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HomeMy WebLinkAbout32213-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 06/27/07 No: Z-32435 THIS CERTIFIES that the building NEW DWELLING Location of Property: 50 TUTHILL (HOUSE NO.) County Tax Map No. 473889 Section 96 LA (STREET) Block 1 CUTCHOGUE (HAMLET) Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 2006 pursuant to which Building Permit No. 32213-Z dated JULY 17, 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR, & AS PER CONDITIONS OF ZBA #5487 DATED 4/8/2004. The certificate is issued to KELLY L KRUDOP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-05-0043 05/15/07 ELECTRICAL CERTIFICATE NO. 3015331 03/13/07 PLUMBERS CERTIFICATION DATED 06/26/07 ROBERT KRUDOP ~ 1-/';1/7_ /~e'~_ Au or~zed Slgnature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 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 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 I. 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. G/?C-( CT} Location of Propeliy: t/ 50 Old or Pre-existing Building: r:.,-/L,) I 1?J Street /~()cp 0e" Block ( check one) New Construction: Owner or Owners of Property: House No. kJl7 Suffolk County Tax Map No 1000, Section ~~~iJJ- O( Lot oCo Date.ofPermit. Filed Map. 7/)7/0& , I Underwriters Approval: Lot: rJ~ f~<6 Subdivision Permit No 3 9,(}.. \ ~ Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Applicant Signature Fee Submitted: $ ~'7:A7~5 Ca ~3o? tf 35 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. 32213 Z Date JULY 17, 2006 Permission is hereby granted to: KELLY L KRUDOP PO BOX 1042 MATTITUCK,NY 11952 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA APPROVAL WITH AVERAGE FRONT YARD SETBACK FOUNDATION LOCATION REQUIRED at premises located at 50 TUTHILL LA CUTCHOGUE County Tax Map No. 473889 Section 096 Block 0001 Lot No. 006 pursuant to application dated JULY 7, 2006 and approved by the Building Inspector to expire on JANUARY 17, 2008. Fee $ 607.80 ORIGINAL Rev. 5/8/02 l!I.l!I ~ BY THIS CERTIFICATE OF COMPLIANCE THE . 7(p I - I - ~ ~ I NEW YORK BOARD OF FIRE UNDERWRITERS I ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ ROBERT KRUDOP ROBERT KRUDOP ~ ~ 4650 OLE JULE LN 50 TUTHILL ROAD ~ I MATTITUCK, NY 11952 CUTCHOGUE, NY 11935 I ~ Located at 50 TUTHILL ROAD CUTCHOGUE, NY 11935 ~ ~ ~ ~ Application Number: 3015331 Certificate Number: 3015331 ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ 3;ld.t3 ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ I electrical devices and wiring, described below, located in/on the premises at: I ~ Basement, First Floor, Attached Garage, Outside, ~ il 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 13th Day of March, 2007. ~ ~ Name OTY Rate Rating Circuit Ix!ll: ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 1 0 Carbon Monoxide ~ ~ Sensor 6 0 Smoke ~ ~ Appliances and Accessories ~ ~ Range I 0 50 Amps ~ ~ Dish Washer 1 0 1.2 KW ~ ~ Exhaust Fan 1 0 F.H.P. ~ ~ Water Heater 1 0 4.5 KW ~ ~ Furnace 1 0 Oil ~ ~ Wiring and Devices ~ ~ Outlet 18 0 Fixture ~ ~ Fixture 5138 00 Incandescent ~ ~ Outlet General Purpose ~ ~ Receptacle 36 0 General Purpose ~ ~ Switch 17 0 General Purpose ~ ~ Receptacle 1 0 20 amp Laundry ~ ~ Receptacle 1 0 30 amp Dryer seal ~ ~ Receptacle 6 0 GFCI ~ I Continued on Next Page 1 of 2 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. I l!I~@ffi!~~l!I @]~~@] ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ il!Iii!il!Iii!il!Iii!ffi!Iiil~~@) ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ i Located at ~ Application Number: i Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I @]~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the appl ication of upon premises owned by ROBERT KRUDOP 4650 OLE JULE LN MATTITUCK, NY 11952 ROBERT KRUDOP 50 TUTHILL ROAD CUTCHOGUE, NY 11935 50 TUTHILL ROAD CUTCHOGUE, NY 11935 3015331 Certificate Number: 3015331 Block: Lot: Building Permi!: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Attached Garage, 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 13th Day of March,2007, Name OTY Rate Ratin. Circuit ~ Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: Meters: 1 150 cb seal 2 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, Town Hall, 53095 Main Road P.O. Box 1179 South old, New York 1197].0959 Fax (631) 765.9502 Telephone (631) 765.1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: z~ Cf) Building Permit No. 522-\~ Owner: W \ Ai ksu d'P (Please print) Plumber: ~~-:a~l I celiify that the solder used in the water supply system contains less than 2110 of 1% lead. before me thisQ.c.... LYNDA M BOHN NOTARY PUBUC. Slate of New York NO. 01 B06020932. Suffolk OoPmy Term Expires March 8,2OJJ.. ,... '. . .- APPEALS BOARD MEMBERS Ruth D. Oliva. Chairwoman Gerard P. Goehringer Lydia A Tortora Vincent Orlando J8DlCS Dinizio. Jr. Southold Thwn Hall 53095 Main Road P.O. Box 1179 Southold. NY 11971-0959 1el. (631) 765-1809 Fax (631) 765-9064 http://southoldtown.nonhfor~.nel BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF APRIL 8, 2004 ZBA #5486 and #5487 - ROBERT and KELLY L. KRUDOP Location of Property: 50, 170, and 250 Tuthill Lane, Cutchogue CTM Lots: 96-HI, 96-1-9 (to unmerge from CTM 96-1-8) Date of Public Hearings: March 18, 2004 PROPERTY FACTSlDESCRIPTION: The Applicants' property consists of a total (merged) area of 36,375 square feet, with 365 feel along the east side of Tuthill Road and 67.90 feet along C.R. 48 (alk/a Middle Road). The property is Improved with the fo/lowing: (a) one-stoly, single-family dwelling, (b) a detached one-story garage, and (e) one-story frame house, presently under reconstruction. RECEIVED 'I'-./_~ iJ .'~()"II'! ~5 3X)4 , tl 'Z;et(~~ So 014 ro.. a.1t BASIS OF APPLICATION: Article II, Section 100-26, based on the Building Inspector's November 17.2003 Notice of Disapproval, whIch stated thet the subject lot was as a result or mergers under Section 100-25 due to common ownership with the first lot at any time after July 1, 1983. APPLICANTS' REQUEST: Applicants request Lot Waivers to unmerge CTM Lot 6 and CTM Lot 9 from the remaining CTM Lot 8. FINDINGS OF FACT The Zoning Board of Appeals held public hearings on these applications on March 18, 2004, at which time wrltIen and oral evidence were presented. Based on all testimony, documentation, personal observations of members of the board, and other evidence, the Zoning Board finds the followIng facts to be true and relevant: REASONS FOR BQAREl ACTION. DESCRIBED BELOW: Based on the testimony presented, materials submitted and personal Inspection, the Board makes the following findIngs: 1. The title search, prepared by Tlcor TIUe Insurance Company dated January 20, 2004, Indicates that all three lots Were held In separate deeds by predecessors in title dating back to 1944. On June 15,2001. Sue Mason conveyed each lot Individually, as follows: CTMs 9 and 6 conveyed to Kelly L. Krudop and CTM 8 conveyed to Robert H. Krudop. 2. The Board receiVed testimony from the applicants and their attorney that the lots were purchased with the intention of building a Mure dwelling on each. As further evidence that the applicants had not intended to merge CTM Lots 6 and 9 with the remaining area (CTM 8), they point to many facts, Indudlng lack of drinking weter and that there was a concrete foundation remaining from a house that existed unUl about 1990, and an aC08ssory storage building which was in disrepair at the time of pUrchase on June 15, 2001. There also was an encroachment on CTM 9 of approximately four feet of the comer of the house. While planning to buIld a contractor's "'Page1-AptfI8, 2004 . ZBA Ref. 5488 end 5487 - R. end K. Krudop 1()()()"96-1-6,8 . . storage workshop on the existing foundation in 2001, the applicants obtained approvals to move the house to a more conforming location on CTM 8. During October 2003, the Town changed the zoning of the area from Light Industrial to R-40 Residential. Also, CTM 6 had a small bungalow on It, however the house was taken down when the County condemned a portion of the property for widening of County Road 46. 3. The waivers of merger for CTM 6 and CTM 9 will recognize the original lot lines shown on the deed recorded at L1ber 12126 page 510. The waivers will result In lots similar In size to lots In the Immediate neighborhood. CTM (vacant) Lot 6 consists of 9,334.08 square feet, and CTM (vacant) Lot 9 consists of 12,254.58 square feel CTM Lot 8 of 14,787.45 square feet will remain Improved with two dwelling structures and a detached accassory frame garage. 4. The waivers of merger will allow for the ultimate construction of two single-family residences in the neighborhood, one on CTM 6 and the other on CTM 9, which will not result in a slgnlflC8nt Increase In the density. 5. The waiver will avoid an economic hardship for the applicants and their family. 6. The waivers of merger will allow for construction of one single-family dwelling on the lots as originally conveyed, Which will not result In a significant Increase In the density of the neighborhood. There will be no need for significant change In its contours or slopes, and no evidence was presented to suggest that the lots would require filling affecting nearby environmental or flood arees, or 10 suggest that Its natural details, character, contours or slope would be slgnlficantiy altered In any manner. 7. In granting the waivers. the Board finds that the Interests of the town will be served because the applicants Intend to reconstruct a house on the property within the required setbacks for this zone, utilizing all ofthe current codes pertaining to fire, bUllcllng, sefety, and zoning codes that apply. RESOLUTION: On motion by Member Dinlzlo, seconded by Chairwoman Oliva, It was RESOLVED, to GRANT the lot waivers, as applied for. This actJon does not authorize or condona any current or future use, selback or other feature of the subject property that violates the Zoning COde, other than such uses, se1becks and other features as ere expressly addressed In this action. VOTE OF THE BOARD: AYES: Members Oliva (Chairwoman), Goehringer, Tortora, Orlando, and Dlnlzio. this Resolution was duly adopted (~ , ~ RUTH D. OLIVA, C~OMAN 513/04 Approved for Filing - -.---- 3 r;)-\ 3 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING P<ZFINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSlRlJCnON [ ] FIRE RESISTANT PENETRAnON REMARKS: r~ 4-d'/ c:......r:uK/ C~ eud;:-~~ ~ oil t1 ), \cKJ C , ( ~~~ ~~~k DATE }-Ib-o 7 INSPECTOR ~~ 3 (}-OL/ J Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION REMARKS: J- ~. tJk, [ ] ROUGH PLBG. M" INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION " DATE I -I' - () 1 INSPECTOR ~r~ ?J~),f~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~ING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] RRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRAnON RE~ARK;;~,: ,,( , ... , ( DATE I I II /0 7 I / INSPECTOR ]> (TOLl 3 :2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [Xi' FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~~ ~yt~. /I--fa -0' DATE INSPECTOR ~.~ 3r-~13 2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION r>4 FRAMING I STRAPPING [ ] FINAL - -- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ;J,;k ~ ~. ~~, DATE 1/,- J-.... 6' INSPECTOR ~~ )ra--/32- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. ~ FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~~, DATE / () ~ ;}fJ - 0 G INSPECTOR ~ ~ 3;t-d--13 Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION M FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING J STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMAlIKS: " DATE ID-/(,~ 0' INSPECTOR ~~ 1- ..". FIELD INSPECTION REPORT DATE I ItJ.fl -~Ib I~AL .1/ ~ .IV 1/. FOUNDATION (1ST) ------------------------------------ FOUNDATION (2ND) , , ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL r / /"/Ztk / / .4 a f 4 , '. 11- d'" "0 "LJ /J ,.. COMMENTS Co.- t]k 1;- ~ ~,. f W ~ . _' b f/ h ~ ~ v ~ V .. ~# ~ ~ A A.l( A :.z.. or ft .r _z, 'J/ KIF " v ..... S . \:) l"l v z J1',0- t\na.ll, 'i.JA,,~ A L~'''''' .h'>~ 9 roil." 'I'~V_~~ . d!-;/J (I ~"(//fJJU~M 0 (f I p--v., . v ,Vj '" . /L~ 11111 /1) 7 P-~ri/c. -;:-\ ~ II . I U'..#. / A ,J-., . . ~ ~ r;. rI ~~ , J n '" #'h'~'~ )'--- 1 7< (7/ / ~ / // II.~-D i1- h-o I-II,~(J 7 J ,..7J.d-;;~ ~ L. n-t7Jf\ ~ ' - A/1 IT /"-",,,'/71- ~ IJ K ..........A~~;t1 f: ~ ~ t"'1 ~ . 3/1 {" o'? ? _0 J.L. Ar-, .~(y:K A {;-.'{) c;? "..IH . j A ~ '11J~ "d > rf 1\6......- >-..2 4- II -1L.. P.J/ Ad 4. _ . v t '//> _~ ~jI...L Q" U.er \.1 .)- v, J..~ 7tO II /Vl4.. \~.4<:' 6 L U - 'v '< . ,ADDlTIONAL COMMENTS L~ / ^ "\ ~ ~ .~ - ~ 0 ::E ~~,. ~ ~ _)) /jLA . . -l"l I :>< - ..", ..J - , ~ o ~ - ~~ . 7J:::: o l"l . .\ E:; D~ VI:::: CJ 0 o ~ t:5 '" . PERMIT NO. ;J~;).\) ~ BUILDING PERMIT APPLICA nON CHECKL'ST 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: TOWN OF SOUTHOLD . -. BUILDING DEPAR'FMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoId! Examined Approved Disapproved ale 7 Mail to: JUN Phone: Expiration r:--. i ,.-..- ---....Jc./ Date ro /7 ! / I ,20~ i. .'.1 Tr"''''j ~' 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 of/ot 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. ~ - (Signature of applicant or name, if a corporation) 1;(,,\0 01... '"J;j, (11 /1c.-fldvci (Mailing address at applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder knx}op (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer Q~ WI; Name of owner of premises (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: '50 TlfIt.,JI W House Number Street {1.Je-LoJlf<-- Hamlet County Tax Map No. 1000 Section Subdivision qc, Block Of Filed Map No. (Name) Lot Lot 0(, , 2. State existing use and occupancy of premises and intended use and occupancy of proposed ct>lnstruction: a. Existing use and occupancy Q~~ Lo-t b. Intended use and occupancy /fCN~ / Addition Other Work Alteration 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost !oo.()()o + , (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars i / (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 ofe~~~tructures, 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 ne')' construction: Front & 0 Height II!) t ~ Number of Stories 9. Size oflot: Front (P<!>< ItfO Rear Rear '0 Depth 21- Depth 10. Date of Purchase M ::;eorJ... Name of Former Owner ~ II. Zone or use district in which premises are situated ~~cI..---l '- 12. Does proposed construction viol~y zoning law, ordinance or regulation? YES_NO 4 13. Will lot be re-graded? YES L NO_Will excess fill be removed from premises? YES _~';m_ 14. Names of Owner of premises ~\\1 ~ Address I.(r.n.> ()~ :...1..... Phone No. ZJ:i8'-7:?7 Name of Architect t;o........)~ 5.'~u ~ Address 1f<l 'Po.ka.. Phone No 3"'3' K'I I Name of Contractor pj..?iJl'-*:..r Address V~r~ct.- J"L... Phone No. J"It-7007 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_ * 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 OF ) Kdoe.~ t'\J~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the n -~ (Contractor, Agent~&rporate 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 thiy 7 day of YJ/j..i../ 20 (9 <P ~-'1d"~, C e"-UfJp-u otary Pu lie LINDA J COOPER NOTARY PUBLIC. State of New York NO. 01 C04822563. Suffolk Cou.Qt;t. '>r'11 Expires December 31. 20ur /"'" / ", /~ ""- ~ /rrVJ ~~, 1 , , ......~,~ "~ ,J ;;1: ""j II ....:1 "<" / ()'''''' ~. ~ A, / '/f~'/"60 , ", ~'V s / ~00'i; / /" .~<;1'2 / -g9c;:l., / () / a .~ 9- I 'fI.()f!' / 'f)01/it , -" ~OO / 0,1e:? JJ" " / g Y ~tv' / o~~~Q: , - /..,,< ."{ , \' 4 ~' ~ \>.,". " ('~ ~ ~ ", '), . 0, ~;~~,~ -I (11->.. '\ .'" 4' ~{,z .'" &(1(' <<f./>.,p J:\ . C~~e~ .. '>-<11',,-\> ~O -( 1:'0 . / ~..o .. <l Lj" SUFF~)COuN !': ARTMENT OE HML;;I~R'Jl PERMIT FOR ~PROV"', :1::<' ('(V'-;rni:CTlON (<'OUA ':::o&~~!~~;-QO~ I " -_..."....~_...~ . I FOR MAXA{U.'\1 0,. \ 1. j"! "'J"/(lOM'" - . ' "4--' "" ,..., ~, ,L,;t EXPIRES TllREf, YEM<i: fROM DATE OF APPROVAL I , , '.. .~ " , '", ~ , ~ '" <.. ,<::) g ~"~<.>",,, I(J ~ ~ U .\1:. "'" ~,;.~ ~ 95' <......i' ,0 ~v q Q 4.J (J & q: g;.... '" () .^'J ~ . ~ < '~ ""'~, " "" ~.. ~.,~---"., ; TEST HOLE DA 7:4 - - - -- '(TEST HOLE i OC p'ROVIDLlJ BY OWNER) ~{~ ~.... ''';' I , " / / / /, / I;-/.("L,~' "","","-,' j">".><,,, b.-...-'>------'T1 ":-' "~,"~" ~'\S~ \ S GREYlSH~\\\ll.tt . , BROWN l.OAMY <;ANO SI.l , B~SllrvSN-IOS'" , ~ J BROWN fll'<l TO COAASE SAND dl W\11-f lOX GfV.v[1 ">'1/ -i-- 10' I , 0<< '?/ ~ <5'/>0 + ~/ '" /0 <<f+ -;y..", .---;., (v D <f> <? s"s "v<. C.,p C", /Co Z( tz ':>' c.y,,-, V&I/('/-o/Q +<5'2'<5',,- it- '. "'/ "'/ (/"'+ tt.--'1l: ""- "", '~C'(' j _..!..L.., 8ROWN VINE TO COURSE <;/Il'Ifl SW ""0-", ""0 Os i:jS~ \2,::, " 7." o '00, S 1'"('1-; Je.c'f ~ ' s ~ , ' ; Q"C /~ /~- f.,/;J1l ! . /,. '. , .,.------'" (~::..-.~:':l "-dI "0 ~" ~~. ~, .. j,/ " " , '" '" QG ,i ~' \.~ "-- ., ~rESl H01f () 0). , 1\' '(0 /~ II' . ~ Q "Z=r=t ;:::... ,:.; 'f, ,;j /;' O' ~\.,(;, (C, ~ (;'. ., .~ i \.': " .f' .' '" (VS D "S "v<. /Cou" (Z/o'\( rlC Q ~7 "-\>; '() w () 1 " : () () ~ ^'~ " " C\; , '.. ~ ^'</ '-'l ('\ --..; " I-. , ." '.,. ~ ~ '; &) '-' " t)', \;,C) '(..", '" ,~ l( ~ --;;;;0] ! i I SURVEY OF PROPERTY SITUATED AT CUTCHOGU 1< TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK s.c. TAX No, 1000-96-01 -06 SCALE 1 "=20' FEBRUARY 26, 2001 ~v1ARCH 1~. 200~) /'>-,DDF U PR()~JU')U,' tjCJU'~)f \)I..J~~E ~), 2n()~) I~UD~['J fl:~) H()lt NQ}'~'::o' 1. MINIMUM 1 TANK; 2. MINIMUM 1 POOL; AREA = 9.334,08 sq. ft. 0.214 ac. OWN,ER<k APP!,!CANT ROBERT KRUDOP P.O. BOX 1042 MATTITUCK, N.Y. 11952 SEPTIC TANK CAPACITY IS 1,000 GALLONS 8' LONG. 4'-3" WIDE, 5'-7" DEEP LEACHING SYSTEM IS 300 sq ft SIDEWALL AREA. 12' DEEP. 8' dia. ,@ PROPOSED EXPANSION POOL PROPOSED LEACHING POOL r7 )'-,771 :;";,/;.j PROPOSED SEPTIC TANK 1. El.EVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELEVATIONS ARE SHOWN THUS: ",,",UTl1ORlllli >.LTEfl"-lION Of' -.DDmON TO rHlS SURVfY is A \IlQl..<,T1OI'I Of SECTION 7209 or Tl-![ NEW Y1)R!( STAn: FOUu..HOI'I lAW .~QPI[S 01 11;15 SUR\lF~ loIN' NOT BE......II'IC ~E '-"NO SUflVEY()fl'S INKED SEAL OR rwoosSflJ su,,- SHALl NOT BE COI'ISIDfRfD TO BE A vALlO TRUE COf"< C!:.RT'fiCAnol'lS II'IDOTlO H!:.RHlN 5H1I.L.. !(lit. ONL~ TO THE PERSON tOR WHO" 'HE SURVfY is PRfPARED. ......0 01'1 HIS BEHALF TO 'H[ TfTLE C[)l,lP......~, GOVERNt,l[NTAi- .oco<C,- ANl LHIDlNG INSTlTLI'TlON uSTUl HEREON. ......0 TO lHE .tSSlGI'IHS OF lHE LEI'tDING 11'IS11- f'Jno.. r,R'l1f!CAlT[)I'IS.....[ ~,TRAI'ISnRA8U. "'.Y.~} I L(. No ~U4bl Nathan Taft Corwin III Land Surveyor 'Hl lXISllNCl Of IlIGHl 01 WAYS AND/OR [ASDrol[NTS or RECORD, Ir ANY, NOT SHOW"l ARf NOT GUAIlANT[[D 992 Roanoke Avenue Riverhead, New York 11901 PHONE & FAX (631)369-5473 Tlmm:T.l g, 1:',<:;) Q;- ~3' 1fi ~:<: 0% f~~CJ ~ t:- a'i1 (;.';~ ;:; :qY <:> '< I.. <:;) IJ '<.J q; ~ ~ '" 0 ,"'5 ;: . ~ ~ 41.4 I I Iii! TEST HOLE DATA (TEST HOLE LOG PROVIDED BY OWNER) Gs-: ~/<l' ~ .Q?>OA~ <:;r~ 'Y.p ~ (u D;e. ~ S",S l1-e C>.p C>.p "'&. <<,r,v, t:--<t/7-tr O~+ <9(/(' G' <l'..f/ <J>..f/ "'+.. ~l; 6 ~o" "'~ ..p' .. .<)~~~%i " 0' BROWN SILTY I.!:Wr.l Of.. " GREYISH BROWN SILT "'L J' BROWN LOAN'f SAND SU " BROWN SILTY S\ND St.l BROWN FINE TO COARSE SNIO "4 WI1l-I 1m: GRAVEL SW ,,' BROWN FINE TO COURSE SAND S<< .:-.... 17' 41 :Q:' Pc; p~ (I> r;o!~ )' tIs. 'Q'~ '<v ZI(' -1.;>> l? ~l; <f> "'..;> ~O 0 4V Sl; 'f.o-l :..<1 ";>"'0 "':f.-/) (/ c /1:1 ff /1 Jii o 39.S'/ q~{;' ~ <::)0 O-y \;)":~ '<: v, .., fJ:: ~ g ~% O ~~ gj ~ ~ '" ~ ~ ""'Y ~ ~ o ,0 ~ ~ o (US",S D/1-. I>"/}<Itv. Vc G' ~l; "'~ / / / , 40.0 Q)' \jt SURVEY OF PROPERTY SITUA TED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-96-01-06 SCALE 1 "=20' FEBRUARY 26, 2001 MARCH 15. 2005 ADDED PROPOSED HOUSE JUNE 12, 2005 ADDED TEST HOLE JULY 5. 2006 REVISED PROPOSED HOUSE AREA = 9,334.08 sq. ft. 0.214 ee. OWNER &: APPLICANT: ROBERT KRUDOP P.O. BOX 1042 MATTITUCK, N.Y. 11952 NOTES: 1. MINIMUM SEPTIC TANK CAPACiTY is 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE. 6'-7" DEEP 2. MINIMUM LEACHiNG SYSTEM IS 300 sq ft SIDEWALL AREA. 1 POOL; 12' DEEP. 8' die. @ PROPOSED EXPANSION POOL @ PROPOSED LEACHING POOL ~ PROPOSED SEPTIC TANK 3. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 40.0 UNAUniORlZED At.TDATION OR ADDlT10N TOTliISSURIIEYISAVIOLA1JONOf SEC11C>>1 7209 a:" THE NEW YMK STATE EDUCATION lAW. COPIES or nus SUMY toW' NOT BrARlHG THE I.NolD SURYEYOR'S INI<ED SEAL OR El.I8OSSED Sf"AL SI-Wl. NOT BE CONSIDERED TO BE A VAUD "TRUE COP'(. CERTIF1CATlONS INDICATED HEREON stW..L RUN ONLY TO THE PERSON FOR WHOM TIiE SURVEY IS PMP..-Rm, >>fD ON HIS BDW..F TO l\iE ll11.E COMPANY, OOv'ERNMOOAL AGENC'I' ANO LENDlHC INSTYTUIlON usm> HEREON, AND TO THE ASSIGNEE3 Of TliE LD<<lING INsn- TUTlON. CEJmF1CAlJONS ..-RE NOT TRANSFElWllL N.Y.S. Uc. No. 50467 Nathan Taft Corwin III Land Surveyor THE EX~CE OF RIGHT or WAYS AND/OR EASDilENTS or RECORD. IF ANY. MOT SHOWN ARE MOT GUARANfErD. 992 Roanoke Avenue Riverhead, New York 11901 PHONE &: FAX (631 )369-5473 9- ~ ii" ~~~; 'f~~(; *;;.~~ (;.)~ ,OJ :!:IV <> Q. I.. \) tl '<J ~ !1 ~ \;: C> ,"') ~ . ~ ~ /, ~ jl.4 ~ ~ TEST HOLE DATA (TEST HOLE LOG PROVIDED BY OWNER) " BROWN SILTY L{W,l Ol " GREYISH BROWN SILT toll " BROWN u:w.rr SAND St.I " BIl'OWNSILTYSANO Sl.I " .4 BROWN flNE TO COARSE SNfD <l WITH lOX GAAVEL SW >e' aROWN FIN( TO COlJRSE s-.ND SW n' 1'0 I'Ii: (" f;o!-Z )' VS, ''/"/> <v <10 4.;>>, J? ~l'. <f> f'"" -1>0 0 I", Sl'. "1.0.../ :A ""f'f:) , ':t. /) , ~ 1\' <0 '~. (/ \.: (USf'S bf1,. "'U'//(/;v. Vo Q ~l'. f'~ ; >I .I ff '" /0 q :::-'0' ~ '\lw O.Y '0~~ '<;' '" Il-> it ""'" ~$ ~~ 4.; ~~ !if Q;j ~ ~ ~ ~ ~ ~ C> ,C> ~ . <V o "'-.. Q)" '\)'r I SURVEY OF PROPERTY '3d-d-:1~ SITUA TED AT CUTCHOGUE TOWN OF SOUTH OLD SUFFOLK COUNTY, NEW YORK S..c. TAX No. 1000-96-01-06 .~ r . SCALE 1"=20' FEBRUARY 26, 2001 ():Yt 2. 4 o\j) MARFH 15. 2005 ADDED PROPOSED HOUSE ,JUNE 12, 2005 ADDED TEST HOLE ._ ..; JULlY 5, 2006 REVISED PROPOSED HOUSE t'~iOL9 OCIDBER 21, 2006 FOUNDATION LOCATION AREA = 9,334.08 sq. It. 0.214 ee. OWNER &- APPLICANT, ROBERT KRUDOP P.O. BOX 1042 MATTITUCK, N.Y. 11952 NOTES, 1. MINIMUM SEPTIC TANK CAPACITY IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 2. MINIMUM LEACHING SYSTEM IS 300 sq It SIDEWALL AREA. 1 POOL; 12' DEEP, 8' die. @ PROPOSED EXPANSION POOL @ PROPOSED LEACHING POOL ~ PROPOSED SEPTIC TANK 3. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 4',' U~ZED ALTERATION OR AOOlTlON TOTliIS~lSAI/IOLATIONOF SECllON 72Oli1 OF lHE NO' YORK sT....rr I:DUCATlON LAW COPIES OF THIS su~ WI' NOT BEARING TH[~S~'SlNKEOSEALOfl OI9OSSED SEAL Stw..L NOT BE COHSlOtREO TO II[ A VAUO TRUE COPt' CERTlFlCATlONS INDICATED HEI'lEDH Sl-W..L RUN ONlY TO THE: PERSON FOR WHOtII THE: SlJRIIn IS PREPARED, AND ON ... BEtW..f ro THE mu: COWPltrHY, Q(MRNWENI"AL AGD<<:Y AHO L.ENOINC INS1TT\.mON LlSliD HEJl[ON, .IHO TO THE ASSIONEES Of'" THE LDlDlNG lt4STl- 'TUnoN. CERl'lF1CAllONS ARE NOT T'RN<ISF'ERAEU: Nathan Taft Corwin HI Land Surveyor THE EICISTENCE Of RIGHT or WAYS ...NO/Oft EASEWEHTS or Rl:CORD, Ir ANY, NOT SHOWN AM: NOT GUAItANTt'EO. 992 Roanoke Avenue Riverhead, New York 11901 PHONE & FAX (631)369-5473 ~ ~ ~ ~~ f~ ~~ ~ '-<.; ~ ~ /;; :: . ~ (Q cy <- " SUFFOlK COUNT'( DEPARTMENT OF HiO:>.LTH SERVICES APPRO'tAL CF C(jNSTF?!C~~?,\~~,?;Z::S fOR fl, S~i'JG~ F,\r.F:" -I ~-':.,::')::"il.i\:'-.,l: ~ -"' .' I f-' Date l1.A'Lll1OOl H.S 'J : .;:.~~; , ,.....' ".. ,~ '-,"'t)..:>1 t1~vl bcsn The se-..!a~a (l/~r;:~h; 2:'";0_ 'g:~:Si 2:":~'.,' ~:_.,:,,;, ,'-...'- IV,,~ . . - Inspected ~\1d!~~ c:'J:.:.:r. :/,::-::~ :::'~':.~'~'~I['~ .~~ .~'~~~ ,~"~:'::.~'~:!~~,cnj round to beaatIs1ectOr"i FO;.t A 1{~.lM0L.~-{:.:.:::::1._. 1,;..'.... .vUrt._.. ~~r~H1bert, ~~t' OlIice ofWastewalef Management s S~. S~, 00', (' " ",-O&, QS q,0<f 0" .....~~ ". "'" 00 i's C!~C' 0~ '1'<5' <€- ?l <V- <,/0...0 :.-0 "l'4'; :;Y<p :..--;<> "4'-? C'<p C'<p 0+t:><v- <5'1/<5'1/ .--.-' 1"& 1" /t: (~ fA!~~ Vo; ''/1> (Ie "l' I? 'tq/: .?>~ (''''/",,~O 0 Sl:;Y;~ 40 (J 0) 1\' (Q ~ ~ (/ ~ / iQ ~ 0 ~ ~(;:: O. Y (J": f!' 'X;' '"' ;l-> ~ ~ ~,$ ~~ 4; 0~ 9i -" 0- f! $ ~ ~ , , (J ,() &' ~ &) / Ci) '\fr SURVEY OF PROPERTY SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-96-01-06 SCALE 1 "=20' FEBRUARY 26, 2001 MARCH 15, 2005 ADDED PROPOSED HOUSE JUNE 12, 2005 ADDED TEST HOLE JULY 5, 2006 REVISED PROPOSED HOUSE OCTOBER 21, 2006 FOUNDATION LOCATION APRIL 28, 2007 FINAL SURVEY AREA = 9,334,08 sq. ft. 0.214 ac. r.._) ":.'; " --j OWNER: ROBERT KRUDOP - " C"; ,. I r'_J '-'--j {, __~, l SEPTIC SYSTEM TIE DISTANCES '~-i COVER HOUSE CORNER "A" "ROU~' CORNER "B" SEPTIC TANK OUTFLOW COVER CESSPOOL COVER 57' 14' 44' 26' UNAUlliORIZED AlTERATlON OR ADDlTlON TO THIS SURVEY IS A VIOLATION Of SECTION 7209 Cf" THE NEW YORK STATE EDLIC./l,T1QN LAW. N.Y.S. Lie. No. 50467 COPIES OF THIS SURVEY w.P OOT BEARING THELANOSU~'SINKEDSEALOR EJ,lOOSSED SEAL SHAlL NOT BE CONSIDERED TO BE II VAllO TRUE COPY'. CER'TlFlCATlOHS INDICATED HEREON SHAlL RUN ONLY TO T'HE PERSON FOR WHOM THE SUR\'EY IS PREPARED, AND ON HIS I3EI-W.F TO THE TInE COWPANY. GOVERNMENTAl.. AGENCY AND lDIQINC INSTm.mON LISTED HEREON, MID TO THE ASSIGHEES OF THE LLHOING INSTl- TUTlON. CERTlflCATlONS ARE NOT TR.IHSfERASL.E:. Nathan Taft Corwin III Land Surveyor THE EXISTENCE or RIGHT OF WAYS AND/OR EASE"ENTS or RECORD. IF "'NY, NOT SHOWN ARE ~T GUARANTEED. 992 Roanoke Avenue Riverhead, New York 11901 PHONE & FAX (631 )369 5473 , rUTHILLl