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Home My WebLink About27015-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28531 Date: 06/20/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 985 CASES LA EXT CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 109 Block 5 Lot 14.43 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16, 2000 p%Lrsuant to which Building Permit No. 27015-Z dated JANUARY 17, 2001 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH FRONT AND REAR COVERED PORCHES AS APPLIED FOR. The certificate is issued to WILLIAM J & KATHLEEN J KNOERNSCHILD ( OWNER ) of the aforesaid building. SUFFOLK COUIFI~/ DEPARTMENT OF H]~LTH APPROVDJ~ R10-99-0254 ELR~-rKICAL CERTIFICA~ NO. 1045234 PLUMBERS CERTIFICATION DA'r~ 05/08/02 KNOERNSCHILD 06/19/02 06/20/02 ure Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28532 Date: 06/20/02 TI{IS CERTIFIES that the building ACCESSORY Location of Property: 985 CASES LA EXT CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 14.43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16, 2000 pursuant to which Building Pez~nit No. 27015-Z dated JANUARY 17, 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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR PER ZBA #4846 DATED 8/10/00. T~e certificate is issued to WILLIAM J & KATHLEEN J KNOERNSCHILD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ttEALTI{ APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1045234 06/20/02 PLUMBERS CI~RTIFICATION DA'i'~a3 N/A o gnature 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. 27015 Z Date JANUARY 17, 2001 Permission is hereby granted to: WILLIAM J KNOERNSCHILD 23 RUSSELL DRIVE WADING RIVER,NY 11792 for : CONSTRUCT A 3 BEDROOM 1 FAMILY DWLG W/ PATIO, COV. PORCH & 2 CAR ACCY GARAGE AS APPLIED FOR W/TRUSTEE, DEC AND ZBA #4846 DATED 8/10/00. Two Certificates of Occupancy resulted. at premises located at 985 CASES LA EXT County Tax Map No. 473889 Section 109 pursuant to application dated NOVEMBER Building Inspector. CUTCHOGUE Block 0005 Lot No. 014.043 16, 2000 and approved by the Fee $ 1,722.80 Above fee includes $100.00 Flood Pemit. Authorized Signature COPY Rev. 2/19/98 Form NO. 6 TOWN.OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl, 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial 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 ; . New C°nstructi°n: ~// Date. Old or Proc-existing Building: (check one)_ __ LocationofProperty: ~O0,,5' ~2~-~S -J Of]~.. E.,M'--~ CLjT~eH~a~CJ~:~ House No.. ~O;h Owner or Owners of Property: W} //! C~DFI 'ac }eep~] 0 et"' fqZo_Lh | I d Suffolk County Tax Map No 1000, Section ] 0 ~' Subdivision Permit No. ~--JTo/~-~-Q,~ Date of Permit. Health Dept. Approval: Block Lot Filed Map. Lot: Applicank Underwriters Approval: Planning Board Approval: Request for: Te~nporary Certificate Final Certificate: (check one Fe~ Submitted: $ c~ ~", 0 0 Applicant Signature I'~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by J. HOLOLOB WM KNOERNCHILD MAIN STREET E/S CASES LANE EXT YAPHANK, NY 11980, CUTCHOGUE, NY 11935 Located at ElS CASES LANE EXT CUTCHOGUE, NY 11935 Application Number: 1045234 Certificate Number: 1045234 Section: 109 Block: 05 Lot: 14.43 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premi~o_s~e? at: f/Basem~n~i~st Floor, Second Floor, ^.ached Garage, Outside, ^t6c, PooVSpa,~ was inspected in accordance with the National £1ectrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the llth Dayof April, 2002. Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 2 Carbon Monoxide Sensor 7 Smoke Appliances and Accessories Oven 1 7.2 KW Dish Washer 1 1.2 KW Exhaust Fan 3 F.H.P. Furnace 1 2 Oil Bell Transformer 1 Hydro Massage Tub, Residential 1 Motors 1 F Wiring and Devices Outlet 60 Fixture Receptacle 60 General Purpose Switch 57 General Purpose Fixture 58 Incandescent seal Fixture 2 Fluorescent Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. [] BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 30038 CERTIFIES THAT Upon the application of upon premises owned by J. HOLOLOB WM KNOERNCHILD MAIN STREET E/S CASES LANE E×T YAPHANK, NY 11980, CUTCHOGUE, NY 11935 Located at E/S CASES LANE EXT CUTCHOGUE, NY ! 1935 Application Number: 1045234 Certificate Number: 1045234 Section: 109 Block: 05 Lot: 14.43 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, Pool/Spa, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the llth Day of April, 2002. ~ Name QTY Rate Rating Circuit Type Receptacle 2 20 Special GFCI Circuit Breaker 6 ~ Service ~ 1 3W Service Rating 200 Amperes Phase ~ Service Disconnect: 1 200 CB Meters: 1 (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ',.a~PPEALS BOARD MEMBERS 04-,~ Gerard P. Goehringer, Chairman James Dinizio, Jr. ' .~ \~,?X Lydia A. Tortora ~ ~ff Lora S. Collins x George Horning Southold Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 ZBA Fax (631) 765-9064 T~tephone (631) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF AUGUST 10, 2000 Appl. No. 4846 - WILLIAM and KATHLEEN KNOERSCHILD STREET & LOCATION: 985 Case's Lane Ext., Cutchogue DATE OF PUBLIC HEARING: August 10, 2000 1000-109-5-14.43 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The applicants' property is vacant land located east side of Case's Lane Extension, Cutchogue. This property is shown on the Map of "Frank H. Case" as Lot No. 3. A survey dated November 24, 1999, prepared by 3ohn Schnurr, L.S. shows the lot dimensions as follows: 312.25 lt. along Cases Lane Extension; lot depth of 302+- feet (average); acreage of 2.46 acres (to center line of creek). BASIS OF APPLICATION: Building Inspector's April 21, 2000 Notice of Disapproval for the reason that the accessory garage will be located in the side yard. Article III, Section 100-33 requires that accessory-buildings be located in a rear yard (orin the case of a waterfront parcel, in a front or rear yard as provided under Section 100-33C.) . AREA VARIANCE RELIEF REOUESTED: Applicants are proposing a 30x25x6x15.2x3! lt. accessory two-car garage in the yard area no, th of the dwelling location, also proposed.._This yard is a side . ya rd. REASONS FOR BOARD ACT[ON: Based on the testimony and record before the Board and personal inspection, the Board makes the following findings: 1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Applicant proposes to construct a new dwelling with an accessory garage attached to the dwelling by a.poff~:_cochere, or roof-covered portico, to be used for vehicles to ddve through and park or access the garage. The proposed side yard location is 62 feet to the nearest property line and the variance will have no impact on nearby properties. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. Normally, accessory garages are permitted to be attached to the principal dwelling and would be conforming in this side yard location if the connected structure is a breezeway (8' x 10' or smaller), or a full enclosure. The porte-cochere, however, does not conform to the code definition of a breezeway, and the applicant has no other relief except a variance for this side yard location. 3. The area variance is not substantial. The new dwelling and accessory garage will maintain the overall appearance of a single-family dwelling and attached garage. Page 2 - August 10, 2000 ZBA Appl. No. 4836 - W. and K. Knoerschild Parcel 1000-109-5-14.3 at Cutchogue 4. The proposed variance will not have an adverse effect or impact o~'the physical or environmental conditions in the neighborhood or district because the property is large, 2.14 acres (tie line measurement), and the proposed side yard location of the accessory garage conforms to the 60 ft. front yard set back requirement for a principal structure. In considering this application, the Board deems this action to be the minimum action necessary and adequate to enable the applicants to enjoy the benefit of a porte-cochere, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION: On motion by Member Tortora, seconded by Chairman Goehringer, it was RESOLVED;'to GRANT the variance, as applied for. Vote of the Board: Ayes: Goehringer, Tortora and Collins. (Me~0~-~tom~g was absent during the resolution. Hem be r Dinizio was absent due to i lin es s. )/Tq-fl~Re sol ~j~~- 0~ //GERARD P. GOEHR/NGER, CHAIRIVlAN ~ Approved for Filing Town Hall, 53095 Main Road P.O. Box 1179 Southold, New Y6rk 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: ~,.//~-~., ~ r~ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ dayof % , 20o~__ (Plumbers'Signatfire) Notary Public, County I~IX~Y ~ Public, State of New Yo~ No. 02D04829478. Suffolk C, ounly ~ ~ Fel:)ruary DEC PERMIT NUMBER 1-~738-02539/00001 FACILITY/PROGRAM NUMBER(S) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION August 31, Z005 '1 TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate Article 15, Title 5: Protection [] 6NYCRR 608: Water Quality [] Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Manage~nt Article 15, Title 15: Water [] Article 17, Titles 7, 8: SPDES [] Article 27, Title 9; 6NYCRR Supply 3~: Hazardous Waste Management [] Article 19: Air Pollution Article 15, Title 15: Water Control [] Article 34: Coastal Erosion Transport Management [] Article 23, Title 27: Mined Article 15, Title 15: Long Land Reclamation [] Article 36: Floodplain Island Wells Management [] Article 24: Freshwater Wetlands Article 15, Title 27: Wild, [] Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers · Article 25: Tidal Wet[ands 6NYCRR 380: Radiation Control PERMIT Under the Environmental Conservation Law EFFECTIVE DATE August 8, 2000 EXPIRATION 0ATE(S) [] [] [] [] PERMIT ISSUED TO William and Kathleen Knoernschild ADDRESS OF PERMITTEE 23 Russell Drive, Wading River, NY TELEPHONE NUMBER (631) 929-6943 CONTACT PERSON FaR PERMITTED WORK ,,Young & Young, 400 Ostrander Avenue~ Riverhead, NY NAME AND ADDRESS OF PROJECT/FACILiTY 11901 Attn.: Thomas Wolpert, P.E. Knoernschild property, Cases Lane Ext., Cutchogue TELEPHONE NUMBER (631) 727-2303 LOCATION OF PROJECT/FACILITY SCTM # 1000-109-5-14.43 COUNTY I TOWN Suffolk Southold WATERCOURSE West Creek NYTM COORDINATES DESCRIPTION OF AUTHORIZED ACTIVITY: Construct single family dwelling, garage, sanitary system, deck and driveway. All work is to be done in accordance with the attached p~ans stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. ., J PERMIT ADMINISTRATOR: ADDRESS George W. Hammarth (MMR) Bldg. ~+0, SUNY, Stony Brook, NY 11790-2356 , ' August 10, zooo Page t of 4 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 ~u~hold, New York 1197 Telephone (516) 765-18~/2 Fax (516) 765-1823 DATE: AGENT: ADDRESS: PHONE: RE: SCTM# BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON-JURISDICTION December 7, 1999 Young & Young 400 Ostrander Ave Riverhead NY 11901 727-2303 139-1-4.1 APPLICANT: ADDRESS: PHONE: Wm. & Kathleen Knoernscild Est. of Frank H. Chase Cutchogue The Southold Town Board of Trustees reviewed the survey dated and received in our office on Dec, 6. 1999 and determined that your proposal to Construct a single family dwelling and related to be out of the Trustee Wetland Jurisdiction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a detemfination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Krup Jr. President, Board of Trustees /~jabert J. Krupski, President mes King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 January 8, 2001 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. William Knoernschild 23 Russel Drive Wading River, NY 11792 RE: 985 Cases Lane Ext., Cutchogue SCTM# 109-5- ! 4.43 Dear Mr. Knoernschild: The Southold Town Board of Trustees reviewed the survey dated September 21, 1999 and last revised November 24, 1999 and determined the construction of a single-family dwelling and garage 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, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL TO William Knoemschild 23 Russell Drive Wading River NY 11792 Please take notice that your application dated February_ 10, 2000 For pemfit for one family dwelling and accessory, garage Location of property 985 Cases Lane Extension Cutchogue County Tax Map No. 1000 - Section 109 Block 5 Subdivision Filed Map # DATE; April 21, 2000 Lot 14.43 Lot # Is returned herewith and disapproved on the following grounds proposed accessory, garage not permitted pursuant to Article III Section 100-33 which states; In the Agricultural-Conservation District and Low-Density Residential R-80, R-120, R-200 and R-400 Districts, accessory_ buildings and structures or other accessory uses shall be located in the required rear yard Proposed garage located in side yard of proposed dwelling NOTE: Health Department, Trustees, DEC will be required -/~ Authorized Slg~ture TOWN OF SOUTHOLD APPLICATION PAGE I of 4 FLOODPLAIN DEXrELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION I: GEi,FERAL PROVISIONS (APFLICANT Io read and sign): 1. No work may start until a permit is ixsued. 2. Thc permit may be revoked if any false statements are made herein. 3. If revoked, all work must ceaxe until permit is re-ixsued. 4. Development shall not be used or occupied until a Certificate of Compliance is kssued. 5. The permit will cxpire ff no work is commenced within six months of issuance. 6. Applicant ix hereby informed that other permits may be required to f'uff',ll local, state and federal regulatory requirements. 7. Applicant hereby give~ cousent to the Local AdmlnNtrator or his/her representative to make /eusonable in~peelious required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN A I'IACHME~ TO (APPLio, s DATE 7 ¥/o I'1 SECTION 2: PROPQSED D~PMENT (T6 be completed by APPLICAN'I) NAME .,., ADDRESS TELEPHONE ENGn~EER · ~, ~ - - PROJECT LOCATION: To avoid delay in proce.~hag the application, please provide enough haformation to e~zLiy ideutify the project Iocatiom Provide the r~reet addrv_~s, lot number or lega/ dezeription (attach) ~nd, outside urban are. az, the distance to the nearea't iatersecthag road or well-know~ landmark. A sketch attached to th;¢ application showing the proj¢cl location would be helpful, (!_'oo ~1-5/ ]"&~O/V~c~ fa Sec /inc] ~locF- 0 ~ Lot iq, q3 q g .5 /C:n_se_s l-&,q e__ N---×'-e, ' fdP(93) AP PLICATIOI~ ~ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all appficablc boxcs) A. STRUCTURAL DEVELOPMENT ew Structure [] Addition [] Alteration [] Relocation [] Demolition Fl Replacement ESTIMATED COST OF PROJECT ~TRUCTURE TYPE [] Residen0al (14 Family) [] Residential (More than 4 Family) [] Non-resident/al (Floodproo£mg? [] Yes) [] Combined Use (Residential & Commercfxl) [] Manufactured (Mobile) Home (In Manu- factured Home Park*. [] Yes) 09_50 0oo / B. OTHER DEVELOPMENT At.'l IVITIES: [] Fill [] Mining [] Drilling [] Grading [] Excavation (Except for Structural Development Checked Above) ' ID Watercourse Alteration (Including Dredging and Channel Modifications) [] Drainage Improv.e,~mentz (Including Cu vert Work) I-1 Road, Street or Bridge Construction ,,l~/8inUbdivision (New or E. xpansion) dlvidual water or Seller System [] Other (Please Spccily)i ~ - After completing SECTION 2, APPLICANT should submit form to Loczd Adminicr. rator for review. SECTION 3: FLQQDPLAIN DETERMINATION (To be completed bY LOCAL ADMINISTRATOR) Thc proposed development is located ou FIRM Panel No. /~.~ , Dated ..ff/~/~' . Thc Proposed Development: Fl 1< NOT located in a Special Flood HaTard Area (Notify thc applicant that the application review ix complete and NO FLOODPLAIN DEVI~-I OPMENT PERMIT IS REQUIRED). $11 ~ located in a Special Flood Ha--rd Azea. FIRM zone d~qignation is ~ ~'.--~ 100-Year flood elevation at thc site is: ~ · Ft. NGV1D (MSL) [] Unavailable [] Thc proposed development is located in a floodway. FBFM Panel No. Dated [] See S71~4 for add~onal ins~ctions. /:u'~ P LI CA TIO N ~ PAGE 3 OF 4 ~.ECT1ON d: ADDITIQNAL INFORMATION REOUIRED (To bc completed bv LOCAL ADMIN~ The applicant ~ust submit thc documents checked below before the application can be processed: ~// Jgl A site plan showing thc location of all casting structcLrcs, water bodies, adjacent roads, dkmensious and proposed development. [] Development plans, drawn to scale, and spcc/ficatiorts, including where applicable: details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the first floor, de~'aiN of floodproofing of utilities located below the f'Lrst floor and details of enclosures below thc first floor. AI~o, [] [] 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 full elevation Ft. NGVD (MSL). Flood. proo£mg protection level (non-residential only) Ft.' NGVD (MSL). For flo<o~roofed structures, applicant must attach certification from registered eugineer or architect. Certificati~-from a reg/stered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting~.his £mding must also be submitted. F1 Other: SECTION $: PERMIT DETERMINATION (To be completed by LOCAL ADMINI~TFRATQR) I have dctcrmlned that thc proposed activity:. A.. I-I Ia B. VI Is not in conformance with provisions of Local Law # , 19 . The permit is issued subject to the conditions attached to and made part of this permit. -- -- SIGNED , DATE l[f BOX ^ is checked, the Local Administrator may i~sue a Development Permit upon payment of designated fee. If BOX 13 i~ checked_, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPE~d~S: Appealed to Board of Appeals? 4s O No Hearing date: Appeals Board Decision --- Approved? [2} Yes [] No APPLICATION PAGE 4 OF 4 ~ECTION 6: A~-I3UILT ELEVATIONS (To be submitted bv APPLICANT before Certificate of Com~vliancc is issued) - The fo[lowing bformadon must be provided for project structures. This section must be completed by a registered professional engineer or a liceused land stwveyor (or attach a certification to this application). Complete I or 2 below. Actual (Aa-Built) Elevation of the top of the lowest floor, bduding basement (in (~oastal Hi~:h Hazard A.rea$, bottom of lowest structural member of the lowest floor, exdudbg piling and columns) is: FT. NGV'D (MSL). 2. Actual (As-Built) Elevation of floodproo£mg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. ~ECTION ?: COMPLIANCE ACTION (To bc completed ~)v LO(~AL ADMINISTRATOR) The LOCAL ADMINISTRATOR will comple'~'~ thb section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSP]ECTIONS: DATE BY DEFICFENCIES7 [] 'YES [] NO DATE BY DEHCIENCIES? [] YES r-I NO DAT~- BY DEFICIENCIES? [] YES [] NO SECTION 8: (~ERTIFI~ATE OF CQMPLIANCECTo be comtfleted by LOCAL ADMINISTRATOR~ Certificate of Compliance issued: DAI'I=: 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 SPECIAL FLOOD HAZARD AREA (OV~fVER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: t:uTC.¼ oo . MW PERMIT NO. PERMIT DATE CHECK ONE: [] NEW BUILDING [] EXISTING BUILDING [] VACA~W LAND THE LOCAL ADMINISTRATOR.~,.iS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED V¢ITH THE REQUIREMENTS OF LOCAL LAW # , 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED YVITH THE REQUIREMENTS OF LOCAL LAW #. , 19 , AS MODIFIED BY VARIANCE # DATED ~ , SIGNED: DATED: C/C(931 STA'~L: OF NEW YORK ) ) ss coumY or- sur-,:O,_K / _.~J_~2_~--O, ~,~ ;~Z".. be,ng duly sworn, deposes and says Thai deponent ~s over the age of 18 years and resides al Thai on the I~. day o[ J~d~¢~__, 200l deponenl arch;:ocUengineer, licensed by the Stale or New York, hereby states that s/he ac~pls ~ull responsibility for the accompanying plans compliance'wit~ the New York Slate Fire Prevention and Building Code (9 NYCRR); said plans pedain to properly ......... - Sworn to b~ore me this /.,='~ day of,~,~(:~ 200~r. · lxotary Public ~ GAlL A. PASQUALE Nolery Public, State of New York No. 01 PA4648134 Qualified in Suffolk Term Expires Feb. cc: Applicant BUILDING PERMIT REVIEW CHECK LIST SCTM#--- DISTRICT: 1,000 SECTION: PROJECT LOCATION STREET: DATE REVIEWED: DATE SUBMITTED: LOT: )4.-/3 CITY: (~or~ SUBDIV. NAME: 1.2 Iot / I ARCHITECT / ENGINEER: ~/, c og/~ - (~.z~? (~+ FAST TRAC~RNO SINGLE & SEP~TE CERT~ICATION-~QU~D: YES o~OTES: ZONING: PE~IT ESTIMATE A~UNT: $ ) ~ .00 ZO~G DIST~CT: R40, R~0,~ - COlOr. G: YES o~ NO ~QU~D LOT S~E: ~ SQFT. WHE~ ACTU~ LOT S~E FROM?TAXCA~ ~ Or,/ ACTUAL LOT S~E: tOy~$ SQFT. ~Q~D ~Q~D / ~Q~D FRONT: go ' PROPOSED: ~ ' SIDE YD: ~ '/~ ' PROPOSED: ~/ '/ , ROPOSED:/~ ' ~AR: ~ ' p , LOT COVE~GE: ALLOWED:2O % EXIST~G:~sf % ~W:~sf % TOTAL:$g/ffsf% CO--R? YE~ o WAT ER FRONT? ~ NO DESC~TION: LOTS 40,000SF --100-24. Lot reco~ition. (C~ATED before June 30, 1983), ~ERS~ED LOTS FROM JAN. 1997 100-25. Merger. (A nonconfo~ing at any time a~er July 1, 1983.) AGENCY PE~ITS ~Q~D FOR ~VIEW ~D S~FOLK CO~TY NE~T~ D~PT: ~r NO. (BED ~):.~ DTE: ~/2~/~ PE~IT ~:R10- ~W YO~ STATE D~C: ~-~c~/,n~}r ~O /-~)~ ,~, ~.. ~~ TO~ ZO~G BO~ ~PROV~~r NO ~ ~- '~ ~ ~ O~ PL~. BO~ ~PROV~: YES or~ FLOOD COOL,CE ZOO: eue-rm~ ~as/so P~EL ~: /~ FLOOD ZO~g ~S E~RGY:~R NO : ~ ~SS' VENT' LIGHT' FEE STRUCTURE: FOUNDATION: -% t,~i SF FIRST FLOOR : ~4 ~-2 SF SECOND FLR : .~,2~ SF TOTAL: &Sg,~-- SF TOT(~:rQ.~f~SF)-( ,~r.~5 SF)=.. 2,21~ SFX$-.2~5 =$ INIT OTHER FEE ~ =$ TOTAL FEE I 0 765-1802 BUILDING DEPT. INSPECTION [~] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ] FINAL [ ]FIREPLACE & CHIMNEY ~../- ;DATE /~)~/INSPECTOR ~'~ '~~ 765-1802 BUILDING DEPT. NSPECTION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. INSULATION FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,~~ jDATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ R~~OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ~/~RAMING [ ] FINAL [ ] FIREP/L~E & CHIMNEY I *SPECTOR/~/~ ~'~/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROU~.I PLBG. [ /,~INSULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSerTION [ ] FRAMING [/_/]/FINAL [ ] FIREPLACE & CHIMNEY RE:MARKS: INSPECTO~~~ ~_ FIELD INSPECTION REPORT DATE FOUNDATION (]ST) COI'~dENTS FOUNDATION ( 2ND ) Il II II {I }1 II II ROUGH FRAME & PLUMBING Il II Il ~...- II Il {I II il II II II Il Ii Il II II INSULATION PER N. ¥. Il II II STATE ENERGY II II II II CODE II II II II II II II II Il Il II o FORH NO. TO~IN OF SOUTHOLD BUILDING DRPARTHENT TOI~N HALL SOUTHOLD, N.Y. TEL: 765-1802 ~-,,~iced..././.2~.. ....... ,2O.~./. .......... Disapproved a/c .................................. ( xldxng Inspector) APPLICATION FOR BUILDING PEP, NIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY CHECK SEPTIC FORH CALL ~ ....... MIL TO: ..~/ ~ ....5..?.$. '~ ~ ~ ~ ~ ;("-~- ~ ......... a. 'Ibis ~plieation mt.t be c~,pletely filled in by typ~iter or in 3 ~ts of pl~, ~ate plot pl~ to ~le. F~ ~i~ to ~le. b. Plot plm ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, mlati~ip to ~joini~ pr~s or ~lic struts or ~e~, ~ gi~ a ~1~ &~ri~im of l~t of ~ ~t ~ dr~ ~ ~e di~ ~i~ is ~rt of ~is ~li~ti~. c. ~ ~ ~ ~ ~is a~li~ti~ ~ mt ~ ~ ~fo~ isle of ~ildi~ Pemit. d. ~t ~11 ~ ~ ~ p~M~s ~il~le ~r i~ti~ ~t ~ ~rk. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~ for ~ ~ ~at~er mtil a ~rtificate of ~ ~11 ~ ~ ~t~ ~ ~ ~ildi~ ~tor. ~I~ffi IS ~ ~ to ~ ~ildi~ ~t for ~ isle of a ~ilding Pe~t ~r~t to tbe ~ildi~ ~ ~ of & ~ of ~ld, ~ffolk ~, ~ Yo~, ~ O~r a~lic~le ~s, ~di~es or ~ati~, for ~ m~ti~ of ~ildi~, ~iti~ or alterati~, or for r~al or ~liri~, ~ ~rein ~ri~. ~lati~, ~ '~ : I ~ , ~ , · ~ , (~ili~ ~ress ~~ ........ ~...~. ......... State ~r,~li~ is ~r, les~, , ..... -~o.~.va a~...~de ~ ....... ~ of ~r of pr~s ..~.~.~ ~~'~''~]~.~ .... ~ ............................ (~ ~ ~ t~ ~11 or latest d~) .................................. If a~flic~ is a ~rati~, si~e of ~ly ~t~ri~ officer. (~ ~ title of ~rate offi~r) Builders License No. ~% ~0(0_. d e~ (- mi fie C~ Electrici~as License N~ ~.O....~..~_~..(~.d~ ~- Of It ~CL ~ ~a~'~ L~-e No.--V~...~::...4~-bec~, a '~_ d I. Location of land on ~hieh proposed ~)rk vfill be done ...~. o ~..~. ~......)~...~ ~ .~< +e~ ~i~ .............................................................. ~ ~ ~ .................. ~ ........................................................................... ~ivisi~ -~C~-~..~. .... ~~ Fil~ ~ ~ ........ ;~ '"~' .... (~) ...... - ............... t ~ ............ 2. State ~sti~ m ~ ~ of ~s ~ inte~ ......... ~ ~ ~ ~ or pro~ c~stmction: ....... ..... 3. 'Yzl['ure of ~ork (ct~k ~l,id~ applicable): ~ l~filding . .. &idition .......... Alteration . Repair ............ Removal .............. llem~l it ion Otber Igork z~ (Description) 4. Est imated Cost .....~..O.?. 1~..~..O. ...... fee ' (to be paid on filing this application) 5. If &~elling, m~der of d~lling traits ./. ........ h~umber of ~lling traits on each floor If garage, nt~er of cars ...... ~ ................ 6. If business, c~mercial or nd~=d occupancy, speeif-~ nature and extent of ead~ ~ of use ...................... 7. Dimensions of existing structures, if any: Front ................. Rear ............... Depth ................. Ileight ......................... Nm~er of Stories Dimensions of sane structure ~ith alterations or additions: FTont ........ P~ar Depth .................... Height .................... lq~nber of Stories ............... 8. Di~renslons of entire ne~ construction: Yront .~.~..".~..fi ...... Rear ~.~.,~..~. lleight ? ....... Depth .............. ' ~ ' · ·: ................... tlznber of Stories 9. Size of lot: Front c~]~, ,~).~ Rea c~O o~ __ '.' '~ ..... : -~ ........ :.... r .......... .~...v4. .... Depth .. ...................... n~ne of ,conner Oa~er .-~..~..O.J... ]~.~..~..x/.~..-~.....~..~?..k?. I I. Zone or use district in ~tdch premises are situated 12. Does proposed construction violate any zoning 1~, ordinance or resulation: 13. ~ill lot be regraded ...... J~.Q .......... l~ill em:e-- fi~ s.~ ~ ~_ . ..I ,~ ' , / ~-- 77' ~ '' ~: ~nt~.~ · ,' ......... ; ................ ~ress . .~.e..::~.. ?.¢.,, ~ or t~d,ite~tA0..c~. S NI~oS I..ck ~dress "~ ~l,/~f~'L'"'::~'~ .................... ~D ........................ ~ .-e%h - ?-~v=~ t .~. >/..~.c;L.. Phone Ixlane of Cmtractor 'fro c--r 4 e I--N~/~;om ................................... fiddress 15. ls this property within 300 feet of a tidal ~etland? * ~ .......... 1~0 .......... PLOT DIAGRAH I~cate clearly and distinctly all buildings, sffaether existing or proposed, and indicate all scl-back dimensions fr~n psoperty lines. Gix~ street and block nt~ber or description according to dc. cd, and ~ street names and indicate ~d~ether interior or earner lot. · ~rA'IE OF 1~ Y(~(, 0~1~ (]iv ....................... .... "~"z--/--6-/--'~--.~? .... ~../)d...~.~..fJ.~-x ~'C~'x<_& leing duly s~rn, deposes and says that he is tie appl. ic~t (N.'~e of individtml signing contract) above na~d, lb is the ........... ~: ~?...~ ..~.- ~Z (Cea]tractor, ngent, corporate officer, etc.) of said o~¢ner or ~rs, a~ is (~lly ~tl~riM to ~rfom or I~ ~rfo~ tim ~id m~ m~ to m~ ~ file this a~licati~; thai: all stat~nts c~ta{~ in this a~licati~ a~ t~ to the ~st of bis ~1~ a~ ~lief~ a~ that tbe m~ will be ~rffo~l in tl~ mm~r ~t forth in ~e a~licatim fil~ t~. HELENE D. HORNE C Qualified In Suffolk Co.unty ommission_ ;.xpire,s May 22. ~ ~ ~, f (Signature of Applicant) (" ~4ELL TELEPHONE PEDESTAL N 85'58'21" W / / : / CEDAR: CEN ~EES 316.99 ,, SOU TH now or formerly Stella Meyer (Dwelling) TEST HOLE DATE: 09/1,3/99 DARK BROWN SANDY LOAM (O.L) 1.0' BROWN LOAMY ~AND (S.M.) 2.0' PALE BROWN FINE TO COARSE SAN (S.W.) WATER IN PALE 0ROWN FINE TO COARSE SAND (S.W.) 3.0' Young & Young, Land Surveyors 400 Ostrander Avenue, Riverhead, Near York 11901 H~a~d ff. Young, Land NO~ TOTAL AREA TO TIE UNE = 2.1,:394 ACRES TOTAL AREA TO CENTERUNE OF CREEK -- 2.4669 ACRES · SUBDIV1SION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AUG. 28. 1987 AS MAP NO. 8582 ~ VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) · ELEVATIONS SHOWN HEREON MAY BE FROM MAPS OR,SURVEYS PREPARED BY OTHERS AND ARE SUBJECT TO FIELD VERIFICATION. · PROPERTY LOCATED IN FIRM ZONE AE (BASE ELEVATIONs'8), AS SHOWN ON THE FLOOD INSURANCE RArE MAP, MAP NO. .36103C0165G. PANEL NO. p163-G. LAST DATED MAY 4, 1998. CERTIFICAllON · W~ HEREBY CERTIFY TO WILLIAM KND£RNI~CHILD & KATHLEEN KNOIrRNBI3HILD THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE COOE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYOR: SURVEY FOR II ¢: o NLUAM KNOERNSCHILD &: KATHLEEN KNOERNSCHILD LOT 3 MINOR SUBDIVISION OF "FRANK H. CASE" At Cutchogue, Town of Southold Suffolk County, New York County Tax Map District 1000 Sectlon lOg ~ro~ 05 Lot 14.43 BUILDING PERMIT SURVEY REUSED PROPOSED HOUSE MAP PREPARED SCALE 1" = 60' JOB NO. 99-0538 DWG. NO. 990538 NOV, 24. 1999 SEPT. 2~. 1999 OF1