HomeMy WebLinkAbout32387-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 01/11/08
110: Z-32830
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: 1545 EAST
(HOUSE NO.)
county Tax Map 110. 473889 Section 38
GILLETTE DR
(STREET)
Block ~
EAST MARION
(HAMLET)
Lot 23
Subdivision
Filed Map 110.
Lot 110.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 21, 2006 pursuant to which
Building Permit 110. 32387-Z dated SEPTEMBER 27, 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR & AS PER CONDITIONS OF ZBA #5873 DQTED 5/11/06.
The certificate is issued to JOHN & LORETTA CAMPBELL
(OWNER)
of the aforesaid building.
SUFl'OLK COUNTY DEPAR'l'MKNT OF IlEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE 1IlO.
3037286
11/20/07
PLUMBERS CERTIFICATION DATED
01/10/08 DINIZO PLUMBING & HEATING
Rev. 1/81
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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 sigued 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. I~I ~ t/ 0 7
New Construction:
Old or Pre-existing Building:
,/
( check one)
atsr tnMOo ~ /'Jl/ Wl39
Hamlet
Location of Property:
154~ e,
House No.
(;.,c,Le-!fE- I:>I'L
Street
Owner or Owners of Property: Lo e e!tee.. l1t\ C i'rWl ~ beLL -
Suffolk County Tax Map No 1000, Section '31?" Block
Subdivision vYll'\Q\.C>U lYl V'rtV 0 iL Filed Map.
Permit No. 32 ~ !l7 Date of Pennit. Ct (2-'" 10," Applicant:
3"0 f\. vV M. - C A:iM. r':7-e..u......,
~ Lot L~
203f'" Lot: 7f
J.nfXOl4r., OTmpbGU..-
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
v
( check one)
Fee Submitted: $ 2-5.00
~~
pp lcant 19nature
CkL.73 0 ;),,7
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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.
32387 Z
Date SEPTEMBER 27, 2006
permission is hereby granted to:
JOHN
RR1
EAST
CAMPBELL & WF
500 GILLETTE DR
MARION,NY 11939
for :
AbulTraNS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR PER ZBA DECISION #5873
at premises located at
1545 EAST GILLETTE DR
EAST MARION
County Tax Map No. 473889 Section 038
Block 0004
Lot No. 023
pursuant to application dated SEPTEMBER 21, 2006 and approved by the
Building Inspector to expire on MARCH
27, 2008.
Fee $
787.80
~c~
I Authorized Signature
ORIGINAL
~ev. 5/8/02
iiJITQJE!H~~E!!~ft~~~~llill
r" [%j
ill BY "fHIS CE?1T!FI(:!~n:':: OF COMPLIANCE THE @J
ill",.@J
i4 NEW YORK BO.t\~{D ()F FIRE UNDERWRITERS ~
~,:, ~
;;J E'JUF1"':t\lJ ()F ELECTRICiTY ii!l
\f,1 40 FIlLTO!'1 STRE"~T - NEW YORK, NY 1 0038 ~
~1! fill
~I %
-,d CCf;,T!FIES THAT ~
~1 ~
@ ~
~ Upon the application of upon premises owned by ~
~ ~
riI! JIM SAGE ELEC. INC. JOHN AND LORETTA CAMPBELL ~
~ PO BOX 38 154 E GILLETTE DR ~
@i GREENPORT, NY 11944-0038, EAST MARION, NY 11939 ~
RI f.!l
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~ LO-.ated at 154 E GILLETTE DR E'A.ST MARIO~I, NY 11939 f.!l
!ffi ~
~ !\!,Cllication Number: 3037286 Certificate Number: 3037286 ljjj
@ @
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[~ Section: Block: Lot: Building Permit: BDC: ns11 ~
UC"I ~
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@I Described as a occupancy, wherein the premises electrical system consisting of !5
,~ electrical devices and wiring, described belov,', located inion the premises at: ~
.,~,}:,': Basement, First Floor, Attached Garage, Outside, Attic, I
'-;;: ,~visual inspection of the premises electrical system, I mited to electrical devices and wiring to the extent detailed ii!l
![;'I herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
:r~ pmmulgated by the State of New Yorll, Department of State Code Enforcement and Administration, or other ~
!@JauchoritYhaviugjurisdiction,andfoundtobe in compliance therewith on the 20th Day of November, 2007. ~~
!,r'!I N rnvy
Iff'I ame >.<L.. Rate Ratin. Circuit ~ ~
I~I Alarm and Emergency Equipment ~
I~ ~:~::~ ~ ~ ~:~:; Monoxide I
[ill ~
11i!!1 Appliances and Accessories ~
1~1 ~:~=~st Fan 3 ~ 40 ~.:~~. ~
I~ Dish Washer I 0 1.2 KW ~
i!#l Hydro Massage Tub (Therapeutic) I 0 ~
1?\11 Furnace I 0 Oil ~
I~II Air Conditioner I 0 42.000 BTU@
@~~~ ~
iiJl Outlet 50 0 Fixture @.
~ @
ii'~1 fixture 50 (I Incandescent @
+.11 Outlet 67 (I IS
I~',ji General Purpose m.
1ii'11 Receptacle 3 I (I General Purpose IS
!r-?i-Jl Switch @
!F!! 41 0 General Purpose @
I"", Paddle Fan 5 ( @
I~ii ) seal jj!,
IhJ' Receptacle I 0 20a Laundry @
IGJ'@
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i(~! Continued on Next Page of 2 ,~
Ild~ g
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!~'i! 'il1is certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. rn
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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 application of
upon premises owned by
JIM SAGE ELEC. INC.
PO BOX 38
GREENPORT, NY 11944-0038,
JOHN AND LORETTA CAMPBELL
154 E GILLETTE DR
EAST MARION, NY 11939
154 E GILLETTE DR EAST MARION, NY 11939
Application Number:
3037286
Certificate Number:
3037286
Section:
Block:
BDC:
ns11
Lot:
Building Permit:
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located inhn the premises at:
Basement, First Floor, 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 20th Day of November, 2007.
Name Ory Rate Ratinl! Circuit ~
Receptacle 1 0 30a Dryer
Receptacle 1 0 20a Appliance
Multi Outlet System 40ft
Disconnect I 0 60a
Receptacle 8 0
Service
J Phase 3 W Service Rating 200 Amperes
Service Disconnect:
Meters: 1
Air Conditioner
GFCl
200
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
Southold, New York 11971-0959
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Fax (631) 765-9502
Telephone (631) 765-1802
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
'l'rJ
:. ~ _J___-
CERTIFICATION
J- 10 -oi
Date:
Building Permit No. ~ d- ~~ 1
Owner: (CtrPl,e(\
(Please print)
~
O;AJ;7i()~Iyv>~ {fJ-~
lease pnn
Plnmber:
I celiify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
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Sworn to before me this JO
d"orb 20t---
)' BONNin DOROS~
Notary I ubI Ie, Nel81\'Public, Sla18Of 'I'D$'
No,01D06095328.SuffOlkIC~untJ/
Term Expires July 7. 20 ~
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FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF MAY 11, 2006
);
,
APPEALS BOARD MEMBERS
Ruih D. Oliva, Chairwoman
Gerard P Goehringer
James Dinizio, Jr.
Michael A. Simon
Leslie Kanes Weisman
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http://southoldtown.northfork.net
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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 (at Youngs Avenue)
Southold, NY 11971
ZB File No. 5873 - LORETTA AND JOHN CAMPBELL
Property Location: 1545 East Gillette Drive, East Marion CTM 38-4-23
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 applicants' property contains 10,000 square feet of land with 100
feet along the east side of Gillette Drive (and 100 feet along an unopened paper street referred to as Cedar
Lane), and is referred to as Lot 79 on the Map of Marion Manor. The property is improved with a single-family,
one-story frame home with detached shed, as shown on the May 9, 2005 survey prepared by John C. Ehlers.
BASIS OF APPLICATION: Zoning Code Section 100-244, based on the Building Inspector's February 17,
2006 Notice of Disapproval concerning applicants proposal to construct with setbacks at less than 35 feet from
the front yard lot line, less than 10 feet on a single side yard, and lot coverage in excess of the code limitation
of 20% in this R-40 Low-Density Residential Zone District.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on April 27, 2006, at which time written
and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the
property, and other evidence, the Zoning Board finds the following facts to be true and relevant:
AREA VARIANCE RELIEF REQUESTED: The applicants propose to remove the existing wood deck with
steps at the south (side) of the dwelling, and to add a new deck, covered porch and enclosed addition with lot
coverage at 29.79%, with set backs more particularly shown on the March 16, 2006 survey/site map prepared
by John C. Ehlers, Land Surveyor.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal
inspections, the Board makes the following findings:
1. Grant of alternative relief will not produce an undesirable change in the character of the neighborhood or a
detriment to nearby properties.
The applicants are requesting a substantial increase of building area from the existing 14.4% to 29.7% lot
coverage. Also requested are a 7.7 ft. side yard measured from the northerly property line for a proposed
enclosed addition, 26.5 ft. setback from the easterly lot line (adjacent to a paper street) for a proposed deck,
and 28 ft. setback from the westerly front line adjacent to Gillette Drive for a 6' by 11.7' covered porch. The lot
.
Page 2- May 11, 2006
ZB File No. 5873 - J. and L. Campbell
CTM No. 38-4-23
is small in size, which limits the owners' ability to make the home handicap-accessible and comply with both
the minimum setbacks and maximum 20% lot coverage requirements.
The alternative relief granted herein will provide more conformity to the code requirements, allowing a
maximum 25% in lot coverage and 9 ft. side yard. The front yard reduction on the east side is from an
unimproved mapped street (Cedar Lane) which shall not be less than 26.5 feet.
2. The benefit sought by the applicant can be achieved with a lesser variance for alternative relief granted
herein, but without a variance an expansion would not be feasible for the applicants. The property has two
front yards and two side yards, and under the definitions of the code is without a defined rear yard. Any
expansion will require variance relief since the house is centered on the lot with the minimum westerly and
easterly front yard setbacks at 36.5 feet and 34 feet, since the home was built in 1975.
3. The alternative relief granted is substantial.
4. 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. After completing the notice
requirements of Town Code Chapter 58, the applicants have not received objection or concems related to the
requested plan to construct. The property is elevated at 10 feet or more above mean sea level and is not
adjacent to wetlands or tidal waters.
5. Grant of the requested relief is the minimum action necessary and adequate to enable the applicants to
enjoy the benefit of proposed construction with handicap facilities, while preserving and protecting the
character of the neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under
New York Town Law 267-B, motion was offered by Member Simon, seconded by Member Weisman, and duly
carried, to
DENY the lot coverage variance as applied, and to GRANT the following alternative relief:
1) lot coverage shall not exceed 25 percent;
2) side yard setback shall not be less than nine feet from the northerly side line;
3) front yard setbacks shall be as shown on the 12-14-05 construction diagrams prepared by Penny
Lumber, and site diagram prepared by John C. Ehlers, last revised 3-16-06 and date-stamped by the
ZBA March 20, 2006, except that lot coverage shall be revised and submitted to the Building
Department to show conformity with condition #1 (maximum 25% lot coverage) and condition #2 for a
minimum side yard setback of 9 feet.
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 nonconfonnities under the zoning code. This
action does not authorize or condone any current or future use, seliback or other feature of the subject property that may
violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action.
Vote of the Board: Ayes: Members Goehringer, Dinizio, Simon, and Weisman. (Chairwoman Oliva was
absent.) This Resolution was duly adopt -0).
5/ I /06 Approved for Filing
3 2-~1t-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRucnON
-
~
- ~/C4)'7~
,- ~~ &-.
.
[ ] ROUGH PLBG.
[ ] INSULATION
[~AL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
Q....o
DATE
INSPECTOR
- - ----~ ---..---.------- ----------- ~. ----
3;1-3 '%7 ~
.~-~.-
TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPEcnON
[ ] FIRE RESISTANT CONSTR".!! ] F~E RESISTANT PENETRAnON
REMARKS: ~ J-
- (),
;;;>- ~ ~
] FOUNDATION 1ST
[ ] FOUNDATION 2ND
0€RAMI~ STRAPPING
,
DATE 7-3-07
INSPECTOR ~,~
3 ~ 07 L
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
~NSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPEcnON
[ ] RRE RESISTANT PENETRATION
~~
DATE (,,-;1-5 -0 7 INSPECTOR.bo. ~
3 ~3?R::--
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[40UNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ HE RESISTANT PENETRATION
~
DATE ~;; vi ff} ") INSPECTOR
~~- . -- ^-_. -~. ..-- -
3~3 ~7c-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECT
N
REMARKS:
] FOUNDATION 1 ST [ .
NDATION 2ND [ ] INSULATION
PPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRucnoN [ ] FIRE RESISTANT PENETRATION
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DATE- 70/07
. /
INSPECTOR
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3HP;C-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOU ION 2ND [ ] INSULATION
[ FRAMING STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRlJCnON [ ] FIRE RESISTANT PENETRATION
REMARKS: ~t#-<-_ ~
,
DATE 7tfo7
INSPECTOR
'32-.3 P7&
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5;-ofJ ~/'t<-
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] ~DATION 2ND [ ] INSULATION
[vfFRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONS1RUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: iJ,~ t /4N /7:), ~~
41/ ~<k(, ~. a.,u~"1--f_
t AfJ'/M.v:~ ~:
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DATE
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INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
~ [~UNDATION 1ST [ ] ROUGH PLBG.
p~
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONS1RucnON [ ] RRE RESISTANT PENETRATION
REMAR~ (D:1r~ ~ ~
DATE 4 3Q/07
INSPECTOR
,~
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3J--3 ?-? t-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] F~ATION 2ND [
[v(FRAMING~TRAPP~ [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
REMARKS: tJ~ (~
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
",.~ et-
INSPECTOR
DATE I
;!?J ~7 7;;
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] ~NDATION 1ST [
[J{FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] RRE RESISTANT CONS11IucnON [
REMARKS: /1 ~ /JfI..N-f-
. /
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENElRATION
~,
DATE
1/;-/07
I / '
INSPECTOR
6 y ")'[7 :t
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[~NDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSlRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~,;., *--f
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DATE ~O~
INSPECTOR
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FiELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PERN. Y.
STATE ENERGY CODE
FINAL
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SURVEY OF LOT ,q
MAP OF MARION MANOR
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51.T\JATE. EAST MARION
T~, $OUTHOLD
5UFFOl..K GQIHII1Y, NY
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PAGE 81/81
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(REMOVAl..) DA'T1!D ALl6U9T 09. 2006 CASe NO. 06-02~A
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JOHN C. EHLERS LAND SURVEYOR
tI BASrMAJN 8TREBT N.Y.s. uc. NO. 50202
1UY.EtUIlW). N.Y, l1SlO1
36'!1--G18F.3$-&1871UQt.\l.Compaql.'<<''J''...~181.ptO
,.A.REA . 10.000'" 01' 0.29 QCf'M, ".,." "
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01-08-2007 10:03 SOUTHOLD 8UILDING DEPT 16317659502
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SURVEY OF LOT 1Cf
MAP OF MARION MANOR
FILED MARCH IB, 1'153 FILE No. 203B
SITUATE: EAST MARION
TOHN: SOUTHOLD
SUFFOLK COUNTY, NY
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SURVEYED 05-0'1-2005
PROPOSED ACTIONS 03-06-2006
03-16-2006, TOPO ADDED 04-12-2006
FEMA 05-26-2006, FOUNDATION LOCATION 12-2B-2006
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JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN SlREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369 8288 Fax 369-8287 REF.\\Compaqserver\pros\05\05-181.pro
AREA = 10.000 sf or 0.23 OGres
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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.\\Hp server\d\PROS\05-181.pro v
SURVEY OF LOT 1Cf
MAP OF MARION MANOR
FILED MARCH 18, IQS3 FILE No. 2038
51llJA lE: EAST MARION
TOWN: SOlJTHOLD
SUFFOLK COUNTY, NY
SURVEYED OS-OQ-200S
SUFFOLK COUNTY TAX #
1000 - 38 - 4 - 23
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.
Page 1 of 2 I Date: August 03, 2006 I Case No.: 06-02-B539A I LOMA
fl,,"RTA(p
. Federal Emergency Management Agency
~ "
'\.;'
Washington, D.C. 20472
~iYDSt.(:-' .
LETTER OF MAP AMENDMENT
DETERMINA TION DOCUMENT (REMOVAL)
COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION
TOWN OF SOUTHOLD, SUFFOLK Lot 23, Block 4, Section 38, District 1000, as described in the Deed,
COUNTY, NEW YORK recorded as Document No. 8493, in Liber 9653, Page 597, in the
COMMUNITY Office of the County Clerk, Suffolk County, New York
COMMUNITY NO.: 360813
AFFECTED NUMBER: 36103COl77G
MAP PANEL
DATE: 5/4/1998
FLOODING SOURCE: LONG ISLAND SOUND; ORIENT APPROXIMATE LATITUDE & LONGITUDE OF PROPERTY: 41.117, -72.339
HARBOR SOURCE OF LAT & LONG: PRECISION MAPPING STREETS 7.0 DATUM: NAD 83
DETERMINATION
OUTCOME 1% ANNUAL LOWEST LOWEST
WHAT IS CHANCE AOJACENT LOT
LOT BLOCK! SUBDIVISION STREET REMOVED FLOOD FLOOD GRADE ELEVATION
SECTION FROM THE ZONE ELEVATION ELEVATION (NGVD 29)
SFHA INGVD 29) INGVD 29)
23 4/38 -- 1545 East Gillette Property X (shaded) 9.0 feet -- 11.1 feet
Drive
Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1-percent chance of being
enualed or exceeded in anu niven vear 'base flood).
ADDITIONAL CONSIDERATIONS (Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.)
STUDY UNDERWAY
This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Amendment for
the property described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have
determined that the property(ies) is/are not located in the SFHA, an area inundated by the flood having a 1-percent chance of being equaled or
exceeded in any given year (base flood). This document amends the effective NFIP map to remove the subject property from the SfHA located
on the effective NFIP map; therefore, the Federal mandatory flood Insurance requirement does not apply. However, the lender has the option to
continue the flood insurance requirement to protect its financial risk on the loan. A Preferred RiSk Policy (PRP) is available for buildings
located outside the SFHA. Information about the PRP and how one can apply is enclosed.
This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this
determination. If you have any questions about this document, please contact the FEMA Map Assistance Center toll free at (877) 336-2627
(877-FEMA MAP) .or by l.etterad~lJlllArI fn It e Federal Emergency Management Agency, 3601 Eisenhower Avenue, Suite 130, Alexandria, VA
22304-643f- '-':' (~-~;- .._-~, R Gj
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William R. Blanton Jr., CFM, Chief
Engineering Management Section
. Mitigation Division
.
Page 2 of2 I
I Date: August 03, 2006
I Case No.: 06-02-B539A
I
LOMA
h~'
"'B'"
(~ ~
II
Federal Emergency Management Agency
Washington, D.C. 20472
LETTER OF MAP AMENDMENT
DETERMINATION DOCUMENT (REMOVAL)
ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS)
STUDY UNDERWAY (This Additional Consideration applies to all properties in the LOMA
DETERMINATION DOCUMENT (REMOVAL))
This determination is based on the flood data presently available. However, the Federal Emergency
Management Agency is currently revising the National Flood Insurance Program (NFIP) map for the community.
New flood data could be generated that may affect this property. When the new NFIP map is issued it will
supersede this determination. The Federal requirement for the purchase of flood insurance will then be based on
the newly revised NFIP map.
This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the
FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management
Agency, 3601 Eisenhower Avenue, Suite 130, Afexandria. VA 22304-6439.
U/~ Ii' /.U .7.;; t;--
William R. Blanton Jr., CFM, Chief
Engineering Management Section
Mitigation Division
.
Federal Emergency Management Agency
Washington, D.C. 20472
August 03, 2006
MS. LOREITA M. CAMPBELL
500 GILLEITE DRIVE
EAST MARION, NY 11939
CASE NO.: 06-02-B539A
COMMUNITY: TOWN OF SOUTHOLD, SUFFOLK
COUNTY, NEW YORK
COMMUNITY NO.: 3608 I 3
DEAR MS. CAMPBELL:
This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine
if the property described in the enclosed document is located within an identified Special Flood
Hazard Area, the area that would be inundated by the flood having a I-percent chance of being equaled
or exceeded in any given year (base flood), on the effective National Flood Insurance Program (NFIP)
map. Using the information submitted and the effective NFlP map, our determination is shown on the
attached Letter of Map Amendment (LaMA) Determination Document. This determination document
provides additional information regarding the effective NFlP map, the legal description of the
property and our determination.
Additional documents are enclosed which provide information regarding the subject property and
LOMAs. Please see the List of Enclosures below to determine which documents are enclosed. Other
attachments specific to this request may be included as referenced in the Determination/Comment
document. If you have any questions about this letter or any of the enclosures, please contact the
FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed
to the Federal Emergency Management Agency, 3601 Eisenhower Avenue, Suite 130, Alexandria, VA
22304-6439.
Sincerely,
u/ JL,.;.. If' 6~ z-; r;--
William R. Blanton Jr., CFM, Chief
Engineering Management Section
Mitigation Division
LIST OF ENCLOSURES:
LOMA DETERMINA nON DOCUMENT (REMOV ALl
cc: State/Commonwealth NFIP Coordinator
Community Map Repository
Region
PERMIT NO.
3 )3 f7c
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
Cheek ~ co::; ,CO
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
;WN OF SOUTHOLD
,{JILDING DEPARTMENT
fOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SoutholdJ
I..
!/Pi ~~ ~
1/~- ~~.o/o/bfv
3/<77,2001
Examined
Approved
Disapproved ale
Mail to:
Phone:
Expiration
(4~
Building Inspector
~tt ~ f,r _~LS "APPLICATlON FOR BUILDING PERMIT
\'IUS:03;:i~ 1'.\
T 'fI~< OF SC ~ rflOI,.D
. 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.
4 b. Plot plan showing location ofIot 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 ofthe Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
Date
,20_
INSTRUCTIONS
~ uta::/:/2i1/1b '
(Signature of applicant 0 name, if a corporation)
500 &/~ De E:lrlPRIoNNt!
(Mailing address of applicant) 11939
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~
Name of owner of premises 0D HrJ o.V\cl /--()e.e tia.. Ct+wrtoE/.-L.
(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 of land on which E!.:9p~sed work will be done:
/5QS- t::/lSt GtdlT-IIe
House Number Street
.
DIl/Uff'
Eflsr fh/MiQAJ
Hamlet
NV /ICjJCj
County Tax ~ No. 1000
Subdivision A-R.IOtJ
(Name)
Section 6 Y'
W\~lI\{)e.
Block 4-
Filed Map No. ZO 3 f?
LOt
Lot
23
71
2. State exis~~ use and occupancy of premise and intended use and occupancy of proposed construction:
a. EXIsting use and occupancy e {d 4 ce:-
b. Intended use and occupancy ~esldel? ~ ~
~;~.~.
V
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost
/06 {)(J ()
(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 I
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. IV/I)
7. Dimensions of existing structures, if any: Front 't.,:/-
Height I f, Number of Stories I
Dimensions of~me structure with alterations or additions: Front 7 J...
Depth Height I <6 Number of Stories
Rear
'(:;.
Depth
2J:,
8. Dimensions of entire new construction: Front 2S"
Height 1 <;? Number of Stories
Rear
I
2.$
Rear 7 ;J..
I
Depth 3 t.
9. Size oflot: Front
too
Rear
100
Depth
100
.
10. Date ofPurchase~ Iq lql? 1 Name of Former Owner
11. Zone or use district in which premises are situated K - '10
.
G:HJ (V€ L. ::r f'tRb/~t
~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES V NO_
13. Will lot be re-graded? YES NO.L Will excess fill be removed from premises? YES NO V
- e-mM/cJ,J - -
14. Names of Owner ofpremises..:Tfi- e";::f.bg:lL Address ~G/ 1/i?'lIe/K1 Phone No. &dI-'177-CJ8'/~
Name of Architect 1-. rum.i./. P. Address .o.a19oy /14:1. OIl~~lI. 6>3/-4?'7-/~
Name of Contractor A//)lIIlF S'~/t"CT~<( Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO V
* 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 )
being duly sworn, deposes and says Ihat (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporat~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~
~ fl ~H>
Signa e of App . t
CYNTHIA M. MANWARING
NOTA1'IY PUBLIC. STATE OF NEW YORK
NO:01 MA61 00507
QUALIFIED IN SUFFOLK COUNTX,
COMMISSION EXPIf\ES OCT. 20 ~