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HomeMy WebLinkAbout31401-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31618 Date: 06/21/06 THIS CERTIFIES that the building ALTERATION TO BARN Location of Property: 950 (HOUSE NO.) County Tax Map No. 473889 Section 123 MATTITUCK (HAMLET) Lot 13. 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4, 2005 pursuant to which Building Permit No. 31401-Z dated AUGUST 26, 2005 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to MARILYN F ANGELSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-05-0059 OS/29/06 ELECTRICAL CERTIFICATE NO. 2083637 05/12/06 PLUMBERS CERTIFICATION DATED OS/23/06 PECONIC PLUMBING & HEAT. ?nJ~-~if4 Au horized Signature Rev. 1/81 . . r:::- I" I' , .!ill; -stJ J Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL --."' I : I 765-1802 " '"~'-2~~UbCATION 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: I. 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 I % 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: I. 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, 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. .J(),l.{tf; ~ . tl.J.T/"J& . Location of Property: 9~ House No. Old or Pre-existing Building: P O-r l<:- Avu-. u.. e..> Street ,/ (check one) /Y1 (L H-l kc.-l<- New Construction: Hamlet Owner or Owners of Property: ~ Of ( \ '1..... p- Suffolk County Tax Map No 1000, Section I:;;' 2, ftn4e.../,{(fY--' Block ()OO 'I Filed Map. Lot 013, 001 Subdivision Lot: Permit No. 31 <{Of t:- Dateofpermit. 1tJ.r.)o,; Applicant: jOhn r3/V'i-o.n; t3wlde..r'Inc-- / Underwriters Approval: / / Health Dept. Approval: ZI3A Plfiuruflg BSRni Approval: Request for: Temporary Certificate Final Certificate: ./ (check one) Fee Submitted: $ _rZl Lo 0 ,> if' "-- I ~-71t~ 3( CO :C3JGI~ qw~ ~ I3Jj~ Applicant Signature FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31619 Date: 06/21/06 THIS CERTIFIES that the building ALTERATION TO BARN Location of Property: 950 (HOUSE NO.) County Tax Map No. 473889 Section 123 MATTITUCK (HAMLET) Lot 13. 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4, 2005 pursuant to which Building Permit No. 31401-Z dated AUGUST 26, 2005 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 NON-HABITABLE POOL HOUSE & TRELLIS AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5717 DATED 6/9/05. The certificate is issued to MARILYN F ANGELSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-05-0059 OS/29/06 ELECTRICAL CERTIFICATE NO. 2083637 05/12/06 PLUMBERS CERTIFICATION DATED OS/23/06 PECONIC PLUMBING & HEAT. 7Jt~e.~g;t::~ Authoriz Signature Rev. 1/81 r::-.:::-;:" ~ ", I , 1 l!~!l ~ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT , TOWN HALL . ,--"" J , I 765-1802 1--=~ ,;;:'s.;)~.ii'Jl~ICATION FOR CERTIFICATE OF OCCUPANCY J 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 I % 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: I. 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, 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 .Jf),G(~ Date. ~.P~& . Location of Property: qSTJ House No. Old or Pre.existing Building: Pa-r Ie- Aven u..€-- Street ,/ (check one) ()1 &..tt-I +u.c.AL New Construction: Hamlet Owner or Owners of Property: mOJ'( 1'1"" P. r:+ntje.l.!eJ'r-' Suffolk County Tax Map No 1000, Section I.:;l. 2:, Block () () 0 '7 Lot o (!,. 00 I Subdivision Permit No. 3lVorc- Date of Permit. Jj P-I,,)o';- Filed Map. Applicant: Lot: JOhn r3eri-t1I1; t3wld~J' J;..e-- ./ Health Dept. Approval: Zr.3A PlalluiBg Yeanl Approval: / ,/ Underwriters Approval: Request for: Temporary Certificate Final Certificate: ./ (check one) Fee Submitted: $ ~). 00 r;1(<'(' v !.:.,F....0.,_A..-41f~:I-~ C(l/ld~ ~ 13.1'; ~ Applicant Signature c.o 2: 31 (, I ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31620 Date: 06/21/06 THIS CERTIFIES that the building ALTERATION TO BARN Location of Property: 950 (HOUSE NO.) County Tax Map No. 473889 Section 123 MATTITUCK (HAMLET) Lot 13. 1 SUbdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4, 2005 pursuant to which Building Permit No. 31401-Z dated AUGUST 26, 2005 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 CONVERT EXISTING BARN TO A NON-HABITABLE PLAYHOUSE AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5717 DATED 6/9/05. The certificate is issued to MARILYN F ANGELSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEIIT OF HEALTH APPROVAL R10-05-0059 OS/29/06 ELECTRICAL CERTIFICATE NO. 2083585 OS/22/06 PLUMBERS CERTIFICATION DATED OS/23/06 PECONIC PLUMBING & HEAT. ~~> A horized nature Rev. 1/81 r:-:::-. .... j Form No.6 .-. TOWN OF SOUTHOLD ,. I [ II i I BUILDING DEPARTMENT . ... ~" ..." j TOWN HALL _~'-:C';~$ji).it0L~ICATION FOR C;:~::~:ATE 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: I. 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 2/1 0 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, 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 ~V-'f~ Date. ~ . ~'D9{. . Location of Property: q5TJ House No. Old or Pre-existing Building: PM Ie- fk.n u..€J Street V' (check one) ()1 CLH-I h.Le..k- New Construction: Hamlet Owner or Owners of Property: ------.O'J CArl I'!...... P.. r+n0 e..kr(Il""-' Suffolk County Tax Map No 1 000, Section /);), 2> Block () D 0 "7 Lot o It,. 00 / Subdivision Filed Map. Lot: r3eri-M1; t3u...tld~/" "];,e-.- / Permit No. 7;/Vo/c Date of Permit. Jj R.')O';- ---- Applicant: J oh " Health Dept. Approval: Zr3A PlaflniRg Bsafd Approval: ./ / Underwriters Approval: Request for: Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ .;1).00 lJ.J.JiI.....,'V"--- 0l..N:L&..J ;) I3JJ ~ Applicant Signature W-i: 3f~d.O FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31621 Date: 06/21/06 THIS CERTIFIES that the building ALTERATION TO TOWER Location of Property: 950 (HOUSE NO.) County Tax Map No. 473889 Section 123 MATTI TUCK (HAMLET) Lot 13. 1 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4, 2005 pursuant to which Building Permit No. 31401-Z dated AUGUST 26, 2005 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 ALTERATION TO AN EXISTING ACCESSORY TOWER AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5717 DATED 6/9/05. The certificate is issued to MARILYN F ANGELSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-05-0059 OS/29/06 ELECTRICAL CERTIFICATE NO. 2083585 OS/22/06 PLUMBERS CERTIFICATION DATED OS/23/06 PECONIC PLUMBING & HEAT. ~~ignature Rev. 1/81 r=-::::- --- -- \ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT , TOWN HALL __.4 J . I 765-1802 ;~~. ......r91i,L;ii.)LO-~ppLCATION FOR CERTIFICATE OF OCCUPANCY ~ J ..:. ! in! I 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: I. 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 I % 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: I. 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, 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 .JP,(./~ Date. ~ . ~TJ9& . Location of Property: q~ House No. Old or Pre-existing Building: Po..r Ie- Avu-. u. 0 Street ,/ (check one) ()1 u.../-h kc...l<- New Construction: Hamlet Owner or Owners of Property: --.ill OJ I 1'tV'- Po f+-nLj e-/.[ err-' Suffolk County Tax Map No 1000, Section I:;;' 2:, Block () 0 0 '7 Lot 013.001 Subdivision Filed Map. Lot: Health Dept. Approval: ZJ:3A PIBll,tHRg Bean! Approval: / / Jj/),r.)o':- Applicant: JOhn r3eri-wJ, t3u...tld~1" J:"v Underwriters Approval: /' Permit No. '31 VOl t- Date of Pennit. Request for: Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ .;/).00 0.w~ ~ 13/1~ Applicant Signature -, (/7v"'^- 3f ~Jl..:c. 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. 31401 Z Date AUGUST 26, 2005 Permission is hereby granted to: MARILYN F ANGELSON 876 PARK AVENUE NEW YORK,NY 10021 for : CONSTRUCTION OF A POOL HOUSE & TRELLIS; ALTERATION OF A BARN AND TOWER AS APPLIED FOR PER ZBA DECISION #5717 (NON HABITABLE STRUCTURES) 950 PARK AVE MATTI TUCK at premises located at Block 0007 Lot No. 013.001 County Tax Map No. 473889 Section 123 pursuant to application dated AUGUST 4, 2005 and approved by the Building Inspector to expire on FEBRUARY 26, 2007. Fee $ 482.40 ~~ Authorized Signature ORIGINAL Rev. 5/8/02 I!I~ ~ ,02 o. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I .I!I -"1 -I~. I ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~~I!I BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 c0 \Ji3 '} ~\)\ D , 0., Ih' I) . J I'r; \ CERTIFIES THAT Upon the application of upon premises owned by G & S ELECTRICAL CONTR. P.O. BOX215 SOUTHOLD, NY 11971, MARILYN ANGELSON 950 PARK AVE. MATTITUCK, NY 11952 950 PARK AVE. MATTITUCK, NY 11952 2083585 Certificate Number: 2083585 13.1 Building Permit: BDC: ns11 7 123 Lot: Block: Described as a Residential 600-1199 square ft. 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, Third Floor, bam & tower, Outside, A visual inspection of the, premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 22nd Day of May, 2006. Name OTY Rate Rating Circuit ~ Miscellaneous certiificate covers I-story converted barn,and three story,tower Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Air Conditioner Water Heater Panels o o Carbon Monoxide Smoke o o 30.000 4.5 BTU KW 100 6 Wiring and Devices Outlet Fixture Outlet Receptacle Switch Fixture Incandescent General Purpose General Purpose General Purpose 22 0 22 0 31 0 17 0 18 0 seal Continued on Next Page 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. l!Ieffi!.l!I ~ I (j. ::, . - 1 - I '3 . J --ff -3 / 3 '-It) ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARb OF FIRE UNDERWRITERS ~ I BUREAU OF ELECTRICITY 11 6/'10/ I ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ G & S ELECTRICAL CONTR. MARILYN ANGELSON ~ ~ P.O. BOX215 950 PARK AVE ~ I SOUTH OLD, NY 11971, MATTITUCK, NY 11952 I ~ Located at 950 PARK AVE MATTITUCK, NY 11952 ~ ~ ~ ~ Application Number: 2083637 Certificate Number: 2083637 ~ I Section: 123 Block: 7 Lot: 13.1 Building Permit: BDC: ns11 I ~ Described as a Residential 0-599 square ft. I occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, de~cribed below, 10Crted in/on the premises at: ~ ~ First Floor, pool & pool house, Outside, Pool/Spa, Porch/Deck, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 12th Day of May, 2006. ~ ~ Name OTY Rate Ratio!! Circuit ~ ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 3 0 Smoke ~ ~APPlbn~andAcc~ori~ ~ ~ Dish Washer 1 0 1.2 KW ~ ~ Air Conditioner 1 0 18.000 BTU ~ ~ Pooll Spa Bonding 1 0 ~ ~ Furnace 1 0 Gas ~ ~ Time Clock/Switch 2 0 ~ ~h~ ~ ~ 100 13 ~ ~ 60 4 ~ ~ ~~~~~g and Devices 15 0 Fixture ~ ~ Fixture 15 0 Incandescent ~ ~ Outlet 24' 0 General Purpose ~ ~ Receptacle 15 0 General Purpose ~ ~ Switch 15 0 General Purpose seal Ii!! ~ Lighting track 240ft ~ I ,"0'='" N..' "', "' , I I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ 1iI~ii!ffi!ffi!ffi!.l!I Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: /1719 1 ,,2 3 .).... ()O b Building Permit No. :J / ~O l- Owner: rn~;/'rl P /HLkj.e/so,J (please print) Plumber: 11 '?LJ/t};!;.... //1 u-ro-z t!>, WrJ ~/ 7V(;.... (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. tfJ~_~ . Sworn to before me this .8 ~ day of Dl ().....(. ~ ' 20Qla. tj~~XA 'd:cRu~) Notary PUblic~county 1lIIIIIY~~-" ~ J~IIISuftij11~Qfl~ r...J'I'T~~U ~ - II SAM U E L S & S TEE L MAN . . May 24, 2006 Building Department Town Hall Annex Southold, NY 11971 FAX 765 9502 Re: ANGELSON OUT BUILDINGS Mattituck, NY BP# 31401 I hereby certify that the "Tower", and non-habitable accessory structure, was constructed per the approved Building Permit drawings, including a full sprinkler system, per NYS Building Code. Please call with any other questions. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 1193S (631) 734-6405 FAX (631) 734-6407 "---- APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman f? n' ...1"._ I ~ \ i http://southoldtown.northfork.net " :,II\! I ZONING BOARD OF APPEALS JUN - 2 2 0 . L.:j I TOWN OF SOUTHOLD n~:'0/S0U~!')~-~ Tel. (631) 765-1809. Fax (631) 765-9064 rr-:-- " n MEMO TO: Mailing Address: Southold Town Hall 53095 Main Road. PO. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 Building Department Attn: Mike Verity, Chief Building Inspector Ruth D. Oliva, Chairwoman June 2, 2006 ZBA File #5717 - Condition #8 (Angelson Property 123-7-13.1) FROM: DATE: SUBJ: We received a request from John Bertani Builder Inc. regarding the above variance determination for an inspection. A site visit was made by me of the interior of the accessory buildings and the improvements meet the requirements of the ZBA Decision under Appeal No. 5717, and confirmed in the attached letter received on May 10, 2006. Thank you. ~[J. &~ Enc!. ?(~Ol 'V TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [vrFlNAL (~ ) [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~ t:J~ DATE OS-/;J..Cftc, , , INSPECTOR ~~~~~ \;fol ~ ,\ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: tZL/ ~I?f::.--, OR tf!. e c). ~~~ ~.'r ~ c,- ~ ~ ::.: /. -;b6A- ~~ ;/I-~ ~. {L~-6.~~'~ <1,1-e,_~a-,_a~~~ 'I ,. ~e--z..~~ , , DATE oS-~rlo~ . , INSPECTOR ~~ '. '" ( ~ FIELD INSPECTION REPORT DATE COMMENTS 0J"Il ~t'l FOUNDATION (1ST) --~- -~ .., _.~.~~ -_._-~----_._----- ....~~ .. ----------------------~~-~---~._---- --_..~._..--.---- ---~--------- --,-..- ? -- ---~_._-_._-_._._--- ..- ~e FOUNDATION (2ND) I------~- ---.----- ..L~ It z -DP -- -.---_._..---,--~_._-- U\ f. ------- ----~--- . --- 0", --.- ----~ .., ~~ ROUGH FRAMING & _n_______._...._ ---------- --- ~~ PLUMBING ...____--0'.-- ._m ...-- T" .-. . --- :t> ----...- -- - ._._--------~-..,-_.__.---- -------..- '" (<'> ---------- . u__._._._._.___.....___ - ~ "" t'l INSULATION PER N. Y. .., STATE ENERGY CODE I~ j ~/lrA " Ai?.L :r- ~ ~-#--CO" .J. .iI? ~ ~, , , ~_k. /iA , - y~ - . . . I. &:: fA . v 1'-, ~ .' ~. f .L-:L "-, ./ ~ ".I' ~ ~ F FINAL 3. --" J' __ X. ___' ,tfi? v , , ( '" ~ ~~A , R~~. fi.~ --,- I I ~ ~_' _ . ;r , ,-, .L A_ _.I' ~~ /. ~~~ '-",,-'- "~ ~ ADDITIONAL COMMENTS ,~~ ~ - . '", r--iM.. ~,O.I.+ a J21JJVu y d re.Q Pv, "'" ~ cJo . _' 81 NPTE::, AsLtfu/('e.'Pthov.:1--iP9 tin 7~~ l::e.dsi,'v\ 4" b...JTUrxrv. r't'J's ~ U U' a ~ I k~ -0 ( R~ ~\ ti fE ~ fJ.g " J..::iF J- J-..J... L j) of ~'IlfJ ~ 1.1..,11.:".95, vJ:...rJ - ~ ::, ;0 '.!.- .1 1/ II c:J1r ././ - '/ f ? m~ h jJ.j)'- 1 1) (I/c.-.- yL J v -,; -' b;....iJJ- D ~ ~ \.t i? ~ L.. % 0.72: J . A'.~ 17 . --- - ~~--_.__. ~ "'" J.... t:' J\ ' .It o*- ./ A '.1./ (J / / t? ~ I-J/-aC, '4<\tf, tJfJ,*. C-o.JCt , IV~ ~ c k --:?.R './4 J_~:vO~ ~c-Id. c...d- iiJ /}/"l 'A, (2A -- "-' ~ - \ "Il ~E U o.V\:t ' ~'cf - 3-(-Ob ~\.L ~j): J. , .,J- "'. - . .....1 J -X,J ~ ~ , (/ / .., . - -.--........ 0 "IJ.2I(') ~ -1h 5 0 ..D:Q_~~ 1 <>"I ~- ~~-'Jt.. 70 Lf If r; z , 4 t:: ,,' ~ <;}......-Lm~~ ~ ~ANJ J0, -.'.----- - a: 0 t'l f----~-- ----',--..-.- , ~ 0- 1------ - .. --. . --,,- U\ .., , a: 0 ~ -.--.- ~ t'j "Il -n :-l Date: March 11, 2006 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of South old Building Dept. Re: Insulation Inspection Marylyn Angelson 950 Park Ave. Mattituck, NY 11952 Permit#3140 1 To Whom It May Concern: After an Insulation inspection was preformed on the above property, it is deemed that all Insulation was installed correctly, and meets all building codes. Any other questions please call. MAR I 3 I , -.'.__.__.f -'.', \' , , , , , \ \ \ \ \ \ \ \J JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: March 8, 2006 To: Town of South old Building Dept. Re: Plumbing Inspection Marylyn Angelson 950 Park Ave. Mattituck, NY 11952 Permit# 31401 To Whom It May Concern: A Rough Plumbing inspection was preformed on the above property. A pressure test was performed on the plumbing system, and vent stack filled. Any other questions please feel free to call. D (\Ski 'Iii i'iAR 9 Ice , / JAMESJ. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 1I952 (631) 298-7116 To: Town of Southold Re: Framin~ Plumbin~ Inspection 950 Park Ave. Mattituck, NY 1 EJ52 Permit# ill ,10 IZ To Whom It May Concem: A Framinw'Plumbing Inspection was also Perl<)[(ned on this Structure, and all framing and Plumbin~ was done correctly and also meets all state and local buildin~ codes. A pressure test was also perl<mned on the waste/water plumbing systems. Any questions please feel lree to call. 22 \, ", "" 3 enne (,,\,,) JAMESJ. DEERKOSKI, P.E. 260 Deer Drive Mattituek, N.Y. 11952 (631) 298-7116 To: Town of Sonthold Re: Strapping Inspection Marylyn Angclson 959 Park Ave. Mattituck Pennil#31101z To Whom It May Concern: This letter eertilies that all wind strappiug on the above mentioned project is in tact, and meets all state ,md local bnilding codes. Any questions please feci free to call. JAMESJ. DEERKOSKI, P.E. 260 Deer Drive Matlituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Rc: First & Second Foundation Inspections Marylyn Angclson 950 Park Ave. Maltituck, NY 11 952 Permit# :~140Iz To Whom It May Concern: This leller eertilies that first & second f'lllndalion inspections were prefonned on the above mentioned property and was all done correctly and meet all state and local building codes. Any questions please lCelli'ec to call. .1 I '('n:'::~ .-'.' ,; I , , . L~_._._ L. ~EALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer Vincent Orlando James Dinizio, Jr. Michael A. Simon Southold Town Hall 53095 Main Road' P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 hUp:/ /southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809' Fax (631) 765-9064 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JUNE 9, 2005 ZB Ref. 5717 - Marilyn Angelson Property Location: 900 Park Avenue, Mattituck CTM 123-7-13.1 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's 3.B-acre parcel has 264 feet along Park Avenue, and is improved with a single-family dwelling and five accessory buildings as shown on the 4/26.05 site map prepared by Samuels & Steelman, Architects and 3/22/04 survey prepared by John C. Ehlers. BASIS OF APPLICATION: Building Department's April 13, 2005 Notice of Disapproval, amended April 22, 2005, April 29,2005, and May 3,2005, citing Sections 100-33 and 100-242A, in its denial of an application for a building permit concerning proposed alterations to nonconforming accessory buildings The reasons stated for disapproving the application are: (a) the alterations to the existing accessory water tower structure will increase the degree of nonconformance with regard to the existing number of stories (three stories), its existing height at 44'3", and located in a front yard at 26 feet from the front lot line, for the proposed conversion to an accessory gardenhouse/playhouse; (b) the alterations to the existing accessory barn/garage will increase the degree.ofnonconformance wi.tlkregard to its existing front yard setback ,at 1BJeet from thetront lot line. The Code requires a minimum of 50 feet from the front lot line under Section 100-33B, and a limits the height of accessory buildings to 1B feet under Section 100-33A. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on June 2, 2005 at 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 VARIANCE RELIEF REQUESTED: The applicants wish to restore the existing accessory buildings and to make minor improvements, retaining the seasonal accessory uses. The existing garage will be converted into a 'pool house' with a small toilet room (sink and toilet only) and a wet . Page 2 - June 9, 2005 ZB Ref. elM 123-7-13.1 ZB File No. 5717 - M. Angelson ~ bar. The existing water tower will be used as a garden room on the first floor, and toilet room and landing on the second floor, and third floor as a study, retaining the accessory use for the owner and his family. 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 variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicants wish to convert the tower/accessory building to a gardenhouse/playhouse with half bathroom (sink and toilet). The barn will be converted to a playhouse with a wet bar and half bathroom (sink and toilet), and outside .showe[. Botti structureshaye been iILexistence far more than 75-years.in the same locations at 18 and 26 feet from the front yard lines, at its closest points. The water tower structure contains a cellar and has been a visual landmark to the area, although without modern function. The alterations involve interior restoration without adding heat and without sleeping quarters. The alterations of these accessory buildings will allow a functional accessory use by the current owner and her family. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The applicant has no alternative but to request area variances for both structures due to the existing nonconforming setbacks, and existing height of the tower structure exceeding the 18 ft. height limitations of the codes. The relief is the maximum the Board would approve, requiring conditions in the grant of the variances, noted further below. 3. The difficulties have been self-created in that the structures have always encroached within the restricted front yard area. ~. No evidence has been submitted to suggest that variances in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. 6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of interior alterations to the accessory garage and water tower, while preserving and protecting the character of the neighborhood and the health. safety and welfare of th ity. RESOlUTI0NOf-THE BOARD:-tn considering all-clthe above factors and applying the balancing test under New York Town law 267-B, motion was offered by Member Goehringer, seconded by Member Orlando, and duly carried, to GRANT the variances as applied for, as shown on the 4/26/05 site and elevation maps prepared by Samuels & Steelman, Architects, SUBJECT TO THE FOllOWING CONDITIONS: 1. Each structure shall have only one lavatory or half bathroom (sink and toilet). 2. Each structure shall not be used as sleeping quarters at any time. 3. Each structure shall not be heated for year-round use. 4. That each structure shall be used as an accessory use, customary and incidental to the principal dwelling structure. 5. Only the barn (garage) shall contain an outside shower and wet bar. age 3 - June 9, 2005 ZB Ref. CTM 123-7-13.1 ZB File No. 5717 - M. Angelson 6. The renovations/alterations shall be in accordance with the requirements of the Town of Southold and N,Y.S. building codes. 7. The use of each structure shall be limited to residential storage of goods and equipment. 8. The Zoning Board of Appeals or its legal representative(s), reserves the right to inspect both structures prior to the issuance of a Certificate of Occupancy. 9. When the above conditions are met, the Board will determine that the granting of this application will not impact either the physical or environmental characteristics of the district. 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 Oliva (Chairwoman), Orlando, Goehringer and Dinizio. (Member Simon was absent.) This Resolutiona duly adoPt~d (4-0). . fl<€eL t), ~ Ruth D. Oliva, Chairwoman 7/cXJ05 Approved for Filing " , FORM NO.3 NOTICE OF DISAPPROVAL Date: April 13, 2005 AJnended:ApriI22,2005 AJnended: April 29, 2005 TO: Marilyn Angelson 900 Park Avenue Mattituck, NY 11952 Please take notice that your application dated April 12, 2005 For permit to make alterations to an existing nonconforming accessory water tower and accessory earaee at Location of property 900 Park Avenue. Mattituck. NY County Tax Map No. 1000 - Section 123 Block 2 Lot 13.1 Is returned herewith and disapproved on the following grounds: The existing accessory three-story tower. located in the front yard. will be converted to a garden house and plavhouse. with bathroom. The existing accessory barn will be converted to a plavhouse with bathroom and wet bar. -I The proposed alterations to these nonconforming accessory buildings. are not permitted pursuant to Article XXIV. Section 100-242A. which states: "Nothing in this Article shall be deemed to prevent the remodeling. reconstruction or enlargement of a nonconforming building containing a conforming use. provided that such action does not create any new nonconformance or increase the degree of nonconformance with regard to the regulations pertaining to such buildings." The existing three-story tower measures +/- 44 feet in total height and is located in the front yard. with setbacks of26 feet (tower) and 18 feet (barn) respectivelv. The existing accessorvbarn is also located in the front yard. Therefore. the proposed alterations are not permitted pursuant to Article III. Section 100-33. which states. "In the Agricultural-Conservation District and Low-Densitv 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. subiect to the following requirements: A. Such buildings shall not exceed eighteen (I 8) feet in height. C. In the case of a waterfront parcel. accessory buildings and structures may be located in the front yard. provided that such buildings and structures meet the front-yard setback requirements as set forth bv this Code." ~ , The change in the intensity of use, of these nonconforming buildings, constitutes an increase in nonconformity and, therefore, requires a variance. This notice of disapproval was amended on April 22. 2005 for clarification. on April 27. 2005 to clarify the reasons whv these buildines are non-conformine and on April 29. 2005 to include an omission. Ot Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may reqnire further review by the Southold Town Building Department. cc: file, Z.B.A. New York State Department of Environmental Conservation Division of Environmental Permits Rm 121, Building 40-SUNY Stony Brook, New York 11790-2356 Telephone (631) 444-0365 Facsimile (631) 444-0360 - ~ Denise Sheehan Acting Commissioner LETTER OF NON-JURISDICTION Marilyn F. Angelson 876 Park A venue New York NY 10021 May 5, 2005 NYSDEC # 1-4738-03076/00004 Angelson Property 950 Park Avenue Property Mattituck NY SCTM #1000-123-7-13.1 Dear Ms. Angelson: Based on the information you have submitted, the New York State Department of Environmental Conservation has made the following determination. The portion of the referenced property landward of the functioning bulkhead greater than 100 feet in length and constructed prior to 8/20/77, as verified on Tidal Wetlands Map #708-538 and IR photograph #321, is beyond the jurisdiction of Article 25 (Tidal Wetlands). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6 NYCRR 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 IS' 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 necessary permits or approvals from other agencies. btainingany , ) CC: Thomas C. Samuels Marine Habitat Protection file ~ APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer Vincent Orlando James Dinizio, Jr. Michael A. Simon Southold Town Hall 53095 Main Road. P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809. Fax (631) 765-9064 July 27,2005 Mrs. Nancy Steelman, Architect Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 Re: ZBA File Ref. 5717 - M. Angelson Dear ~an: Supplementing a copy transmitted yesterday by fax, please find enclosed copy of the variance determination rendered by the Board of Appeals at its June 9, 2005 Meeting. Please be sure to contact the Building Department (765-1802) regarding the next step in the building and zoning review process. Your firm may want to furnish the extra copy of the enclosed determination to the Building Department at the time of submitting any other documents or amendments, if necessary, during the final review step. Thank you. Very truly yours, - r-enaa~~ ~ '--'Unda Kowalski Enclosure Copy of Decision 7/27/05 to: Building Department ~ II II s A M U E l S & S T E E l M A N . . . . . August 10, 2005 Building Department Town Hall Annex Southold, NY 11971 FAX 765 9502 Re: ANGELSON OUT BUILDINGS PERMIT APPLICATION Mattituck, NY Attn: Pat Conklin Per our phone conversation, please note that fire sprinklers will be provided in the non- habitable Tower structure, p.er NYS Building Code. en [' i \\r :~ 1:" ,; II , 'G252005 "JI. L", I , I 1.0-"J J f' ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 16311734-6405 fAX 16311 734-6407 JVWI'! VJ< SVlJTHULU BUILDING DEPARTMENT TOWN HALL SOUTHOLD,.NY 11971 TEL: (63.1) 765-1802 FAX: (631) 765-9502 www. northfork.netJSoutholdJ PERMIT NO. ?J I </0 ( 1:;r BUILDING PERMIT APPLICATION CHECKLIS'J Do you have or need the following, before applying'. Board of Health ( Ifsets of Building Plans " Planning Board approval Survey v Check " Septic Form ;/ N.Y.S.D.E.C. ;/ Trustees ;/ Contact: Mail to: 6/ f ,200.f ~~,20 fJ( Examined Approved Disapproved ale r.'\f?(')f\ ! V I I~ ("J I'. i'it- U'u i AUG L__ ~o 4!~!i ,j~'~~.'r:PT l' \. , ,~~ ,:..,).!~;; "I')U1 --..~ ;-!?V ,20U nYlRill ) b lS n ..~u "2005 J J. Phone: TO (11 '1.3 + ~4-D.5 Expiration (~ Building Inspector APPLlCA nON FOR BUILDING PERMIT Date lfu6-usr 3 20 cti '- 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 oflot 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 the Building Inspector issues a Certificate of Occupancy. f. 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 otherregulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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. 'CficyU{~ (Signature of applicll>,t'or name, if a corporation) Q5Z35 (()4fN RD /aITCt{or90E; (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder If- R-C t+ {,Fe.. T Name of owner of premises 1lJ.4-IQILLlN ANtf>ELSOIII (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, Plumbers License No, Electricians License No, Other Trade's License No. OL-tT 'm f3 {D I. Location of land on which proposed work will be done: CJ$o Prlk K AU ~Nl..f"E House Number Street (r1A- IT! TUe k. Hamlet County Tax Map No. 1000 Section /23 Subdivision (Name) Block '7 Filed Map No. Lot /3, I Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy NOV- HAI3rr:4I3L;; ~0C' FSSo/?'1' b. Intended use and occupancy ~rlln E a /Lei S~, / m 171 (IV r<> Ibo '- 3. Nature ofwor)<. (check which applicable): New Building Repair V . Removal Demolition ~/ Addition Other Work Alteration V (Description) 4. Estimated Cost * .JcX7, COO Fee 5. If dwelling, number of dwelling units If garage, number of cars (To bc paid on filing this application) Number of dwelling units on each floor C,4q..' Name of Former Owner (/Jf;TEf3...So^J .. 1 I. Zone or use district in which premises are situated rf? - 40 . 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L tJitA-NCi;:' . I '- f1rorIL fO~ t 13. Will lot be re-graded? YES_NO 1 Will excess fill be removed from premises? YES -L NO_ 14. NamesofOw~erof~remises A-Y&El.SoN Address )/E!O~KE Ai"'! PhoneNo.('LIZ)5179U// NameofArchltect\S/'h11UGZS ~.!;,~ AddressLUTC' _l..=--- Phone No ULf. (J;q.05 Name of Contractor Address Phone No. 6. Ifbusiness, commercial or mixed occuQa. ncy, specifY nature and extent of each type of use. .04e>>- -37' 37' ~,v€'"/.2... - I 7 ' I 7 ' 7. Dimensions of existing structures, ifany: Front Rear Depth Height. .BtM'(1I.. 17 !,3" Number of Stories OAlG" . TCWI;".Jt.. .LfLf ' Y-H,ef!3'l9 Dimensions of same structure with alterations or additions: Front JVl1fl C Depth ..s1J11C Height -S'WF Number of Stories Ax:!.- t-fc.Ju.5 F' 8. Dimensions of entire new construction: Front .L.ff!? 1 Height /r:2:.w" 10 m IdPOn. t Number of Stories I 9. Size oflot: Front .;)0LfI ~/o'-l- ,;2/ , /7' Rear <S1nl~ 5J1m 6-- Rear I0'JG Lf€?r Depth 621 ' Rear :) foq.. , Depth 10. Date of Purchase 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 BI}REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO ~ * IF YES, D.E.C. 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) SS: COUNTY OK~~~ ) .77tun4 S ('. SA7J1 UtL~ being duly sworn, deposes and says that {s)he is the applicant (Name of individual signing contract) above named. (S)He is the ,$-RCf/ITFCT (Contractor, 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 to before me thi~ or. .. ,J.... ,.- ~ day of ~I 20~ 9-~A~UI. RICHARDS . \ Notary PublWotary Public, State of New York .' No. 01 RI6042467 Qualified in Suffolk County Commission Expires May 30. 2092-i)1.o 1:li ;t:~ Applicant 0; , " OWN OF SOUTHOLD ~OPERTY RECORD CARD~ . '0) STREET c;W J/viJ:" r11'{ N . VI LLAGE 1)Qn'~ F. A FORMER WNER }1;a2Z:?a~?/c DISTRICT I":~ / ACREAGE SUB. LOlS / Z! $ j r 'J .v ?/I-e-vlf!7tfA /'/'/1/1<.... E ~ ,~4.20 ....0 ~ ,"! Cl) S SC.I'Y 1< f $;;' \ 01 ~, ?dtrsonp> Yidee., lES'&1::(7 SEAS. VL./ FARM W TYPE OF BUILDING COMM. I IND. I CB. _I MISC. /- LAND 1/D1J 4-DOO 4;"'0 6---d 6(\" '9 Du IMP. TOTAL DATE REMARKS NEW NORMAL {;.!1 , t);;{ Co,C! @ c.J 3~o~' ~r{j;f I '" Y1'+ ? +e.y-' Farm Acre Value Per Acre Value illab.le 1 \...I2J.. -O~ ~R.. c1c .;2. ~<(1 'iIIable 2 illable, 3 {oodland Nampland rusnland ~ louse Plot atal I I VI. Bldg. Foundation Both Extension Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place HeCllt "- Porch Attic Porch Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway ,O.B. , -.l ,""..~ "/OCO-j~ _ ~_r~~'=;OWN .~~ SOUTHOL~-IOPERTY OWNER. STREET q 5 VILLAGE C) . / 11'$,t4'./~ /.'}.A 4- fI' or Ilv [.It (( ~ N E . RECORD CARD 11~~ S W TYPE OF BUILDING ""1 17 r t) 'if. (.' ~? Y'ItfJ// f.E ~ SEAS. VL. FARM IMP. DATE COMM. REMARKS CB. MISC. RES. LAND TOTAL AJ.J. c...O ~b 3fJ~ " D /. )iJl" (C <L i1StJ/ ~...o /'. /),,--- f. , f,t --".-" Form At:.re Value Per Acre Value Tillable 1 Tillable 2 Tillable, 3 WoodlQnd \. Swampland Brushlancl _ . _...;' " - : ~~ - - House Plot - Total / L -::-4/- Dd"","" .i/VI1 77'" -'.> /-.-' .' . I , :\' ~.::~~~::,~;,......::.,~;~ ,..;'-1~. " ~- "_"":' .". ~ -.:'!' - M. BI;19. i~x;. 'I"J ;_ ~: l;J. 1/"" s:::.': Exten~ f~~~~ /~~ - ExtenJb/:?1;.. ~2:~~ J 'fif z. .3 ';/' Extension . i::"",." ~~:;;;o~"~ii:7 - r-. ,75 , I ~.; - (tI)IY;. 11.<;1' .J..S7bi- ':II...J ~ ' ~l:ri"/ ~ t~3 9;?" ~c:r~c:rge /.; ,. "." '- . ~. t'" ~ ~ ,,~~..,~~, 56 \' -,. ~ -- 'ff. -'e.. . I f /"/ . /109,["/ Foundation I t) f ! ((e Basement P"A yT j..59fjl Ext. Walls W tf S/, Fire Place 'V'" f, OOt Porch . ~q 2DO/ Porch 4.s ~ / Patio ," ."': -. / .' ~ I I," . .'l , ( --: .~ ..... . ~ .' 'JI"'." ~IJ ;34 , 'f'~ IJJ I,'L 0<. Bath' f3/l-j Floors Interior Finish HeOlt Attic Rooms 1st Floor Rooms 2nd Floor q 3Ye/f .--- ':"~b,,, )~~f ,Jf /1;~_ ~ -- p-j !!I-- ~",' ::I:::l- I ('/ f( , . '! .3 0.1 /'1 :' ffiq . I rf I'. [ '~7 ',1 /--.'~-f.?A I 1/ >( VI f' ~"" I s- O~H rIff.... . ;;? . .... .j.f;t'!l... f:::, -I-/~ ,~ .3 / O. IrW. .3 !/ 2- . .' . . . .' SURVEY OF LOTS 10 AND II MAP OF "MARRATOOKA PARK" FILED r1ITH THE COUNTY CLERK ON NOVEMBER I, 1<105 51TUA TE: MA TTITUCK TOHN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED MARCH 22, 2004 AMENDED APRIL 15,2004 FOUNDATION LOCATION 11-30-2005 12-01-2005, FINAL SURVEY 04-14-2006, 05-16-2006 SUFFOLK COUNTY TAX .. 1000 - 123 - I - 13.1 LJ SUFFOLK COUNTY IHBALTH DBPlI'. RHflIlRENCB NUMBIIlR RIO - OS - 0059 _L-'._m. " PAR~,,~JEN~~4.00' N8,5031'00"E o nt',-- CERTIFIED TO: MARILYN P. ANGELSON SOU1HBAY ABSTlRACI' lIS - 645 = :'f."'~T , , , , , , , , , , , , , , , , . . . . , , , , , , . , , , , . , , . , , , , ,,>3,-<: \ .'1. ,0 , . , . . , . ~~ ,"'~ 'Z. ~ ~ o t-J ~ ~ ~ (iJ \1J P\f'[~. , C) :> \1iv- ~J( C) . C:;2. '" C) 5-; \Y" 5C) ",-; ",3 SUFFOLK COUNTY O~Pi,RTi,lE~,TOF HEAL~]RVICES """ , Apr-".'" "". "~'.' -,",,-~ .".f"\.C -".."..,;"""?\ "~"~"'.-'~ " r.... '....Kt." P-f"m) o!!l j'" l'",",~",,"~;':i.._' -j' '. ". "'\.,'. (....c-.'...., ":'. ,j ;.",;...).j"'; .::. i-~ ;:. :',\>',' _ ~:'-:,:__~: I:~(~'-:;t""l ~,'-_""';; ate MAY_~~'Z90t" d., '.:..~:::~os-cosq , () --I .S> e ~C,!;:;;;..J l\ .~; >::~':: ~:o:-! ti::r...f8 been . pccL::;,:f 3,,:~h :<",-:,- --0~:'f"-~>:;? -J:':.J found to S3~5k.Gil.i} , .f',. ,1;,,_:'/~1,/!S. J cr- t. '0 ~ '>-'-" i.: '."~'" .- :,,-,: (\ NOTES, . o MONUMENT FOUND PIPE FOUND AREA = 168,832 S.F. OR 3.88 ACRES HIGH r1ATER LINE RUNS ALONG BULKHEAD RESTRICTED AREA AS SHOrlN HEREON IS ANNOTATED FROM DESCRIPTION LOCATED IN COVENANT FILED AT THE CLERK OF SUFFOLK COUNTY IN L.II<1<14 PAGE 60 FEMA FLOOD ZONE LINE AE 8 FALLS SOUTH OF BULKHEAD FEMA FLOOD ZONE X IS NORTH OF BULKHEAD GRAPHIC SCALE ~ 1"= 60' I I ~ fE'I~: 0.4' e. \ \ \ - . , , , , , , , , , , , , , , , , , , , , , 'C>' ,~- I " , 15 I >c, , , , , , , , , "op 00VIO'O I ~L_ ."", I ';j, 11"1'1 pool s\"llmm -:> . , , , , , , , , , , , , , , , , ~,. c.leQ'lOV ~r~ "t\ , \ \teOl . , . . , , , , , , . , . . , , . . , . , , , , . . , , . , . ,I, () () ....\\-\ '6::: , \ it? , C::... I, 1\, -":::"'-, \ \ C7:-:b '- - 2 ~to"'l \ /1-9l- '';J 0~QQq- .)>. Frame y Gar , \ , \ cr- 't. y . ~ , ' , ' . . f~~trl"ted ore' ~ _~/051'- , 0 I d' ",.0'>>- - '1 10\-.10 -' / \ d '" y c" \ 5; 2 storlJ Frome House under/ Gonstrud1on '" '10, -2), , LP s,Q ~Q) '. p2; _ c - - - , "v. .,_61- \ 21' _ . 2'''-(P, , , \ , \ B"Ef>.rf: ,." " ~ , '" L.AV"IN \ , , LAriN ~ ~q, ge'b :pO ,090 CPgpo 5AND >'lood bulkheod '" 264.04' () S85035' 32"W , G 5 ------ ~ GF<.EA T PEC,ON 1 C, BAY N W +.'~ ./E /' I' ! S y ~ ~ } eHEAD a.2'Y'! ------ .~~:-~:':~ , ...."".".,, ,,-".tH;,'(.II,:.,.; LQ:/ d r,Z m qUUl HY~~~~~N C. EHLERS LAND 'SURVEYOR ~AST MAIN STREET N.Y.S. LIe. NO. 50202 RIVERHEAD. N.Y. 11901 369 8288 Fax 369 8287 REF.\\COMPAQSERVER\pros\04\04 133B.pro 1...1 ,..",,' !l/IILDIN6 -..L A' EL '1.0 ~ LINE I;LEVATlON "'" FT. ~ LiNE EL.eVATlCIN '1!5.o FT. " MIN. ;2' MAX. - !lUlLDIN6 I'iAU. A' EL Ill" -...oe L_ aevA"I1OH 15.5 FT. 6RADE LINE ELEVATION '15.0 FT. I' MIN. 2' MAX NEI6HI!IOR1 rI!U. LEVEL 12.Q FT. ---l J IE. +14.5' 3' M1N a.EV -ob5' - SEPTIC PROFILE "SYSTEM #1" RESIDENCE (N.T.S.) /' SYSn:M . :2 ~ ~IC SYf"n!M"OR~ 5'1l'U(;T\!N5 (2) qoo ...... SEPTIC TANK (5T) TH!l) &' DIAHrn:ll x .,' Hlc$H LeACHIN6 POOL. .. &' t)f x e' HI"" ~ " L (l.~ l'UTH ~ LOCATION FOR (I) &' DIAI'ETeR x &' ;rr6H~N6POOLS!EXI>) BY MARK McDONALD TEST HOLE ~~ NO SCALE NEWYOIll< 11971 I znn5 JUl TEST HOLE DATA 4/18105 ELEV +16.25 1AJFT.0MIK8RQWN4.OlIlM 01.. 3.0 FT. BROWN 1M. TLY lAND 8M PA SAND SP 16.9 FT TO MEDIUM SAND tCTM. 1000.123-.743.1 .:. : 850 Park Avenue k,NY I . 2: =NF,ANOELSON SITE: 181,132 SQ. FT. .3.88 ACRES ZONING: R~ SI.JftllrroR: ~-c. mtI.IItS '_TMAIN STADT Rille_AD, NY ..ucENIE. .58282 DATED - MARCH 22.2004 WATER IN PALE BROWN SP FINE SAND LOCATION MAP ELEV -o.b5' 10'-0' 3' "'IN ------ --.J" WTIC PROFILE "SYSTEM #2" ACC~eRYSlRUC'NRE~ (N.T,S.I"'" /' ~ NEY'I SEPTIC's-.e-rel-f FOR 51lEDf<OOM RESIDENCE, 1500 6AL " , ~ ~reR LINE 1;jOOK\ SE1"T1C TANK (ST) l"IlTH (:2)&' ~';:',:;'''' x e' HI"'" LEACHIN6 POOLS (l.P) l"IITH '\ UP FI<.oM ~~MAIN FUn.I'>.E LOCATION FOR (I)e' DI x 5' HI"" I..E,A,GHI..... PGOl5j1D<p) NEl"IlJNDER6fOOlN:> ~TER " IN "I.~.-'C .wAD XISTI SANITARY SYSTEM iEX.I TO ElE LINE FI<.oM MAIN HOUSE TO '\ / AND FILLEt> IN l"IITl-l SAND AccESSORY' snwc;n.1'>.E5 I / - \ / NEl"I~ l"IAreR liNE FI<.oM \MA~ snwc;n.1'>.E5 ... . +1 II I ~-1~' ::lll;:~/ "'~ / I I 10 5 I Water lines mus.t be Inspected by the Suffolk County Dept. of Health Services. Call 852-21 00, 24 hours In advance, to schedule Inspection(s). 1~'-6' 15'-0- - ~ .11-' M RATOOKA ASPtW. T PAVEMENT iPU6LIC HAreR IN S 11 = llEIo't_LI .~ ~ reR II !'lOOM I MAIN HaJSE TO ~r:r'.;ft., >>f. ~,OJ- ~w\X 5TRUC\ I ~~\~ fu~ '; ~ '(y-W ~~o~\ ~\~\" z ~ \J'r-~ <;;.~ #~ IJ.J ~ > <( \ E1(~ '-- ----- + / ~ EXISTIN6 i'e.l \ LAl"IN TO ElE USED F.OR IRRhS-"'TloNl VATION INSPECTION REQUIRED FOR SANITARY SySTEM / By HEALTH DEPARTMENT _JL ~ ~ I ,w a. .15 f> '" '" z \ "" "'" --.....::: ----- LAl"IN ;----.. 1'/I5"jA'( ------ ~ ~ Abandonm nt o~ <;xisting sani ry system must be in I comfonnancc with d;)pa. '!len requirement Submit completed ann WWM- 0 as proof. I - - 1- 16 - 644.05' Nl1'25'OO'W 11 EXISTlN6 SANITARY SYSTEl-llEXi TO ABANDONED AND FILLED IN Y<11H SAND ~ ~ ~ 0; ll) o o C! SITE PLAN - Z SCALE: 1" =30'.0" - ~ ;::: 17 FT. ~~.....lIioI< SUFFoLK COUNlY DEPARTMENTOF HEALm SEa: I PEIlMlT IIlDR APPROVAL OFCOltSTRucnON \~LII: FAMILY P.ESlDENCEONLY OATS" \-i oS HSRBF.NO. v..: ~- -cxf,c,\ APPROVED FOR MAXIMUM OF.1l.. BEDROOMS EXPIRES THREE YEARS FROM OA TE OF APPROV Great \- Peconic Bay WCl\w'~\{)wU \ \- C~\)\,"'" ----- - I u ~ ~ a ~ E E c , :0 c a :0 C j: c . C :0 U D J / 1/S ..; 'r- :-~ it:- -t'-- . SURVEY OF LOTS 10 AND II MAP OF "MARRATOOKA PARK" FILED HITH THE COUNTY CLERK ON NOVEMBER I, 1<!05 SITUATE: MA TTITUCK TOHN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED MARCH 22, 2004 AMENDED APRIL 15,2004 FOUNDATION LOCATION 11-30-2005 12-01-2005 SUFFOLK COUNTY TAX II 1000 - 123 - 1 - 13.1 l"~,-( 2 C'r."" L' '. N '-t-. ,.,; ,/ W '1,E S I, I . " ___~...'I ~~ ." .. "PARKAVENUE , _,.."""", 264.00' N85031'00"E "n. .. ". : . . \ \ \ ' , , , , , , \ \~ , , , , , , , , , , , , , , , , , --~ - -f.i-l.~.~' O.4'e. rrel'e>T i,..'... _. CERTIFIED TO: MARlLYNF.ANGELSON SOUl1JBAY ABSTRACf lIS - 645 ", " \ [~ ~ ~o~, ~ ~ ,.,-oott ._------Je.------- ~ ,iii J~- '2. .... .... ~ ~ ~ _::l~_ ,\ .,.J ,':\ ;- '\ ';J' \, ';Id \';Id \\\~ \~O \,\0 \\~ \';J' \~ \\< C :1\, ~'~ .......- ~ , ...... \.... 6'\,,-::: '':\, ';Id .2.!k\ 0 ';J' d I" o -\ ~ 1"\,1" 0\0 -\-\ ~~ -', ~~,.' ~""... ~""'~"llDG"""'.:c ""'" """""" ~ "0 ~ (t .- \- "c,," .l> g------ ,Iq , , ~1ION \ ,.0 _"!:------ I I \ r..tr"'t.ed <$00 ______'0:---- "~::\ II i II" o MONUMENT FOUND PIPE FOUND ~~e=~-r r= e= c::=;...- c;:> N I c:=.- ...~ - ~ e> ~ ...,- II II ,', ',I 1-AI-""i.N ::;:., ~oo ~~o . &0 Po'!, cr~cP 'SAND , , , , , , ~ L-AV'tN ""~ 'il ':""t ',', \\ , NOTES, SR5035'3:l"W . AREA; 168,832 S.F. OR 3.88 ACRES ., \, " ~ ,.~}J;,. ~ '~10~~~, ~;.t_ ~~o .'-<..~ LAND ~\J JOHN C. E" RS LAND SURVEYOR .'.. HIGH HATER LINE RUNS ALONG BULKHEAD RESTRICTED AREA AS SHOHN HEREON IS ANNOTATED FROM DESCRIPTION LOCATED IN COVENANT FILED AT THE CLERK OF SUFFOLK COUNTY IN L.II<!<!4 PAGE 60 FEMA FLOOD ZONE LINE AE 8 FALLS SOUTH OF BULKHEAD FEMA FLOOD ZONE X IS NORTH OF BULKHEAD CONCRETE FOUNDATIONS SHOHN HEREON ALL IN FLOOD ZONE X ,",-",,, '" IF';:, , " :: ," ~ I" I "" . .'.,,,, "L'" " " ","~::: ';::\' .1""'1"'" '''';'''1'' """,",',"",, "..""',,,.;., '"",.,.,.<",., ".''''',.'',.1 " ,...,."," """." ,J", ".""" o ":" . '~,'; :;,,'" ",'" I "':1 ',.1 h,'" GRAPHIC SCALE ..,..,... I"; 60' .__ ... -----1 6 EAST MAIN STREET N.Y.S. LIe. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.Z:lprosl04I04-133B.pro