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HomeMy WebLinkAbout26999-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28197 Date: 02/01/02 THIS CERTIFIES that the building ADDITION Location of Property: 3329 MANHANSET AVE GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 36 Block 2 Lot 23 .3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 2000 pursuant to which Building Permit No. 26999-Z dated JANUARY 5, 2001 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is MUDROOM AND TWO CAR GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS E & PATRICIA F KRAUS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 567063 08/14/01 PLUMBERS CERTIFICATION DATED N/A Authorized ignature 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. 26999 Z Date JANUARY 5, 2001 Permission is hereby granted to: THOMAS E KRAUS 3 NORTH COURT PORT WASHINGTON,NY 11050 for ADDITION OF TWO CAR GARAGE AND MUD ROOM TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR WITH DEC AND TRUSTEE APPROVALS . at premises located at 3329 MANHANSET AVE GREENPORT County Tax Map No. 473889 Section 036 Block 0002 Lot No. 023 . 003 pursuant to application dated SEPTEMBER 26, 2000 and approved by the Building Inspector. Fee $ 175 . 00 Above fee ine. $100.00 flood permit Authori d Signature ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ¢ TOWN HALL r 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 a consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. J_4/j 17 , 0-400X New Construction: Old or Pre-existing Building: (check one) Location of Property: 3 3.p� PNAj J9/USC T • //7 House No. -'/Street 11e—t— Owner or Owners of Property: �DM'.9's �C R u S LJ t� /� �i ��/� k/loy 5 Suffolk County Tax Map No 1000, Section Block '� Lot c2 3 , 3 Subdivision Filed Map. Lot: _ Permit No. Date of Permit. , 0 Applicant: E Je,-9K S Health Dept.Approval: f nderwriters Approval: /V 7 l /y s6zB6j Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check o e) Fee Submitted: $ S No G � D �" Applicant gna ure THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 10@1071 BUREAU OF ELECTRICITY F— 40 FULTON STREET, NEW YORK, NY=10038 Date AUGUST 14,2001 Application No. on file 12531101/01 N 567063 th THIS CERTIFIES THAT �69�9Z2.00��� (q only Me electrical equipment as described below and introduced by the applicant named on the above application number is in e premises of THOMAS KRAUS, 3329 MANHANSETT AVE, GREENPORT, NY in the following location; ❑ Basement ® ht FL ❑ 2nd Fl. GAR/OUT Section 36 Block 2 Lot 23.003 was examined on JULY 30,2001 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCE FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. 10 10 9 10 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-TOES DIMMERS AMR. K.W. Olt H.P. OAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. M.P. NO.OF FEET AMT. I WATTS SERVICE DISCONNECT ME R S E R V I C E METER No' CC GOND. A.W.G. A.W.O. A.W.G, AMT. AMP. TYPE EaUIP. 1 e sW 1 R JW J JW J•IW PER R Oi CC.GOND. No.of NI-LEG NI•� No.of NEunAu OF NEUTRAL OTNER APPARATUS: PANEL30ARDSt1-6 CIR. 60 G.F.C.It-2 G & S CONTRACTOR LIC.#578 E ( L BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER it Per This ovilitcate must not be albred In any manner;return to the office of the Board If Incorrect.Inspectors may be Identified by t • credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER I EFFECTIVE DATE 1-4738-02613/00001August 4. 2000 wj FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) SAPP August 7, 2004 Under the Environmental Conservation Law TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ■ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 606: Water Quality ❑ Article 27, Title 7: 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15. Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9: 6NYCRR Supply 373: Hazardous Waste Managem( ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15. Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island Wells Management __...... . oArticle;24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3. 17, 19. 27, 37 Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control I PERMIT ISSUED TO TELEPHONE NUMBER Thomas Kraus, (631) 477-0880 ADDRESS OF PERMITTEE PO Box 336. Greenport, NY 11944 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Kraus Property, 3329 Manhasset Avenue. Greenport, SCTM # 1000-36-2-23.3 LOCATION OF PROJECT/FACILITY COUNTY TOWN WATERCOURSE N COORDINATES Suffolk Southold Peconic Bay ...DESCRIPTION OF AUTHORIZED ACTIVITY: CONSTRUCT A GARAGE, A SWIMMING POOL, AND DECKING MORE THAN 75 FEET FROM THE TIDAL WETLAND BOUNDARY. I i By acceptance of this permit. the permittee agrees that the permit is contingent upon strict compliance with the ECL. all applicable regulations, the General Conditions specified (see page 2 b 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Mark C Carrara Bldg. #40. SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE - August 4. 2000 • Page 1 of 4 STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at IZIS Jcn/el (gyCe�Por� That on the ?G qday ofs� p g' e � , 2000 deponent architect/en sneer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- 3 G - o 2- street address Ali 4°d/ 64( At/Engineer Sworn to bef a me this day of GI 1 x.,2000. �tOF NEW). E0.US S. S Ni I N y�Q.INCE TL 9� NOTARY PUBLIC,";I' of Nam Yp T Nm 30.4916018 Q Qaion Ex is Nana a 'y Commission Notary Public Q r 4 , w 032254.1 9OFESS1014 cc: Applicant Albert J. Krup rxidt�ti � ,_r., o�pS�F FO��-co Town Hall James King,V e=Resident G 53095 Route 25 Henry tli I,r a P.O.Box 1179 Artie oster 1 4 Southold,New York 11971-0959 F Ken Pof woda Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 6, 2000 Mr. Thomas E. Kraus 3329 Manhanset Ave. Greenport, NY 11944 RE: 3329 Manhanset Ave. , Greenport SCTM#36-2-23 . 3 Dear Mr. Kraus : The Southold Town Board of Trustees reviewed the survey dated March 20, 2000 and received in our office on November 30, 2000 and determined the construction of a garage and mudroom attached to the existing single-family dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100 ' of the Wetland line would require a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call . Sincerely, ^ 4 c 7 f Albert J. Krupski, Jr. President, Board of Trustees AJK: lms �SL1ffO�� Town Hall Albert J.Krupeld,President y� 63096 main Road James King,Vice-President P.O.BMC 1179 Henry Smith GO SoUthold,New York 11971 Artie Foster Ken Pdiwoda •f�iy Telephone(516)766-1842 Fax(8 IS)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 31, 2000 Thomas & Patricia Kraus 3329 Manhanset Ave Greenport NY 11944 RE: THOMAS & PATRICIA KRAUS PROP. SCTM #36-2-23.3 Dear Mr. & Mrs. Kraus, The Southold Town Board of Trustees reviewed the Surrey dated and received in our offic an that the' construct in of a 20' X 40' swimming* Pool to be cuoft the Wetland jurisdiction, udder Chapter 97 of the TowK -nd--� Code. However, any activity within-,;.5:- of the Wetland. line would require permits from this office. /©p l This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, 'o Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. T0018 2UTzun033V UA01 pTaua.no8 99CT SPL OTS XVj Sf-60 iIHI 00 0£,"TT ' APPLICATION #_ PAGE I of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1 GENERAL PROVISIONS (APPLICANT to read and siQn): 1. No work may start until a permit is issued. 2. Tic permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE SECTION 2 PROPOSED DEVELOPMENT (To be completed by APPLICANTI NAME ADDRESS TELEPHONE APPLICANT�D�IrrS US 3399 /''fi�N�i��s � ✓� �� a►er.N��i9� y77-/3J�' BUILDER �8 ENGINEER PROJECT LOCATION: • To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. 3 31 h4AN 64SeT 17ile. ger �- • l��µ G-rill 34 - 3.3 FDP(93) ' APPLICATION PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure Wo Residential (1-4 Family) t111OAddition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodprooftng? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECTS 3 D D tO B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling 0-Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System ❑ Other (Please Spec7y) After completing SECTION 2, APPLICANT should submit form to Local Administrator for reNaew. SECTION 3 FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ Is +LIQ=located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION PAGE 3 OF 4 SECTION 4: ADDITIONAL INFORMATION REOUIRED (To he completed by LOCAL ADMINISTRATORI The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑ Development plans,drawn to scale, and specifications, including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the fust floor, details of floodproofing of utilities located below the fust floor and details of enclosures below the first floor. Also ❑ Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofing protection level (non-residential only) Ft.'NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in an increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. O Is B.O Is not in conformance with provisions of Local Law At , 19 . The permit is issued subject to this conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX Bis checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION PAGE 4OF4 APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION G: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? O YES ❑ NO DATE BY DEFICIENCIES? OYES ONO DATE BY DEFICIENCIES? ❑ YES ONO SECTION 8: CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECLkL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY_ CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #-, 19_ SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) Board Of Southold Town Trustees : ;{ SOUTHOLD. NEW YORK PERMIT NO. .., c .... DATE: .F.......ebruar_.. .... _Y...2...2..., 20 THOMAS E. KRAUS ISSUEDTO ................................. ....................................... , � ,�l1lt��xt�ttft�n a,: h Pursuant to the provisions of Chapter 615 of the-Laws of the State of New York, 1893; and Chapter 444 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- ' titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM s LANDS UNDER TOWN WATERS;'..': and in accordance with the Resolution of The Board adopted at a meeting held on Feb. 21, ..; ., 29.0.1, and in consideration of the sum of $........200..........0...0 . ... paid by f Thomas.._E. Krau. ..................... ... ..................... r of ............Greenport •... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, , of Southold Town Trustees authorizes and permits the following: Wetland Permit to install an in-ground swimming pool and decking. Pool will be 18'-20'X 36'-40' with 4-6' of decking arou `r it. Pool will be protected by child-proof safety fencing. Y all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees hare- by causes its Corporate Seal to be affixed, and these presents to be subscribed by 'a'majority of the said Board as of this data. Albert J. Krupski, Jr.-Absent x O Artie Foster - Absent Trra lyes S+ w TERMS and CONDITIONS The permittee Thomas E. Kraus residingat 3329 Manhanset Ave. , Greenport N. Y., as pan of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: i. Thu the said Board of Trustees and the Town of Southold an released from any and alt damages, or da;ms for damages, of snits arising directly or indirectly as a result of any oper- ation psation performed pursuant to this permit, and the said Permiboee will, at his or her aw e:pease, defend any and an such mits•initiated by thud .parties, and the said Permittee assumes fell liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid lot a period of 24 mo& which is c onAlmd to be the estimated time•required to complete the work involved, but should cirdmum s warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone omwerned that with- orb adon was originally obtained. 4. That the work involved will be subject to the Inspection and approval of the Board Or its agents, and non-compliance with.the provisions of the originating application,may be tante for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the wodc herei anithorized. 6. That there shall be no interference with the right of the public to pass and repau along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the.removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the. work shall cause unreasonable obstruction to free navigation, the said Permittee will be requited, upon due notice, to remove or alter this work or project herein stated without ezpeasea to the Town of Southold. 8. Thu the said Board will be notified by the Permittee of the Completion of the work auth- orked. 9. That the Permittee will obtain all other permits and cooseats that nay be required sap• plemeatal to this permit which may be subject to revoke upon failure to obtain same. A1bext,J.Krupski,President OSVFF�(�C Town Hall James King,Vice-President O.l. O�/y� 53095 Route 25 o � P.O.Box 1179 Henry Smith c Southold,New York 11971-0959 Artie Foster Ken Poliwoda Telephone(631)765-1892 y�101 �a0� Fax(631)765-1366 BOARD OF TOWN TRUSTEES February 22, 2001 TOWN OF SOUTHOLD Mr. Thomas E. Kraus 3329 Manhanset Avenue P.O. Box 336 Greenport,NY 11944 RE: 3329 Manhanset Ave., Greenport SCTM#36-2-23.3 Dear Mr. Kraus: The following action was taken by the Board of Town Trustees during its regular meeting held on Wednesday,February 21, 2001 regarding the above matter: WHEREAS, THOMAS E. KRAUS applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated February 1, 2001, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 21, 2001 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED,that the Board of Trustees approve the application of THOMAS E. KRAUS to install an in-ground swimming pool and decking. Pool will be 18'-20' X 36'-40' with 4-6' of decking around it. Pool will be protected by child-proof safety fencing. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, Albert J. Krupski, Jr. President,Board of Trustees AJK/lms cc: DEC Building Dept. w BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: APPLICANT NAME: /Q/ DATE SUBMITTED: / / SCTM# --- DISTRICT: 1,000 SECTION: 3 /r BLOCK: z- LOT:?-3.3 PROJECT LOCATION STREET: -s 3�Z-9 /l'4-44*-sse7- Ae— CITY:— ,,m, 4 SUBDIV. NAME: ARCHITECT/ENGINEER: / 1�T�>�� FAST TRACK: E RNO SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES OR NO NOTES: ZONING: PERMIT EST JMATE AMOUNT:_$ .00 ZONING DISTRICT 4 R80 AC CONFORMING: OESR NO REQUIRED LOT SIZE: fOK SQFT. WHERE ACTUAL LOT SIZE FROM?TAX CARD �4so-/ 3Ao%c� ACTUAL LOT SIZE: 4-3�24c) SQFT. REQUIRED REQ771 �— REQUIRED 06t&5FRONT:SO 'PROPOSEDetO ' SIDE YD: /S PROPOSED:ZO,/'/ REAR: ra 'PROPOSED2 ' LOT COVERAGE: ALLOWED:_% EXISTING: sf % NEW: sf % TOTAL:S2:-f6 Sf!Z % CORNER? YES OR NO WAT ER FRONT? YE R NO DESCRIPTION: _ LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at any time after July 1, 1983.) PROJECT DESCRIPTION• ADD LT ACC OR N/D:Z &0-r*- e_ a*-4 1)416,o AOnN 0/15.04 NJ AGENCY PERMITS REQUIRED FOR REVIEW NEEDED TOWN SPETIC PERMIT: YES or SUFFOLK COUNTY HEALTH DEPT: YES o , (BED #): DTE: / / PERMIT#:R10- _ NEW YORK STATE DEC: PRE-DEC 9ni75 r NO/ 47,3*-426/3�O000 SOUTHOLD TOWN TRUSTEES: YE r NO /Jy �a `"""� TOWN ZONING BOARD APPROVAL: YES otPL TOWN PLAN. BOARD APPROVAL: YES o FLOOD COMPLIANCE ZONE: PRE-FIRM 3r18i80 #: /76 FLOOD ZONE: A09- , NYSENERGY: Y5S O O �`�� EGRE S: 'j,+NOTES: e e- i f fz av ru Tv 11. oe FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR 694 SF SECOND FLR :_ SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE TOT( SF)- ( SF)= SF X $ _$ +$ 7_S +$ /DD =$ 7 S– M UILVINU I KT' V 1L W UITItWLI_Z-1 s Applicant/ Date " Owners Name: Reviewed: Architect/ Date Engineer. L� �� Submitted: _ SCTM 11: District: 1 ,000 Section: Block Lot: Project _ Y .�� Subdivision Location: �3� �� r�_� Nance: Singie & separate Required certification: (Yes/No) Key Req. — /onuig DIStrlel Il.ot size Actual J ILot coverage I'ropoied J Req Rcq Req. (Front Yard Proposed: 1 (Side Yard Proposed J (Rear Yard Proposed J Project Description: AGENCUERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: to • FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Patricia and Thomas Krause BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number CITY STATE ZIP CODE Greenport, NY 11944 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1000-36-02-23 . 3 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) Resident is 1 LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: Ll GPS(Type): ( ##°-#!/'-##.## or ##.#####0) L_l NAD 1927 L_l NAD 1983 L_l USGS Quad Map 1_1 Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE Southold 360813 1 Suffolk I New York B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVEIREVISED DATE ZONE(S) (Zone AO,use depth of flooding) 36103CO176 G 514198 AE E1 . 8 El. 10 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. 1-1 FIS Profile ISI FIRM IJ Community Determined IJ Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: ISI NGVD 1929 LI NAVD 1988 LI O er(Describe): B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? IJ Yes 1L1 No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: LlConstruction Drawings* LLBuilding Under Construction* )_IFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number—2—(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations–Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? IJ Yes 1 x I No ❑ a)Top of bottom floor(including basement or enclosure) j ft.(m) a E NEFLV�o El b)Top of next higher floor .(m) P� ❑ c)Bottom of lowest horizontal structural member(V zones only) o�N j•MftjQ�'P,f ❑ d)Attached garage(top of slab) _ft.(m) E g C3 e)Lowest elevation of machinery and/or equipment u, m 1k a servicing the building 2 .L ft.(m) E ❑ f)Lowest adjacent grade(LAG) 7 .2---ft.(m) z'.r ❑ g)Highest adjacent grade(HAG) 8 ft.(m) 8 No. 4964e' ❑ h) No.of permanent openings(flood vents)within 1 ft.above adjacent grade ❑ i)Total area of all permanent openings(flood vents)in C3h sq.in. (sq.cm) CANS S SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information in Sections A, B,and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER John T. Metzger, L.S. 49618 TITLE COMPANY NAME PrPsidPnt_ Peconic Surveyors, P.C. ADDRESS P.O. BOX 909 CITMSouthold STATE NY ZIP CODE 11971 SIGNATURE DATE03/21/00 TELEPHONE (6 31 ) 765-5020 FEMA Fo 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number CITY STATE ZIP CODE Company,NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner. COMMENTS —I Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed– see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is LLI ft.(m)Li_Iin.(cm) LJ above or LJ below (check one)the highest adjacent grade. E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is LI_I ft.(m)LLlin.(cm)above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?Li Yes Li No LJ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS LI Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1. 1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer,or`architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. LJ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. 1_1.The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for: LJ New Construction LJ Substantial Improvement G8. Elevation of as-built lowestfioor(including basement)of the building is: _ft.(m)Datum: G9. BFE or(in Zone AO)depth of flooding at the building site is: _ft.(m)Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS -I Check here if attachments FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS Item G6. Date Certificate of Compliance Issued. Enter the date that the Certificate of Compliance or Occupancy or similar written official documentation of as-built lowest floor elevation was issued by the community as evidence that all work authorized by the floodplain development permit has been completed in accordance with the community's floodplain management laws or ordinances. Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement"means any reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage,regardless of the actual repair work performed. Item G8. As-built lowest floor elevation. Enter the elevation of the lowest floor(including basement)when the construction of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum used. Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property and enter the BFE(or base flood depth)of the building site. Indicate the elevation datum used. Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate blanks. Instructions—Page 5 BUILDING DIAGRAMS The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram number in Item C2 and the elevations in Items C3a-C3g. In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for Section Q. DIAGRAM 1 DIAGRAM 2 All slab-on-grade single-and multiple-floor buildings All single-and multiple-floor buildings with basement (other than split-level)and high-rise buildings,either (other than split-level)and high-rise buildings with detached or row type(e.g.,townhouses);with or basement,either detached or row type(e.g., without attached garage. townhouses);with or without attached garage. Distinguishing Feature—The bottom floor is at or above ground level Distinguishing Feature—The bottom floor(basement or underground (grade)on at least one side.' garage)is below ground level(grade)on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.' b a NEXT HIGHER a i i FLOOR NEXT HIGHER b FLOOR GRADE BOTTOM FLOOR GRADE BOTTOM FLOOR ,:. ........•.:.:... .... . ..•.•:. (BASEMENT) 7,777,7-7-7. ....:.... ...::. .: r. 0@(determined ` Y existing 9b ' _•_.r•.. ade) (determined by existing grade) DIAGRAM 3 DIAGRAM 4 All split-level buildings that are slab-on-grade,either All split-level buildings(other than slab-on-grade), detached or row type(e.g.,townhouses);with or either detached or row type(e.g.,townhouses);with or without attached garage. without attached garage. Distinguishing Feature—The bottom floor(excluding garage)is at or Distinguishing Feature—The bottom floor(basement or underground above ground level(grade)on at least one side.* garage)is below ground level(grade)on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram. a , HIGHER b a b FLOORS HIGHER NEXT HIGHER GRADE FLOORS FLOOR NEXT HIGHER RADE BOTTOM BOTTOM FLOOR FLOOR LOOR BASEMENT �«:: ori:'::::'�� L`:".Ysia<':'%;;•�r:i;:::i!:�'?�!;"�:,f.?. �:�{ '•FIr rY 3.1. 00 (determined by existing grade) 0@ (determined by existing rade * A floor that is below ground level(grade)on all sides is considered a basement even if the floor is used for living purposes,or as an office, garage,workshop,etc. Instructions—Page 6 M-ieo2 UILDING DEPT. INSPECTION e"" [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:/ �C DATE O INSPECTO BUILDING oar. INSPECTION [ ] OU ATION iST [ j ROUGH PLBG. [ UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ j FIREPLACE & CHIMNEY REMARKS: ,DATE INSPECTO � BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ IR H PL66. [ ] F NDA ION 2ND INSULATION �[ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY RKS: O� ,DATA � INSP M-saox BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ j FRAMING [ FINAL [ j FIREPLACE & CHIMNEY REMARKS: �� �`-3S DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ///) VJW2� l DATE // INSPECTO FIELD f SPECTION REPORTDA _ COMMENTS 4L ___"�--------------------�-___ — — -------------- -- -------- — ____ ------___ --- II — I� ---- y —S� FOUNDATION I II -- ii N fe FOUNDATION (2ND) I I _________________________11====—=_ —__ — — —_____— ii z � ROUGH FRAME & PLUMBING II . II I II II I H INSULATION PER N. Y. ii n I H STATE ENERGY Ii CODE II II II 714o M 11 11 �H II II jj FINAL q i yL II jj � ADDITIONAL COMMENTS: V` / 0J /i'ii ScRf�Jt Lr.[�/ vagi �Gt+d at /'e J s,.,ut. G I/iiJc n .ri� /t �`6 D�►O Nt.,� G.sS SI�O�.-�i �' hay.-r'_ _ � u.�fo7lc�./ 4 fP H t� H 0 O x N r ro H BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY _ - ---- ' BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 n TEL: 765-1802 NOTIFY: / n6yt/�JVvDP�A7/�lC�{ fi)i CALL Examined.......--A9... . t� I rnMAIL TO: . . . . . . . . . . . . . . . Approved.....///�......�Q�?. Perwit No. vL k� I . -................................... Disapproveda/c .................................. ................................... ... ......... . .............. (Building Inspector) APPLICATION FOR BUILDING PERMIT �7 Date. 1-- t�!� . . - . INSTRUCTIONS UUUUUU a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be cmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suclu permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whale or in part for arry purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MAIZE 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 alterati , or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, or inances, bu- ng code, housing code, and regulations, and to admit authorized inspectors on premises and in ild' for s inspections. .. . . ......... .. ...... ........................ /Signature of ppli t, or name, if a corporation) (Mailing address of appli t) State ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildel • ........... Name of owner of premises 016M A S AN 7 'r!efC( 2 U S A.. ...../3.. .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) -!o- Builders License No. . --4 f-� I`-1IAA) Plumbers License No. ....N [!------------ --� Electricians License No. 1�c.77eFe[ 8 Other Trade's License 1. location of land on which proposed work will be done.............................................................. ' c? f7.7-:.. 1� ........ r , N/ .R. L�.:.................................. Horse Number Street UU Hamlet County Tax Map No. 1000 Section ...,3 6......... Block ..�. ........ Lot ....t�C.�.-''�' ... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of prgmisses and intended and occupancy of proposed construction: a. Existing use and occupancy ..5U�G-1-�:.. L L11C�C/: ................................. b. Intended use and occupancy .. .. ,1.....-/h!G !J. f................... ?. Nature of work (check uhida applicable): New Building .......... Addition ., Alteration ...�......1 Repair ............ Removal ............. Demolition ............ Other Work .................... It. Estimated Cost 00 b fee sc p non) (De ri t' �............. ... ....................................... l (to be paid on filing this application) 5. If dwelling, rlulitaer of dwelling units ...!........ tlumllaer of dwelling units on each floor jP14f// If garage, number of cars ...'` IF ..f( II,..�(/I'fc�61� � 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... ��}} '' // y 7. Dimensions of existing structures, if any: Front.......�. ..... Rear .:7,7..,,,,,,,, Depth .. .......... height ... 1 ........ Nurdaer of Stories J ./YG r Dimensions of same structure with alterations or additions: )Pont ..... .0...�. Rear ...! 6....... Depth .....j- q.r.......... Deight ...... ... Number of Stories .. R. Dimensions of entire new construction: Front ...� ........ Rear ... �........ Depth ...a.`�...... (� Illeigiat .... !.5.f............. Umber of Stories ..................... 9. Size of lot: Front ...S. .`......... Rear ....... G '... Depth �(fa ............ 10. Date of Purchase ...P/1111............. Nam of Tourer Owner ! Irl AM..r-/e (l C ((��' ............ II. Zone or use district in uhich premises are situated ....K..4.6 ..................... ........................... 12. Does proposed construction violate arty zoning law, ordinance or regulation: . 13. Will ]ot be regraded Will excesfss fill be r frau ani s: YES NO 14. Names of Owner of premises he 6U '.j �Il A2��" �N- ('') be-R- ............................ �./f.6R� ortfy N4�./J.grJ�{Phone No. Noe of Architect !�i51�1// t. t;Wl�.......;........... Address At.4.k0fiy)f �{/l/!7 none No. .y2 7 i5l.T`0 Name of Con tractor .� .!dE..,� E .�/(E�.. dress .... flaone No .............. ....... . .............. 15. is Uais property within 300 feet of a tidal wetland? * YES ., .... *IF YES, SOLMIXD TOId1 TR MMS PM41T 1AY RE EWRFD. b AC- 'C hffPt r—, S S U E7D A-4) /477-4ctl t o 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 ember or description according to deed, and show street names and indicate whether interior or corner lot. srrcD; Or• N-U Y(W' j (UINIY OF .. '�' O�.LC..... SS `.t4j-5 ....being duly sworn, deposes and says Lhat he is Lhe appl.icanL (N.•rm of individual. signing contract) above rioned, kis Lhe ...... 1� /� 1��.............................................................................. (CmItractor, agent, corporate officer, etc.) if said owner or uA)e.rs, and is choly audiori7ed to perform or have performed Lhe said work and to make and file this 11ITlicatioll; that: all statements contained in this application are true Lo the best of his knowledge and bptief; and I hat Lhe work will be performed in the manlier set forth in the application filed therewith. A.orn Lo before me this /_I .........a.�?.....day of: .0>�� �d�Khf.19. 1 Notary Public ...........J..0mci EIlEEN S.SANTORA ."' "!"""""""""' NOTARY PUBLIC, State of New York No. 30•4916018 (SignalZare of Appl.icanC). Qualified in Nassau County CommiWon Expiroa_,�7�T, oj(;999.;t- 6 L17pA BRAVER ~ �fW' ®mac NIOIF ')pNN W� r q4,F ✓,-rNeer s,>r osir 2...,..¢ oK_ / \ N 4f P qI 4. A _ N. n a 6 IN I . 9 I 3 'V4�rr /39 ,\ - `�4 m i 1 r - `Fv SURVEY OF C Er r GF PROPER T y S`"` "moo a ° cor/rour LpEs ARE�seREMCEo ro Ms.vo./ A T GREENPOpIR�T .TOWN OF SOUTHXD �p AREA = 44240 s¢ ft to tis ho SUFFOLK COUNTY- N.Y. * A AMY ALTS UA as AOOITOW TO Tis"VEY n A VIOLATION 1000 — 36 — 02 — 23.3 OF SECTION TWO OF T!!E7 YORK STATE EOLS.ATM 4E . _ N/!i. EXCEPT AS PER SECflLW 7EOS-SEI=WSIWY a ALL MTFICATMQ Scale Y - SAXI MAARE YALD POR T#5 MAP DSRCOPES SEALTtlomwa-TH OVRIYWY� s��` . WIOSE nAWAAPPWS L Li THE May 10r 19BI .Y.S LK: NO. 496/8 A001TIOVALLY TO CO FLY XTN SAO GF TIE TOW'AL SY' A"R � 2000 Fco�r� ZMe S F'o..� F,..�� 36/L ;;C r:'x"76 5 CON'C S(.N YOR P.G MAST SE L40 SY ANY AAO ALL SLRYEYORS A O APR2 U. 2000 f nwYYn 7 S, 12 COPE' (6s] 763 - 3QEp FAX RT3/) 763 -1757 q`ANon IDA ONVE MAP. TERW A0f AS 7sECTEO•Aro MAR. 19, 2001 (p.y S� 4.1) P. O. BOX 909 'd�MLAMIT-7OMOA 7E'ASE NOT N CA1PLMACE WTN TIE LAW. Ae 9, 2001 (fOulNwR�S'e 1230 TRAVELS? STREET q„.�. SOUTHOLD, KY. /1971 88 - 337 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B.No.3067A077 BUILDING DIAGRAMS NATIONAL FLOOD INSURANCE PROGRAM Expires Juy 31,2002 ELEVATION CERTIFICATE The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram Important: RRtl PE TYOWNER1I on Pages 7-7. number in Item C2 and the elevations in Items C3a-C3g. SECTION A-PROPERTlOWNER INFORMATION Tsaw,uapu Canawlls:- BUILDING OWNER'S NAME In A zones,the floor elevation is taken at the top finished surface of the floor indicamd;in V mass,the floor Patricia and Thomas Krause elevation is taken at the bottom of the knoest horizontal stmcluml member(see drawing in instructions for BUILDING STiEETADDI1F35 UndudiMApt.Unit even,a Rep.Ne)ORP.O.RMrrE AND BOX NO. CamrywNAC Nurser Sedan C). 1379 H-Ab.n..t Avenue CITY srATE ,zIPCDoE Greengort, NY _ 119ad 2 PROPERTY MFINJN ld and Week Nu.bm Ta Penal N.M ,teal Derolpbn.Mc.) a 000-36-0 OUIGRAM7 DIAGRAM2-233 Ail setbbmyetde single-and mlaitple-floor buildings All tingle-arid multipfe-floor buildings with basement BUIUU,N ME(04,HesMmdg.Noemepwwal AddNFA Accovey.et Use Canned Feeder X neeffeef) (other then apllNaraO and high-rhe buildings,dimer (otherthm apllaNevN)and high-rim bulMings with ' detached or now type(e.g.,tovneloueas);with or bRwnRt,enter cisiad dor me,"(e.g., IATIN IXJCdfUOE(OPIgNAy HORIZONTAL DATUM BOURCE: LJ GPs fPJPaI: wllhoutaWchedgwage. townhowes):with orwlmoutaWehed garage. Iso°-N'-eaAFw M1YWIP) UNADttrr UNOD 1999 VUBGB OuetlMM UOthr IagMabMM wawF-M emmm bub au Wow eaadlmd ObtlnrybM1M1w Fwm,m-TM mwnnoQllwanmvwmpepwW NNtlV m gbwomlM• eases)btdw PmFdbrvl oatlp Ong dos Bubba MaNmnd SECTION S-FLOOD INSURANCE RATE MAP ORRRI)INFORMATION swore Palo W®nit n bbw PFM an o rpm anuli abo en tis B1.NFIP CONMUNRY NAME A MW"BM BZ.[KHRRY NAME B3.STATE b d.P+m Southold 360813 Suffolk New York 84 MAPAND PANEL Ba SLFAX ®.FIRM INDEII 57 FIRM PAN0. 86.FLOOD w.BARE RIIOD ELEVATmN(s) e XEXfLER a NUa6ER DATE EFFECTNEMEVIBEO DATE ZONES) ane AQ mdepm dlbotlinN OOR xFxrxlGxaR ' b 3610300176 G 514198 AE El. 8 El. 10 Roan 810.Irldicole 81e sdnarc dthe BeraFlood Ebvefim(BFI]dam w basal ood depth emwed h B9. BRADS BOTTOM FLOOR LJ FIS Preflfe i&J FIRM LJ Conameip Determined U Other(Dmaibe): ` GRADE en1ta1 RooR 811.Inti a the eWwoWn dahan used forBw BFE in BB:IJLJ NGVD IWO U NAVD igm U (Desaiba): y (NcaENENT) B12 M On building locatBaffler ted in a Coastal Beer Resource,System(CBRS)ora or OtlwWse Protected Ams(OPA)7 IJ Yes Is No Designation DW: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) f �� +< ? s --♦ s x Cl.Boiling elevations,am meed on: LJCawtrlrcion Orawinpa• (Binding Under Construction' k3Elnishad Construction _�..r .,+. -�:r. . •c• .,. , .a;,::� •A new Elevation Centlticas will be required when mMnellon d the building b complete. DS B (0"..red by aMb 99nds) .Y:7 9 (devennied b7 slgM grade) C2.Buildng Diagram Number 2 (Select mnm e building diagram lit similar the balding fwwhich thb wnXloas is being Ownpleted-see pages 6 and 7. Nan diagram edUaetely repmRnls7he building.provide a sketch or phdogrsph.) Ca.Elevations-ZORs A7-AX AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,ARAE,ARIA?-0.70,ARIAH.AR/AD DIAGRAM 3 DIAGRAM 4 Coupes Items C3a4 below accoNing to to building degam operated In Ism C2.Shm,the dearm used.If the dalum Is different from All spllMevel buildings that am slabal9ntle,either All split4evel buildings(oBetr Men eetbangreds). the datum used for Me BFE in Sector B.moved the deWn to that used for the SFE.Show fold measurements and deem conversion detacimd or me,type(e.0.tow,houses);with or either detached or martype(e.g..tow nhouth ak with or calculation. Use the space provided or the Commode ams of Sedlon D or Section G.as epooprbb.to doMAnent the datum mmaraon. wMnut attached garage. without attached garage. Datum CwwaalwdCanmams Elevation reference mark uRtl Beat the esvaticn reference mMk used appear on the FIRM? IJ yes U No °11ipi"a"M1'aFer""-TMnolbn ba(anagro gsp)bgO, erNMabnpp Fad•a-TM1FM1mb,nraw(Mamwtaumaaaap D 9)TOO of began,lkxs(Yvluding basement or enclosure) (mI 3 E04 NEW.,, anwaam.p ing(petld a,mmnawd - awOwesn dm I.,�enrl hem dmnm in,•a,m U bit Top of real ligerloor ( ) r '\Q1 wt. yl �9 O c)Bg mcfbwealhorkzmWemrdumlmemW(Vm mmly) —7L(m) o� dMNm• o d)Atlashed garage(ftp of ebb) .—fL(m) �� o 0 e)tnwegebualbnaFnrrhirmyaragaraquprrwa a servicing the baMng .LIt(m) b a b U I)Lowest adlacarm grade(LAG) O.? IL(m) $ s GH HIGHER D 9)Highest mleOwa Settle(HAG) O.2-- - 2 9..ADwive rEzr lsraER GRE ROOKS NDIT Rpermanent Owings h)No.Of pewwings Mood verbs)within l h above afSOnt grade_ GRAVE BOTTOM Root mnoNrcorn FLOOR U 0 Tdsl ams of all penormut openings(flood vents)in C31, sq.N.(sq.On) N \, ICCA _ - ^' SECTION D-SURVEYOR ENGINEER OR ARCHITECT CERTIFICATION .csv3:': c`�ti$2•a', :�:£'4 y,;.-'. M(�5 { :, 5 'd(t ef- F4 4 ?�r Thsranfieeaon lab megnetlerfirm Atl by land surveyor, usher o &uty b0nYw®dbYsws1MOGNMvaBon iMonnelbn. ,n4F.::.,a• :'� , `s fir x , v / meelm idXmmFom lnSemmM a,Rendcon pan cortibmfe nepneBerNe err eagemdnroNJfemmrlhe dem avayaefe. x. -tih r �71cs a s °ex '; IntlJdBramMSg( YmDe alebrRm maymWraeneNa by drw MmDdaweMNR order fB US.Ooda,Sectio 1001. .hey : 'i',' .. + 1>Y•:r ., -; :: .,. ." .. CEfr11RERS NAME L.S. C0IPANY NLICENSE NIIbBBt 496 f g (mbeffired by axbfe n grade) 7 �9 (desMuwabyadding graft) T. Metzger. IA Tm.E AYE PrPaiAPnt necon: Rnrvcynrs P C 'ABooth:is below Bound lurd Upge)on all sides is considered a taamrn[ewer if me flag is med fib,living purpsm,or s an office, AUCREsa P.O. Box 909 CRY Southold UAW NY ZIPCOOE 11971 arms;--'Wm c1c Imhucavne-Pege6 SIGNATURE MM03/21/00 TELEPHONE (631) 765-5020 FEMA Food 81-31.AUG 90 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS xA4�LA o? 999 =A <.rros >cp or r<ABs- - 56/• ro � w B00ER- N Nf0/♦: JONN $ LINDA e_M. 1w,Ao e �\ N49' Ng, 2JI c 01, o %y • / \ b 3 T39O s 39'e f9 �✓ a i Ir._� Ne 1 3 sem• - -I I W c C N<piF14 S3 _ `qIL rq I ' / o SURVEY OF CERTFIEO TO, i BILL CROKOS PROPER .T s� OF NEw LM/ES ARE REFERENCED TO NG.V.D.l AT GREENPOR T S'\Q'oH�i.Ns o�09d TOWN OF SOUTHOLD AREA = 44240 sq ft. to tie he SUFFOLK COUNTY, NY ' r. ANY AL7ER nOW 1W AODWN TO 7M SLIPVEr ISA VIOLAMN 1000 - 36 - 02 - 23.3 OF SECTXLC-AT)ON LAW. EXCEPT AAS CTM 7W9 WW YSLEPIKSON E ALL CCERTFXATIOM Scale I" = 40' �! N. 496N AMMONNPA W vV` a T7"il�µrppAM Ca-AES¢E T a`r�Fra+ May 70 1988 9MLSE SAiTG ROLE pppEARS hFREpµ J . M.Y.S. LK NO. 49619 MAR. 20, 2000 ��. 207CS ,{ppT�L��Lr TO cav+Lv SY(N SAO ur TA 7pry uTElED 9Y• aPR2 21 ZOOO (• 4*, 7 3�Ic c-c,� COAtC SG4 OR$ P.C. NIST 9E L/BEO Rr ANY AND ALL SLRUCY U Ui{p4MG A LWY (63M 76'S - 9020 FAX!6311 765 -1797 VANOT70TV VEYORa Mw. 7L7N/6 SWI AS 7aPEc7ED'A/O MAR. 19, 2001 fr.,r N a.o P. O. eOX 909 trvauaLr-i T!"ARE Anr 9L ca9T.uNCE wTN nE ur. M.' APrd 9, 2001 llounaanon- 12317 TRAVELER STREET SOUTHOLD, MY. 0977 88 - 337 JOHNNpofF g LINDA BRADER 787.8 ��>'*•'�d0+ ti N 49. YAy p Si 3 m ark 9x` C e'9 2 `✓•�a 3 7380 S m N � I vO �O/F s�•�'qy' l `� /y ` � � I •Wp R�yARD a p 3 M Fv SURVEY of BLI CR�� ' PROPER T Y AT GREENPORT TOWN OF SOUTHOLD it OF R( AREA = 49240 sq ft to to km SUFFOLK COUNTY, N.Y. sof ..�„w�o�¢ ANY ALTIRATAAv OR ACMWN r0 TNs ALWWY 6 A MLArA.w 1000 - 36 - 02 - 23.3 s g Dr-ae WN MW W TW WW YDAT STATE MCMN LAI EPAM-T AS roe SECTIAN ROS-SLeMMM s ALL 2bWWCAnCW Scale 1” = 40' €" Nsm A AM vAtO r Tern r ernOF�awvrm Ma )0 7988 ' &E MIRIAATIMERNE APMRS� Y , .S LIC. vo. 496/8 AL7W E'Y TO I M AR Z0, 2000 Fipoo ZOOeS Fio,y L•�m 3&/oC �Ggr SE OSBYp0N % BY' AX P.0 765 -/79T Or A/pTP.MT &AP MAP. TOW SUCIN AS 7ipEMY AAO - . 1lMof/oTT--TPMTC ME AVT W caaNNrr INTN DE LAW. cONTOU4 LBWS ARE WERENCED TOMGV.O. P 1230 STREET SODUTHOLD, NY, 11977 88 - 337 ._ ;L• '(d y' -i. P r i � 6, FLOOD Zon Y 'M"48" pMVM 110Nt lA#-f N/Ni.vun 1, e"rd,,1GK ./� k@a/+e0' �L�TH�I.� CO tpa�/ti3±� q DO NOT PROCEED.WITH LI +p MSD fcM g FRAMING UNTIL SURVEY.. . 'PGS- a' OFFOUNDATON.LOCATION 1 6,4', t= r . HAS BEEN APPROVED. PLO "/r7 }�,d L 40 rFD• `,.�\ \ �}GTe Cf, rO_S / u04 Acct[ \ GL 9.7v �,�-� '� �o� G o 0.0 FFa �>� /Y5 Fc ca�tcop_li /J 7 ?c t,- _-3iC yS .ao = zA3So 3� K 46 z 1.3sbAPPROVED AS NOTED aloolcl .. DATE: oo 'B.P.H PLD laL— OCCUPANCY OR FEE: ILs.� Bye/O NOTIFY BUILDING DEPARTMENT AT �,� T� p �N s' qO UNLAWFUL 7760LLOWINGIN PECTIONS: FOR THE 1 ,i� � XOUT CERTIFlCA�n�L FOUNDATION - TWO REQUIRED �`I�/�,r,/ ,�,,`- JDII � i- M ,��..r�u _ a ,,I,y � ? ROUGH - FRR POURED MINA TE I` ' ri'� T/'I I'1 II��I &F OCCUPANCY 2. ROUGH - FRAM11:3 & PLUMBING - 201 17009 0 S. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET PROVIDE SMOKE-DETECTING THE REQUIREMENTS OF THE N.V. , ALARM DEVICES STATE CONSTRUCTION & ENERGY AS TO PART. 721.1 CODES. NOT RESPONSIBLE FOR aq F . M1 DESIGN OR CONSTRUCTION ERRORSW. N.YS BUILDING CODE. UNDERWRITERS CERTIFICATE _ PROVIDE % HR. FIREREQUIRED . RATED SEPARATION TO r PART. 717.3 (f)(1) OF E° N.Y. STATE BUILDING CODE. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE I CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2110 OF 1%LEAD. If copper tubing is used I for Water distributing system; piping shell be of types K or L only UNDERWRITERS CERTIFICATE REQUIRED r h, 21 X2f = So4rF i i PLUMBING ALL PLUMBING WASTE 1132 - &WATER LINES NEED TESTING BEFORE COVERING tE OF NE* S'0� CE f P Z a � m I W / v = N(C 0322541 V Opg0FE5S1ONP��a 9 Jy /01 Q s L W, IL o a I - - - �6Ot1q _ {kY„5.�,' a` ,rufi',,t, 'u ..yta,«, ;.w w+e'I? ..-,�.r'-�+ . ,F . rri'^+: .rsj - _ ". -'� ,P• • 14 �, t . ,r'"'T`` �, �'% t . 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