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Home My WebLink About31931-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32611 Date: 09/20/07 THIS CERTIFIES that the building GARAGE ADDITION Location of Property: 710 WEST (HOUSE NO.) County Tax Map No. 473889 Section 80 SHORE DR (STREET) B10ck 1 SOUTHOLD (HAMLET) Lot 46.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fi1ed in tbis office dated APRIL 20, 2006 pursuant to whicb Bui1ding Permit No. 31931-Z dated APRIL 21, 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 GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR, AND AS PER CONDITIONS OF ZBA #5786 DATED DEC. 1, 2005. The certificate is issued to ALEXANDER & PATRICIA SZNURKOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR'nmNT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3001708 09/15/06 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEl' ARTMENT "~'_ TOWN HALL II~^ @rc;R:--- 765-1802 ~!Il'r; 2..'<: " 1!7 [~ In. APPLICATION FOR CERTIFICATE OF 0; ~' ANCi120 '& . This application must be filled in by typewrIter or ink and submitted to the BU~ij)Z~""T~P' ') fOllting: A. For new building or new use: . '__' I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead, 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building, 6. Submit Planning Board Approval of completed site plan requirements. . J" / ~ -~ I ~"-.'" . .. .:. " 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. New Construction: Old or Pre.existing Building (check one) Location of Property: 7/() d/ C!J;~f'0.JJR..- ~cJl-ho!. "0 . AJ v' House No. Street / I Hamlet Owner or Owners of Property ~-X-'fAi bE~ f MlmC!//7 SlzAlcJ;e tf(; U/gK;' Suffolk County Tax Map No 1000, Section ___~_6 _~ Block I Lot '-f t.; i Subdivision Filed Map. Date of Permit. L.f - 2-1 - 0 ~ Applicant: Lot: Permit No ~ l Cj :3 I Health Dept. Approval: Underwrtters Approval: Planning Board Approval Request for: Temporary Certificate ._.__ Frnal Certificate (check one) Fee Submitted: $ ~4~ ~A~~t L CO ~ ~:z.(P \I <;?t'") - I _ u,,- ~ / l!I.l!I I O~?j'bl BY THIS CERTIFICATE OF COMPLIANCE THE ~ 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 ~ ~ ~ ~ ALEXANDER SZNURKOWSKI ALEXANDER SZNURKOWSKI ~ ~ PO BOX 1315 PO BOX 1315 ~ ~ SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 ~ ~ ~ ~ Located at 710 W. SHORE DRIVE SOUTHOLD, NY 11971 ~ I Application Number: 3001708 Certificate Number: 3001708 I I Section: Block: Lot: Building permi31 t:t 3/ BDC: ns11 I ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ garage only, Attached Garage, Outside, Attic, ~ ~ 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 15th Day of September, 2006. ~ ~ Name OTY Rate Rating Circuit D:I2l< ~ ~ Panels ~ ~ 80 4 ~ ~~~~ ~ 1m Outlet II 0 Fixture 1m ~ Fixture 5 0 Incandescent ~ ffil Fixture 6 0 Flourescent ffil ~ Outlet 12 0 General Purpose ~ ~ Receptacle 8 0 General Purpose ~ ~ Switch 7 0 General Purpose ~ ~ Receptacle 2 0 GFCI ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ H~ ~ ~ ~ ~ I of 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~E!f@ffi!1!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. 31931 Z Date APRIL 21, 2006 permission is hereby granted to: A SZNURKOWSKI 710 WEST SHORE DR SOUTHOLD,NY 11971 for : GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING PER ZBA DECISION #5786 AS APPLIED FOR at premises located at 710 WEST SHORE DR SOUTHOLD County Tax Map No. 473889 Section 080 Block 0001 Lot No. 046.001 pursuant to application dated APRIL 20, 2006 and approved by the Building Inspector to expire on OCTOBER 21, 2007. Fee $ 150.00 ~Cu, { Authorized Signature ORIGINAL Rev. 5/8/02 " --. APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer Vincent Orlando James Dinizio, Jr. Michael A. Simon Southold Town Hall 53095 Main Road' P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 http://southoldtown.northfork.net !'N 3 BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809' Fax (631) 765-9064 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF DECEMBER 1, 2005 ZB Ref. 5786 - Alexander Sznurkowski Property Location: 710 West Shore Drive, Southold CTM 80-1-46.1 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The appiicant's 10,890 square foot parcel has only 19 feet along West Shore Drive, widening to 91.94 feet along South old Bay. The property is improved with a two-story frame house, shown on the August 18, 2005 survey prepared by John C. Ehlers. BASIS OF APPLICATION: Building Department's July 21,2005 Notice of Disapproval, citing Section 100-244 in its denial of an application for a building permit to construct a proposed addition and alterations to the existing dwelling for the reasons that the total side yards will be less than the code requirement, proposing 12.9 feet, and the lot coverage will exceed 20%, proposing 21+- percent. On September 14, 2005, the Building Inspector reviewed a surveyor map requested by the Zoning Board of Appeals certifying the size and setbacks of the proposed construction, and issued an amended Notice of Disapproval citing the proposed setback of the new garage addition at less than 10 feet on a single side yard, proposing eight (8) feet. The total side yards will result in a nonconformity of 10.5 feet instead of the code-required 25 feet. The reason pertaining to the lot coverage was removed since the surveyor certified the total calculation at 15.6% instead of 21 +- percent. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on November 17, 2005 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: The applicant wishes to construct a 23'x16' garage addition at the southeast corner of his dwelling, resulting in a reduced setback, presently 22 feet, to a minimum of 8 feet, to the side property line. The height of the new addition is shown on the 6/29/05 construction diagrams at 14'2" to the top of the ridge. 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's property is pie-shaped with existing nonconforming side yards ., Page 2 - December 1, 2005 ZB4i"ile Ref. 5786 - A. Sznurkowski __ CTM80-1-46.1 at the building line, and the property is very narrow with only 19 feet along the front property line along West Shore Drive. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the appiicant to pursue, other than an area variance due to the shape and size of this waterfront property of 10,890 square feet. 3. The variance granted herein is substantial and is the maximum that the Board will approve. The remaining side yard must remain open and unobstructed for access purposes between the road and the bay1ront. 4. The difficulty has not been self-created and is related to the configuration of the property and layout of the dweiling on the property. 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. 6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a garage addition, 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 Goehringer, seconded by Chairwoman Oliva, and duly carried, to GRANT the variance as applied for, as shown on the August 18, 2005 survey prepared by John C. Ehlers and 6/29/05 construction diagrams prepared by Penny Lumber, subject to the fOllowing condition: That this easterly side yard shall remain open and unobstructed for the purposes of access. between the road and the waterfront side. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Oliva (Chairwoman), Orlando, Goehringer, Dinizio, and Simon. This Resolution was dilly adopted (5-0). ~~ <l~ln.~ Ruth D. Oliva, Chairwoman./ot Approved for Filing ~ /0'0;- Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson 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 September 15, 2005 Mr. Alexander Sznurowski P.O. Box 1315 Southold, NY 11971 RE: 710 West Shore Dr., South old SCTM#80-1-46.1 Dear Mr. Sznurowski: The Southold Town Board of Trustees reviewed the survey prepared by John C. Ehlers dated August 18, 2005 and determined the proposed garage to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Town Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 25' landward from the top of the bluff, without further authorization from the South old Town Board of Trustees pursuant to Chapter 97 and/or Chapter 37 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. 2 This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, ~9~.'f} Albert J. Krupski, Jr., President Board of Trustees AJK:lms 3l93/c TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION Ot- ~ I \'. - ~ARK~ Joffe I 7D ~ ~r;~~ _~ L ;:) ~ _~ <<- DATE INSPECTOR ~J(Yj l.::t' TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ]~SUL vl FIN ~ [ ] FIR SPECTlON [ ] FIRE RESISTANT PENETRAnoN ~ DATE INSPECTOR 3/93/-c- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUC'nON REMARKS: r:;~S# [ ] ROUGH PLBG. [ ] ,-sU~ [~FINA~ [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION Lnc.~ ~, DATE ?jtO L07 l INSPECTOR 3193LG TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [~ATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION - REMARKS: INSPECTOR ~ ?Jlc;3/~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] ~UNDATION 2ND [ [ vrFRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION .fi -de DATE ~?~ft~ INSPECTOR ~......o/ ~ 3/13/7-- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [A FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: , 14-- ?~ , ~~l-;J.-()' DATE INSPECTOR *~ . 0-' f", /.,t, fh .A.' // t2.. ?77 /"f ..i:.r v- /' ~ '{7 v I ... FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBlNG lNSULATlON PER N. Y. STATE ENERGY CODE FlNAL ", ./ , . DATE COMMENTS (L1-~ ~ 0' /A"'I~ fJ tJ. /P' fA-~3- I fa 7.d- ' A 7 7 U JA 1/ i' tt - r/ ///'7 bto I!. .?~- ~,~ ~ ~ I "L ..~ L-L v.,.~ ~ '/ (J , '7 Yhr/J' \. t ff. .. I/:+; ",9-.7"'<'r " (r,:;.... ~ " \ / / / ;P:-Y.,d ..J // .../ I <7dlh" ~ rid,. __, '-d IL_. ~ Jt .. d.. 1/ I r,f. ^.,. /..... ~ /1..6 h?.;;...L r.~ _. ~ . / \.-' i1-- . //7':/ k; iL.N.J/ 'C;;'" .1. y-,./ / 'l':/ ./ '-./ - / p7.""^"7 L: 'd 1(" r X... ~ I 1k'!t7/0 7 ~.J.. r/') III I l,c~- ..4.. ~ 0.. ADM'IoNa COMMEvfs / ;? /'7_ L -/ . J";;y. /~ ~-!f (/ A .f ( .A :y,/ // ./ ~. t?" nC-" 'T' <I ~ -"C --S:)"" w~ -.... r-b~ & .....Jz L7 -0 Cy C~ ~J ~ ~ ~ ~ \,t:l ~ f:. ~ ~ " ::; S>~ z m ;:0 ~. - ::t:> -"" ~~ ~~ --Jg z ::= ~ ..., ::= t:! "" "C :-' '~7l(J-lo - /-I/t.r OWNER . . TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET 7/0 0)1 FORMER OWNER sdh'~~l .. w+ N t>""I.....r Z..) c... <'> '" '-.,I AI.. 3-/'RI//"""1, 41" S . L.v o..U . ~ES. ..21 a LAND 20<":> AGE NEW Farm rillable rillable 2 rillable, 3 Naadland iwampland lrushland - House Plat """" rota I - "'LLI '-JC ~ ~ <Jc:Q'- &>1 7 '1 0 ,/ 11. , -I - '/, :JbD lY:O VILLAGE DISTRICT SUB. I ,!.d~,>-.. ACREAGE Y f () TYPE OF BUILDING E W SEAS. I CB. .y I VL. FARM COMM. IND. IMP. TOTAL DATE REMARKS , I! ' "t,tf" ;;... '} ~ ~ 3-tftJd d-<60 ~ Al:r8l<. ~ 2?S- 7DOO ~2.0 0 BUILDING CONDITION BELOW G::.., ,;LJ ~~ 7 J"'.!'~_ / NORMAL) 17 /' / .j L,/../(/( hF'..4- <.'!.. ABOVE / . ,/ Acre Value Per Acre Value '5Y~d-, 9- . .., - ~ . ( /: ;', c' if'~ '~/;- LOT d. f);'U4 )!// ,,;-r:;- '''vi :{,; I -" I - / " / II I { , "V>.-- Jt.d- ~ r-..J'(~l. 'T ~/ /t' ,./"'i.--'? -_ V /60 ,.g , 11..(J~ ,~ tf; '8 r .~I ~ ('1:). 2. q Extension ID B reezewa Garage ~ ~\ 4- ~J:;;' O. B. 1- Ei '70 (, \~t;z) YsJ- 06 " ~ " 1<t9- c2:G ~J~ _ --- 6 ( 0 - --- 9{, )~IO of; c)" 0 1;;lI Ib " "7 ~ ;:l. ~ ;Z ~. r... I ~u , , \0" IL. ~I - I , I . .,;" \ bxJl4 " J ";z. ::t.. , ><. 4- .... l..",- """'" 14 1J. c.oLc.:::lt G~ ,~~L~ -r~1t{ 1 ')~ ~ }8. J Jq b Foundation I &.-' Both I/I~ . . Basement , ":f ~L.{f Floors oA\(._ !:xt. Walls ~V' Interior Finish S,Q.. Fire Place I Hem Porch Attic Porch Rooms 1 st Floor .D Patio Rooms 2nd Floor Driveway ~. TOWN OF SOUTHOL ~ BUILDING DEPART TOWN HALL SOUTHOLD, NY 11971 _- TEL: (631) 765-1802 ", "~';-~7~;'I),.D Tr'W," ," ~ FAX: (631) 765-9502 ,~.__ www.northfork.netlSouthoId/ PERMIT NO. r, ~ ~ ~. \fI ~ N ~~, . \\'J\ " _1' ' '3113/b 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 alc Mail to: /O/cH ,2007 , Phon{~/) 834-3687 Expiration " -t{j-1<-~.t. " Buil mg Inspector -. APPLICATION FOR BUILDING PERMIT Date ,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. APPLlCA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regqlations, and to admit authorized inspectors on premises and in building for necessary inspectio . 7/0 u/ .?;AotU ~ ,-9ou./)J/JL}) /l Y (Mailing address of applicant) /117/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (9cuAi G/:- Name of owner of premises /lle.~It/.7bp/Z. '- ~JJt.I.e>k(-,)s 1:1'. (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. I. Location ofland on which proposed work willbe done: 7/0 /[/fS'/- --5'hbJe' DL>. House Number Street ..g,,;Jl~L b Hamlet #/ liP 7 I County Tax Map No. 1000 Section Subdivision ~o Block \ Filed Map No. Lot Lf~ .\ Lot (Name) 2. State existing use and occupancy of premises and inten ed use and occ a. Existing use and occupancy ~ ' . b. Intended use and occupancy /l-1-/lgeA,}) 0i};'~r.;~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work / 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 ~oor , , 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 Depth Height Number of Stories ~ " " 1'" 8. Dimensions of entire new construction: Front ,lit, Rear l-5. Height /1./ .:2 II Number of Stories I Rear Depth ~().,. 8 If 9. Size oflot: Front Rear Depth 10. Date of Purchase 9!.3lJ!Joo'LName of Former Owner;&te.e.1 Il> D LORd .5e)/$se.L . I I ' 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_ ~~.oLD ~ 14. Names of Owner of ?;isesl? .5':z""..... .e4.4JS ~, Address 7/0 ,v9k,U Phone N#31) 3,154 - 3 b ~ 7 Name of Architect AlIJ'f.! vh1I1~,z Address/IJ/JIN Ill) (.;;'.eol'terPhone No 177 - tJ 1'tJ [) Name of Contractor Address Phone No. 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.e. 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) COUNTYOF~< ;jje:/./Jp/)"tL _c;!zAJ{/;:!/~sl::~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the () w ,.) JJ( (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 D) 'jjJ ~~Awli~ Notary Public if j 0AlI. L. A88ETTO NoIwy Publ:c ""... oINew'otllll ""..oAS~'()22548 CluoiIlioo, " .h~ COlJ!Ilr..O / (p ~.l.hac.l€..;. il:;::jJan 18.~ , V ~. . .. SURVEY OF LOT <1 ~ PART OF LOT 8 MAP OF REYDON SHORES, INC. FILED ..IJL Y 2, IqBI, MAP No. 6BI SITUATE: BAYVIEW TOJliN: SOUTHOLD SUFFOLK COUNTY, NY P, ~4>q N W*E ~sT, ~ ~~ S t)'~ "'- Ov :? ~ '). "'- 2<",- -"'0,> -JO~ o~ ~ si~~ ~ 0:s09/ ~ . Q -"(~ ~ ~ ~ ~ 5IJRYEYED 08-18-2005 5IJFFOLK COUNTY TAX II 1000-00-1-46.1 CBR'l1FIBD TO: ,41~SzoumwBki . ~ ,'0 ,0 (j, ci' V ',Cl,-" . ,'\, /' \;<j ,<:';' . /", . . / r / / ~ 0' .., 'D ,{ -, flV 0' ~ '" y //-. ~~ ~ ~ ~^ 0 ~~ n'. ,.., 'D ~ ~' ~rf 0"" V ~- _ Cf) "'-..":::; 00 ~Q if; [EO 0.9 LL..::::: ~:f 0", -tCf) :/?:::; lJQO C' :h QJ E 'f: ~ NOTES, . MONUMENT FOUND AREA = 10,8'10 S.F. or 0.250 Ac-re 62' (FONT) FOR EXISTING SETBACKS \ 6Z (FONT) FOR I'1WP05ED SET5~ GRAPHIC SCALE 1"= 20' /..f? % ~t< ~ O~ ~~. ;i.~ <Q ~ O~ LOT COYERA6E CALCULATIONS EXISTIN6 HOUSE 1,340 S.F. OR 12.B% PROPOSED 6ARA6E B68 S.F. OR B.B% TOTAL RE5lJLTIN6 LOT COVE 15.6% ...""""".".." "',,.,,,"'.... '" "","11",,10" >uf~~'J ""'P """""'9" ,,,-...,,,,,,,, "".. ....v~'I""". .eo';'" .;"""'''''~' _d'<<, l~"", _....""'.;"" :/. ", l'~ ...... Yo'" ~~l~ Ed,calf...., L",," .""iIJ '."1''''. f"". I"" 'w"J...., ~I ",,,. ....v~~ ,"",'k~" ..to. "'.. """J""" ,',f ~'''' I".." ......~.'J"'... """'1'"''' .."" ",..II'" <~''''''''''r~,' ~".... '-'<011d ."'" "'F''''~. 'c.,I;''''''''''~ ....<.ill..,' ,,~.""', ~''J.,u~ 'M' 'N. """"J -'" ,-'e,.""'"",, """,.""":,,,~ ",11" U.. .... .."'CJr-"'<1<O<>IPr'<I<11.el".L.....".'v.':P""'..,.,I.." I>j ~'" ...... ,,,,., :'>lot.. M"",'<>I",,, "I Pr<>l....""""" l....1 5o.v"'P~. 5<>'" <....Ill""""". ..""I ''''' "',.~ t"lh<>p......'nl"'..u.nlMor......"'J...p'..po'e<I. """"""...DehOIII""..UI..'."'"P<"..""'v."....,,, l<>l <>9""'1 ",.' "'oxihJ ","~"tr"" 1.1." ........,,'...... ,,,""'.,....'9'....~""I.... "'''''''9...t~uI.__ Cedlll,,,. II",,, ....~ ""I h",..I..."'''~ IQ <><ldll","",' "0>1-11"'''''", JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. Lie. NO. 50202 RIVERHEAD, N.Y. 11901 369 8288 Fax 369 8287 REF.\\Server\c\pros\05\05 269.pro