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HomeMy WebLinkAbout32091-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32304 Date: 04/20/07 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 305 SUMMIT (HOUSE NO.) County Tax Map No. 473889 Section 106 DR (STREET) Block 1 MATTI TUCK (HAMLET) Lot 40 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 8, 2006 pursuant to which Building Permit No. 32091-Z dated JUNE 9, 2006 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 & AS PER CONDITIONS OF ZBA #5861 DATED 5/11/06. The certificate is issued to NICHOLAS & IRENE RALLIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3004829 10/02/06 PLUMBERS CERTIFICATION DATED N/A ~ho!8:~e Rev. 1/81 ~.. Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 f::-. . I.r "J '\ pOl- o- ~ o APPLICATION FOR CERTIFICATE OF OCCUPANGY ..--J '( . .-' L-.... This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electlical 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 lIses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unnsual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.lfa 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, Swirruning 1'091 $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 CeJ1ificate of Occupancy - $.25 4. Updated CeJ1ificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $] 5.00 W'-'3~~o-\~ New Constlllction: Dale. 4( ~ll 0 1- Old or Pre-existing Building: SUM(Y\,'".. 'O..:<k Street (check one) Location ofPropcJ1y: 3oS' House No. kct. Hi -t\..Lu< 'f..i'1 . (e 'l~1- Hamlet Owner or Owners of Property: l-J l4{~ ~ ~ <i<A LL LS Suffolk County Tax lVlap No 1000, Section ~ I" 6 Block (:) U 0 ( Subdivision O't 0 Lot Pennit No. ? 206f1 't Date ofPemlit. .J.AiI'-t 9 1-00bApplicant N.l~OlA5 12.J'I. U-I ~ , Filed Map. Lol: Health Dept. Approval: Planning13oardApproval "l;fel'< ~. 5&"1 Underwriters ApprovaL ~hl1.-00 " Request for: Temporary Certificate Final Ce11ifieate: v (check one) Fee Submitted: $ ~1~ Applicant Signature &..u-.7:201r C-O.c3J3o t{ @].@] I BY THIS CERTIFICATE OF COMPLIANCE THE lOt,. - 1- '10 ~ I NEW YORK BOARD OF FIRE UNDERWRITERS I ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ . \tfr-> CERTIFIES THAT bLdJt/ /s, ~ ~ ,\~ \ ~ ~ \\ Upon the application of upon premises owned by ~ ~ ~ ~ PECONIC ELECTRIC CORP NICHOLAS RALLIS ~ ~ P.O. BOX 1258 250 SUMMIT DR. ~ ~ QUOGUE, NY 11952, MATTITUCK, NY 11952 ~ I Located at 305 SUMMIT DR. MATTITUCK, NY 11952 I ~ Application Number: 3004829 Certificate Number: 3004829 ~ ~ Section: Block: Lot: Building Permit: ~ "'./), I BDC: ns11 ~ ~ ,3 ;,(V-I ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ Outside, PoollSpa, ~ ~ 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 andlor 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 2nd Day of October, 2006. ~ ~ Name OTY Rate Ratio!! Circuit ~ ~ ~ Appliances and Accessories ~ ~ Time Clock/Switch 2 0 ~ ~ Pool Heater 1 0 ~ ~ Paoli Spa Bonding 1 0 ~ ~ Wiring and Devices ~ ~ Fixture 2 0 Paoli Spa ~ ~ Receptacle 2 0 GFCI ~ ~ Receptacle 3 0 20 amp Paoli Spa ~ F.!l Switch 1 0 General Purpose F.!l ~ (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have ~ ~ frequent test and/or repairs made by a qualified person. ~ ~ ~ ~ ~ ~ ~ I seal I ~ ~ ~ I of 1 ~ 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. I @].@] 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. 32091 Z Date JUNE 9, 2006 Permission is hereby granted to: NICK RALLIS 305 SUMMIT DR MATTITUCK,NY 11952 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR PER ZBA APPROVAL #5861 at premises located at 305 SUMMIT DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0001 Lot No. 040 pursuant to application dated JUNE 8, 2006 and approved by the Building Inspector to expire on DECEMBER 9, 2007. Fee $ 150.00 ----.- e ORIGINAL Rev. 5/8/02 APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman [.~: ~Ir-0~: ~F~ .~_U..m .___... "', http://southoldtown.northfork.net r"\ . i :'ZONING BOARD OF APPEALS . , " .' TOWN OF SOUTHOLD . . Tel. (631) 765-1809 . Fax (631) 765-9064 \. r'~ :. i' !, ~ ~ .' JUN 90S Mailing Address: 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 , G.:.--...,.......:...... ' ." '-.1.,.;. ' Tr",o,1!' t""., s\)( I-~' ,--I .', ..-'.... .'n'. '. . ._.'""'fOlJ'ID~GS, DELIBERATIONS AND DETERMINATION MEETING OF MAY 11, 2006 ZB File No. 5861 - NICHOLAS and IRENE RALLIS Property Location: 305 Summit Drive, Mattituck CTM 106-1-40 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 38,755 square foot parcel has100.46 feet along sound Beach Drive, Mattituck, and is improved with a single-family, two-story frame house, shown on the applicant's April 5, 2006 survey prepared by John C. Ehlers, L.S. BASIS OF APPLICATION: Building Department's January 17, 2006 Notice of Disapproval, citing Section 100- 33 in its denial of an application for a buiiding permit to construct an accessory in-ground swimming pool. The reason stated by the Building Inspector in the denial is that the pool is proposed in a front yard instead of the code-required rear yard. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on April 27, 2006, 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 construct a swimming pool behind their home in a front yard area 196 feet from Sound Beach Drive and at least 15 feet from the westerly side lot line as shown on the February 13, 2006 site map prepared by Proper-T Permit Services. 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 for the proposed swimming pool in a front yard location. The lot has technically two front yards, owing to the fact that the rear boundary line is a road. The road is nearby 200 feet behind the pool and is at the base of a steep slope. 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 proposed location for the new swimming pool is behind the house and close to it. There is no other practicable location for a pool on the property. 3. The variance granted herein is not substantial. Page 2- May 11, 2006 ZB File No. 5861 - N. and I. Rallis CTM No. 106-1-40 4. The difficulty has not been self-created 5. No evidence has been submitted to suggest that a variance in this residential community will have an advers~ 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 a swimming pool, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Simon, seconded by Member Weisman, and duly carried, to GRANT the variance as applied for, as shown on the February 13, 2006 site map prepared by Proper- T Permit Services, subject to the following CONDITIONS: 1. Dry wells for collection of water shall be located as close to the house as possible (and not close to the top of the bluff); 2. No heavy equipment shall be used on the north side of the house (rubber wheel backhoe equipment may be used). 3. Haybales shall be placed to prevent topside erosion toward Sound Beach Road. 4. Native species of grass or plantings shall be maintained in good condition to buffer the north side of the pool construction. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. 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 Goehringer, Dinizio, Simon, and Weisman. (Chairwoman Oliva was absent.) This Resolution was duly adOp~-O). \f-~&. (]~ Ruth D. Oliva, Chairwoman 6/ ~ /06 Approved for Filing JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: April 6, 2006 To: Town of South old Building Dept. Re: Rallis Pool 305 Summit Dr Mattituck, NY 11952 SCTM# 1000-106-1-40 To Whom It May Concern: An in ground pool, from an engineering standpoint, located in the yard area immediately north of the house (within the building envelope), twenty-five (25) feet back from top of slope will not pose a problem to its inhabitants and/or adjacent property owners. Any further questions, please feel free 0 call. " 1 , , '-.- -, ~".}, ~ .,~:~~; ... Office Location: -- OJ;) 3 ~-} ~, !:.A v <</D "'II J Mailing Address: Town Annex /First Roor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 53095 Main Road P.O. Box 1179 SouthoJd, NY 11971-0959 .-- . " http://southoldtown.northfork.net I . pi APR- f).';' 7 BOARD OF APPEALS' TOWN OF SOUTHOLD Fax (631) 765-9064 I \ , Tel. (631) 765-1809 ~t",'-";. j . .. '.... ,~. " ''''1 I l'~I:' (1- ~'--',. .-'-.!..---J u_ .~ K___ MEMO TO: Michael Verity, Chief Building Inspector FROM: Ruth D. Oliva, ZBA Vice ChairpersonlMember Jerry Goehringer, ZBA Member DATE: April 4, 2007 SUBJECT: Building Inspector Questions - Open Building Permit (ref. ZBA Variance #5861) Dr. Nicholas Rallis was referred to the ZBA concerning a question as to whether or not plantings and a drywell were installed, as a result of an inspection made by the Building Department. On April 3, 2007, it is noted that plantings have been installed on the north side ofthe pool, and the drywell system is shown on the survey last updated 12/6/2006 by John C. Ehlers. Attached is a copy of a letter from James J. Deerkoski, P.E. which was offered by Dr. Rallis for the Town building permit file. We hope that the above information will assist with the final inspections by the Building Inspectors under the building permit and certificate of occupancy process. Thank you. Encls. cc: Dr. an/so Nicholas Rallis :3 d-O 9 [ 2- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING 9{ FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARK~ ~ ~ 4-0 _ . ~~~ ~~~J DATE 'f ~ 3 ~ () 7 INSPECTOR -;;fet;~ '-- 3 ~o ~ I z.... TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING r::><t FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: p ~ cd:: ~ ~-&- ~. ~ ~ w-R4: ~ -tGrr~ ~ 5 < }...;;....J -to- ~ tt;:.- ~ / . 11'-~7'-ot INSPECTOR ~~ DATE ~ -3;AJ9f-r- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~UL~ ON [ ] FRAMING I STRAPPING [e1'FINA /I.,!.. [ ] FIREPLACE & CHIMNEY [ ] FIRE TV INSPECTION REMARKS: ..(Lv,k ~ Iff A;:tT~ ~ ~-H'c.L /J-r./tJ ';;;'4/1 d;~ 4-r ~.A7L-~ . /b k Ni; ~ ~ ~rr -R> ~ ~ tJ-tI~ , Z6A MI,t..WAL /.eyL4'~ ekc~ U/T- ~<-#kJ , DATE 1/ /t7/<!J~ / / INSPECTOR SJ-6i/?!;- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] IN LATION [ ] FRAMING I STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION (!) REMARKS: '/5fftC.b fir ~] l.) ,v{ (b&.-~ t.J or . r'" lP.. rUt" ~~ -"" _ t-l . ~ "iii o~ r ,2: 0 ljJ' 0 vI", ..., ()\~ , ~ ..., 3 - ' -+- t7 rvi l{ l'Ol ..., :..-;;. FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) . , , ROUGH FRAMING & PLUMBING . INSULATION PER N. y, STATE ENERGY CODE /' ",.h",.A-r- c11:... ,..'WC.I... bL TZJ &~.. ~ t '/ / ~) ~k ~ L ~~./J.e."A,' ...,,[ ('3}L'h'/ ~ ~"'1fL L, /ztA ~",.,A".;",I .G.('n..I.'_:k ~ o All/" ../'r 7i'\ IJ ./A-.l r.:iJ.P~CW: .... Ir, ~ ,<{}cr> /Y u._ ~.,,~ /.:'. . r. r~ /<, A' . _ 1'" Ir,l.A.J:l' .\ .J,e 72? &.. J'd.L /.- ' ~T~ kl H\)1.I1 \"ll ?l> r'J#""') ~J;- /l~-/,'i' ::..;../ . I ./ 1\ ' V~ 1/////o.1I Mn 'Ik-.. ( A A~_ Ar ~ ~ /, '.~ .A.,J -".. I r ,ADDITIONAL COMMENTS 'f,--' C- d /L ~JC A-r b/ "'.A /La kL7D ~ ...b'" 77h4..),L// 70 F r-n" 1'- Ar ...,........... . ;;zJf'A AAA.. ,,," PLfl, ',J;1",i . "J:'d..n~.-u- ., '" , v' 0 ^ ./ ", "\/,,,/ / /f ::E 'Ir~f-tJ& 1#(, fiR. J'...---/;:~. P A'" _n J- A dJ /^ A- cI~ A, :z. iii" ;lJ ( 51 '3 <. d- '-- . A 1.* ~ 7;:- D UA 'I ft -/'.. n.J .A ;;- , H . ,., -.I- IY ...; b ,,(J......Dd ...JI" ,41-,1-; *_.1. 1\.--, ...,.,~~ ~ p,' J ? \ ('\.' ~~//Jrlff ~ _/,1/1.. '4./L"Jl7 #'J)" ~ "~A _-. A. ~ '..-/ r..Jo ' f.- ",',,1 _\ (:;1' V< 'II ~. " " , /.f~1>~1 ntl.Ah . ~ .....~ff':fi ,---- - 7J -- (/ --'l4.- ,(~ . J - l"I 'f./~ -0 7 P ~ ...u _ , LJ. ~ 1/, f) ~ ~-k'" ~ ()- y [) ~-1I/. v ~ lfllAtJ4P , t7 r (/ U' " .. ..J) s: ~ '..., o - --J~ FINAL . , ' ~J -....., ~~ .. :-l . l...~ 0/l- K 9~ ISJS- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALt' SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.ne Southold/ PERMIT NO. BUILDING PERMIT APPLlCA nON CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ~il to 56 ($ ~qf t..AtJC ~ t0Y \1..",,>0 c""" I '" Phone: :> ~.\,- 3,G;,r ~ L ~ O.:t> S"l'- Gcrr- Jl... Li (c.A) Examined ( Approved Disapproved ale ,20_ ,20_ Expiration ,20_ ~ __-4\ ' -- Ii ~ '"'i\1 ~~, ~".\ \,.~\ \\\\ ; ,,\ }.,- ~ \\ J \ ; '.,;', \ 'l' ') ',U APPLICATION FOR BUILDING PERMIT '" J~.;) . ~ . ,\>~~ \. .---;. .-'\ ~ate ( L ~ ,200(, \~"\-- ~'C~~\..oU) INSTRUCTIONS .....Q'l'lNC'....') a 1S application MUST be completely filled in by typewriter or in mk and submitted to the Buildmg Inspector with 4 sets of plans, accurate plot plan to scale. Pee 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 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 other regulations 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. 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. >>~ 'I- (Signature of applicant or name, if a corporation) ,~8 # )t fJ llL'f1. L4";& ( l 0 " (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ameofownerofpremises Nl.c.-({-D<.--A-$ 1 ~ ~J' I . (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. '1:..1. Location ofland on which proposed work ,will be do I '0 /lI) Il-<-.A- '0 11 v..t House Number Street ~ County Tax Map No. 1000 Section I tl , Subdivision . (Name) 19.r 2.. Block Filed Map No, I . ..Lot.. y:o Lot ,"'. ..,.,.',;.' -istate existing use and occupancy of p~ses <ilnduintended. use and occupancy of proposed construction: a. Existing use and occupancy ~r 5,..\ ~~M, to ." . . b. Intended use and occupancy SuJlf'f>.f'#,,'~' ?Ela \ , 13. Nature of work (check which applicable): New Building Repair Removal Demolition Addition "~..~~:~P~.\. Alteration (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixeJ occupancy, specify nature and extent of each type of use. Depth 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO_ 13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_ \J.. . . ~t\-!>SIT)J'( (("'1. ~ Names of Owner of premises N;(,/f4/..A-5 ~1.v\.S Address ~ ~ l~ L...tuC Phone No. Sf ~-J tJ-. l.3 of.-> Name of Architect Address Phone No Name of Contractor Address Phone No. 'k.5. a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ -- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.e. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO V-- * 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 O~(C}- IV( q-fbHh ~L--U- S. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the tp (,v'~ I (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. 20~ )4~m' Notary Public BARBARA ANN RUDDER Notary Public, State of Now York No. 4855805 Qualified in Suflolk County.,.M/ _ Comml..lon !Kplrll "prIl14,~ SURVEY OF LOT # Cf MAP OF DCAPTAIN KIDD I$TATESD FILED JAN. 1'1, ICf4CI AS FILE # 1612 SITUATE. MATTITUCK INlET TOWN OF 5OlJTHOLD 5Uf9=OL.K COIJNTY, NY Iv ~*~ S SURVEYED 01-28-2005 SUFFOLK GOUNTY TAX # lobo - lOb - 1'- 40 CBRTJFIBDTO: NICHOLAS RAWS Sound Beach Drive UNDERWRITERS CERTIFICATE REQUIRED o,;pr1oit r'ovrJl"l(;lj ..-----.-- - m'-;;ottomcl-b'luffn _ _ _ - - - - - - - - - i\iS7030'OO'1f - - - - fOO~46' ~'~.;:;f ,- o.l~ o.~'W ~1.<;. I.>d. I Q.;!OW e ,,.,.,,., 0.1'" 0." CCU? ~~C"i Q\?\ o U~~~f~l USE \S ~ C~\?\1~f~C~ E, 6~~~~UF~"C'l 'Z ~ o \J\ ~ ~ ~ '" \]1, \J!, [J) ~ "'6 ~ 8 ti1 o AS NO~EO o9/b BP. _,"18 - OI>.TE: tJ,) BY' TlvIENT I>.T FEE: BUILOING DEP R FOR THE NO 8'" 10 4P 51802 ",V>. ON' ~~~LOWING INSPE~~O EQUIREO OUNOI>.TION - 1E 1. F POUREO CONCR UMBING FOR FRl>.lvIlNG & PL 2 ROUGH . 3. INSULI>.TlggNs1RUC1\ N lvIUS1 4. ~~I>.Z~lvIPLE1E FOR S~ alL MEE1THE CONSTRUC110N ODES OF NEW ~~QU\RElvIENTSNg~~is ONSIBLE ~~~ YORK SlI>.TE. SlRUC ION ERR . DESIGN OR CON "UWUWUIE[))U~ lilEl V" ENCLOSE POOL TO CODE UPON COMPLETIO!'l BEFORE "WATER , () ". " Cl> opf-I(OXlmote I l<-~\" , \~~ \ ~" \ p~1I0' ,/~ ,~~ ,.,,,, "-, St . \~'~ "- c;b~ I , , / / 'v "" "" . .-1-30- , , I ~ ." o' Q ;:~ L CODES OF COMPLY WIT~: OWN CODES NEW Yr'RESDT~~.~6 ~ NDITIONS Of AS REOI , - "-w'" ZQ~ .', SC~, r .'. ,,).11 - '.. . _..-.","',r.~Ojl,RD " !:,,.... ,'- ........... . SOu fhO,,, ,'I\I~ :p,~~, c:~ N.Y.S. DEe >( o , /' -_:t;~:'.f." ~ .\ 0 "' !/'rEN- crt> N.of'. c-oV~-- ------- _. \,S"S DEC.'" .. 0< , I~Q 5 :2&.3" 1:\ "2~ 205' IS' ~ 15.1' ~ " 2 S,ORI' fRAME r\OUSE lOA . ALL CONSTRUCTIO\'! ALL ~JJEET THE REQUIREMENT OF THE CODES Q~ NE)J)iYOflK :r ArE. .,tlc.,. \,..1. -- .~ 3' Q - ~ ., ., ~ ~~ ~ C -5 cr :) 00 "'~ ~ -Q. ~6 - .. ( I I i I Q. , .[ ~ " o ,.~. NOTES, ,). ~- :if., · MONUMENT fOUND A STAKE fOUND CTTTTTTI HEDGE AREA = 38,155 SF OR O.8q AGRES .~~ 'l.l'I.ut"Dru.~ ,HIT'I,on ar ,aa,han to, ,......., '.a anr.no, 1'"lnu. llnO lur..,ar", ...1 n I ..,aIIlU;ul at ..~tl.n 1200. 'uO-OI......n Z. Of tn' N...VDrkSt.lt(autll.onL..... 'Only...,.. 'r..tnICl'.g,nll 01 tn...un., .arkl..'tl> In ar,g,nll 0' t/'ll Unalur..,Or", 11...,.0."1 t""ll II .....'UrU 1.....1'. tru. caO'''- -Ctrt,lIcIlIanl inGle'Uln,rlanoi....,. tno\ Inn ........'.....n...IOlnICo"r..""....I"!n.... 'ItinO CelOI.r Pf"CI'CI rar l~na SUrv'YI .allllua P1 I~.,.... 'or~ But. .....on.t'pn 01 Pl"alullanll UnGSut'n,orl. Sllaurlll,nt,an'PlllIr""anly \a Ill, alrlan lar _hOl I~. ,ur..v " arlav,a. .na an ~'" P.~1I1 la t~1 hili ~O"ll.n,. gavlrllNn- l.l'grnC"nal.na'ng'n.litutlcnli.t.<ln.r..n....a 1<1 t~. '"ign''' alln. I.nalni .nn.I"II<ln.. t.rt,'.cl- lian.,r.nnlr.""llrlplllo'<la,l,a...l,nllllu'u.n. GRAPHIC SCALE ~ L_____-.J JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N. Y.S. we. NO. 50202 RIVERHEAD. N.Y. 11901 369-8288 Fax 369-8287 \\Hp server\f\pros\9S-29SJ.pro 1"= 40'