HomeMy WebLinkAbout29422-Z FORM NO. 4
TOWN OFSOUTHOLD
BUILDING DEPARTMENT
Office of. the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30091 Date: 03/17/04
THIS; CERTIFIES that the building ACCESSORY
Location of Property: 6925 GREAT PECONIC BAY BLVD LAUREL
(HOUSE NO.) (STREET) (HAMLET)
' County Tax Map No.. 473889 Section 126 Block 10 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 23, 2003 pursuant to which
'Building Permit No. 29422-Z dated MAY 27, 2003
: was issued, and conformsto all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY ONE CAR GARAGE AS APPLIED FOR PER ZBA #5267 DATED 3/12/03 .
The certificate is issued to ELLEN HINSCH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N/A
ELECTRICAL. CERTIFICATE NO_ 1138706 01/29/04
. PLUMBERS CERTIFICATION DATED N/A
�Yh ori ed S4nature
Rev. 1/81
i
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
I
BUILDING PERMIT
THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT No 29422 Z Date MAY 27, 2003
Permission is hereby granted to:
ELLEN HINSCH
333 E 46TH STREET
NEW YORK,NY 10017
for
r
I
ACCESSORY GARAGE IN THE SIDE YARD PER CONDITIONS OF THE ZBA (ELEC
i
ONLY) AS APPLIED FOR
F
at premises located at 6925 GREAT PECONIC BAY BLVD LAUREL
County Tax Map No. 473889 Section 126 Block 0010 Lot No. 016
pursuant to application dated MAY 23 , 2003 and approved by the
Building Inspector to expire on NOVEMBER 27, 2004 .
Fee $ 75 . 00
I
t riz 'd Signature
it
ORIGINAL
it
Rev. 5/8/02
_. . .._._._ _.
n 110
n u s formNo.6
f TOWN OF S,OUTHOLD
f
BUILDING
(; j i, NG DEPARTMENT j
I Ul FEB26M � TOWN HALL SI(a- V�—
765-1802
6.µY G. 0_"T.
u y,ti or {t y APPLICATION FOR CERTIFICATE OF OCCUPANCY
�L
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
u 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�0,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00
/ Date. 2)U/ 0
New Construction: V Old or Pre-existing Building: (check one)
Location of Property: I`' C 6 AY 6(00 ltlqua Z^4
House No. / Street Hamlet
Owner or Owners of Property: L �� q)(Li SCf�
Suffolk County Tax Map No 1000, Section Block jb Lot A
Subdivision Filed Map. Lot:
Permit No. a Date of Permit.J' ),SZ?/b_3 Applicant: 704 /6(W6zr't^1
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
� o01 > , '
Applicant Signature
II -
APPEALS BOARD MEMBERS Southold Town Hall
Lydia A.Tortora,Chairwoman ~ 53095 Main Road
Gerard E Goehringer ae P.O.Box 1179
George Horning O ye Southold,New York 11971-0959
Ruth D. Oliva ZBA Pax(631)765-9064
Vincent.Orlando 1 Telephone.(631)965-1809
http:/Isotrffioldtown.noxddDtic.net
BOA1R1D OF APPEALS
Tf7WN OF SOUTHOU)
Y 2 3 { April 7, 2003
i .
Ms. ELzabe)ti 7hom;Jsan;Aixl ect
P.O. Box 464
i
Orient,NY 11957
� I
Re: Appl. No.5267—Variance Determination (Ninsch)
Dear Ms.Thompson:
Enclosed please find a copy of the Board's determination regarding the
'I
above referenced application for a zoning variance.
Please be sure to follow-up with the Building Department for the next step in
the zoning review and application process. Before commencing construction
activities, a building permit and possibly other agency approvals are necessary. An
extra copy of this determination should be made available (if requested) at the
Building Department when submitting final drawings and any other required
documentation. This will assist their office during final reviews.
Thank you.
Very truly yours,
Linda Kowalski
Enclosure
Extra Copy on 414/03 delivered to:
Building Department
APPEALS P; i f'S'' i;. �Q$� 1�C•,,,
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t.ydaaA. !('i.Ur. U.,,::NfRr,il I •, � < ,
t3 r<< Nuntur ��`� • ^�C Smid,old 'ecu Yk, r19?] t145L
'�e.+rz::1''' yp�.l,gr.a:p,•I:i;;,,,!!,n::�:1!tarY.!aa
BOARD OF APPEALS
FINDINGS. DLLIBKRAI IONS AND,DETERMINATION
MEL i ING OF IMARCH 12. 200:
s A!)'. N6. 267 - 1-L.r-EN HINSk i.
Pmperly Local n: 6926 Greal Peconi''.isay B:iulevaro, Laurel, -Jaicer.•ii !u .2C-, 0-16.
. e
iWAT•.tOW The "?•k1 I ri:!i�r(: !:i Ai.!pE,<3iS i:d i 41st(l] Y�;;, /?v Ui'Cruj rl,idu
i consideration in this application and ceterm';nes that Ll '. r..'ri^a '211a u.tdtr thr•Type, H.
category of the State's List of Actions. wir•,out art adverse eared ori tiic, arlyirr.nrneni if
the
PROPERTY FACTSIDESCR1PTtON� he ap,•Gct!nft: 52.783 se fl p#rvl !, to ped on
the,noft,slde saf,Peconlc Bay Boulev,am. L.iui=!, aid is imarovc,d wish a ne2w d%v0ing
undertstttoioav and a snialt.shed. as shown on the sunovda:eo Scpte;ni,er 28,
200.11 prepared by Young&Young, L.S.
BASIS OF APPLICATION: Building Dep encs IUTarch 4, 02 oil - prove[,
eiting, ectlon 100-30A.4,, in its den9al of a lid"peret3#t for ti a toc attK ttrf arr' cry
garage in.the from yard instead of a requir
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on February 20,
2003, which time written and oral evidence were presented. Based upon all testimony,
documentation, personal inspection of the property, and other evidence, the Zoning
Board finds the following facts,to be true and relevant:
AREA yARIANGE.,R£LIEF REQu£STED: Apph9apt wishes to locate a new 14' x 20'
accessory garage 18.18.13 feet from the easterly lot line and 34.45 feet from the closest
southerly lot tins. The height of the garage is proposed at 166" as shown on the
architectural map prepared by Elizabeth Thompson dated 2115102.
REASONS FOR BOARD ,ACTION: On the basis of testimony presented, materials
submitted and personal inspections,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. The property is unique as a flag-
type of lot, widening from 100.80 feet (at a point 202.28 feet from Peconic Bay
Boulevard)to 198.80 feet to the north.
2. Due to the unique shape and layout of the applicant's property, placement of the
home in the center of the widest portion of the property, and the fact that there is a
lil
Page 2-March 12,2003
Appl,No.5267-E.Hinsch
j
1264*16 at Laurel
I
sanitary system•located..as:,regu+led by the Suffolk. County Health Uepartnien., to
c4n$trLlcta detached are.gP. ) i"� !:f il'y' :J�ital. .V1: wr '. •• c.:' .,.:i'. it.` j:Li 'Vi
3. The variance granted hereil'i is rl(:i ubsian lial. The :lar �t : li :.JC.(� � 4:-('V ui.
setback Tenuirements-of the 0.,,de r'UINeta.ssor J t.`iui 11ings local d ,r*a Uel mlttf.(1 yard'..
4. The difficulty='ts self reetei because a possloiy a :tn: p!'I'la!y
structure�mayhaveeliminaWti:s ne,%d for a ',nranrc.
i 5. No evidence has been submitted to suggesl that the proposed qdd;V,ans rsll have an
adverse impaCtOnphysical CORGIt:UI•_ it: the OO.
i
6. Grantof the requested varinnc:. is is a minimurn arbor necessary and adequale iU
$nat ie 2ffrt applicant,tcr enjoy ho i ::I:ei' el an a::L:( srrr; ,lara:ae; while CreS!:!L'irl l i3!
protecting.the character of the alid the heath sa!pl`: and welfare'of 'i'c%
community,
F—ESQI UTtON OF THE BOA S: In considering all of the above factors,artd•spplytng the
balancing'test urlder New York Town Law 267-B nwtic x was offered by fv mber
Goehfinger, seconded by Chairwoman Tortora, and duty carried,to
GRANT the Variance as applied for, and shown on the plan prepared September
28, 2001, prepared by Young&Young;i.S:; SUBJECT TO the condition that the
only utility be electric
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.
Vote of the Board: Ayes: Members Tortora (Chairwoman), Goehringer, and Orlando.
(Member Oliva was absent due to:iiiness, and also absent was Member Horning of
Fishers Island.) This Resolution was duly adopted (3-0). �(�✓
Lydia A. Tairwoman—Approved for Filing
4/ 5 /03
FORM NO. 3'
NOTICE OF DISAPPROVAL
DATE: March 4, 2002
TO: Elizabeth Thompson A/C Hinsch
PO Box 464
Orient,NY 11957
Please take notice that your application dated March 4, 2002
For permit to construct an accessory garage at
Location of property: 6925 Great Peconic Bay Blvd., Laurel,NY
County Tax Map No. 1000 - Section 126 Block 10 Lot 16
Is returned herewith and disapproved on the following grounds:
The proposed accessory garage on a 64,904 square foot lot in the Residential R-40 District, is not
permitted pursuant to Article M.A., Section 100-30A.4., which states,
"Accessory buildings shall be subject to the same requirements as 100-33 of the Agricultural-
Conservation District,"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
The proposed accessorygarage is located in the front yard.
Total lot coverage on the property, following the proposed construction, would be +/-_3 percent.
orized Si e
CC: file, Z.B.A.
I
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT
FORMER OWNER N EAGR. ,
b7e? ?l ke- "' H,;)
p�;T S t ;N TYPE OF BUILDING
:ES. j7f SEAS. VL. (a FARM COMCB. MICS. Mkt. Value
LANA - IMP. T' COMM. CB.
DATE REMARKS
Sb 0
AGE BUILDING CONDITION
VEW NORMAL BELOW ABOVE
=ARM Acre Value Per Value "
Acre
illable j FRONTAGE ON WATER
Woodland FRONTAGE ON ROADS ' NV
/ 00 ,
leodowland /00
DEPTH a oa au 10 j2n
ouse Plot BULKHEADr.
otal DOCK
]OWNER STREET - VILLAGE DISTRICT LOT
FORMER OWNERN� Q. ^ C 6�GE
A f ✓ ,
S W TYPE OF BUILDING
REQS. SEAS. VL. FARM . COMM, I IND. CB. MISC. Est. Mkt, Value
LAND IMP. TOTAL DATE REMARKS
�. �
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value . FRONTAGE ON ROAD
Tillable 1 RI Q4EN4 ¢ /
lS e
Tillable 2 DOCK
Tillable. 3 i _--- —`—
Woodland — 4
Swampland
Brushland _
Nouse Plot
i Total
BY THIS CERTIFICATE OF COMPLIANCCE THE
5
NEW 'YORK BOARD OF FIRE UNDERWRITERS �
S BUREAU OF ELECTRICITY
40 FULTON STREET - NEINYORK, NY 10038
7x* CERTIFIES THAT
Upon the application of upon premises owned by
PAUL R. BURNS ELLEN HINSCH
P,O: BOX 1061 6925 PECONIC;BAY BLVD
SOUTHOLD, NY 11971-0932, LAUREL, NY 11948•
Located at 6925 PECONIC BAY BLVD LAUREL, NY 11948
Application Number: 1138706 Certificate Number: 1138706
Section: Block: Lot: 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:
Detached Garage,
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 29th Day of January,2004.
Name (QTY Rate Raking Circuit Type
Wiring and Devices
Receptacle 2 0 General Purpose
Switch 3 0 General Purpose
Fixture 3 0 Incandescent
Receptacle 2 0 GFCI
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
tJcPrJ�rJ7rJrJ�[PrP"!IUMrPRIM' EPr EM-PU;PrSrJ�rJrJrJ�rJ�rJ�rJ�PrJ�rPrJr1orJrJ1:111; �rJr1��Pr�'3cPcPcPLPE.PE Pref'rJ�PrJjPr�r�r�cPr��PrJrJ7rJ�cP
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: 5 6?IV103
APPLICANT: DATE SUBMITTED; x7 /03
SCTM#
i
DISTRICT: 1,000, SECTION: BLOCK: 1�, LOT: /6 SUBDIVTSION:.1 ro, �>
ADDRESS:6q CITY: 1Z&AeeZ ZONING DISTRICT: )CONFORMING?
BUILDING PERMITS OPEN/EXPIRED:
i BP -Z/C/0 Z- INFO /BP -Z/C/0 Z- INFO
BP -Z/C/0 Z- INFO i/A /BP Z!C!O Z- INFO
PRE CO: Y OR N BP -Z/ C/o Z_
SINGLE & SEPARATE CERTIFICATION-REQUIRED^y� NOTES: —
LOTS 40,000SF-100-24.Latrecogrntion.(CREATED before June 30,1953),UNDERSIZED LOTS FROM JAN.1999100-25':Merger.(Anonconfonwrigat any hme after 7/1/'
REQ. LOT SIZE: /74/ ACT. LOTSTZE:,�/y4 REQ. LOT COV. c/_ACT. LOT COV.
REQ. FRONT 6=. PROP. FRONT / REQ SIDE /,j�/3 ACT. SIDE
I REQ. REAR — PROP. REAR REQ. HEIGHT /. PROP. HEIGHT /
u tam p r- 2t3
PROJECT DESCRIPTION: AwAci e , 0
ESTIMATED PROJECT COST: 15lc- AT/ENGINEER: [bfowsn s FAST TRACK
WATERFRONT? DESCRIPTION: '—
PANEL #: FLOOD ZONE: fitCOMPLIANCE:_
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or (BED #): _DTE: / / PERMIT#:
TOWN SEPTIC RECEIPT: Y o&
NEW YORK STATE DEC: PRE-DFC9/1/75 YES or?IV
SOUTHOLD TOWN TRUSTEES: YES or
TOWN ZONING BOARD APPROVAL 012D 3�ja Z
TOWN PLAN. BOARD APPROVAL: YE
TOWNHISTORICAL PRE (SPLIA): YES ow
NEW YORK STATE CODE COMPLIANCE (SEE,PAGE 2): YES o(NO C_'i� �
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
L ( d SF)- (_ SF)= SFX
2. ( —SF)- (_SF)- SFX
3. (-SF)- (— SF)= SF X
FINAL TOTAL: $ "i5
III
765-1802
BUILDING DEPT.
,
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
j;
[ ] FOUNDATION 2ND [ } INSULATION
{ ] FRAMING [ A
[ ] 'FIREPLACE A CHIMNEY
REMARKS:
II
I'
i
j DATE / INSPECTOR At,4-:
FIELD NSPECTIONREPORT DATE coABUNTS
FOUNDATION(1ST) y
i
----------------------- - -
FOUNDATION(2ND)
4
z
- o i
H
'ROUGH FR.AAUNG&
PLUMBING
u
INSULATION PER N.Y. y
STATE ENERGY CODE
C
FINAL
I ,
ADDITIONAL COMMENTS
i
0
r m
i
N
j x
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y
x
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F OtTROLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING
DEPARTMENT Do you have or need the following,before applying?
If TOWN HALL Board of Health
SOUTHOLD;NY 11971 3 sets of Building Plans ✓
TF1 : ( 1) 7654862Planning Board approval
FAN`t ( )765-9502 - Survey ,i
www.northfork.net/SouthoW PERMIT NO. Z��E 22 Check
.- Septic Form :.
N.Y.S.D.E.C.
Trustees
Examaled
20 J� Contact:
APProved .AL1 20 11 Mail to:F. rAKcrt'1'iiowPSov ARcHilep
J
Disapproved a/c ?.5o MEP.C.ee cr 1!x Iu4 NM Ibb1L
k Phone:
Expiration 11 'Ll ,20
Building Inspector
�tY2 3 APPLICATION FOR BUILDING PERMIT
6_
TOktx_p Date 20-!_
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
l 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 park for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
£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 inay 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 Couhl'New York,and other applicable Laws, Ordinances or
Regulations, for the conshuctioa of buildings,additions, or alterataons or for removal or demolition as herein described.The
applicatuagrees 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 iiftections.
(Signature of applicant or n e,if a corporation)
25o0KEeaer-sr4&Boe, wt, N`! tZ
L
(Mailing address of applicant)
State whether applicant is owner, lessee, agent; architect,engineer, general contractor, electrician,plumber,or builder
Name of owner of premises
(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. I& 28-h b I oa—t/—es&1�
� Plumbers License No. y
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
PELootc BPAat Bwl�> I AvRae'��
House Number Street Hamlet
County Tax Map No. 1000 Section i ZIo Block I b Lot 1 !P
Subdivision Filed Map No. Lot
(Name) .:
i
2. State existing use and occupancy of premises and intended use and occupancy of proposed coxistruction:
a. Existing use and occupancy Sl QC,uS FA-wttt✓ _(>WEt.a_lui,
b. Intended use and occupancy &E:-C t-ctt,trD �A2pCrir
3. Nature of work(check which applicable): New Building x Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost t o0 Fee
(To be paid on filing this application)
15.r' If dwelling,number of dwelling units / Number of dwelling units on each floor
If garage, number of cars
16. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existin tructures,if any: Front Rear Depth
Height . Number of Stories
Dimensi sof same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front 15 t Rear 1 S I Depth Zo 1
Height 15 ' Number of Stories I
9. Size of lot: Front l eo.q l Rear I`C q•B Depth 404.2
j•
10. Date of Purchase / Name of Former Owner
11. Zone or use district in which premises are situated
li SES' 14It�lctt•61S
j 112.Does proposed construction violate any zoning law, ordinance or.regulation?YES
NO f Vk¢tgs
13. Will lot be re-graded? YES_NO Will excess fill be removed from premises?YES_NOS
NY NY 10017
i I4.Names of Owner of premises l5L cta Nuosct+ Address 333 E465t.APr'iF Phone No. 212- Iez-7972-
Name of Architect 5 u>Ase rm Address Phone No 7,1.,--b io -71 go
Name of Contractor 'r&e Ts eAgaeteeu Address r.o.3. 14'tig Phone No. a3t -7bS• 4m&°
SOdTtlot•Oi NY uS�.1
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. PERMITS MAY BE REQUIRED.
b. Is this property within 300 f6e-Fo- 'a tidal wetland? *YES NOS
* IF YES,D.E.C.PERMITS MAY BF 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 on survey.
STATE OF NEW Y )
SS
COUNTY OFA
6 it-p S '— being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing co tract)above named,
(S)He is the
:1 (Contractor,Agent,Corporate Officer, etc.)
1
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 thisln
day of Y I`G 200
144
�2� t
Notary Public Signature of Appl cant
DIANN2 tu4At�RD L„
Notary Pub3i
e., @tt cif Nv�r '�P.
4Mo
ualsl ed in Clt, s 0✓srttfy A%j
,('i0li'EMIf?t�10 �xg�s ra Jars, , U(/ -
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Young & Young, Land Surveyors a
400 Ostrander Avenve, Riverhead, New York 11901 y� e
631-727-2303
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N Alden W. Young, P.E. & L.S. (1908-1994) N o
Howard W. Young, Land Surveyors
Thomas C. Wolperf, Professional Engineer
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O SO PROPOSED �) -' -Z, 30
00. PROPOSED LOCATION OF 3,1DECK
GARAGE p)
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S9 5 p N
b x a S
PROPOSED 13
PROPOSED 6ANIPTONN8
DECK 6YSmm �) TEST HOLE DATA
2 .aebp0 s.aM•R FE a +�
PROP05EDeoA JUNE 11, 2001
Co. PROPOSEDxx gin OECrc -M1
A PORCHa _ • CP "
a �
PROPOSED LOCATION
O: OF HOUSEo FE 'j dQ 0.0 °
(3-4 BEDROOMS) ) y5 sS- 7i' BROWN
LOAMY
SAND
' EARTH PA1ry E O��O O� 1 (SMJ
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PALE
BROWN
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'CP \ FINE TO
MEDIUM
SAND
Al ) A 17.0' 8R�$
old C(
5 1 NOTE
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N\ c^Z m 1 \ AREA = 52,783 SQ. FT. m�
m` s °
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O \ • VERTICAL DATUM = N.G,V. DATUM (M.S.L. 1929)
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SURVEYOR'S CERTIFICATION
1
a j �m �� p �� i • WE HEREBY CERTIFY TO ELLEN HINSCH THAT THIS
7 a '1'i 11 N SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF -
.� N O PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE
y
o
-5 ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. --
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SURVEY FOR
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At Laurel, Town of Southold
Suffolk County, New York
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COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AN^ CONDITIONS OF 4' T
AP ROVED AS NOTED ' _>'
DATE: 329// B.P.�o29 3� 3 SOl -- "9A �IfLiM:�r+HAPrA. i"
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FEE: '7� BY:.�P� Int
NOTIFY BUILDING DEPARTMENT AT
755-1802 SAM TO 4 PM FOR THE _., — N.Y.S.DEC
FOLLOWINGINSPECTIONS; -
1. FOUNDATION • TWO REQUIRED CTION SHALL
FOR POURED CONCRETE
2. ROUGH - FRAMING 6 PLUMBING MEET THE REQUIREMENTS OF THE
s. INSULATION A W ATE.
4. FINAL - CONSTRUCTION MUST UNDERWRITERS CERTIFICATE
BE COMPLETE FOR C.O. REWIRED
ALL CONSTRUCTION SHALL MEET THE LAPOI;2l
REQUIREMENTS OF THE CODES OF NEW AGCF1S
YORK STATE. NOT RESPONSIBLE FOR iyo_(f Z,f�EFGI; i
DESIGN OR CONSTRUCTION FHNON
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Job Date 7-/16103
Elizabeth Thompson . Architect asiV64% 7/5/OZ-
250 Mercer St. Suite 8 806 TitleJ scale
New York, NY 212-614-7180 ae-A6 6 FI,AQ 4 1AlI-I ,DII
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