HomeMy WebLinkAboutLenceski, Edwardi
SURV~wY OF PROPERTY
TOWN O~ SOU~OLD
SU~O~ COUNt, N~W YO~
~: 1'=20'
MAY 13,1999
· =PIPE
ELEVATIONS REFERENCED TO N.G.V.D.
FLOOD ZONE FROM FIRM.
MAP NO. 3~103C0166 G MAY 4, Ig~:3~
ANY ALTERATION OR ADDITION TO THIS SURVIZY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW
EX.PT AS ~R ~CTI~ 7~9-~U~01~ 2. ALL ~RTtFICAT~S
HE~ ARE V~ID F~ THIS MAP AND C~S THERE~ ~LY
~fD MAP ~ C~IES ~AR T~ ~M~ESSED ~AL OF THE
~ ~A~ A~EARS
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 7, 1999
Karen Lenceski
3?00 Minnehaha Blvd.,
Southold NY 11971
Re: $CTM #8?-3-5
Dear Ms. Lenceski,
The Sonthold Town Board of Trustees approved the request for a
Waiver at their regular meeting on Tuesday, November 30, 1999
to extend the existing residence by adding two additions measuring
8' X 10' onto an existing addition with condition that drywell$ be
placed to prevent roof run of{.
However, this does not constiti~t~ any permits from other agencies.
If you have any questions, please call onr office at 765-1892.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK / dj h
cc. Bldg. Dept.
Albert J. ICmpski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hail
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18~2
Fax (516) 765-1823
BOARD OF TOWN TRUST~:ES
TOWN OF SOUTHOLD
LETTER OF REQUEST FOR A WAIVER
ADDRESS ~7oo
AGENT ~/ Le~c~l PHONE
ADDRESS po ~o~ ~7'~a ~soor~o~ ~(~Tt
PROPER~ LOCA~ON ~700 ~taM~a~
T~NO. l~- g?- o3- o~
~ kagod ].~0ct=s-~( request a Waiver to ,~x're.~v aa0v6
g.~OP_.~Ce BY AM tqt~ IO/ x gt
Signed By:
A ? LA U~HIN¢ WA TER
TOWN 0~' $OUTHOLD
SUI~'I~'OLK COUNTY, NoWW YORK
1000-87-03-05
SCALE: 1'--20'
MA',' 13,1999
TO TI~ LINE
=PIPE
ELEVATIONS REFERENCED TO N.G.V.D.
FLOOD ZON~ FROM FIRM.
MAP NO. :36103C0/66 G MAY' ~1'~ 1998
Oo
~.uture of ~ork (d~ock ~,id~ aPplicable)~la"Ne'~m ~ildi~ .......... ~iti~ ..Z.i~. alteration ..........
l~ir ............ ~al ........... ~litJ~ ..~ ........ Other ~ ..~ ............................
Estimt~ ~st ~.~ ................. f~ ..............................................
(to ~ ~id ~ fili,g rids ~li~ti~)
II ~mlli~, ~r of &lli~ ~its ..1 ......... t~r of ~lling ~mits ~ ead~ ~r ...] ............
If garage, ~t~r of ~rs ......................................
I~ ~i~ss, ~rcial or ~ ~, s~i~ ~ture ~ ~tent of ead~ ~ of ~ ......................
Di~nsi~s oE ~isting st~s, if ~: ~t...~ ......... ~ar .... ~ .......... ~pd~ .................
I~i~tt .]~.' ..................... ~r of Stories ...] ..................
DJ~i~ of ~ st~re ~ith nlterati~s or ~itions: ~t .~.~'. .......... ~ar ..~.~. .........
~pth .................... ~iO~t ... J~J .............. ~n~r of Stories ...............
Ditmnsi~ of entire ~ ~st~ti~: ~t ................ ~ar ............... ~p~ ..............
I~i~t ......................... ~r ot Storiee ...1 .................
or: ............. ............. pth .......
........... ot ...8. ...........................
~ or ~ district in ~t~ p~i~s ~ si~t~ ..............................................................
~s ~o~ ~t~t{~ violate a~ ~i~ 1~, o~i~ or re,latin: ...~. ..................
Will lot ~ ~ .................... Will ~s fill ~ r~
~ of ~Ht~t .................................... ~res9 .............................. M~ ~ ..............
~ of ~tr~tor ................................... ~ress ............................... Mm~ ~ ..............
Is d~is p~r~thin ~ f~t of a ti&l mtl~? * ~ ...~ ..... ~ ..........
PLOT DIAGRAM
[~cate clearly and distinctly all buildings, daertmr existing or prol~osed, and indicate all set-back ditcensiona
property lines. Giv~ street and block ~x~uber or description according and c-abc~ street names and indicate
A~etber interior or corner lot.
g['A'IE OF ~i~ YO~K,
(II/NI¥ OF .......................
.......................................................... being duly s~x)rn, deposes and sey$ tlmt he is tlm applicant
(l~m~ of individual signing contract)
nbov~ ampi,
lie is the ...................................................................................................
(Contractor, agent, corporate officer, etc.)
of .~id c~r or o~mera, ,nd is duly authorized to pert-om or hav~ performed dm said ~x)rk mv.l tu n~ake and file this
application; that all stat~nenta contained in tJli,~i application are true to the best of his kno~ledg~ and bel left and
tlmt tim t0ork will be performed in tt~ .~rfl~er set forth in the application filed there,alth.
,q~vn to before me this
................... day o1~ ................. 19 ........
Notary l'ublie .....................................
(Signature of ^ppti. caut)