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Home My WebLink About32478-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 05/15/07 No: Z-32355 THIS CERTIFIES that the building SUNROOM ADDITION Location of Property: 3420 STARS (HOUSE NO.) County Tax Map No. 473889 Section 22 RD (STREET) Block 2 EAST MARION (HAMLET) Lot 18 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 2006 pursuant to which Building Permit No. 32478-Z dated NOVEMBER 8, 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 SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5954 DATED 10/05/06. The certificate is issued to FRANK J ORITO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 125196 02/25/07 PLUMBERS CERTIFICATION DATED N/A , ~~e Rev. 1/81 / . Form No.6 ~.., 0 TOWN OF SOUTHOLD ~, BUILDING DEPARTMENT \}J-:- () TOWN HALL oJ-X- 765-1802 \ ~ Wi- \ , 'k\ ..APPLICATION FOR CERTIFICATE OF OCCUPANCY Thi~-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 2/1 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 propeliy 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 Celiificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees L Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $2500. Swimming pool $25.00, Accessory buiiding $25.00, Additions to accessory building $25.00, Businc"cs $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 Celiificatc of Occupancy - Residential $15.00, Commercial $15.00 New Construction: /'//'(5 u ".JltCO~0 V _._ Old or Pre-existing Building: (check one) '='"0 "f'm"MY ;7'otfg, Sm-s 0_ ~. JJ~ !j (,/1/;7- Owner or Owners of Property: ------L~f:-- ~U .~IOCk---d--::_--__ _-_- -- ----_1" ---- Suffolk County Tal' Map No 1000, Section _... t9" ~ Lot 'b Date. Subdivision Permit No. 3.d-.~1'i =_ -~"te n; Penlttt . ______ Filed Map. _ Lot: _ Applicant:_ Health Dept. Approval: ____ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate _ Fee Submitted: $ ~S-tt Final Celiificate: (check one) ~.ldS 'J? C.O~ 3J355 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. 32478 Z Date NOVEMBER 8, 2006 permission is hereby granted to: FRANK J ORITO 3420 STARS RD E MARION,NY 11957 for : SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA DECISION #5954 at premises located at 3420 STARS RD EAST MARION County Tax Map No. 473889 Section 022 Block 0002 Lot No. 018 pursuant to application dated NOVEMBER 1, 2006 and approved by the Building Inspector to expire on MAY 8, 2008. Fee $ 150.00 ?~A-~ C~ . Author~zed S~gnature ORIGINAL Rev. 5/8/02 LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. \JW. \ A 'l 670 MIDDLE COUNTRY ROAD ST. JAMES, NEW YORK 11780 (631) 265-3075 " Fax (631) 265-6057 Application No.: Permit Number: Block: "'J.- Section J':>-- 125196 32478 Lot: I ~ Owner: Orito Residence Address: 3420 Stars Road Municipality: East Marion OwnerPhone Agent: Address: North Country Electric Corp 275 Main Street East Setauket NY 11733 NY License#: nee Agent No. ITEM SIZE No. ITEM SIZE No. ITEM SIZE 3 Switches: 0 SubFeeds: 0 PoolsAbvBlo: 1 Receptacles: 0 Timers: 0 PoolslnGround: 3 GFCI Devices: 0 Transformers: 0 Pools Filter: 0 Dimmers: 0 ACEqulpmentCentral: 0 Pools Lights: 1 MediumBaseFlxtures: 0 ACEqulpmenlWlndow 0 CO Detectors: 0 FluroescentFlxtures: 0 MotorsbyHP: 0 Disposal: 0 HID: 0 Generators: 0 Metal Halide Lamps: 0 RangeOvenCookTop: 1 WhlrlpoolHotTub: 50 A 0 RefrlgUnlts: 0 DryerElectrlc: 0 Microwave: 0 WalklnBox: 0 ExhaustFans: 0 WaterHeaterElectrlc: 0 ExhaustUnit: 1 CelllngFans: 0 SmokeDetectors: 0 SteamShower: 0 OW: 0 TrackLlghtlngStrlp: 0 BreadWarmers: 0 Laundry: 0 ElectricHeat: 0 GarbageDlsp: 0 HeatlngEqulpMolors: 0 PumpMotor: 0 CentralVac: 0 ExitSigns: 1 Disconnects: 60A 0 ChandellerLlfts: 0 EmergencySlgns: 0 FutureOutlets: 0 ElevalorLlfts: LOCATION OF WORK: D Basemen ~ FirstFloor D SecondFloo ~ Oulslde ~ Addition D Survey o New Const. Comments Sunroom with Hot Tub Wiring 20/40A GFCI Breakers f Additions OH [] UG LJ Amp: Phase: 1 Volts: WireType: Conductor # Meters: Member /.A.E./. Issued to Electrical Certificate LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. THIS CERTIFIES THAT OUR L CAL ISTRICT INSPECTOR CONDUCTED AN INSP VISIBLE PORTION OF TH E CTRI INSTALLATION DESC ED EREI iO.N IS COMPLIANT WITH T CUR ENT TI NAL ELECTRICAL CO Certificate No. 125196 Certificate Issued on: 2/25/2007 East Marion NY Address: Orito Residence 3420 Stars Road North Country Electric Corp 275 Main Street East Setauket NY 11733 .- . ~ APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 . Fax (631) 765-9064 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 Cat Youngs Avenue) Southold, NY 11971 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF OCTOBER 5, 2006 ZB File No. 5954 - Frank Orito Property Location: 2420 Stars Road, East Marion CTM 22-2-18 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 20,459 square foot parcel is improved with a single- family, two-story dwelling with garage, as shown on the January 14, 2002 survey prepared by Joseph A. Ingegno, amended September 21,2005. BASIS OF APPLICATION: Request for a Variance under Section 100-244, based on the Building Inspector's June 9, 2006 Notice of Disapproval concerning a proposed addition to the existing dwelling which will be less than 50 feet from the rear lot line. The Notice of Disapproval states that the addition will be approximately 30 feet from the rear yard lot line. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on September 28, 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 applicant wishes to add an unheated, one-story 12' x 16' glass and screen sun room addition in a location 31 feet from the rear property line. 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 applicant wishes to construct a glass and screen sunroom which will be located at the southeast side of the dwelling in the vicinity of an existing deck. The setback of the new construction is requested at 31 feet from the rear lot line, which is slightly greater than the nonconforming setback of the dwelling that exists. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance because the house has been existing with a 30 ft. rear yard setback since it was built, and an expansion of a nonconforming setback may not be obtained without a variance. 3. The variance granted herein is not substantial. Construction of a sunroom wili not decrease the existing , " Page 2 - October 5, 2006 ZB File No. 5954 - Frank Orito CTM No. 22-2-18 30-foot rear setback, although it will extend the house on one side, where a small entry and the owner's garden are now. The remaining side yard will be substantially greater than the code minimum requirement of 20 feet. 4. The difficulty has been self-created in that the originai building was built with a 30 ft. rear yard setback. 5. No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The lot coverage is noted at less than 18.5 percent for all building area, and the sunroom will be a single-story unheated addition replacing an outside step area. 6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a glass and screen enclosed sunroom, 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 Chairwoman Oliva, and duly carried, to GRANT the variance as applied for, as shown on site and construction diagrams prepared 4/17/06 by John A. Barbiere Architects & Associates, A.IA 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. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Baard: Ayes: Members Oliva (Chairwoman), Goehringer, Dinizia, Simon. Absent was Member Weisman. This Resalution was duly ada~4-0). ( I ' JJ, .-rl2) {J. &~. Ruth D. Oliva 10/30/06 Approved far Filing JAB DESIGNS, INC. JOHN A. BARBIERE, ARCHITECT & ASSOCIATES, A.IA April 10, 2007 Town of Southold Office of the Building Department P.O. Box 1179 Southold, New York 11971 Re: Orito Residence 3420 Star Road East Marion, N.Y. Permit # 32478Z Job # 2006-37 - Redwin Industries Attention: Mr. George Gillen Upon reviewing the project at 3420 Star Road, East Marion, Southold, N.Y. the footings were poured on virgin soil, part of the foundation actually exceeded the required depth, and the concrete strength was 3500 P.S.I. The framing meets the current wind loads for the structure. The structure is built according to the New York State building codes, and was built according to the approved plans. If you have any questions or additional comments, please contact Thomas Trifaro at 631-567-1307 @ John Barbi chitects. PISTilLI METRO CENTER 70 GLEN STREET, SUITE 104, GLEN COVE, NY 11542 TEL. 516/676-1109 FAX. 516/676-9538 '--~--'_._..__._--_._..._- tl/O!ft.CllER WEfI,1lER "', .,. ~% ,.~ \09.\3' f!ff.,pl. '. " . :~. .~,.:.. "- <J> ~ q '" ~ o 0, ""' ...,.. r f\ 0'0 .:.'. VJ." . . "1' 0 . r-:J "',. i~ . ~:.! ot!'J. .. (fl.::. " !!J.O' _ -- ;. aT @ . , OHdd~' ~o ".,. \06.2!>' 0" '+I ....5' 78'~6'~ @ t: \~ LoT I." t '~ '- ~ 0 '"' ~ -z ~ r, '0 \0 ~ '\ Ul ~ ~<:. "tI0 . '-.. ..;'" c: t- t- '"' ~ <D o '0 "'. SURVEY OF LOT 25 MAP OF STARS MANOR FILE No. 3864 FILED SEPTEMBER 19. 1963 SITUATED AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-22-02-18 SCALE ,"=40' JANUARY '4, 2002 OCTOBER 7, 2003 ADDED PROPOSED HOUSE APRIL 1, 2004 REVISED PROPOSED HOUSE JULY 13, 2004 FOUNDATION LOCATION SEPTEMBER 21, 2005 FINAL SURVEY AREA = 20,459.03 sq. fl. 0.470 ce. CERTIFIED TO.' FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK UTOPIA ABSTRACT FRANK ORITO ) ~l I " IJfoWJ1liORIlaJ ALTERATION OR .-.oomOH TO TliIS SlMYEY 15 A WllATlON OF SEC1ION 7209 (F THE NEW YORK STATE El>l.iCATIOtII LAW CCf'1ES Of MS SUIM.Y IIW' t<<rr BEARING THE l.ANO SlJR'4"l'OR's lNl([l) SEAl OR EW90SSED SEAl StW.l NOT BE CONSIDERED TOBEA\(ALI)lRlJECOP"t'. CBrnFlCAnoHS lHDlC4TED ~ON stw..l RUN ONlY TO THE PERSON FOR WHOW THE: SURVEY IS PREPAAW, AND OH HIS 8EtWF TO THE lTTlE COWPNN, ~AlJ/DDfC'f ~ lDIOINO IoISTlTlIOOH USlED I-OEON. ~ TO THE ASSIGNEEs Of' THE L.ENllNG 1NSTl- l1JTlOt,j. CER'TlfICAlIQoIS NfE NOT TRNlSFERIa.E THE EXISTENCE Of RIGHT or WAYS AND/OR EAS[WENTS Of RECORD. If ANY, NOT SHOWN ARE NOT GUAlWlTEEO. N.Y.S. lie. No. 49668 JoSeph A. Ingegno Land Surveyor r.tle SUI'YfIyS - Subdivisions - Site Pions _ ComstnJction Layout PHONE (631)727-2090 Fax (631)727-1727 ......., AIXJRE5S P.O. Box 1931 Riverheod. New York 11901-0965 OFFICES L~IDJ AT 322 ROANOKE Al/ENUE Rtv'ERHEAD. New York 11901 3 2--Y:7 r-t:-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] I~ULATION [ q-FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON cc INSPECTOR }~~7rf'c TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ARKs:$d Jr'~ R#:7 ~~ o;e , ~ /~M) kX d /'0 , ~ ::r: ~~~~n-: DATE INSPECTOR 3 ct--4-1 ~ z. - . TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING D(FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION 1:,71. -q.- ~. ~~~~ ~~ ~~~1;j INSPECTOR ~ ~ REMARKS: DATE 3 -- ()-I "'-0 1 ') y'fl D 1:; TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 NSPECTION [ OUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMAR'-'. .~. P, f~ p~.< DATE INSPECTOR ... J ... , FOUNDATION (1ST) COMMENTS \f' v;;:J -'-~ ~..., "" ~~ J\ S~ .., FIELD INSPECTION REPORT ------------------------------------- FOUNDATION (2ND) 5~ ROUGH FRAMING & PLUMBING '" ..., \)J[;; -L-i"l ..., cJ ~ '"' > V' INSULATION PER N. Y. STATE ENERGY CODE == ~~ ~i"l ..., 3~:i.:I-o -, (1\ ~ ~ ~. FINAL ADDITIONAL COMMENTS CJ ~ \ ~ -)hI7_=--a_~~L ~ -~~r ~- -->7J-. I<..- ~~__ __ L __ '7 ~,. P'~ ~ L: ~ifl=~-..4>t:6:~__ -4=~~.L--G_- .. .. ../ #(>/ ~.-;: k. .~c-~ u o :iE \1~ ""\ 0,. ;;:0 ~ 11\. ~ '. ... ~. ~ ~g 2: ...~ 7[;i ~ ~== ~ i"l ... ~ .-1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN lJALL- SOUTHOLD, NY 1197J. TEL: (631) 765-18,ll2 FAX: (631) 765-9502 www.northfork.net/Southoldl PERMIT NO. 3'J.-'f700 BUILDING PERMIT APPLICATION 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: Examined Approved Disapproved ale , ~.l')A.,i; ,-.'(1 ,:'; 1'\"- ",Ocr. Mail to: 1's( , 20~ Phone: 51e> -; - S ~ 1-2- Expiration f~_ Building Inspector " APPLICATION FOR BUILDING PERMIT \ INSTRUCTIONS. . ..: f1 ..J a. This applicationMtJs1cbe completely fIlled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ~accurate plot plan to scale. Fee according to sch.edule. . 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance ofa 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, hous~ode, and regulations, and to admit authorized inspectors on premises and in bnilding for necessary inSpection~ ~d~-"'- ""'" Z-#'C.. NGl8ry~LAIf'New'M ~ , No.OIAl6l2233D (Signature Q~.ti.fi8d In Suffolk eo.:~m 5Ia/ol., :JU ~ 5 ()(,p Date ,20_ /(,01" A~cJ..#9""~ .4,.,. ~~)..q (Mailing address of app !Cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder +lDM'" j;HFRoViM~,;f LlJ41r~~c:'k:e. Name of owner of premises (};e J7D fi..,qJV){ ~"l/OCl . -riiU-'l (As on the tax roll or latest deed) If ap~t .!J a co r' 1y8~ature of duly' t'frized officer ;7{ Ilk - . ~,...c./ (Name title of corporate officer) Builders License No.ID"~ H:L (.rIlFrfJt.1! t!1\/ 4"'1~ TMPI<'~~f,.f1';JIl-r) . . Plumbers LIcense No. Electricians License No. Other Trade's License No. I. Loc tion of land on which proposed work will be done: 211 IU House Number Street If.... . County Tax Map No. 1000 Subdivision ..::i'T.MS (Name) Section ~2.: .&.-IB M ~lIIdA!. Block ~ . Filed Map No..:J 8 i4 tJ. Lot Lot /8 2,5 2. State existing use and occupancy of premises and intended use and occupancy of pr,oposed construction: a. Existing use and occupancY' ' ~';1' ~~ ~ /jp II " b. Intended use and occupancy ~:~ _1t/~.LIlI~P }tel<''''''/ A '1"1( ~N/f:; cSi/N ?ad'" "'htJ1J..T' -ro VILDIN t.!1JJ>'/i 3. Nature of work (check which applicable): New Building Addition ~ Alteration Repair Removal Demolition Other Work 4. Estimated Cost Jb/~~o (Description) 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 mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth , Height Number of Stories 8. Dimensions of entire new construction: Front fIt::fI' /-st Height 'f' J Q 7' Number of Stories I , I / 9a Rear 19-0 Rear Depth ~/Jf 9. Size oflot: Front Depth J lDb.2-3 . 10. Date of Purchase 13. Will lot be re-graded? YES ,NO V Will excess fill be removed from premises? YES NO OR,(&. ft~}J1< ~v: ~vsr -a e.r}RIt../J - I D3 14. Names of Owner of premises J Address3-'l." srl41t' .("'D, ~0J}f No.6J 1- '1..,7- tJ,. Name of Architectlt..Pt.s/~JII AddrJ/s.~BflW.iA1' 1"10"" ~ne N~3/~~7' I 'JD1 Name ofContractor2~DIoII^, 1."'0. Addressl(,D11 . -;t~Phone No.~/-S' 1-S571 /!kI ~""/fI. . 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ........- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 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: COUNTYOF~ ~.:.... being duly sworn, deposes and says that (s)he is the applicant (Name of' dividual signing contract) above named, (S)He is the twL'" AI.IBt IIolIry Public, ~!,te oI"ew 'illlll N, .(\L61-~"30 aualt1<e~ ir ~ultolk County rA 'ssion Upues Feb. 7, 20",",,-', S/3/0..6 . '\. ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD Ol. tJo J. M .... J' .2. STREET 3 J+a..,..! .' N VILLAGE DIST. LOT # ;;;".5-- 'W,4.-v )f;) aA::.,~ )" I .- if ~J :3 E ACR. S I TYPE OF BUILDING V4M> W )oJ J "S RES. .'2-1 'D SEAS. LAND IMP. no I 0 0 300 I '3.00 AGE NEW FARM Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total VL~ TOTAL FARM COMM. CB. MISe. Mkt. Value ;) 5 oc> PM'.. DATE REMARKS , . .L Jl} S-tJ (} NORMAL BELOW ABOVE Acre Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD h - r;, 8 e . ~ - - /3 SO J/-'//) DOCK J,O?,ZJ" /Cur d.~vlLL<)j cC !/i:;z00) 600 ~~ 3g)o III z.cP4) .~~~g. . 3~ d:;7 f. sa. A.o. _\ .~ Extension \.J , Extensi~ \202- h~ ",\Au<;' 72.! ~ I."" Extension , \ Porch +11>0 Porch .~ , \ to , i()o . Breezeway Goroge Patio It ~ ~ p.-.{ O\t:w.-<;. , ,liE ~fr<. SQoT Total COLOR A Zw Co.\c"'~OI...o"" \'.1" -~ ,.- ~ I' 7 b 1.tIt:> 4,,,,, ,,1::.4 j TRIM % .1 lD ' I 1\ \.k'; I h nl _ ,\ 'C) <'01'- 111- \' .-, \.l- 'k , C:S'S11o Foundation O,~. Both 3/2-, Dinette Bosement W Floors K, / 27" e:;-. Ext. Walls \N~\ "11> Q Interior Finish LR, / , 1/ Fire Place '1es Heat DR. Type Roof Rooms 1 st Floor BR. I 2ffi Recreation Roon Rooms 2nd Floo FIN, B, Dormer ~e. \ (, Driveway b..w / ~8q \~~ / . \~~-\- I 401:> ~ ,~ 3> .() / T