FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOI,.ATION [ ] PRE C/O rec REMARKS: gU M6,PJyy rl wD qw A-0 tAw� �C*V%Wt) 1 DATE (2,0!!lINSPECTOR u/ o�apF SOf/Tyo # TOWN OF SOUTHOLD BUILDING DEPT. `ycou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: o m l./ DATE LWV INSPECTOR _ "-'-� `�.•. "tea "",..L_ p�i I !�4�;}: liW4 S W q .., '��'�"�Yr' +� "'`�,`Y,t�,�2};� �t;, �a t tS f �,rtt ''�• + + x ! s-- n-Z"'+- a� .�•7 at,YY-:'43,• '.f fit..ka'�� :. .:;X y vr•.,•• .t n %s'�i^rw � �,�, 'Sr ,j t '.4` {�.F�"-_ �r q''XX,F.: �"'c.. r -rT a:,;c �; .: r: � .�,;• ;i sr r :qts �,.T,:' "�". ,fir d+ r•,. �` s. 5r S{ ,,v a .i2iA' � a'�9'� �.:,+�, ,,x�t y, '�j,, ♦.. -6 '- :+� ,.>!1!'y, -r°� ".N i ;41G lyo;'4�M� ir.rtt a 'as t�"5r"�'° .'r` •.�, a"'.,•,,,,, ?:e•. ,�• ,� Y+- RAAA ..r i1• .t.;''.y4��;�_ 'a� "`� t�' --•_+t' ;!'.t�<"'^ fi�,;a'��►��� �::t;�Si:. - �t. y !`l'$- 7� �7-4, a'+s•�y.+�.; - -f �'•_* k.", ,•' ,, f. Ea�A�p�{•rt-,. 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L 415 GOLDIN LANE ' -. = 3���)J}'' , 1� .. ��-y•,o� �cY : ' , j� A; � ti SOUTHOLDi NY _ '?=yF1`•Mf' ` xrr`.�,� .,:y r• �" 1�'�''I 1 '�!h'a: � ':;���� *j. i ++•.,: , �t°.- a:.,fr-..s. hf�"" 'b G� :� �"� .*sxvt"�.=r�� t .r'y'a � � �� �':i�' *�.?�?'ria• ,.i���4►q:�y ._6,<0 'ti �` d:. f s �' .. r �. :��' ,i..'.,:�. :'e.%�a.�-...;�r�-..:c--;<¢f' l.:A.v't�..l,;"t '>�.���'��Y�i. ;,:.,.t�hn..r..,' �", ,.. .F:�: .. �"1w�•.."-- .. .. 'Ali ,k' laoo - 135 - 2 - 1 2, D � C JUL 2 (1 9n99 BUILDING DEPT. TOWN OF SOUTH'LD maJb INSPECTION REPORT -DATE COMMENTS , FOUNDATION (IST) ---------------------------------- `�- FOUNDATION (2ND) CIO C • tet-- �, tAml 0) ROUGH FRAMING& PLUMBING O .y INSULATION PER N.Y. y STATE ENERGY CODE r 1 LIEA FINAL lov., ADDITIONAL COMMENTS - S- o 6 0 r-e � . T a-21 0 01g , a 3 Vim , �vv� uw X)ovo • 30. 23 P �/� dYiO YZ- 0q 1 z/ H O C • t=i TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX: (631)765-950219 Suryey Southoldtownny.gov PERMIT NO. q'0Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Cont` t: (� �` ,(i I / Approved 20 Mail t�(�(�6 l�1L le" au l Disapproved a/c Phone: ��O go Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT FEB 1 9 2020 Date a2 20 2� INSTRUCTIONS a.This application MUST be.completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner lessee,agent,architect, engineer,general contractor,electrician,plumber or builder �Aechuiz�kr' Name of owner of premises /�iptn� C, � T" W &U C r (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: j 9tren 1�1in -t �)i 2 J�cl�'�"� House Number Set Hamlet County Tax Map No. 1000 Section l 3 Block____-.)- Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy �2&sD UVAL b. Intended use and occupancy leg �7&eav Com.!' 3. Nature of work(check which applicable):New Building Addition Alteration i/` Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor If garage, number of cars 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use. 2 7. Dimensiogs f existing structures,if any: Front '2,S, Rear 2j2, Depth Height '/- Number of Stories i Dimensions of same structure with alterations or additions: Front .✓ Rear Depth x`3.43 I Height "�/- 2��� Number of Stories 2, 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories c � 9. Size of lot: Front ��� Rear _ Depth Ids 10.Date of Purchase /-(*7- Name of Former Owner4yma 11.Zone or use district in which premises are situated le4-0 12. Does proposed construction violate any. oning law,ordinance or regulation?YES NO 13.Will lot be re-graded?YES NO �/Will excess fill be removed from premises?YES NO�,4 14.Names of Owner of Lr ti �n �xc c�-zr— Address 7SnSH .of S r Phone No. S/6—66.9-10 I Name of Architect alv k a Address f eA 3/b Phone No Name of Contractor Address 3'E5 AruM'd Phone No. rod(-7dog- %ZZ3 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITSSMAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland? * YES V NO * IF YES,D.E.C. PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data ons rvey. � 18.Are there any covenants and restrictions with respect to this property. * YES NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNT!OF&3V, IL 'Zia (&4 being duly sworn,deposes an@Qty (.gWy{3�e licant (Name of individual signing contract)above named, Notary Public,State of Newg�k No.01BU6185050 He is the Qualified In Suffolk County (S) ���(�61 Uammisslon Expires April 1'42 020 (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi 20/4 day of j 202.0 w / )!---/ Notary Public ignature of Applicant TOWN OF SOUTHOLD—BUILDING DEPARTMENT y . Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 w�, • �� ' Telephone(631)765-1802 Fax(631) 765-9502 littps:.!.,,'www.southoldtownnv.�ov Date Received APPLICATION FOR BUILDING PERMIT DISAPPROVAL For Office Use Only I� - PERMIT NO. Building Inspector: In JUL 2 0 2022 FDj Applications and forms must be filled'out in their;entirety.Incomplete_ applications will not be accepted. Where the Applicant is not the owner,an BUILDING DEPS: Owner's Authorization form(Page 2)shall.be completed. 6OWN OF SOUTHOLI� Date:April 18, 2022 OWNERS)OF PROPERTY: Name: Thomas C. Bauer scTM#1000-135-2-1.2 Project Address:415 Goldin Avenue,,Southold, NY 11971 Phone#:516-669-1061 Email:tcbauer@cimaii.com Mailing Address:750 Shearer.Street, North Wales PA"19454 CONTACT PERSON: Name:Thomas C. Bauer Mailing Address:750 Shearer, North Wales, PA 19454„ Phone#:516-669-1061 Email:tcbauer@,gmail.com DESIGN PROFESSIONAL INFORMATION: Name: E Frank,Wolfgang Uellendahl Architect,,,, Mailing Address:POB 316, Greenport, NY 11944 Phone#:6317477-8624 Email:frank@f.ra,n,lkulell,,enda.hl.com CONTRACTOR INFORMATION:. Name:C. Mohr Landscaping,._Inc. Mailing Address:P.O. Box 48, Cutbhogue, NY 11935 Phone#:63l-765-4617„ Email:chrismohrenterprises@gmail.com -DESCRIPTION:OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther"as built"raised patio $13,561.48 Will the lot be re-graded? ❑Yes ii No Will excess fill be removed from premises? ❑Yes BNo 1 i PROPERTY INFORMATION ., Existing use 4ofµproperty:One'_-fat ily dwelling__— Intended use of property:one-family dwelling_,„_- Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to m R-40 A �mRR M✓�M this property? EJ ONO IF YES, PROVIDE A COPY. J,Check!Box�After.Reading:, The owner/contractor/design professional is responsible for all drainage,and storm'water Issues as provided by` Chapter236`of the Town Code.-APPLICATION IS HEREBY'MADE to the Building Department for the,issuance of a Building Permit pursuant to the,Building Zone Ordinance of the"Town of Southold,Suffolk,County,Newyork and other applicable Laws,Ordinances orRegulations.for the'construction of buildings, additlons,alterations or for removal or demolition as herein described:The`applicant agrees to'comply with all applicable laws,ordinances;building code, housing code'and regulations and to admit authorized Inspectors on premises and in building(s)for necessary inspections.False statements made herein are' punishable,"as a Class A misdemeanor pursuant,to'S.ection•210.45 of the New York State Penal Law.; Application Submitted By(print name):Thomas C. Bauer ❑Authorized Agent ®Owner Signature of Applicant: Date: April 18, 2022 STATE OF NEW YORK) SS: COUNTY OF SUFFOLK ) THOMAS C. BAU ER being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, o e of (S)heis he (Contractor,Agent,Corporate Officer,etc.) of-w4 -c wft-r-of owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of hisArer knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this 18TH day of April 20 22 lujuill, Notary Public BARBARA DIACHUN Notary Public, State of New York PROPERTY OWNER AUTHORIZATION No01D14635190-Suffolk County (Where the applicant is not the owner) Commission Expires Oct.31,2W I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: September 1, 2022 TO: Thomas Bauer 415 Goldin Avenue Southold,NY 11971 Please take notice that your application dated April 18, 2022 For permit to: Legalize an as-built raised masonry patio attached to existing single family dwelling at: Location of property: 415 Goldin Avenue, Southold, NY County Tax Map No. 1000—Section 135 Block 2 _ Lot 12 Is returned herewith and disapproved on the following grounds: The proposed construction, on this non-conforming 6,865 sq. ft. parcel in the Residential R-40 District, is not permitted pursuant to Article XXIII Section 280-124 which states: lots measuring less than 20,000 square feet in total size require a minimum rear yard setback of 35 feet, and further states lot coverage to be a maximum of 20%. The survey shows the ekistin rag ised patio to be located at 10 feet from the rear property line and indicates the lot coverage to be 22.5%. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: September 1, 2022 Renewed:November 4, 2022 TO: Thomas Bauer 415 Goldin Avenue Southold,NY 11971 Please take notice that your application dated April 18, 2022 For permit to: Legalize an as-built raised masoM patio attached to existing single family dwelling at: Location of property: 415 Goldin Avenue, Southold, NY County Tax Map No. 1000—Section 135 Block 2 Lot 12 Is returned herewith and disapproved on the following grounds: The proposed construction, on this non-conforming 6,865 sq. ft. parcel in the Residential R-40 District, is not permitted pursuant to Article XXIII Section 280-124 which states: lots measuring less than 20,000 square feet in total size require a minimum rear yard setback of 35 feet, and further states lot coverage to be a maximum of 20%. The survey shows the existing raised patio to be located at 10 feet from the rear property line and indicates the lot coverage to be 22.5%. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: September 1, 2022 Renewed: November 4, 2022 Renewed&Revised: December 28, 2022 TO: Thomas Bauer 415 Goldin Avenue Southold,NY 11971 Please take notice that your application dated April 18, 2022 For permit to: Legalize an as-built raised masonry patio attached to existing single family dwelling at: Location of property: 415 Goldin Avenue, Southold, NY County Tax Map No. 1000— Section 135 Block 2 Lot 12 Is returned herewith and disapproved on the following grounds: The proposed construction, on this non-conforming 6,232 sq. ft. parcel in the Residential R-40 District, is not permitted pursuant to Article XXIII Section 280-124 which states: lots measuring less than 20,000 square feet in total size require a minimum rear yard setback of 35 feet, and further states lot coverage to be a maximum of 20%. The survey shows the existingraised to be located at 10 feet from the rear property line and indicates the lot coverage to be 24.8%. This disapproval has been revised to update lot coverage calculations based on a corrected survey provided to the Building Department on December 28, 2022. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Z.B.A. BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman, ChairpersonZv SO � 53095 Main Road• P.O. Box 1179 Patricia Acampora �� ®�� Southold,NY 11971-0959 - Eric Dantes Office Location: Robert Lennert, Jr. Town Annex/First Floor Nicholas Planamento � 54375 Main Road(at Youngs Avenue) UNT11'� .Southold,NY 11971 RECEIVED ' http://southoldtownny.gov �,�,(�.t,Q 2L q w�•� 1 ' ZONING BOARD OF APPEALS MAY 2 5 2023 TOWN OF SOUTHOLD M, Y 2 2 2023 Tel. (631) 765-1809 90a TOWY1 Clerk FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF MAY 18, 2023 ZBA FILE: 47779 NAME OF APPLICANT: Thomas & Jenifer Bauer PROPERTY LOCATION: 415 Goldin Avenue, Southold,NY SCTM No. 1000-135-2-12 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23,and the Suffolk County Department of Planning issued its reply dated February 28, 2023, stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: Relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: The subject property is a 6,232 sq. ft. non-conforming parcel located in an R-40 Zoning District. The parcel is an "L" shaped lot with a road frontage along Sound View Avenue of 50.00 feet before turning south for 100.00 feet along Goldin Avenue,then turns 97.95 feet west before turning 20.00 feet north, and then 45 feet east, then it runs for 88.1 feet north back to Sound View Avenue. The parcel is improved with a two-story residence, and an accessory garage as shown on a survey prepared by John T. Metzger, L.S., last revised December 19, 2022. BASIS OF APPLICATION: Request for Variances from Article XXIII, Section 280-124 and Building Inspector's December 28,2022 Notice of Disapproval based on an application for a permit to legalize an as-built raised masonry patio attached to an existing single-family dwelling; 1)located less than the code required minimum rear yard setback of 35 feet;2)more than the code permitted maximum lot coverage of 20%; located at 415 Goldin Avenue, Southold, NY. SCTM No. 1000-135-2-12. RELIEF REQUESTED: The applicant requests a variance to legalize an as-built masonry patio where the setback to the rear property line is 10 feet and 35 feet minimum is required. Patio addition will create a lot coverage of 24.8% where a maximum of 20% is allowed by code. ADDITIONAL INFORMATION: As per testimony from the applicant's agent, the original structures on the property existed before zoning codes were established in the Town. The existing property lines were redrawn in 1967by ZBA # 667. The existing accessory garage was granted Certificate of Occupancy # 5543, dated 1973. In H Page 2, May 18,2023 #7779,Bauer SCTM No. 1000-135-2-12 June of 1997, a Certificate of Occupancy # 25058, was granted for alterations to the first floor, and a second-floor addition ti the subject dwelling. FINDINGS OF FACT/ REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on May 4,2023, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence, the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law §267-b(3)(b)(1). Grant of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The patio built about two years ago, as per public hearing testimony, is partially at grade, and only a small portion requires variance relief. The patio is open to the sky, and is not a detriment to the neighborhood,and will not produce an undesirable change to the character of the neighborhood. 2. Town Law §267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method feasible for the applicant to pursue, other than an area variance. The subject property is non-conforming is size and shape, and any addition to the residence would need variance relief. 3. Town Law §267-b(3)(b)(3). The variances granted herein are mathematically substantial. 1. The rear yard setback variance represents a 72% relief from the code. 2. The lot coverage variance represents a 24% relief from the code. However, the existing patio conforms to the existing setback lines of/the house, and since it is basically at grade, and will remain open to above,will not create a visual obstruction that would be a detriment to the neighborhood. 4. Town Law &267-b(3)M(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on.the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code and the conditions of this board. 5. Town Law V67-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law §267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a as-built raised patio while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Lehnert, seconded by Member Dantes, and duly carried, to GRANT the variances as applied for, and shown on the survey by John T. Metzger, L.S.,of Peconic Surveyors, PC, last revised December 19, 2022. SUBJECT TO THE FOLLOWING CONDITIONS: \ 1. The raised masonry patio shall remain unenclosed and open to the sky. 2. The applicant must apply to the Building Department for a building permit for the "as built" improvement(s) within 90 days of the date of this decision and submit same to the Office of the Zoning Page 3,May 18,2023 #7779, Bauer SUM No. 1000-135-2-12 Board of Appeals, or submit a written request for an extension to the Board of Appeals setting forth the reason(s)why the applicant was unable to obtain a building permit in the time allotted. 3. The applicant must obtain a Certificate of Occupancy from the Building Department for the "as built" improvement(s)and submit same to the Office of the Zoning Board of Appeals within 12 months of this decision or submit a written request for an extension to the Board of Appeals setting forth the reason(s) why the applicant was unable to obtain a Certificate of occupancy in the time allotted. This approval shall not be deemed effective until the required conditions have been met.At the discretion of the Board of Appeals,failure to comply with the above conditions may render this decision null and void That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not\increase the degree of nonconformity. ` Any deviation from the survey, site plan and/or architectural drawings cited in this decision, or work exceeding the scope of the relief granted herein, will result in delays and/or a possible denial by the Building Department of a building permit and/or the issuance of a Stop Work Order, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings,site plan and/or survey cited above, such as alterations, extensions, demolitions, or demolitions exceeding the scope of the relief granted herein, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses,setbacks and other features as are expressly addressed in this action. IMPORTANT LIMITS ON THE APPROVALS) GRANTED HEREIN Please Read Carefully TIME LIMITS ON THIS APPROVAL: Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration,grant an extension not to exceed three(3) consecutive one(1) year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Failure to comply in a timely manner may result in the denial by the Building Department of a Certificate of Occupancy, nullify the approved variance relief,and require a new variance application with public hearing before the Board of Appeals Vote of the Board: Ayes: Members Weisman (Chairperson), Acampora, Dantes, Lehnert, and Planamento (5-0). 4th Leslie Kanes Weisman, Chairperson Approved for filing �7 / J�/2023 September 8, 2022 Southold Town Building Department PO Box 1179 Southold, NY 11971 Enclosed please find a check for$50 for a permit disapproval for address: 415 Goldin Lane Southold, NY 11971 Regards Tom Bauer 516-669-1061 tcbauer@gmail.com Note that my mailing address is: 750 Shearer Street North Wales, PA 19454 Frank Uellendahl Gmail <frank.uellendahl mail.com> 415 GOLDIN LANE - BAUER PATIO 2 messages Frank Uellendahl Mon, Jul 26, 2021 at 11 :31 <frank.uellendahl@gmail.com> AM To: johnj@southoldtownny.gov Cc: tom bauer <tcbauer@gmail.com>, Frank Uellendahl <frank.uellendahl@gmail.com> Hello John, please find attached a revised plan of the Bauer Residence located at 415 Goldin Lane in Southold. At the final inspection you requested that the bluestone patio be depicted on the floor plan as executed. The owner had increased the size of the patio compared to the originally submitted permit application. will drop off a stamped plan tomorrow. Best regards, JUL 2 7 2021 `- Frank TO— " . . ... a.. Frank Uellendahl RA 631-680-0041 415 GOLDIN LN - BAUER PATIO.pdf 50K LARK& FOLTS - Attorneys at Law 28785 MAIN ROAD PO BOX 973 CUTCHOGUE,NEW YORK 11935 Tele.No.(631)734-6807 RICHARD F.LARK Fax No. (631)-734-5651 MARY LOU FOLTS , E-mail: Attys@larkandfolts.com December 23; ..2022 Michael J. Verity, Building ,Inspector Town of Southold Building Department 54375 Main Road - P.O. Box 1179 Southold, NY 11971 RE: Thomas C. Bauer 415 Goldin Avenue, Southold, _ New York SCTM #1000-135-2-12 - Dear Mr. Verity: In connection with the above-captioned matter, . I am enclosing a revised survey of Peconic Surveyors, P.C. last dated December 19, 2022 . Due to an error on the location of the- southerly property line , of the premises, an updated Notice of Disapproval will be required with new .calculations for the lot coverage. Very truly yours, Richard F. Lark RFL/bd . Enclosure �4 ♦ �� .rte r � r� '�y __,�7P�'*. ,♦ . ,r x ,�Ir�,,,'a�. ,,s � ...� . A go ,cot) Aloft A P ♦r,� I , SURVEYED FOR:-_ j4ntES JUC/A LE y LOCATED AT TOWN OfSp�Jyoc O SUFFOLK COUNTY N.Y. LOTS 2/ 0 P/o gyp/ 7 20 MAP OF-1-:5-�IBQ/V/../0c/ �FOOERTY �K/N�O B�/ /(-/4jNLlti/GoC�/,-/ CO. CLK. NO.//D�o FILED/Loci SCALE 1" _ �' SUFFOLK CO. TAX MAP DATA:- L7wco; �O DIST./000 ,SEC.43,5-040 BLK. 0200 LOT1,71 O/400/ / ^�^� �. '�•�54�' OFws W)m MUCTURb rO RELAYWE"BDU "Y ONES.' ON stir, AM MR AWEQFK t* OW. AND � � I ,�� � o cxq�t. � �V �• �'J C ��EIl�BE iA® t !c. E Zo.2 p C Of RKSA o CyTIlNC smic"m o ti w� 0 W? �� m 35 O ` o p�� n O VE�j 3 P/o 20 0 c _ _,=7_30-/ z SEAL 7 /2F 9 P/o 20 SURVEYED 19 9/ BY 4 ryry� RAMPART SURVEYING P.C. �sss &-47--- (r P/O BOX 377 G�ENP�T �-4TE� • ' G• JAMESPORT,L.I.,N.Y. 11947 NYS LIC.34408 Gv�a v Awe N FILE NO./3/Q8 PAGE GRID DRAWN BY�I�f 'Y 6-OAPIAJ NL r Ag o R 1 � , q�4M w 19 its- S i � f 19 96.32E Mt ul 6. 021 -50"o 2, 5° Ne C CA A ,a 0 ...1 7 ./ StoNY Z•i� {.y+ cq p c � j8�• �1 NDUSE Q CA \ 'n\ Q`pE .. e' it fEo ass' Rs.r 9` 02` 50 6 O _ 5 o CA oys . �gl Prepared In accordance with the m/nlmuln slondards for Ile surveys as eslabllrned by the L.I.A.L.S, and approved and adopted for such use by rhe New York Slole Land TWO Assoclatlon. I SURVEY OF LOTS 17 & 18 SUBDIVISION OF PRO_ PERT Y OWNED BY CERTIFIED TO, NA THAN G OL DIN T17-LE1NO. S 968666GUARANTY COMPANY FILED NOV. 22, 1932FILE NO. 1106 FRANCES ADAMOWICZ AT SOUTHOL D SHERYL ADAMOWICZ TOWN OF SO UTH.OL D �.ANOs SUFFOLK COUNTY, N. Y. y�° A.I Gq 1000 - 135 - 02 - 18 �``�o`'� G�CoL`�� Y.S. LIC. NO. 49668 Scale 1" = 30' _ June 1, 1888 0 5 V RS, P.C. M SD L 11971 88 - 352 SOundvicw Ave • • \ , too dw Owl ip fit I �J c✓� n� Vi e vi 3 t o � o v ic. 1 .,L. r•� IL � s a NNUE SOUND VIEW AVS. EOP 6.0 oHw--oHw�� wpm Hw pow ata lAE� �w�=HW —OHW �p D ell w wA oHw 50.00 N 1p 4.��0� N� SURVEY OF PROPERTY 05� -4 AT SOUTHOLD, : .I' TOWN OF SOUTHOLD SUFFOLK` COUNTY N. Y. 18,51 rd 1000-135-0212 . SCALE. 1 =20 LOT COVERAGE - �y�N -111-10g � DECEMBER4, 2021 2��sc�N� 17.4' r ' MAY 5, 2022 (DIMENSIONS-& LOT CO VG.) P PS S FT 10.0 , P Pip n DECEMBER 19, 2022 (REWSIONS) = LOT AREA 6232 Q HOUSE = 804 SQ FTS Ngo 9� GARAGE = 300 SQ FT . P/o jos a 50 ` 9� 2ND STORY DECK OVER CONC. PA770 = 153 SQ FT 10.0' o RAISED PAVER STONE PA 770 = -287 SQ FT `oy� 2FR '� o. TOTAL -COVERAGE = 1544 SQ FT N/O/F �\ NO 8;2 1544/6232 = 24.8X LOT COVERAGE SHERYL ADAMOW/CZ . FE 9 0� 'gj 2.6' ( 5.pp. 2.4' ,40E `. 4 IA 45 o.2E pE C.Q P �• CORpN 14.9' CSN RB Bldg teat copy;rani 28A 2 P.4 \ g8 C11 Fi+tal►eviovred do lJ 0/► 14C. W. `pZ 6 0.25 ZE�1 file . Cp GURg g g5 �arQ• ! �� V30 c�►. BL GE �►' A'� ! N/0/F o LEWN FAMIL Y �O$s GR�'� 'oRNV� L/M17ED PARTNERSHIP !y 5 "w goN¢e jos 2� ■ =MONUMENT 3 2 p/o Boz a N/O/F or- NEV,�� • =PIPE JAMES FOLEY MET2G, JULIA FOLEY ` REVOCABLE:;TRUST ^., �• ,:•. LOT NUMBERS ARE REFERENCED 70 SUBDIVISION OF - - PROPERTY OWNED BY NATHAN GOLDIN, FILED IN THE OFFICE OF SUFFOLK COUNTY CLERK ON NOVEMBER 2$ 1982, AS SHOWN ON MAP NO. 1106 Y.S UC. NO. 49618 ANY AL7ERA77ON OR ADDI77ON TO THIS SURVEY IS A WO A77ON P '�OFA� P.C. OF SECTION 72090F.THE NEW YORK STA7F EDUCA77ON LAW. 631 65-EXCEPT AS PER SEC77ON 7209—SUBDIVISION I ALL CERIIFICA77ONS C. 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY,!F P.0. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR /� // c X32 G�r1 1230 TRAVELER. STREET 21-050 WHOSE SIGNATURE APPEARS HEREON. AREA= 6,2 SOUTHOLD, N.Y. 11971 I DISAPPROVAL - I 1 N • SOUND VIEW AVENUE EOP 6.0' F� _—•\UpO N85 6'40'E 50.00' 4.0' %3 SURVEY OF PROPERTY 371, �� AT SO UTHOLD o� 44.7' �� TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 18.5' d 1000-135-02-12 \ yp�og SCALE: 1 A--20' LOT COVERAGEN r DECEMBER 1, 2021 e^ 2Z. S�oNE 17.4' MAY 5, 2022 (DIMENSIONS & LOT COVG.) LOT AREA = 6865 SQ FT 10.0' P PSP P�0 9 HOUSE = 804 SQ FT 6 GARAGE = 300 SOFT 0 L0� 2ND STORY DECK OVER CONC. PA 170 = 153 SQ FT P/ 10.0' �� o0 RAISED PAVER STONE PA770 = 287 SO FT 002 2 -� �,_ 4 'I �i iii I� �5 TOTAL COVERAGE = 1544 SQ FT N/0/F o NO 8,2c t ``Ic ; 1544/6865 = 22.59 LOT COVERAGE A AMO CZ JUL . )pl 9 p�CK SMNT 2 P BUILDING DEPT 2.6' B�ZFtY 9,c Wp(ER '-OVIIN OF SOUTH R(45-0d ��� Sio R 3' M 2.4 ,5e45, E o! Zoe. P,�o 21. N coNc- a o/y 22•C• w �Roi+ 20.9' 22 N 0/F sv'= 5-p,G �E�VY0 LEVIN FAMILY cps GAR ,- LIMI TED PARTNERSHIP !y 13.2, b 6 .16 ■ =MONUMENT 3'2 c�►�, p/0 N/0/F FOLEY • =PIPE !-� 56$•020 JUUASFOLEY 96 REVOCABLE TRUST LOT NUMBERS ARE REFERENCED TO SUBDIVISION OF L �} PROPERTY OWNED BY NATHAN GOLDIN, BLED IN THE OFF7CE OF SUFFOLK COUNTY CLERK ON NOVEMBER 22, 1982, AS SHOWN ON MAP NO. 1106 f !� UC. N0. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA77ON CONIC SUR S, P.C. OF SEC710N 7209OF 7HE NEW YORK STATE EDUCA77ON LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SEC770N 7209-SUBDIVISI0N 2. ALL CERnnCAT70NS HEREON ARE VALID FOR THIS MAP AND COPIES ]HEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR 7HE IMPRESSED SEAL OF 7HE SURVEYOR1230 TRAVELER S7REET 121-050 WHOSE SIGNATURE APPEARS HEREON. AREA- 6,865 SQ. F7. SOU7HOLD, N.Y. 11971 DISAPPROVAL. N SDUND VIEW AVENU EOP 6.0up0\� OHW gR\CY _�OHW �Jp.pp+ 4. � a rl o"w N85-26�40E WA�WP "Z1U� � y� ) SURVEY OF PROPERTY A T SO UTHOLD o= ~ �D o= TO WN OF SO UTHOLD v o cn 4 SUFFOLK COUNTY, N. Y. \ 1000-135-02 sz 18,5,sj� SCALE.- 1'-20' LOT COVERAGE —A �y� & V. °9 DECEMBER 1, 2021 3 17,4' r MAY 5, 2022 (DIMENSIONS & LOT COVG.) LOT AREA = 6232 SQ FT 10.0' P P P�� �, DECEMBER 19, 2022 (REVISIONS) HOUSE = 804 SQ FT GARAGE = 300 SOFT got 6 2ND STORY DECK OVER CONC. PATIO = 153 SQ FT P/o 10.0' A/c SA()o - 81 SO RAISED PAVER STONE PA 770 = 287 SQ FT ooZ� ZF�P S� 8,2 . '� ��, •QO. ® I�, �lP II IV/ TOTAL COVERAGE NOF 1544 SQ FT SHE� o NO0 DEC 2 � 7��7 1544/6232 = 24.890 LOT COVERAGE ADAMOWICZ v + �o� gSM��c� 2�6 P-� q 2 (415.00, o z� � ?� nr Qnl n74nj n W ESR rn�hl�I 2.4' oJ�o M PAPE N75 45 °'2 14,9 2 22•� A RON \ ' GGN gg O�Rg 0 P/00 55 CURB 97 95 0.25 LA LEOFAMILY OO.Os C'A(ZP LIMITED PARTNERSHIP !y 5�545+4p++w go2NRg 4ot 2� ■ =MONUMENT 3 2 P/o 40T 6 N/0/F qF iJE!N • IPE=P JAMES FOLEY c�A� (• ;vtr, O'��j- JULIA FOLEY a �X REVOCABLE TRUST LOT NUMBERS ARE REFERENCED TO SUED/VIS/ON OF ' ;¢.•? :a PROPERTY OWNED BY NAINAN GOLDIN, FILED /N THE OFF7CE OF SUFFOLK COUNTY CLERK ON NOVEMBER .�¢ 22, 1982, AS SHOWN ON MAP NO. 1106 .YS. LIC. NO. 49618 ANY AL7FRA77ON OR ADD177ON TO 7HIS SURVEY IS A WOLA77ONW. RS, P.C. OF SEC77ON 7209OF 7HE NEW YORK ST47F EDUCA77ON LA �....�.,� ... .�� .�,.,,,... _..,.,. ... 21q-�tj%9 .-3 0 FAX (631) 765-1797 NYSI F Km Yo*State Insurand Fund PO 130%68699,Al".NY 12208 nysi#-COftt CERTIFICATE OF WORKERV COMPENSATION INSURANCE A A A A A A 813385581 THE FLANDERS GROUP 300 LINDEN OAKS Q $ SUITE 210-1ST FLOOR ROCHESTER NY 14625 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER C.MOHR LANDSCAPING,INC. TOWN OF SOUT-HOL.D P O BOX 48 54375 MAIN ROAD CUTCHOGUE NY 11935 PQ BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z1447 626-7 89661 04/01/2622 TO O'M0112023 7115/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1447 828-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS` COMPENSATION UNDER THE NEW YORK WORKERS COMPID46ATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUD[NG ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:INVWW.NYSIF.COWCERTICERTVM-ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES.NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY.SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. CHRIS MOHR-PRESIDENT 1 OF 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANDCONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SU NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:107597337 U-26.3 1e CERTIFICATE OF INSURANCE.COVERAGE DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or.Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) I b.Business Telephone P MItW of Insured C.MOHR LANDSCAPING,INC 63-1-7654617 22155 COUNTY RD 48. CUTCHOGUE,NY 11935 Ia.Federal Employer IdeaYBtiwdon Number of Insured or Social Security Number Work Location of Insured(Only raquired if coverage is speciilcally . limited to certain locations in New York state,Le.,Wrap.Up Policy) 813385581 2.Name and Address of Entity Requesting Proof of a Name of Insurance Cartier Coverage(Entity Being Listed as the Certificate Holder) HARTFORD LIFE AND ACCIDENT b Policy Number of Eotfiy Usted In Box"1 a' LNY638739 c Policy effective period 0141-2022 to 12-31-2022 4.Policy provides the following benefits: Qy A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. S.Poli covers. ✓ A.All of.the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employers employees: Under penalty of pedury,I certify that 1 am an authorized representative or licensed agent of the iaurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 07-152022 E7r�0' (Signatum of lwarance cartAfs authorfmd reprearraimt or NYS Llcemed Insurance Agent of that tasurance carrion Telephone Number (212)553-8074 Name and Tftle:Elizabeth Teflo—Assistant Director,Statutory Services IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance cafrrtees authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE Mail it directly to the certificate holder. If Box 46,4C or 58 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family.Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,-Plans Acceptance Unit,-PO Box 5200,Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only it Box 4C or 58 of Port1 has been checker) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed BY (Signature of Authoraed NYS Wodurs'Compensatlon Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability andpald family leave benefits Insurance policies and NYS licensed Insurance agents of those insurance carriers are authorized to issue Fort"Da.120.1.insurance brokers aro NOT authorized to Issue this fdrm 08420.1(10-17) 10 1I �'►OCo CERTIFICATE OF LIABILITY INSURANCE D 0.7118=2222 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR.ALTER-ME COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: M the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must haVeADDI TONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen PRODUCER co A°T MATTFIEW.DALEY NAME Matthew Daley PHONE 631-744-3350 uc Ne:631-7443383 Farm Family Insurance /Ein�: matLdaley@farm-fatuity.com 85 Echo Avenue-Suite 2 INs AFFORDING COVERAGE mac* Miller Place,NY 11764 INSURERA:Farrn Family Casually Insurance Co. 13803 INSURED INSURERS C.Mohr Landscaping,Inc. arc; P.O.Box 48 INSURER D. INSURER E: Cutchogue NY 11935 INSuRFRF: COVERAGES CERTIFICATE.NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES'OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADD SUBR POLICY EFF YOUCY EXP LIMITS. INT8RR T/ PEOFDNSURANCE POLICYNUMBER. A X cOMMERCIALGENERAL LIABILITY X 3152X0893 04104122 04104/23 EACHOCCURRENCE $ED 1,000,000 CLAIMS•MADE FKOCCUR PREMISES Faocunen® S 100,0 MED EV Anyone person $ 5,000 PERSONAL BADV INJURY S 1,000,000 GEN'LAGGREGATE UMrrAPPL1ESPER: GENERALAGGREGATE S 22000,000 X POLICY❑jELOC PRODUCTS-COMP/OPAGG $ 2,000,000 S 'OTHER A AUTOMOBILELIAamm 3310105367 03/19/22 03119/23 (Es acckle-n OMB DtSINGLELIMIT 1$ 1,000,000 ANY AUTO BODILY INJURY(Per person) 3 OWNEDX SCHEDULED BODILY INJURY(Par accident) S X HURTEOOSONLY X NUTO, D PROPERTIDAMAGE S AUTOS ONLY AUTOS ONLY r erxident 3 A X UTNeREIULtae OCCUR 3101E3208 04/26/22 04/26/23 EACH OCCURRENCE S 2,000,000 EXCESS LU►B Ld CLAIMS41ADE AGGREGATE S DED I I RerENTIONs S P WORKERS COMPENSATION. STATUTEER ER ER AND EMPLOYERS'LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE NIA E.L.EACH ACCIDENTS OFFICERIMEMBFREXCLUDED7 (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ if yes,describe under EL.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remark Schedule,may be attached H more space is required) LANDSCAPE/GARDENING Certificate holder is listed as additionally insured on policy 3152X0893. CERTIFICATE HOLDER CANCELLATION Town of Southold 54375 Route 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O.Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORI ED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ElRAISED STONE PATIO F7= 2" BLUESTONE PAVERS #1 SET ON 1/2- BLUESTONE SHAVINGS OUTSIDE SOLDIER COURSE CEMENTED IN J W 4" RCA BASE JUN 2 1 2023 CLEAN FILL l!l*l!l!l!l!TOP SOI (2) STA CED 8X12 CINDER BLOCKS AROUND PATIO CEMENTED ON CONCRETE PAD qEXISTING GRADE:...:.:::..: IN 12" DEEP TRENCH EE RESIDENCE El I F-71 I IEI I IE:l I IM lEd I IEE I I I I 1 I lr—=_.I I M I M 1 LrE.El 1—11 FEI I F-1 I I I... 11 11 z COVERED SCREENED PORCH =11IF,A,—=/Fl I m I I_=I 111 SOUTHOLD, AMENDMENT 415 GOLDIN NY LANE 0; 6BLUESTONE STEP SET ON CINDER BLOCKS v APPROVED ASlin CD ARCHITECT FRANK UELLENDAHL ;2 P.O.BOX 316 # �-= GREENPORT, NY 11944 S2 FEE4),�W-010 TEL.- 631-477 8624 NOTIFY BUILDING DEPARTM A OWNERS 631-765-1802 8AM TO 4PIM cx! UP THOMAS & JENIVER BAUER KITING WNi,ATINSPECTIONS: E C T 10 N S 750 SHEARER STREET -TWO REQ IREO tj NORTH WALES, PA 10454 TO BE RELMEDURED CO RETE TEL- 516-669 1061 2. ROUGH-FRAMING&PLU BING 3. INSULATION � 4. FINAL-CONSTRUCTION MUST 'ORE liz B5 COMPLETE FQ&C.o. ALL 0MSTRUc'nON 4VU MEET TH A- REQUIREMENTS OF THE COD OF N FO I L.Li D ESIGN OR i�ONSTRY 0 L�j BLUESTONE L _j Ln LIVING ROOM &2 PATIO offig" CLG.HGT.: 8' U" MD MD OOF N FO FQN ORS1 BEDROOM cm DATE: 07/16/2022 SCALE: 1/4°f I'l Y 1 ST FLOOR PLAN -A _4 A DWG. NAME BLUESTONE STEP 12,_4„ 71-211 11'-0" A-2 1 ST FLOOR PLAN DWG. NO 12141 32'-3 1/2" SCALE: 1/4" = 1'-0° 2" BLUESTONE PAVERS #1 ® E SET ON 1/2" BLUESTONE SHAVINGS JUL 2 0 2872 OUTSIDE SOLDIER COURSE CEMENTED IN W N=n4" RCA BASE BUI ING DEP%' 5 i THOLD o i TOWiv F 5 OU W U Z W iiiiiiijilliff SOIL:::::: CLEAN FILL U a i EXISTIN RA E .. ... M - ———=- (2) STACKED 8X12 CINDER BLOCKS AROUND PATIO N W _� M1-� 1-� =11 M. 11=1 c, CEMENTED ON CONCRETE PAD � IN 12" DEEP TRENCH RESIDENCE -I I I—I I M I Ml� II��IIIII lIIIII IIII���lll Ilii ��� I���Illllilllll�� ��ll�ll PATIO SECTION COVERED SCREENED PORCHCD j ,I I SCALE: 1/2° = 1'-0° SOUTHOLD, NY 415 GOLDIN LANE Z BLUESTONE STEP SET ON CINDER BLOCKS---\ ARCHITECT 0 FRANK UELLENDAHL 0 P.O.BOX 316 GREENPORT, NY 11944 TEL: 631-477 8624 W IN O O OWNERS UP 00 o THOMAS & JENIVER BAUER 750 H WALES ER STREET NORTH , PA 10454 KITCHEN - 3 TEL 516-669 1061 � ZY L� L� O GW V� LIVING ROOM L - -J CNN w N F- CLG.HGT.: 8'-0 c/) Q s BLUESTONE PATIO _ 0 RAISED CA. 15" ABOVE GRADE BEDROOM o w DATE: 07/18/2022 a SCALE: 1/4" = 1-0° D � 3 z PROPOSED Y O 0 1 ST FLOOR PLAN N O D ::..::......:.:..................... DWG. NAME BLUESTONE STEP 12 -4 7 -2 11 -0 � ' 1ST FLOOR PLAN �� A-2 ,� V o DWG. NO 12'-9» 32'-3 1/2" SCALE: 1/4° = 1'-0" W JUL 2 7 2021 W a COVERED SCREENED PORCH RESIDENCE SOUTHOLD, NY \ 415 GOLDIN LANE 0 STEP r ARCHITECT 0 J m FRANK UELIENDAHL O O o P.O.BOX 316 � GREENPORT, NY 11944 UP TEL: 631-477 6624 00 FEW j KITCHEN OWNERS TO BE RELOCATED - a THOMAS & JENWER BAUER 750-i ER STREET NORTH WALES, PA 10454 TEL. 516-6691061 URI uj BLUESTONE ;r, LIVING ROOM L — � PATIO w N CLG.HGT.: 8'-0]" S D FVDI 0 j ff] J R FAzd d- I cv � j BEDROOM 0 I o � 0 W _ C7 L� W D U OJ Q Z Z Z Z Z Z Z Z o DATE: 07/26/2021 SCALE: STEP PROPOSED 1ST FLOOR PLAN 12,-4" 7'-211 11'-0» LINE3 DWG. NAME 12A 32'-3 1/2" 0 1 ST FLOOR PLANA-2 DWG. No GENERAL NOTES WINDOW SCHEDULE r _� INTERIOR PROPOSED DOOR UNIT IS AN ANDERSEN PRODUCT , °�'T+]�� �4 ALTERATIONS ���a if 6 uw m ALL WORK MATERIAL, AND EQUIPMENT SHALL BE IN - ` •� ACCORDANCE WITH THE 2015 INTERNATIONAL BUILDING FWGD-4-151068 (BRCS) A-SERIES W[ DP UPGRADE y y HIGH PERFORMANCE LOW E4, TEMPEREED IMPACT RESISTANT DATE, T G_ .#` CODE (IBC) AND THE 2015 INTERNATIONAL ENERGY WHITE EXTERIOR, INTERIOR: PRE-FINISHED WHITE, NO GRILLES St7 ; <�>� W CONSERVATION CODE (IECC) AND LOCAL AUTHORITIES. DOOR HARDWARE: TRIBECA: WHITE FE s sO� ", 2. ALL CONCRETE SHALL BE STONE AGGREGATE WITH A COVERED SCREENED PORCH ra „rY �ILflh,c "c-PP"! "OR E MINIMUM 28 DAY STRENGTH OF 3000 PSI DESIGN IN ACCORDANCE WITH AMERICAN FOREST 765-1°C2 8 r�i� -0 `; r.' i ' JR THE e PRODUCTS WOOD FRAME CONSTRUCTION MANUAL FOLLOWIlIG 1 IvFE.v,��" M FOR 1&2- FAMILY HOUSE - PRESCRIPTIVE DESIGN METHODi. FOUiJC - T�'�'O RCtUIRED N iY 3. ALL LUMBER SHALL BE GRADE STAMPED DOUGLAS FIR- LARCH STRUCTURAL GRADE #2 OR BETTER. FOR FOURED CG TC,&C `_ . ' '� RESIDENCE 32'-3 1/2° 2. ROUG 1 - FRAP,,s,i � rL�ai:i3,P 4. PROVIDE DOUBLE HEADERS AND TRIMMERS AT ALL 3. 'INSUL�TIONc r TioRl , ,UST o STAIR AND FLOOR OPENINGS, POSTS AND PARALLEL 4. FINAL CO;,_` � SOUTHOLD, NY PARTITIONS, EXCEPT AS NOTED ON DRAWING. E C i�IFLETF FOR i-0• AL GOi.STRUCTIOR S'i'r'!- I''''FET THE 415 GOLDIN LANE 5. BRIDGING TO BE PROVIDED FOR ALL JOISTS AND COMPLY WITH ALL CODES OF �, NTS of TRE COC,FS OF ,— . RE 1JiR i�tE' ARCHITECT FLOOR BEAMS. SPACING NOT TO EXCEED 8.0 FT. N 00 NcVV YORK STATE & TOWN CODES yp ��; TATE. NOT F,FSpONSI13LC FOR 316 6. ALL DIMENSIONS AND GRADE CONDITIONS TO BE K UELLENDAHL AS %REQUIRED AND .__ ONS OF DE IG OR CONSTP,`JCT'ON ERRO►'S o 1233CCENTRAL AVENUE UP m GREENPORT,ONY 111944 VERIFIED BY CONTRACTOR(S) PRIOR TO START OF SOU T HOLD T �� TEL: s31-4n a944 CONSTRUCTION AND ORDERING OF MATERIALS. THIS KITCHEN FOUNDATION HAS BEEN DESIGNED FOR A SOIL O OLD TOWN PLANNING BOARD � OWNERS BEARING CAPACITY OF TWO (2) TSF AND GRADES UTHOLD TOWN TRUSTEES THOMAS C. BAUER & LESS THAN 5%. CONTRACTOR SHALL VERIFY THAT LIVINq, :� ENIFER COURTNEY BAUER THESE CONDITIONS ARE MEF. ' 750 SHEARER STREET NORTH WALES, PA 19454 7. DO NOT SCALE DRAWINGS. '0'C U b I C. TEL 516-669-1061 8 DESIGNCONSULTANTS COARE LT NOT RESPONSIBLE FOR RD ARCHITECT-THE ���d 6 Ug��/V���so UL '� E A y ��p g �5 . L THIS INSPECCONSTRUCTIONSIPROJECTOR ADMI FEDERAL, OF STATE �� I c ��� CERTIFICATE �� �`�� AND LOCAL ZONING AND BUILDING CODE COMPLIANCE N CLG.HGT.: 8'-0° 0� O� U� ���Y N , SHALL BE THE RESPONSIBILITY OF THEVA z=, CONTRACTOR. SD 9. THIS DRAWING IS AN INSTRUMENT PREPARED TO I}� . FACILITATE CONSTRUCTION AND SHALL NOT BE 4.. PLUMBING sF� CONSTRUED AS A CONTRACT BETWEEN BUILDER AND ALL PLUMBING WASTE _,< <,_ ,-•,.- , o OWNER. _ & WATER LINES NEED �° ;lj'�iCA TION TESTING BEFORE COVERING `'D C�f��TENT 3CFORE F 10. ENGINEER TO BE NOTIFIED IN WRITING Of ALL '�r�Cf�,T E O(•OCCUP � � CHANGES PRIOR TO AND DURING CONSTRUCTION. DEN BEDROOM o AIVCY15 11. ELECTRICAL AND MECHANICAL COMPONENTS TO BE QO DER USED IN ;/(/A TER clz DESIGNED AND SPECIFIED BY OTHERS. °� o ,J oL 1 SYSTEI<r1 CANNOTCD O � �' ED 2/10 OF 1% LEAD. 12. CONTRACTOR SHALL OBTAIN ALL PERMITS AND ���� � � o INSURANCE NECESSARY TO PROTECT THE ENGINEER N AND OWNER. EXISTING DESIGN CRITERIA: L/27�' Ml N 1 ST FLOOR PLAN SCALE: 1/4 = 1'-0» DATE: 02/19/2020 GROUND SNOW LOAD - 45 PSF. - SCALE: 1/4' = 1'-0" cn LIVING AREAS AND DECKS - 40 PSF. INTERIOR ALTERATIONS: SCTM# 1000-135-2-12 Y a EXISTING SLEEPING AREA - 30 PSF. 1ST FLOOR RENOVATION INCLUDES NEW RELOCATED KITCHEN TOWN OF SOUTHOLD 1ST FLOOR PLAN WIND SPEED - 130 MPH PROPOSED IMPACT RESISTANT SLIDING DOOR WITH NEW HEADER SUFFOLK COUNTY, NEW YORK N SEISMIC DESIGN CATEGORY - B ELECTRICAL UPGRADE TO MEET CODE: S/D, CO, OUTLETS, HIGH HATS WEATHERING - SEVERE a DWG. NAME FROST LINE DEPTH - 36" I' �I N� Plg."WIT _"_:*Pi 1^!�TjnN � A-1 TERMITE - MODERATE TO HEAVY DECAY - SLIGHT _ ®� DWG. No ICE SHIELD UNDERLAYMENT REQUIRED - YES INTERIOR ALTERATIONS o cc W aQ � m COVERED SCREENED PORCH N N RESIDENCE 0 SOUTHOLD, NY 415 GOLDIN LANE z ARCHITECT FRANK UELLENDAHL 0 123 CENTRAL AVENUE ri I g P.O.BOX 316 GREENPORT, NY 11944 o Q 0 � TEL: 631-477 8624 UP o Q b W OWNERS (4) 2x4 POST -14THOMAS C. BAUER & i ENIFER COURTNEY BAUER 750 SHEARER STREET i KITCHEN I NORTH WALES, PA 19454 TEL 516-669-1061 TO BE RELOCATED I = 3 LLJ I � � V CD LIVING ROOM _. J N SD SD I Z O I R J a a cn N n- �� c�a cm BEDROOMC O U m I � N (4) 2x4 POST g N O � o CU W DATE: 02/19/2020 �z SCALE: 1/4* = 1'-0' Y¢ PROPOSED 7'-2° �T 11'-01/2° 1ST FLOOR PLAN 32'-3 1/2' PROPOSED NN NEW WALL E DWG. NAME 1ST FLOOR PLAN E g ® A-2 EXISTING WALL U� SCALE: 1/4n = 1'—O" ®� DWG. NO