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HomeMy WebLinkAbout30571-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31285 Date: 11/18/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 405 SOUTH DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 11 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 17, 2004 pursuant to which Building Permit No. 30571-Z dated AUGUST 14, 2004 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 POOL EQUIPMENT & STORAGE BUILDING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5004 DATED 1/10/02 . The certificate is issued to SHAWN P & DAWN I WILLIAMS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0051 10/03/05 ELECTRICAL CERTIFICATE NO. 96986C 03/21/05 PLUMBERS CERTIFICATION DATED 02/18/05 STEVEN BURNS �ized Signature Rev. 1/81 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees .1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling $25.00, Alterations to dwelling$25.00, Swimming pool$25.00, Accesspry 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. 01 ��Q� New Construction: Old or Pre-existing Building: (check one) Location of Property: -ACED cis-t K I (n��c f SZ House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section tom Block I Lot 2 a Subdivision SQ '�: r('--S Filed Map. Lot: ' 'l Permit No.3057'-71 _Date of Permit. Applicant: Jr n WI �'iGtr�S Health Dept. Approval: _ Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ Applicant Signature Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application 3121/2005 375 Dunton Avenue 96986C East Patchogue,New York 11772 (631)2864542 Issued To: Mr. and Mrs. Williams Street: 405 South Drive Village: Mattituck Zip: 11952 Town: Southold Section: Block: Lot: Contractor: Cell Electric Lighting (L) Lic. # 1022-E Was examined and found to be in compliance with the National Electrical Code. 1_1 Commercial [.1 NVDefects L. Pool ,X; 1st Floor IXi Indoor Basement Hot Tub FXj Residential [---j Det.Garage 'J Attic [_1 2nd Floor [z' Outdoor Addition !j Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 7 10 8 2 I Dishwasher WashedAmps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer i Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit., Other Equipment Water Heater 40amp_- -- - — Pool Cabanna Storage Space Hugo S. Sundt President i I Rough Inspection: Inspector: Final Inspection: 03/17/2005 JInspector: John Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their Credentials. TEL. 765-1802 S�EFULA, TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD,N.Y. 11971 C E R T I F I C A T I O N r, Date Building i Permit No. 'b Owner SI &IAV ( Iti1 it l 'A-,\ (pleas print) Plumber- 5 7-e ✓t•v /JvX.✓ S 8 7 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. r (plumber' s signature) Sworn to befor: me this _LO day of J Q0 pC� h9 Notary Public Notary Public ,�L \\k County Nov. 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. 30571 Z Date AUGUST 14, 2004 Permission is hereby granted to: SHAWN P & DAWN I WILLIAMS 405 SOUTH DRIVE MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY POOL EQUIPMENT AND STORAGE BUILDING AS APPLIED FOR PER ZBA. THIS PERMIT REPLACES BP#28155 . at premises located at 405 SOUTH DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0011 Lot No. 020 pursuant to application dated AUGUST 17, 2004 and approved by the Building Inspector to expire on FEBRUARY 14 , 2006 . Fee $ 75 . 00 Author' Signature ORIGINAL Rev. 5/8/02 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) Ren —'�-04 3361 PERMIT NO. 28155 Z Date MARCH 11, 2002 Permission is hereby granted to : SHAWN P & DAWN I WILLIAMS 405 SOUTH DRIVE MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY POOL EQUIPMENT AND STORAGE BUILDING AS APPLIED FOR WITH ZBA CONDITIONS at premises located at 405 SOUTH DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0011 Lot No. 020 pursuant to application dated JANUARY 23 , 2001 and approved by the Building Inspector. Fee $ 75 . 00 uthor' e Signa u ORIGINAL Rev. 2/19/98 Board Of Southold Town Trustees _x SOUTHOLD, NEW YORK �-� g D� October ..6.,....2001 PERMIT NO. _V_ Of.v _. DATE: .... ISSUED TO ......... SHAWN & DAWN WILLIAMS k Pursuant to the provisions of Chapter 615 of the Laws of. the State of New York, 1893; and Chapter 404 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 LANDS UNDER TOWN WATERS;": and in accordance with the Resolution of The Board adopted at a M meeting held on .Oct. 24, 2001 and in consideration of the sum of 200.00 paid by SHAWN & DAWN WILLIAMS ......................................__......._...... _............................................... ........ !` Mattituck 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 18'X361. in-ground pool with fencing, y 7 a structure to house pool filtration system, and a patio around th o' pool, as depicted on the revised plan received in the office on October 26, 2001. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees hare- x• by causes its Corporate Seal to be affixed, and thesePresents to be subscribed by a majority of the said Board as of this data. a o�5�FF01,�-�o Q s o � - 1 ,� y, Trurleu .x s• ry A New York State Department of Environmental Conservation Building 40 -SUNY, Stony Brook, New York 11790-2356 AM Telephone (516) 444-0365 Facsimile (516) 444-0360 ftwo law John P.Cahill Acting Commissioner Mr. & Mrs. Shawn Williams 406 South Drive Mattituck, N. Y. 11952 Date: Jan. 30, 1997 Re: 1-4738-01381/00001 Construct addition to house Dear Mr. & Mrs. Williams: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The property landward of the timber bulkhead which was constructed prior to Aug. 20, 1977 , shown on the survey prepared by Roderick Van Tuyl dated July 10, 1962 , is beyond Article 25 jurisdiction. ` Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15 ' to 20 ' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly /your C a f �Iv� zz Deputy Regional Permit Administrator AP$'EALS'BOARD ME S t �` 11FF0� Southold Town Hail Gerard P. Goehringer, Chai p N .1 •� `^Z CQGy 53095 Main Road James Dinizio, Jr. P.O. Box 1179 Lydia A. Tortora --P,—.j�. E ty Southold, New York 11971-0959 Lora S. Collins j;ra '� ` i �� ZBA Fax (631)765-9064 George Horning �1Q1 ��� Telephone (631) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JANUARY 10, 2002 Appl. No. 5044—SHAWN AND DAWN WILLIAMS 1000-106-11-20 STREET & LOCATION: 405 South Drive, Mattituck DATE OF PUBLIC HEARING: January 10, 2002 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The applicants' property is located on the easterly side of South Drive in Mattituck. 1.881 acres with 155.89 ft. of street frontage. The property is improved with a single-family two-story dwelling with garage as shown on a survey prepared by Joseph A. ingegno, L.S. dated November 10, 2001. BASIS OF APPLICATION AND RELIEF REQUESTED: Building Inspector's October 31, 2001 Notice of Disapproval for the reason that the proposed pool and cabana structures will be located less than 75 feet from the bulkhead at its closest points, rather than 75 feet as required under Code Section 100-239.413. REASONS FOR BOARD ACTION: The Zoning Board of Appeals held public hearings on the matter on January 10, 2002 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal observations of members of the Board and other evidence, the Zoning Board finds the following facts to be true and relevant: 1. Applicants wish to construct an 18' x 36' accessory in-ground swimming pool on the easterly, waterfront part of their property, and to construct a 10' x 12' accessory storage shed adjacent to the pool in a front yard area with insufficient setback instead of the required rear yard location. 2. After the Building Inspector issued the Notice of Disapproval dated October 31, 2001, applicants sought to minimize the variance required. They revised their plan moved the inground pool further landward of the wooden bulkhead from 54+- feet t 4 nd moved the accessory shed further landward of the bulkhead from 57+- fee 62 f at, increasing the side yard setback of the shed from 5 ft. to 10 feet. 3. Applicants revised plans were incorporated in the survey prepared by Joseph ingegno dated January 24, 1996, last revised November 10, 2001. It was the applicants' revised plans which the Board of Appeals reviewed and discussed during the public hearing. IN ACCORDANCE WITH THE REVIEW STANDARDS SET FORTH IN TOWN LAW 267-133 "AREA VARIANCES," THE BOARD HAS CONSIDERED THE BENEFIT TO THE APPLICANTS IF THE VARIANCE IS GRANTED, AS WEIGHED AGAINST THE DETRIMENT TO THE HEALTH, SAFETY AND WELFARE OF THE NEIGHBORHOOD AND COMMUNITY BY SUCH GRANT, AND DETERMINES THAT: 6 Page Y2 -January 10, 2002 ZBA Appl. No. 5044—S. and D. Williams Parcel 1000-106-11-20 at Mattituck 1. The revised plans with the variances requested will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The property is a large wooded lot with mature trees that provide ample privacy and screening from nearby properties. The proposed location of the in-ground pool and accessory shed will allow applicants to retain the large wooded area of their front yard in its natural state, which will benefit the character of the neighborhood. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicants to pursue, other than an area variance. Because of the natural ground contours and spoke of the property, as well as other environmental conservations which limit available construction sites, there are no other reasonable alternatives that would not require a variance. 3. The variances granted herein are not substantial. The proposed 64 ft. setback from the bulkhead for the inground swimming pool represents an 11 ft. reduction in the Code's 75 ft. minimum. The proposed 62 ft. setback from the bulkhead and 10 ft. setback from the side yard for the accessory shed represent a 13 ft. reduction in the Code's 75 ft. minimum, and a 10-ft. reduction in the Code's 20 ft. minimum respectively. 4. The proposed variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district. 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 an inground pool and shed, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION/ACTION: On motion by Member Tortora, seconded Chairman Goehringer, it was RESOLVED, to GRANT the variances as applied for. This action does not authorize or condone any current or future use, setback or other feature of the subject property that violates the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Goehringer, Tortora, Collins, and Horning. (Member Dinizio was absent.) This Resolution was duly ADOPTED (4-0). (GERARD P. GOEHRINGE , CHAIRMAN Approved for Filing Albert J. Krupski,President �aOF SO(/Tyo Town Hall James King,Vice-President - ,�O l0 53095 Route 25 Artie Foster .1[, # P.O. Box 1179 Ken Poliwoda T Southold,New York 11971-0959 Peggy A. Dickerson ♦ O Telephone(631) 765-1892 COUNTI Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0079C ,Date November 1, 2005 THIS CERTIFIES that the in-ground swimming pool and pool equipment shed At 405 South Dr. , Mattituck Suffolk County Tax Map# 106-11-20 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 9/01 pursuant to which Trustees Permit# 5428 Dated 10/24/01 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for an in-ground swimming pool and pool equipment shed The certificate is issued to SHAWN & DAWN WILLIAMS owner of the aforesaid property. 3o5717, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING K FINAL 6 -S� J\ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION i REMARKS: &�- -- AOIt asa�u�2 tgyc. N '�W /�.�%I:i(' /V � v-- Oma/ �,� ✓ '�v`^q.�r ia. 01�. DATE INSPECTOR r7 ho�aoF snury°6 30-5— TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL 4r� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE /o INSPECTOR /� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [- ROUGH PLBG. ZF] OUNDATION 2ND [ ] INSULATION RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 113 0 ( INSPECTOR ��,� TOWN OF SOUTHOLD PROPERT ECORD CARD OWNER STREET VILLAGE DIST. pp SUB. LOT J � �w� -1-.vJ I I 1 �1yns FORMER OWNERcIP N E ACR. lU *u7 til n G I vr`C� $ W TYPE OF BUILDING .ES. oS �d SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS W. f{.Z o v �/ 3 ^ ` o—� i �Lc fie. �z �w sok Z � Jti�ra, ( a - I o 7G - Ge nuii'n�I *� 4-zO Oha5C— -4)GC?� 0Q0 `off f% s7 , d'7oo 3 96 � — � 7 &Z � —C -hrese hn VV! � IlQm t.2 S QLr : �IZdJ (006676_ It -700 2coa I I/14 9'1 - " N 44 - De-rvi 0 Ex C NEW 't NORMAL BELOW ABOVE I - 1 I 19 �'1 • � n �-, n e- Fu m; I , D we.!1; n w FARM Acre Value Per Value /3 �,. Acre 515198- - -8P c9ySO1 - Re- loc A-CC� �u LJIr)cc CC �esn Tillable 1 f Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER 1-5-1 , & ° J Brushland FRONTAGE ON ROAD /S $'� 'Y •' House Plot DEPTH BULKHEAD Total DOCK F z `' • •' ■■■■■ ■■ ■■■No E ■■ ■■ ■■■ ■=■■■�i�■■■■■■■■ ■■■■■MEN ■■ ■■ a.� ■■■■■m ■■■■■INo m Emoll no E■■■■■■�i■ ■■�� ■■■■■� ■■■ ■■N■■■■�■ ■■■■■��■■■■■■ ■■■■■■ ME ' i • . ® Driveway• FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION(1ST) ak ----------------------------------- C m FOUNDATION(2ND) y C � ROUGH FRAMING& i y PLUMBING x � f INSULATION PER N.Y. C STATE ENERGY CODE 3-10-v yam/' 'cvltle LQ FINAL r O a ADDITIONAL COMMENTS O z Z m t 3 ro . E -�c, 7bx � y x a�r Q�a TOWN OF SOUTHO�D BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPART ENT ! 3 ` Do you have or need the following,before applying? TOWN HALL , �!� Board of Health SOUTHOLD,NY 119 1 -- J y I �.Y�/t/� " 3� 7 I 3 sets of Building Plans _ - TEL: 765-1802 Tr''•' �, �r{ioLDSurvey PERMIT-15U.- SS Check Septic Form N.Y.S.D.E.C. Trustees Examined 20_ Contact: �hRt�n '//I/�IQms Approved 20_ Mail to: !N Disapproved a/c I b� Q/ WSDt�- fa2. r7 c�/y7 . Phone: 0 Buildin pector p ")nn, BLDG.D APPLICATION FOR BUILDING PERMIT OU o :; Date 10130 200E INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) '{as,:50ui� � WA9, NY lfi!�z (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises s f C� � � W I aA-n-S (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) 1 Builders License No. � 1� n Plumbers License No. iJl�—) Electricians License No. O AI Other Trade's License No. w l A 1. Location of land on which proposed work will be done: 4o� s02- -A >: Q�. rnc��LL House Number Street Hamlet County Tax Ma o. 1000 Section 0 (O Block I Lot a 0 Subdivision M V- Q &S Filed Map No. tA k Lot zD (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy POOL- 3. OO 3. Nature of work(check which applicable): New Building L- Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost `JQD.C)D Fee _�7 n� (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. _._ 7. Dimensions of existing structures, if any: Front� ...Rear a'1 � Depth Height ^- zy Number of Stories_ + ; — t. :1 Dimensions of same structure with alterations or additions: Front 1 S,a Rear Depth Height Number of St names i 8. Dimensions of entire new construction: Front S Rear 15 Depth I -Z- Height Height / H ' Number of Stories t 9. Size of lot: Front---LLD—Rear— 14f� CCDe''pth /5 10. Date of Purchase 3196 Name of Former Owner ,546CA LJ res 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded Will excess fill be removed from premises: YES NO S 14. Names of Owner of premises Y�ul �+ " ' Address 4053nyzN Pr rnp ne No. Z 9b'– sem Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO e IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) CO O Lt7Tb (�h V " t �* S being duly swom,deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)He is theAm)e ontractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn toore me this _ y of_ ct– 20 Notary Pu lic Si tune of Applicant Notary Public,States New York 105 Qualfietl,n SI uffo k Cour y Commission Expires Dec.a, �� •. •t■■n�t■. +tri1PLUMBINGALL PLUMB114G WASTE PLUMBER&WATER LINES NEED ON LEAD CONTENTBEFORE rt�u■r.�t■ \� �ns.rtrn■n BEFORE COVERING CERTIFICATE OF OCCUPANCY 4esv'-'-'49051) SOLDER USED IN WATER mom Wo NOTI rIn ariaFFORTHE 7W1.1882 9 AM FOLLOWING u . lir \+a;ert:+ati�ir • i. FOUNDATION - TWO REQUIRED .2 &4 bC- MRPOUREDCONCRETE & INSULATION 4 FINAL - CONSTRUCTION MUST f�- T9 8-4 OCCUPANCY OR i 1 ii F it ,h ` COMPLETEBE -�. • UNLAWFULUSE IS ALL 1 1 1 . ` aAb CONSTRUCTION CODES.RMA Ely THE REQUIREMENTS OF THE EQUIPMEW STATE CONSTRUCTION & ENE ROOM AND/OR OF OCCUPANCY . RESPONSIBLE . 1 pRVIDE DESIGN OR CONSTRUCTION IOERMAI OC FR'VEK"" 1 , N. ilii:•nMi:■iiia::rnii:�i�ii:.-it�i:.-rtri:.-it�i:.-r��i: DEVICES , CODE. n■■rulnr�+u.rn■tnn�tr■a�t■■rtr• .r�rttr■ortt■■I ; 1 ni�tiii�tiii�t�t��tiiirtiiiii�� .�►�liiitiii�i +■Itr■nru■u■Iu■rt�u■rt�u■nr� n■u. ��rartrtu ❑ u■■r�rtt■■nr<t■utrttr■rtr►tr■rtrt• ..tn■■r.. .n■1■■. .nt�l■.r��u■■t�t■.rt�l■.nm• o�t■nt�l■. ��■■nt 1 �n�tr.r.■t■■n�trn.>a■n�r �■�u.n�u.n► .n�i � � ' � , EN ME LE +rttr■rnrt■.art■.r+set■.urt� ass■.rsrtrn.�u. ��r �� n■■nit■■a+tr■o�t■■o�• �trtu■rtrtt■,rtrtv■n. .� MIN`i r MR & MRS. SHAWN WILLIAMS, 90 405 SOUTH ROAD .. . n�mr► '� i�rmrl� �.or � I I � - SURVEY OF BAYVIEW AVENUE LOT D MAP OF SHOREACRES °p FILE No. 41 FILED JANUARY 3, 1914 P SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 106- 11 -20 „ SCALE 1 "=30' m MARCH 6, 2005 FINAL SURVEY FOR POOL HOUSE FOUND CONC. MON. ti AREA = 81 ,921.31 sq. ft. Nw (TO BULKHEAD) 1.881 aC. 8 p m F !C s o - " FOUND BROKEN CONC. MON. --ppoL.H hlY ' eG4 OCT I a {I t , , R FT LOT EO � � Y� F ) II ROOF OVER L W000 FILE F S 89'54'40" E ROOF 0.4•N. ROOF 0.9'5 w"u oa•N. 693.34' 'r ROCK liALL WN.I. O.L CHNN LINK PELAGE tQ(A N / ^ �y • ♦ N o.l w. PELAGE a.e•s. ul H� FENCE las I O 'S' UNK FENCNE W o FENCES 0%S. CHAIN UN FORCE N N FE E FENCE " FENCE O.]'S. NR CONDIDONER I^'gg O 4A. e9 FRAME 11 UNITS "'C 3}Fp3 O_S.y p':A J BUILDING a TE M�wp �♦ SSOe� a wEu zu• M DR.o• N wKOwo� WOOD L w� ,W o: ♦ ee n _ = F N +, R SA• C m 102' RA"(1 Uk O�a•. 0 4' LOT OD a W M1£9 � m IAQ C � ROCK p,� `C �y k� i4.J' �A SEEPS // £ \N� D GUY win mg 20' D A J.O' 000 [wAu `€ '• .,_p0�' OOP OVER n; s TSPS //6�0� 1 \ C`✓ F BLACK Y m m �n IF, OIRI P CRAW ORPIEAYAY SUTE PORCH $ i g 6 ♦ CRIT Y GMVEL OPN£WAT __ 4 ___ zo.z' � �J i woo BNLKxPAo OF UFUTY NO _ 42.6' R o __ c 2 S 6145'22" W _e�.� —___---- tns_(TO Ma+. 1____ ---- •��"�']DxvEH."y WOOD Y £ o `v r o 7.10' • 484• $ �A ,A�YS J —oVEwN — �' le I p0 `�j�'�� .•o�'..p% S,�• " ,a FM wIREs= ---------- a�, Cow. PANG SUCCEswsP i. NA `b�, Umm POLE APR F _ EIL -ESB I2g' OOF X23 W / •' , 12'N — OVEAHM WIRES UTI T, P LL Oft I� `O�PflOPANE SEVR \ _BA u ].em 6 PRICK WALLS�c F D A . R — L0•S. I TNIK VALVE TANN M 87.15'OD° W — — Hf°Os ROW nv ' f coxc. BLOCK. S 79'25'52" W OYFAHFA�WIRES OVERHEAD WIRE 1 J S. ELECTRICTER cUPB IVB ——— G2.0' 'u BRICN C FLUME r ♦ e ♦ OIRF0 METER 2.8-N.. CHAIN LIN QUIP. jf o Iw.BUILDING 9.7'5 ♦ P D r FENCE 0.8'8. EQUIP. FOUND—— S 08.18'87" E 6d�,Y • r P ♦ > A ,.D • :p • r ' DIRT DPoV£YIAY r♦ • Y ♦ ♦ e• MIIIT P01£• D CONC. MON. 12.9' r e • , UL 50 r FENSf . . STOCKADE FENCE FENCE Iq'S. FENCE STOCIUDE CHNN LINK 7.07' LOT C PIRr gYar ' A]"e GATE sracKAOE FENCE 0.0-SS 61'01'44" W O FENCE LA•s. 596.96' a 4.62' uruumDRlzcO ALTERATION OR ADDITION S 1 728'48" E TO THIS SUINEY IS A MOIATION OF Ln 5.60' SECTION EDUCATION 7209 F THE NEW YORK STATE I-A6 COPIES -I-MID SURVEYOR'S INKED MAP SEL BEARING EMBOSSED SELL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. OIARANIEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TR-E COMPANY, GOVERNMENTAL AGENCY AND -ENDING INSTITUTION USIEO HEREON. AND TO THE ASSIGNEES OF THE LENDING INSD- TUTION. GUARANTEES ARE NOT TRANSFEMBLE. THE DISTANCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY. NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TRUE SURVEYS AS ESTABUSHED BY THE H USE. AND E NEW YO AND ADOPTED Nathan Taft Corwin III FOR SUCH USE BY THE NEW YORK STATE TE D TITLE ASSOCATION. Land Surveyor CERTIFIED TO: Jj FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORKREPUBLIC CONSUMER LENDING GROUP, Inc.ITS SUCCESSORS AND/OR ASSIGNSSHAWN WILLIAMS � � � W;;,u992 Roanoke Avenue DAWN WILLIAMS �. : Riverhead , New York 11901 N.Y.S. UC. No. 50467 � PHONE & FAX (631 )369-5473 I SWILLIAMS BAYVIEW AVENUE SURVEY OF Y 7� LOT D AREA = 81 ,921.31 sq. ft. Cro BUIxHEAD) 1.881 OC. MAP OF SHOREACRES FILE No. 41 FILED JANUARY 3, 1914 V Y SITUATED AT CONC.D MON. MATTITUCK " TOWN OF SOUTHOLD CERTIFIED T0: G S SUFFOLK COUNTY, NEW YORK FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK REPUBLIC CONSUMER LENDING GROUP, Inc. S.C. TAX No. 1000- 106- 11 -20 ITS SUCCESSORS AND/OR ASSIGNS SCALE 1 "=30' DA NNWILILIAMSS � JANUARY 24, 1996 AUGUST 29, 1997 PLOT PLAN MARCH 9, 1998 FOUNDATION LOCATION mN�°li�" DECEMBER 17, 1998 UNDER CONSTRUCTION SURVEY SEPTEMBER 29, 2001 UPDATE SURVEY & ADDED PROPOSED POOL & PATIO ! VOV€ic 2001 MOVED PROPOSED POOL & PATIO NOVEMBER 10, .. 1 REVISED PROPOSED POOL & PATIO NOTES: 1. EXISTING ELEVATIONS SHOWN THUS:S¢DARE REFERENCED TO AN ASSUMED DATUM. 2. ALL OFFSETS ARE SHOWN TO FOUNDATION HOUSE. L N f !Q LOT OE 9. . :• � RSP WER ° NNN S 89'S4'4G" E ROOF 0.4N. �0 PIIE .7-N WNl Wu1 O.L RWF 6Y' WN1 0.]'N. ALA 693.34' � S .H@.I ' '' �� GIE FENCE 1.0'5. \ T'] Y FENCES U.eS N NN K CIWI LINK FENCE �. '• N 0.1 W. FENCE O.O.S. PENCE Le'B. SET STAKE F . 'Yr y uH1rs API87P05ED \� \�O�a AW CORDIROEIER STAKE "J A.' BUXI i W FENS \ fn V . SOs`G _ v N > \ e WOOD nE O ° IIy._ 5Y � y y 9i O; oTT^ LOT➢ ,� ••J� . BRICK k CONIC. ! 14.7• I �:i,: I f Do YNIE 20' Y.TI 7.0' 69' .a . . rAN BRICK a 00Nc. ctrl - \ / :•`r:'y: i«'t. y� I fA t^ PERCH a m I .. ➢IRI k CRANTL ORNEWAY OYR f GlAVEE ORAMIIA ___ __ __ 20.2' / ,\� :n„i;�. WOOD '22” BULKHEAD __ a2.e• � yt' Dlzn,' IDLE _ S 61'45'22" W ut — 7.10' ' _ COMO, PROPOS v PC; 0 89 ----- _ _ ILLI111Y PIXE KW01hD ° 9I rn `,.9 _ ':'" / I '41�ODw 0.0 1.2•NI.FSB O4flCIFAD MILS M 0.". �/ P�E FENE A". 1j / eRCK WN35 UL N 87'15'00„ I.ds. F METAL BRACES2'a,,. unLm POIE I' PROPO�O vii,, caxc. eLDw. S 79'25'52" W �.{ OM! W — OKFRHF/D WWFS GME a.a•s. O'+mxFAO MRIs S uLI O/ Is I s PO01- O f Ia w" Amumm FRAME 9.77' L'J DRn w;' . ° , ' P ♦' - oTr ORNEwwAv , v� ° 0m WxE 0. •A con¢ 0 IZB• S 08'18'57" E F'Si ' ° .> • o r . . MEDL 611E' ! ° FENCES 4.95 SNCMAOE FENCE . g��-,t� 1.]5 FENCE 1. 7.D7' 1/\I a{ Iona ZRR1E ,OW!l "'\ rz 596.96' S 61'01'44" W LOT© ''^P 4.62' TO THIS ALTEAARON OR AODRYON S 17'28'48" E m TO SURVEY Is A M NEW YO OF ' 5.60' �ATTIIONNLAWa THE NEW YORK STATE COPIES QF THIS SONNEI MAP NOT BFARpLG TH[[ UND SURVEYOR'S WKED SFASpq EYBOSSEG SEAL SHALL NOT D COtLWERED TO BE A VALID TRINE COW. GUARANTEES INDICATED =14M EREON SIWI. RUN ONLY TO THE PERSON FIM WHOM THE TWMXI - Is PREPARED. AND ON HIB BEHALF TO THE TDLE COMPANY. GOVERNMENT&AGENCY AND LENDING INSTITUTION LISTED HOLDN, AND TO THE ASGIGNEES OF THE LENDING 041131- TUIION. GW WREE9 ARE NOT TRANSFERABLE. THE DISTANCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACOORPAN E MTM MINIMUM BY THE LI `°R TITLE D ADOPTED Joseph A. Ingegno' M THE L.IALi Y APPPOIED AND ADOPTED FOR SUCH B! EW YORK 6TATE LAND N Land Surveyor TAY/! SurrWyW - SubdiWWiOnW - SIN, PMIx - CDDeDMCNan Layqut e a PHONE (516)727-2090 Fax (637)727-1727 ._ OFFICES LOCATE➢ AT AWIING ADDRESS' - N.Y.S. UC. No• 49668 1380"ROANOKE AVENUE P.O. BOB 1931, RIVERNFAD, Nen YDNt 11901 Riverhead, New York 11901-098.5 SURVEY OF BAYVIEW AVENUE LOT D MAP OF 'f SHOREACRES �• FILE No. 41 FILED JANUARY 3, 1914 a SITUATED AT TEST HOLE DATA MATTITUCK (TEST HOLE DUG BY McDONALD GEOSCIENCE ON AUGUST 26, 1997) TOWN O F S O U T H O L D BRIM LGMIY GAND SM SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 106- 11 -20 5 SCALE 1 "=30' 0 QRS e 'a. Re JANUARY 24, 1996 FLUNG AUGUST 29, 1997 PLOT PLAN c°xc wox MARCH 9, 1998 FOUNDATION LOCATION DECEMBER 17, 1998 UNDER CONSTRUCTION SURVEY SEPTEMBER 29, 2001 UPDATE SURVEY & ADDED PROPOSED POOL & PATIO NOVEMBER 2, 2001 MOVED PROPOSED POOL & PATIO u 8 ' NOVEMBER 10, 2001 REVISED PROPOSED POOL & PATIO + FEBRUARY 24, 2002 ADDED CABANA SEPTIC SYSTEM N44 .A Btu: Re. REE ra MFIum YHD SP S O 1] AREA = 81 ,921 .31 sq. ft. MOND BROKER WNL _ (TO BULKHEAD) 1 .881 ac. 4 NOTF,S. 1. EXISTING ELEVATIONS SHOWN THUS: sD.DARE REFERENCED TO AN ASSUMED DATUM. 2. ALL OFFSETS ARE SHOWN TO FOUNDATION HOUSE. 3. MINIMUM SEPTIC TANK CAPACITIES FOR CABANA SHALL BE 1 ,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 4. MINIMUM LEACHING SYSTEM FOR CABANA SHALL BE 150 sq ft SIDEWALL AREA. 1 POOL; 6' DEEP, 8' dia. PROPOSED EXPANSION POOL PROPOSED LEACHING POOL PROPOSED SEPTIC TANK _ n SUFFOLK COUNTY DEPART111CNTOF HEALTH SERVICES -- - PERMIT FOR APPROVAL Or CONSTRUCTION FORA •�'b, APPROVE ''1-1.5. R • y+v./ 10^D of .UD 1 -�._ E%IsnMG WELL FOR MAXIMUM OF �O BEDROOMS y�•'� rllISrNG CESSPOOL - EXPIRES THREEYEARS FROM DATE OFAPPROVAL DWELLING $ LOT EO o m� �u • "1�` l 'ROOF ODER \\ WOOD PILE J\ D 66� 5 89'54'40" E aooF 04,N RaGF °ss. wnu Oa'N. 4m 693 34' r � FENCES o55. C N UN CEOCN WIll. IJ1 O.L • D 01'W FFNCE oE'S. C N U.KUNR E ^ �� CONN LINK FENCE FENCE 1 e'S. C N LINK FENCE 1 0'S \ �� 9 11 5 0 r • Y4Y• F w UNITS S� _ SFT 51" ,\ \O Ods MR CONDRIONER STME nmE 5( F' �' FTUME PVNCZ E0 \ BUILDING P6�� SO'' WELL R4]' .190' \ /- MPRO%INn1E Z wl WOO , V • D• q'Y SEPTIC S*1EM IOGTICN Z \\ �v 0 Ilt' N,qy., DO '1 Y^ 54'm OCN 10.2' a u'� \ 1�) N BR 147' �� yQy $i (zjl ' i Q(y ` • • GUY WIRE 49 R�IEST HOLE OLE Coxc STEPS 2a (f9 2.0' D:D A D ROOF OVEN OIRr Y GMVEL °RM1TNAT 6RICK k CONIC `f • - - - - - - - - - - - PORCH Olm Y GIuvEL GRNEwnY m; —. — so z' U / \ I_�3 .�.`:-_ - -- �� w°GG euuaun Un PolE - - - - - - - - — 22B �4iC -- -- 61 S 61'45'22" W UL Ee4 B - - _ _ - - - -- - - " 44T 5_( ro NGx_1 - --. --- - - - - - W _ 7.10' °ice �S '0�R—"Eb wr —— — — — — WATER NE{!) BE INSPECTED BY A, s�CIO9 ' o — — — — — — — — — U—Y POO SUFFOLK UNITY EPT. OF HEALTH SER41 n O0NEO CALL BS 097,`48 HOURS IN ADVO D - - - - - -- - - - -- — ULtESB �. _ I.r" aeExNEw RED Unum POLE Unlm POLE FEMCE a.." TO SC OULE SPELT'lON'/S.1. 4 _ 650 - O.4'N UL /E5C u� I O-_ry;-- /m BRICK WALLS F 652 • : . D N 87'15'00" W _ Lo' . IRREcu ty _ = n._4! M1 MCE " a,,. Unurr POLE 0 r`+ i Co., eLocK, 5 79'25'52" W • . • DIRr'ok"AY . OVERHEAD WIRES G1TE 3.0's. GL'ERrv-0 N"RES S uL o.n s 1�, 62'' BRI KNc F"O"E 9.77' L J ' D wRr ORNBWAr I. . ° D D, WI C _ wraE OSS 5Dd— S 08'18'57" E D MMU. ruTE• UTIUFY MILE • o CONC YON 12B' n • UL.#E, a FENCES 4G'S FENCE 1.]'S. J.DT YYY W q 04's. METAL GMTE "Ry. cATE sTocKADE FEECE 1.4s. \S 61'01 '44" W LOT© °I?F ORNEIVAY � � PRQ'OSEI7 GH/INN FENCE 596.96' D 4 POLL BOIPMENIT s 4.62' DWELLING 1w� UNAUNORIZED ALTERATION OR ADOMON (PCG.mcKWA91 fO 6E DP/•Y•EO 8 S 17'28'48" E To THIS SURVEY IS A MUMON of P•1fG�' 5.60' SECTONON2 OF ME NEW YORK STATE ADUKATNor= QbNGLOS)e C K COPIES OF THIS SURVEY MAP NOT BEARING bY F,SP y,, mjM THE LAND SURVEYORS INKED SEAL OR USpI Of HBRI111 Se,. jp EMBOSSED SEAL SHALL NOT BE CONSIDERED Wal i0 BE A VAUD TRUE COM. GUARANTEE INDICATED HEREON SHALL RUN ONLY TO ME PERSON FOR WHOM ME SURVEY IS PREPARED AND ON HIS BEHALF TO ME TIRE COMPANW Y. CERTIMEMAL AGENCY AND LENDING INSMUnON USTED HEREON, AND TO ME ASSIGNEE OF ME LENDING INSR- TLMON GU BAR EFS ARE NOT TRMISFFAABIE. THE EXISTANCE OF RIGHT OF WAYS �ExlFW CESSPOOL AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ALCORDMICE WITH ME MINIMUM S`FBY M E U FOR TMEAND s°IlrF,B ASD ADOPTED Joseph A. In a no FO S LIALB AND APPROVED AND ADOPTED FORS ME N)fW'YORN STATE LAND P TOT Nw� Land Surveyor CERTIFIED TO: COo`p F�1�9 FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK # wTA � REPUBLIC CONSUMER LENDING GROUP, Inc. Title Surveys — SubdiWsions — Site Plans — ConeWcBon Layout ITS SUCCESSORS AND/OR ASSIGNS PHONE (516)727-2090 Fox (631)727-1727 SHAWN WILLIAMS 666 J DAWN WILLIAMS ( ND SVP OFFICES LOCATED AT MAILING ADDRESS NY S Lic No. 49668 1380 ROANOKE AVENUE P.0 Box 1931 RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 96-105E