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Home My WebLink About32321-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 05/31/07 No: Z-32376 THIS CERTIFIES that the building DECK ADDITION Location of Property: 1605 (HOUSE NO.) County Tax Map No. 473889 Section 107 WESTVIEW DR (STREET) Block 7 MATTITUCK (HAMLET) Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 24, 2006 pursuant to which Building Permit No. 32321-Z dated AUGUST 28, 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 "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL J CONFUSIONE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A nh::t:!::::: Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~_.'2 ~ _&.Q r C). '-"":\ .>-J ~ V~ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, 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. !JII cf (!J 7 . New Construction: Old or Pre-existing Building: >( (check one) . Location of Property: [(PcG ~)C^~VleW DVl Mat'-hhACk.. House No. Street Hamlet Owner or Owners of Property: V\\ (CJAo:...e.J Lu n ~S I CI';' -e..- Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Applicant: Lot: Permit No.3 ~ 3;)...{ L-- Date of Permit. Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $d ~ ( {)D Final Celiificate: ( check one) C V-~~'>1~ ~ Applicant Signature a.a (j(JVC- 7:; & :23 C () ~o:23 7 (p James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE Date: Mav 29.2007 # 0205C THIS CERTIFIES that the construction of a 21 'x53' deck and the non-disturbance buffer landward of the bulkhead to remain. At 1605 West View Drive. Mattituck. New York Suffolk County Tax Map # 107-7-9 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 04/23/07 pursuant to which Trustees Permit # 4755 Dated 06/30/97. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for construction of a 21 'x53' deck and the non-disturbance buffer landward of the bulkhead to remain. The certificate is issued to Michael J. Confusione owner of the aforesaid property. J-- 5< ~ Authorized Signature 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. 32321 Z Date AUGUST 28, 2006 Permission is hereby granted to: MICHAEL J CONFUSIONE 1605 WESTVIEW DRIVE MATTITUCK,NY 11952 for : AS BUILT DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. FINAL TRUSTEE APPORVAL REQUIRED BEFORE CO 1605 WESTVIEW DR MATTI TUCK at premises located at County Tax Map No. 473889 Section 107 Block 0007 Lot No. 009 pursuant to application dated AUGUST 24, 2006 and approved by the Building Inspector to expire on FEBRUARY 28, 2008. Fee $ 457.80 Si nature ORIGINAL Rev. 5/8/02 NYSDEC ENVIRON PERMITS Fax:6314440360 Jul 13 2006 14:46 P.Ol New York State Department of Environmental Conservation Dlvialon of Envfronmental Pennite Rm 219, 8ulldlng 40~UNY Stony Brook. New York 11790-2366 Telephone (&18) 444.0366 FaealmU. (618) 444-0380 May 6, 1998 Ms. Maria Andriopoulos 43-10 Auburndale Lane Flu.bing, NY 11358 Re: .\ndriofoUI08 property 1605 Westv ew Drive Mattituck, NY 11952 DEe# 1-4738-01943/00001 L....'a OP IfOIf-JURISlDrC'l'rQ)l John p. Cahill ConvnItlloner Dear Ms. AndriopoUl08; Baaed on the information you haYe SUbmitte4, the New rork State oepartaent Qr Environmental conservation has determined that: The property lan4ward of the bulkhead greater than 100' in 18n9th. oonstructed ""ior to 9/20/77 as ehown on the aerial plloto dat..a April, 1976, i. beyond the jurisdiction ot Article 25. Therefore, in acoordanee with the current Tidal Wetland. Land Use Rsgul4tions (6HYCRR ~art 661) no P.~it i. required under the Tidal _etlanda Aot, Ple..e ba advisad, however, that no conetruction, Sedimentation, or disturbance Of any kind ..y take plaoe eeaward ot ths tidal ~etlands jurisdictional boUndary, as indicatad abov., without a permit. It is your responsibility to ensure that all necessary precaution. ara taken to prevent any e8diaentation or other alt.ration or disturbanc. to the ~d surtace or vegetation within Tidal Wetlands iuriediotion which mar result fr~ your projeot. Such preoautions ..Y InQlu~e maintain nq adequate ~ork area between the tidal vatl.nd jq~i.4ictional boundary and your >>ro~.~ IL... a 15' to 20' wid. construction area' or erectin9 · temporary fence, barrier, or hay bale berm. Please be furthsr advised that tbis letter do.. not relieve yOu of the reaPonaibili~y of Obtaining any necaeaary permits or approvals tr~ other agencies. ~ ..0: KPK/file r :!vans it Administrator Board Of Southold Town Trustees SOUTHOLO, NEW YORK 1.{7S'~' PERMIT NO. ...... .......)., .. DATE: ...Q.13P/97..... ISSUED TO .....M.AJUA. .hNP..RIO'P.QP.LO'S......... ~ut~ortzattnn ..........-.. 'p' .....,.............. Purwant to th. provisions of Chapter 615 of the Laws of the Stat. of New York. 1893; and Oapter ~ of the Laws of the State of New York 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and tM REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS fROM LANDS UNDER TOWN WATERS:" Ind in accordance with the Re50lution of The BOlrd adopted at a meeting held on ..6.1.25197... 19 .97.. and in consideration of the sum of $lSo.. 011.. paid by .... . ..MJ\.R.;1;~..AN.P.RIQPOU.I.q~................ ............. ..... of .....Mat.t1t:u.t.k................ ... ........ N. Y. .nd subject to. the Terms and Conditions lid.d on the reverse sid. hereof, of Southold Town T rU$tees authoriles and permits the fonowing: Wetland Permit to extend an exist. deck to a total of 221X25' add a 10'X22' addition to this deck, and ior an exist. 75' ret . wall and to maintain a 10' non-turf buffer landward of bullkhead' all in accordance with the detailed spec;ificatiOl'\S as presented in the originating application. IN WiTNESS WHEREOF, The said Board of Trudees here- by causes its Corporate 5..1 to be af~ix.d, and. th... presents to be subscribed by a majority of the said Board as of this date. ..c GenIrd P. Goetu'inF. Clairman Selie Do)'en James DinWo. Jr. Robert A. Vll1a Lydia A. Thrtora Soutbold 1bwn Hall S309S Main Road P.O. Box 1179 Sotuhold. New York 11971 F8x(S16) 76S. 1 823 Telephone (516) 76-'-1809 APPEALS BOARD MEMBERS BOARD OF APPEALs TOWN OF SOUTIiOLD FINDINGS, DELIBERATIONS AND DETERMINATION ADOPTED AT REGULAR MEETING OF FEB. 25. 1997 Appl. No. 4448 - MARIA ANDlUOPOULOS PARCEL 1000-107-7-9 STREET ADDRESS: 1605 Westview Drive. Mattituck, NY DATE OF PUBLIC HEARING: February S, 1997 ~INGS (PROPERTY FACTS): DESCRIPTION: Property is located in an R-40 Residential District. The lot is situated on the west side of Westvww Drive with 75 ft. frontage on Mattituck Ctl:'eek. It contains a total lot area of 11,761 sq. ft. and is improved whh a one-story frame dwelling (ref. survey dated Feb. 3, 1997). BASIS OF ~PEAL: Build;in~ Inspector's November 21, 1996 Notice of Disapproval, which .reads as follows: under Article XXln. Section 100-239.4. "propoeed construction is within 75 reet of an existing bulkhead, concrete wall, riprap or similar structure adjacent to a tidal water body. It RELlEF ~UESTED BY APPLICANT: To construct deck addition to a single-family dwelling as ah9wn on map sketched in :red ink by applicant, with a setback confirmed on 2/13/97 to be 52 feet (previously sketch indicated Pl'Opoaal at 48 reet on a rough sketch) to the "wood bulkhead along mean hi~h water." REASONS FOR BOARD ACTION. DESCRIBED BELOW: Grant of reUef as requested wnt produce an undesirable cbani8 in the gel\eral setbacks established in the neighborhood. .. Grant of alternative reUef will not pl'Oduce undesirable change or adverse effect in tb4l general character of neighborhood wh1cl1 would be similarly in line with others 1n the neighborhood of similar-sized lots. Benefit cannot be achieved without a variance because of nonconforming lot size, as wen as width and depth. Tho location as requested 1s not the minimwn. Relief requested is substant1a1, when weighed against the limited size of the property. Off-street perldng will be prOvided for vehicles by appUC8Jlt. RESOLUTION/ACTION: On motion by Member Tortora, seconded by Chairman Goehringer, it was RESOLVED. to DENY the relief requested by applicant between 48 and 52 feet, and to GRANT ALTDNATIVE B.ELIEF as described end conditioned ~ Page 2 - Appl. #4448 Decision aendered 2/25/'iJ7 Re: Mf!rill Andriopoulos 1. Condit:lonal alt.ernatlve relief for proposed open' deck construction shall be with the followin&' t .inbult SEltbac:ka: a) not closer than 13 teet to the northerly aide yard; b) not 010.81' than 55 ft. to most outward bulkhead (aloq me&D b1i'h water mark); c) side yard at tile northerly side must remain open (not be cloeed or obstructed). 2. No outsido sto~e of construction supplies or materials for more than 14 days at any time in the front yard. 3 . No steps sball protrude 1n to the slde yard area. ~. Members Goehrinpr. Dinizlo, Villa and Tortora (4-0). Member Doyen of Fishers Island was absent. ,. f~Q;.{j~ _.:_ }!E(fJ.. __ _____ Act1oru.. ZB/I077-9 '--- I,...,." ___ Ii'" ,...,-.-., -- ..\....,......r:.. :'.~....!" -. ........ _____, -..- .. ~,'.',.....- '; :'\i ,.... ~,,.L ....,.,.. , . .-.. .........l..'.)b~lt ! ~.--,-' ~c:.,~..__.: ~. ;. '::~~D_ I ., "7"-:> 3/ I . '. -, .~...;:~~.~~ I I .....<.... C. ~7 -'. i 1_... ~(..~~~ 3;~c> I ~ ::_ :~c.~,~ .:.;...,~.~. ,. ~. '~~-. I --- .....,.. l"..... I L--. --......:.-..::-....:.~.. c, .~:.",~.1(; I ------ .--.; ~.,...... .It. 1-1 1 .llIIi. ~, Albe... J. Krupski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel Town Hall S309S Main Road P.O. Box 1179 Soutbold, New York 11971 Telephone (.516) 765-1892 Fax (.516) 7~-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUI'HOLD ". Jun.e lOf 1997 Maria ~ndriopoulos 41-10 Auburndale Lane Plushing, NY 11358 Re: seTH 1107-7-9 Dear Ms. Andriopoulos, The following action was taken by the Board of "l:own Trustees during its regular meetilllJ held on June 25, 1991, regarding the above matter: WHE.RBAS, MARIA ANDlUOPOULOS, applied to the Southold -rown. Trus~ees for a pend t under the provisions of the wetland Ordinance of the Town. of Southold, application dated April 1.1., 1997, and, WHEREAS, said application was referred to the southold Town conservation Advls.ory CouncU for their findings and recOIIII.endations, and WHEREAS, a Public Hearing was held by the 'fawn -rrustees with respect to said applica:t.ion on June 25, 1997, at whi..cb time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in questi.on and the surrou!1C:U.,ng area, and, WHBREAS, the Board baa considered all the testi.mony and docwnentati.on suanitted conceming this appli.cat1.an., and, WHEllEAS 1 the structure complies with the s.tand~Td set -~orth in Chapter 97-18 of the Southol.d Town code, WP..l!:.REAS, the Board ball deteJ:mined that the project as. proposed will not affect the hea~thr safety and genera1 we~fare or the people of the town, NOW THEltBFOU BE IT # RESOLVED, that the Board of Trustees approves the application of MARIA ANDRIOPOULOS to extend an existing deck to a total of 22' X 25' and add a 10' X 22' extension onto this existing' deck and for an existinq 15' retaining wall, and maintain a 101 nan-turf buffer landward of oulkhead. BE IT FURTHER RESOLVED that this determination should not be cons1.dered a determination made for any other Department or Agency which may also have an application pending for the same or similar proj-ect. permi t to construct and complete project will expire two years from the date it is signed. Fees must be paid, :if applicable, and permit issued within six months of the date of this notifica.tion. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES~ None Very truly yours, aa~.~ ~ ~~~~I 9, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh Cle. DEe Dept. of State 3r-.3J--[ Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON I~'i:! 6b- ft.L ~ t~ DATE 1-;;--07 INSPECTOR ~~ ""'!!' -- ~.-'~->- '-.- .3 d-.3;f-l Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL A", [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION 1~~. ~ Dk, ~~~~~ DATE 3-(9-/"-01 INSPECTOR ~ ~ 3 J-3Q-1 L TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRlJCnON [ ] ROUGH PLBG. [ ] INSULATION ;Xi FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON REMARKS: ,. ~/~~~\~ J-IS-01 A~, - ~ DATE INSPECTOR /~ .. FIELD INSPECTION RJ1:PORT DATE COMMENTS ~~ \JJl':';j FOUNDATION (1ST) ~~ .~~ Nv:;t: ------------------------------------ I~ FOUNDATION (2ND) ~, It~ \. , ......Z .. " .~ ; . ~O ., ~. ~ ~~ . .,\: ROUGH FRAMING & PLUMBING - ~~ 1.\' ~ . ~= ~5 INSULATION PER N. Y. ~~ STATE ENERGY CODE ~. ~ - '3 ,..} S"-- 'J /1 '()~ A J\ .. ~ ~ bel ./t--~ ~~ ~" ~- , /A" l4--- -.. -fTIfJ "'~I> p~ W'"1A- ~'Ok./~ Of) ./" .J V , '-' . . " /I '" /7 J~ l /I 1'J,j... tJ7 /..17 . t/...".. d ;/1'\ "ou1 tit:- ~ ~ A JJ //VI} AI /7'Jr../1 FINAL ...-- \ - ^ ~,I~/IA 1-1- -?- -l 7 r--~ \l ~L') lA.l o-t ~ .- V \I . ADDmONAL COMMENTS ~ ;:-. ... 'ii/ ) lD . ~. ... m.. . :::0 . ~ ~ ~" ~l':';j "I ~~ , .. ~~. .- ~=a 4 0 Z - , = ~ ~ ':1 t:';l ~ ~ lc;oo-/()'7- IMP. .5'6 11 0 6/00 "0 ~ I' I) 0 '100 NEW FARM ''/'/0'<:) NORMAL Acre rillable 1 -iIIable 2 "iIIable 3 Voodland wamplond rush land louse Plot ~ ...., otal TOWN OF SOUTHOLD PROPERTY RECORD CARD )Jj- /1/ II' , VILLAGE )11t? t?: di"2'K: E tv.,':, "'lL t/"' ~'t.." ACR. 0.27S TYPE OF BUILDING l' a ;- y JIo tJ of ;:!-cJ n; e. DIST. SUB. LOT VL. Mkt. Value TOTAL DATE REMARKS BELOW Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD S- &.. ~'Z,jJ-::?,~ (, ~--o ) 1--- /6 () r DOCK 'It X /~). :: ~ /Ii 00 XIS? =-36 ~--~'---'._-'~..---<..--~--~----------------_.~--~--~~~- - -, } ~ I i r , I i , COLOR I , j II ! IIY~ -{.u'r4.1 - i ytOO~ , i 'J'fll;,aJor . -,.... ;"1 1 ..J /--~ , J.::, -::; * , .. . TRIM I . . """ , ~ '. 0J" , - (j j I ! i nrr~ y 1'-)' - .... I .. ", ,', .... :~,1" I : ,." ,.t it r U; x.... V 1~ I "'..:. . .~ , - LJ '"" ,kf i "I. y . -. ~,-_. ...."... ~ . ...-'~~_.-- r rJ. , - - -"'- .~....~ " ~....... -c--~-~>3~~~::" ~~_;~~-:~'_-~'"i= -~ ~ 1,/ ".:, ...... ~ --', .._x~- .,-... -. .. I !r~ P-cl. ~ .,....-..-:--... I~.. --~--~ .A - ,.. f. ftA; B4sC' r:;o 7)., I{ 5 "I' .. ylt~ ~~r " ~ ~6J.r I1>//'r-t J Ct',"~ilt J(<'6 Y 3(?) M. 3'1~:;"9:=9!.6) , Foundation Bath Dinette " ~~i ~r J..-6 X l<; ~~2t 1 /~ I U Basement Full Floors Oak' K. . Extension " Ext. Walls Woad) Interior Finish HJ()odl2 A(; It:., \ LRfAI ~ ~~r I Extension Fire Place (jne Heat gR, 1.J/~1 DR. })~,. '" i'X 'X /2 ~ 3J~ .~ yy G<t J Ie r Type Roof Rooms 1st Floor BR. . Porch Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway Driveway , i 1":1 #') ( .J I'FlO /1= 1tf jlZ . Garage 12.X 330 Patio ~.:POCI( Y1x I~ :- /2- ( .I-a -.1, / Total . I A. 17/ ~ VVl..I"-! , , r- ' :;.! ~ f c7 b f'~ "1< ;!""'-', -<:'\... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. ??-.?oJ;....~ ~ 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 Farm N.Y.S.D.E.C. Trustees Contact: Mail to: U,Lb Tofh 115 Jar Ob5 61 ~LL~ho/cL Phone:q136.;J02f1' ~ Examined Approved Disapproved ale 7 ~t.4 C. ,20_ 20 Y Expiration ,20_ APPLICATION FOR BUILDING PERMIT Date g/dlf f ,20& INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 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. 'f ~C)oJd ~ (Signature of applicant or name, corporation) W~sl~i2~ /lI7/ (Mailing addr ss of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~. n-h . Name of owner of premises . Y\Wc.1i0veJ S, to U Slo1J~ (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. Location ofland on which proposed work will be done: Ip()5 tAle Sf- v ,'(!,w f:0fl- House Number Street fVJa#,' ~ Hamlet County Tax Map No. 1000 Section IrJ1 Subdivision Block () 1 Filed Map No. Lot oCJ Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5~ ~ 1 jLtAU...J..1A1}'-1) b. IntendeduseandoccupanCY~ ~8. nU-R'f ~~~-L' 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work f?k/"r:S..f,.-/Y1 fk?flf' 00 }<, ~ (Description) 4. Estimated Cost $:3'5"00. 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 5 <6 I Height ~ o. ~ Number of Stories I Rear S f( I Depth C; I / 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 10. Date of Purchase i51 /1 /O,~ Rear I S I Depth Name of Former Ownerlt\t1A I;' .~c1rIO~Ot((OJ ~ - 4-0 (~31 9. Size oflot: Front 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO X 13. Will lot be re-graded? YES _ Nofkwill excess fill be removed from premises? YES_NO_ 14. Names of Owner of premiseiNr\ it .\Vlfl (fit) ~i ."i.1\ddress IIb."- u.k'hill.J/)~~ne No..sg>(-' ~'{f.(p Name of Architect (1}.rlStopnea. Stre.S'? Address Po fy;Y:fZ( JQmlfp:>r.f- Phone No 7;)~ ~ 73G;~ Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V NO _ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT~A Y BE 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) Q r r, . . SS: COUNTY OF~ \l ( C_kl -r;;~ being duly sworn, deposes and says that (s)he is the applicant (Name of indivIdual signing contract) above named, (S)He is the Il Own~ (C tractor, 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. tPJe~~~ 20& Notary Public .~.&~ renn to.-...Ot t1 /0 V~y ;;;f^'- Signature of Applicant LM: SURVEY VIEW: SURVEY TITLE NO. Certification. Indicated hereon signify that thl. plot of the hsreon described property Is a true ond correct repre.entatlon of a recent .urvey made and platted under my dIrection In accordance wIth the existing Code of Practice for land Surveyors by the New York State As.oc/atlon of Prof.../onal land Surveyors. Sold Certification. sholl run only to the pereon for whom the Burvey Is prepared and on their behelf to the title company, govemmental ogency and lendIng In.tltutlon listed hereon. This certltlcatlan Is only for the lands a. described hereon, It's not a certification of t/tl.. zonIng or freedom from encumbronce.. Certifications ore not transferable to addItional InstItutions or subsequent owner.. \ ).. ~ ~ a: o ).. a: ~ \ ~ MONUMENT FOUND 456.14' ---0--- 381.14' \ , , --~ ~ \~~ \01 ~ '.B \E ~\ '11 \oo.~, 0 \ tTl~ \ 0 - ':'j -' WEST VIEW DRIVE S 11-1 7'20" E 75.00' - -- TAX LOT 8 ~ +I~ .. ~ (\.I ~~ ~ J: Cl i W~ o t < o~ .~ .. -l (\.I~ :to CX)1- ". to ICI ZIci It) .... !ol iii I'l 22.5' io GARAGE .0 "'"Rio o 11.9' ~ ~ I~ I Q:; +I PAVT ~.. 0.3'S tt) .-ffico ~ ~ .... ~ ~ <( Q. J: Cl l/) i :> o ~ ~ ~ ~ 0 a.'" ~ t PAVT J: 0 L~E :s . I~ ~ 10 :t I~ CX) I~ ~ MONUMENT FOUND TAX LOT 10 23.9' io ui N 1 STORY FRAME DWELLING NO. 1605 58.3' 53' MAS O.S'S I '3.4' I- WOOD DECK N .. MONUMENT FOUND WOOD WAll WOOD ..J ..J ~ WAll O.l'N \ BULKHEAD .II HIGH WATER MARl< - - ciioiiw. ffiGH WAtER.....ARk - - - 75':1: :.: o o o C> Z i= <( o Ii t>A" 1'1'\1'uCt< cf\E.E.t< The offsets or djmen~lions shown from structures to the property lines ore for 0 specific purpose ond use, ond therefore, ore not Intended to guide In the erection of fences, retoining walls, pools. potlos, plonting oreos, odditions to buildings and any other construction. Subsurface and environmental conditions were not examined or considered os 0 port of this survey. Eo..ment., RIghts-of Way of Record, If any, not shown. Property corner monuments were not placed Os 0 port of this survey. ~ Barrett, Bonacci ~ & Van Wee Ie, P.C. CIVIL ENGINEERS/SURVEYORS/PLANNERS 175A Commerce Drive, Hauppauge, NY 11788 TEL 631/435-1111 FAX 631/435-1022 www.bbvpc.com BLOCK DESCRIBED PROPERTY SITUATED AT: MATTlTUCK, TOWN OF SOUTHOLD FILED: --- NO. CO. SUFFOLK CERTIFIED TO: C> 2005 B.B.V, P.c. MICHAEL J. CONFUS/ONE MARA THON ABSTRACT SERVICES, INC. LAWYERS TITLE INSURANCE CORPORATION HSBC MORTGAGE CORPORATION (USA) OIST. 1000 SEC. 107 BLK. 7 LOT 9 LOT MAP OF: REVISIONS: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA- TION LAW. DECK OFFSETS a/UI/OIS (AVR) SURVEY NOT UPOA TtD REIIlSEO DECK OFFSETS 8/'IS/De (AVR) /fi~ , COPIES OF THIS SURVEY MAP NOT BEARINO THE l.AND SUR- VEYOR'S SIONA TURE AND EM- BOSSED SEAl. SHAl.l. NOT BE CONSIDERED II VALlO TRUE COPY. DR. J.C.M. CH. W.J.B. SCALE: 1" = 30' OA TE: SEPT. 28, 2005 JOB NO. A051281 wg . g,