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Home My WebLink About33195-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 02/08/08 No: Z-32870 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 4765 MILL LA (HOUSE NO.) County Tax Map No. 473889 Section 100 (STREET) Block 5 MATTI TUCK (HAMLET) Lot 3 Subdivision Fi1ed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 21, 2007 pursuant to which Building Permit No. 33195-Z dated JUNE 29, 2007 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 ACCESSORY TWO CAR GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to RAYMOND J GURRIERE (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPAR~ OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3055782 01/10/08 N/A PLUMBERS CERTIFICATION DATED ~ tf/ 'tJ/J n ~- Au or~zed S~gnature Rev. 1/81 . f' Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ..,--_., c,J I C.U 7 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 clectrical installation from Board of Fire Underwriters, 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of 1 % lead, 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building, 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 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 Certificatc of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I, Certificate of Occupancy - Ncw dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning pool $25,00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00, 2, Celiificate of Occupancy on Pre-existing Building - $100,00 3, Copy ofCeliiticate of Occupancy - $,25 4. Updated Certificate of Occupancy - $50.00 5, Temporary Certilicate ol'OcclIpancy - Residential $15,00, Commercial $15,00 New Construction: ----L- Old or Pre-existing Building: Date, ~1 Fih (l/Q ~ J..oOr ( check one) ----tl 'l-trdvct Hamlet Gv rrie~ 5 Lot 3 Location of Property: i/7fo5 /VI,' II HOllse No, ()1 ,-o~ () Ownel or (JWl1ClS of Property ~ rH .,~ <::f- Suffolk Count) 1 ax Map No )(lOO, SectIOn _ _ G,ttfL- Street t-P /~O rr~ h 100 Block Subdivisioll Permit No._ :~31 cr\5. Health Del't. Approval: Filed Map, __ Date 01permit.--0h_5 (07_ APPlicantj{Q7 __ Underwriters Approval: Lot. Currie ri...- -- 30SS7cP2 Planning Board Approval: Request for: Temporary Certificate _.. 'I 5 ~._._ Fee Submitted: $ oL . Final Certificate:X-_ (cheek one) -ly <: 7 J7 Y <{ co -l3'Y67b 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. 33195 Z Date JUNE 29, 2007 permission is hereby granted to: RAYMOND J GURRIERE PO BOX 289 MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY TWO CAR GARAGE AS APPLIED FOR at premises located at 4765 MILL LA MATTI TUCK County Tax Map No. 473889 Section 100 Block 0005 Lot No. 003 pursuant to application dated JUNE 21, 2007 and approved by the Building Inspector to expire on DECEMBER 29, 2008. Fee $ 146.00 ~~~..~ I Authorized Signature ORIGINAL Rev. 5/8/02 Ray Gurriere, R.Ph. 4765 Mill Lane P.O. box 289 Mattituck,N.Y. 11952 rebound952@aol.com Building Department Southold Town Hall P.O. box 1179 Southold, N.Y. 11971 3 February 2008 Re: enclosed To Whom, Please mail my final certificate to the above address as soon as is convenient. If there are any other problems, please inform me as well. Thank you in advance for your help in this matter. Respectfully, 't/ / ~ ,..r 1/ /< d/ Ray ~e ftB 1. .:l \ \ __J -- l!I.l!I I BY THIS CERTIFICATE OF COMPLIANCE THE lOb, - 5 - 3 ~ 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 ~ ~ ~ ~ C-CAT CO. RAY GURRIERE ~ ~ P.O. BOX 27 4765 MILL RD. ~ i MATTITUCK, NY 11952, MATTITUCK, NY 11952 i ~ Located at 4765 MILL RD. MATTITUCK, NY 11952 ~ ~ ~ ~ Application Number: 3055782 Certificate Number: 3055782 ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ .33\95 ~ ~ 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 ~ Detached Garage, ~ ~ 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 ~ il authority having jurisdiction, and found to be in compliance therewith on the lOth Day of January,2008. il ~ Name OTY Rate Ratin2 Circuit ~ ~ ~ Panels ~ ~ I 70 6 ~ ~ Wiring and Devices ~ Fo!J Outlet 9 0 Fixture Fo!J ~ Fixture 6 0 Flourescent ~ lID Fixture 3 0 Incandescent ~ ~ Outlet 15 0 General Purpose ~ ~ Receptacle 17 0 General Purpose ~ ~ Switch 6 0 General Purpose ~ ~ Receptacle 3 0 GFCI ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ I cl 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.l!I 33)/S2 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING rX)' FINAL A ~ [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRl}C'OON [ ] FIRE RESISTANT PENEmAnON ~ (;-y-. ~, p~ ~)~ ok REMARKS: DATE e~ ceX:t ~"~- ~ A cl 7)) it ;>-T.oo h ~~ __~ -v~ J 7 INSPECTOR ' 33/1Sz- TOWN OF SOUTH OLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPEcnON [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS. ~f 7f ~ ~\~ C;~~ ~~'~9 ~ ~ .Nt\{../rt-- ~~~, DATE )-- T ~ 0 r INSPECTOR ~ ~ J s 19'~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTI [ ] FOUNDATION 1ST [ ] [ ] FOUNDATION 2ND [' ] INSULATION [ ] FRAMING I STRAPPING ] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENElRAnON REMARKS: .J::fu.~) ~, 1--11' W~ k/9 &.:e} , I DATE (il~lo,7 INSPECTOR 33/952. TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION WRAMIN~RAPPIN~ [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: 00\..e... N~ ~, ~.~ g DATE 11--1(:,-01 INSPECTOR ~/ ~ 3311.s-.z- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION .fXf... FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE ISTANT PENETRATION \..d- REMARKS: c- (6-c\d2 k- ~ -~~/ /o-/s~ 01 DATE INSPECTOR ~~ ...... -- ~ .....- -...........-, ~ ~ ~ ........~ U900-IOO-S- 3 OWNER -R'a~mD TOWN OF SOUTHOLD PROPERTY RECORD CARD ( 2OQ:) fl A:.lC... tvt. STREET 765 J\ \' \ \ Let rre- VILLAGE DIST. SUB. LOT :z -" ACR. '1 I ( .' , i'\I\ OI .. \1 U (l } REMARKS q Wolf .-'>t R)(l~ s+S 5 foo 3'100 ~ 00 9600/ s.oe) TYPE OF BLD. DC . i ^, it ':':>1 't ~SSCL;idI: LAND IMP. TOTAL DATE <$' ~ / _ 6f'" 41 '? .!J:J- /l'7Jf711A-,u ~ CD d.\o\oS '\ ~~ ::L<\ '::> ~ '-1 \"< ;'1 -=-:::-- (:.\ [~, l~_ '3 2. 00 "EIW lOCO t..\2- ..:, c " -42 aD \4.IoD0 '3 v,....... '.\ 400 / 12 .:Jc / J 000 -. FRONTAGE ON WATER TILLABLE -4~J), 'CcC)C, ';:;Cooe, FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT \ I Ct,c:>D TOT AL 1100<0 -' 3 (1''1')1<) '/0, .~ <G ~'1 100::> '" \7 IR ., ~ ,"-' . <\ \ ::!: COLOR ~o 'D 1 ~ 1'f I 1'5 i1( ~ l\ , R' (\)4 \ / , '\ 2.2 \j ~ 1- - -- I '- , c ~c ~. J>. ^ ~ 14<! 7' ~ " ro rt' ~, ,- -- ,l' TRIM q \ '''- .- ~- J_)\..o_:\('"' HIO.-5-3 5/06 M. Bldg. Foundation Bath " I( Di nelle ,/ ~ 2- l'7 'l<'3B" 5,:5 Z4B., Basement Floors \l,v\J 0.&. ~ Kit. ./ 'i '< = It;''r(~, .. Ext. Walls <& - \/",'1 \ Interior Finish <Q""" LA. Extension 4('37 s~ Fire Plaee Heat (!), \ D.R. ./ Patio Woodstove BA. -. ~ ~ c 2.~ reh 35 Dormer /~-- ., Deck ,S-O 35q Allie Breezeway Rooms 1st Floor Garage 1'2:S"' 7.L3 Driveway Rooms 2nd Floor O.B. f!,.ft ~ .1..10& ... Jr..,l Pool Cf q ) M!V. fez- Z:,,-tS-/""<J~ ",,<- "/",f" ,,00 tA.....^"O'-l 0." r 00 96 o jlbL /i)l (, '" Yo 2.- q/qq. M. Bldg. ~4'<:l, ---c- l~-_. ,.-..,~ :/',71'\ loon Foundation ~J.l-I ,'':;,': Basement Extension J C Extension Ex! Walls co \7 III - R q . 'rrl <\ " -'.: .1 ~o " R , l'3 T1{ .. B "- I~ I / , ~ 2- I~ u I '- 7. I ,C' ~ ::!= ~c ~"' J1 - "" '---- ~ 17 \'t> 1:.' ,"-- L ..... r 'I ~ .,z ,v , 7........ 'ci/ Bath fUll CRAWL SLAB Floors ;.1" '\(\(}. - . Interior Finish /1- -'10-41 FIELD INSPECTION REPORT DATE I /' (f FOUNDATION (1ST) ----------_______~______w___________ FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PERN. Y. STATE ENERGY CODE FINAL , A /( 1/{) '1 0-/ ~ , , COMMENTS /o-J~ 07 /"' /I~ - . ~~ "fA.. dA. lA<' ~ OJ" ;t~ :0 ~ />.A,h/"J,..l ~ ./ A l~tJ/ .lJ\:;;; v R.... .1/, 7 AT ...., ^ . n _ \\; l v v IWl ):::> (J~ g~ /V / /r (/f.-L ^ :z ~ ..c ...)'" .., 51~ .., "5 .. /' -;::: J/~lInJl r7 r,. /J~ L- fJ... ~- "- ~ CVte. fYl \ , A '00. 1?;;fJ(i;;;: U "",;)) CT, L lJ.... ~ I- L.-w. I :..-/7'; "tl./'. ,. , -- -- ~ ~;I: 2- ~;;t ~ ..,~ -;, c ~r 7,. X./ '>J /f'-A. ;// P ~ tJR /d A A(JiMt X a.>..L .J'.. 0 a 'I J.. " "E a'J ;r;. '~ /> OA 'fL--' ! ~ lJ-' J) 9rf-- "nJ1 _ ~~ "/ ~ ~ ~ , 1/--;.9 - a J/.:-:r-JIti t\- _."'"'P d ~.I'./ -----., ---. ~'11;h1>..21/~ .' ~. ___._ ~~/3~ ~d_. ._ _ iJ - /9 r.~ j). ~ . I / '^ _v " /J .Y -. ~ jf ~ ~ , ADDITIONAL COMMENTS (j) ~ J -; - ~ Jl lIT' J/ ;?'-- ~ ~ m ::0 ~ I~ <<---. l" q:;~ ~ ~ , - R-~ "7 ;J -~ p ; l" ... ~ , JUN-29-2007 10:48 From:PRC 6318217073 To: 16317659502 DONALD A. KOLACKI APCHITECT 1 HUNTING HILI. DRIVE BLUE PDINT, NEW VDRK 1l1U June 28. 2007 Town of Southold Building Department 53095 Route 25 PO Box 1179 Soulhold, New York 11971 _l 363-6'~ Re: Proposed Garage (Architect's Project dated 5-7.07) Gurrierc Residence Mi 1I1..ane Matlituck, NY To Whom il may concern: This is to certify that minwater from the roof of the above referenced project shall be collected with a llultl11' and lellder system and piped to an undl11'ground drywell, The drywell shall be a 6' diametl11' by 5'-6" deep precast ring with top. This system is capable of storing a 2" minfall. If you require any additional infonnation, please feci free to conlllCt me. Donald A. Kolacki. Architect 06-29-2007 09:49 SDUTHDLD BUILDING DEPT 16317659502 P.l/1 I....._~ " r! r ..J lu , , -rg~nW~I~ ';9 2; J~ I "cD" DEP~ L---1!'}"'~ QF <;'" THO' ) PAGEl PERMIT NO. '3JIY5fE; BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health ---.j 4 sets of Building Plans Planning Board approval ----., Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL . ' SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoId/ Examined 6 /,).1 ,20& c,!J1. ' 20 QZ , Approved Disapproved alc Mail to: Expiration / rr/~20f2f- Phone: J.?~>i'f;w- lw/~ Building Inspector iJJ , ti!_u~~m'- L,-IQY-'N OF.~I.'THQ.' 'J_ 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 lot 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. APPLICA 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 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 regu tions, and to admit authorized inspectors on premises and in building for necessary inspections. / ./' ~~~~Jl~ 2 I 2 PLICATION FOR BUILDING PERMIT Date ;), 1~ ,20~ INSTRUCTIONS (0, 0o~ Jf'1 ~ Jb.fh'/JeJ, !'IY .., (Mailing ad'dress of applicant) , /11Sv State whether applicant it~essee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises , q ,(Ie ri- (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer t110"Q "'t (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 'Yp.ich proposed work will be done: 47b5 1'11'1/ 14N- House Number Street h7f;-/vd Hamlet County Tax Map No. 1000 Section 100 Subdivision Block S Filed Map No. Lot 3 Lot (Name) 2. State exist!ng use and occupancy ofprenwes~lld intended }\se and occupancy of proposed construction: a. EXlstmguseandoccupancy 1U>J/~'l1 ~<f...PllJR.'V' . . b.Intendeduseandoccupancy G'r;(qr-~r ~f./;f~ 10 J.erVICR... koN... 3. Nature of work (check which applicable): New Building X Addition Alteration Repair Removal Demolition Other Work rib. 10 (To be paid on filing this application) Number of dwelling units on each floor (Description) 4. Estimated Cost l.J~ OOO'!J,!. , Fee 5. If dwelling, number of dwelling units If garage, number of cars A . ~ 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of e . . g structures, if any: Front~Rear~DePth.. Height Number of Stories ~ Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear I. Depth )7.-/ 8. Dimensions of entire new construction: Front 2. g I Rear ;)8" Height Iq Number of Stories . 9. Size oflot: Front 170 I Rear 'J. 70 ' Depth &00' 10. Date of Purchase 1~11 Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NoL 13. Will lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES_NO X 14. Names of Owner of premises ~ Cvrfl'el1.. Address ...n",)" nill ~(e.PhoneNo. 293l-17d17 Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO X * 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: COUNTYOF~(;ml-1U- {(" Gv rrl 1i. being duly sworn, deposes and says Ihat (s)he is the applicant (Name of i dividual signing contract) above named, (Sethe rrw~ (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. Sworn to before me this 4-- day of J\;vt.{ V~('r~' Notary Public 20 ell MBANIE V. BflCMt4 NalIly .... .... 01.. YOlk NIl. 4llIlI712 QudW In MIll CouIIiy '""""inion ExpirII Oct 19, ;,) IIOq . Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY lOCATtoN: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. District Section Block --rc;t ---------------------------------------------------- Item Number: (NOTE: A Check Mark ( J) for each Question is Required for a Complete Application) Yes ~ 1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? J n - - - - - - -(~h~i:m~~i:I=~I~ru~~~ :e:e~ b~ s~e ~:'ri: ~n:o~:s::o~ :i:::' :I~:I~: - - - -::; - ~ Improvements and the permanent creation of impervious surfaces.) ~ [J2$' [J)< [J){ [J2S [J2? [Jx' [J~ 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlow! 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Stann-Water Run-Off into and/or in the direction of a Town right-of~way? 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! ---------------------------------------------------- EXEMPTION: Yes No /! Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl ---------------------------------------------------- 5TATEOFNEWYORK, ~OUNTY OF ..).V.f.t9..h.~.............. 55 That!, .......KEI:/...6.P..f.,.K.I.J;J?,.E...J.r:..................... being duly sworn, de~oses and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the .....................................!rlA}JtR~......................................................................................................... (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner of Owner's, 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 perfoffiled in the manner set forth in the application filed herewith. Sworn to before me this; ..........zJ~1.........t~........:..... day ~f ..........Jl.k.~............... ,2t.>.1 N~","""l~~~~mm FORM - 06/07 No. 01004634870 Qualified in Suffolk County '} ill D CommIssion Exjlifes Septembllr 30~ ......t @ ~oung ~ ~oung '......11.9 Enginr.rrin Ihmt ".., \ U\ 'M ~ c> t ~ U\ 'Ac> otz, -;'0 ~"" .-\ "'-;. ~~ - C. ~." r- <g. '" '" " 9> ,,':;) .CJ,.'O _, ':;)'0 . ,- -;~ \~-;. \ \ \ \ \ \ \ \ , , \ \ " o\. ...- 'co,'" \; ..;,,0" ~",\o o,..J..... 0. v "0"'0 <? 0" <(\\ ,,~o\\ \ , , \, \ +- ....' \ ./ c'<> , ...-> ,~. \>/ \" -1- <b. 0-. ~ ?~ ~ r;.1.f\ ~0.5 (5 0" 0--& ?,., o~ (j)~ Ox ~, .-00 I..y ~ ^ ;;..c.. 56056...... ~ ~ ~CJ.- ~ "~~ ~(j) r q.., ,..-\?- ..<\ "f .... J... t;. c;:. ~ (I U>r ...-.: 0 '!Y '0 <S) ~ @ \.') \.0 \ , , \ , \ \ "" ~ \\...\... \ \ \ \ \ \ \ \ \ \ 't " 0'- :(\".. o\.e'f; \; . ..;,,0 ~",'" I>"s- I> v "0"'0 <(0" <?\\ ..~O\\ ~\ '00':;)' , \,<>\'J-\ -;. 'A ~ r- L '0 ~ 'A ~ \ \ U\\ ... "'. \ ... "}\ ....\ '" \ ':P"'~;''V~<).& \ ti \'" \~\ ~\ \~ IJ'\ \(0. ~\ \ . \ \ "'" ~ .-\ 9- .-\ ~ lD C .,., .,., f'1 ;u I I I I I I I I I I I ~ " o\. "...- 0\0,'" \; ..;,,0 ~",'" &,\...J\ 0. V "0"'0 <? 0" <?'''' (>~o\'" ~. -c:: ''';,.;: ............. , ~~"...J-.-:S "-\.-, r' r'-- '",- ,\ ~ '" NOTE: SURVEY AMENDED OCT. 11, 2007 TO SHOW CONC. FOUNDA TION. THIS SURVEY MAP IS BASED ON FIELD SURVEY COMPLETED AUG. 1999. Y Dung &- Y Dung 400 Ostrander Avenue, Riverhead, New York 11901 631-727-2303 Howard W. Young. Land Surveyor Thomas C. Wolpert, Professional Engineer Robert C. Tast, Architect Ronald E. PfuJtl, Landscape Architect Douglas E. Ada.1nS, Professional Engineer NOTES 8 - MONUt.4ENT SET ... MONUMENT rOUND .&.. STAKE SET ...... STAKE FOUND AREA = 5.0001 ACRES . SUBDIVISION - 'WOLF PIT POND ESTATES' FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE NO. 8963 . WE HEREBY CERTIFY TO RAYMOND GURRIERE ....R. & DEBORAH M. GURRIERE THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STA OF PROFESSIONAL LAND SURVEYORS. t/-rrv M..A- iA{. HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 SURVEY FOR LOT 3 "WOLF PIT POND EST A TES" RAYMOND GURRIERE ~ & DEBORAH M. GURRIERE At Mattituck, Town of Southold Suffolk County, New York County Tax Map D;,tdct 1000 S,ct;on 100 810ck 05 Lol FOUNDATION LOCATION SURVEY ADDED CONC. FOUNDATION FINAL SURVEY FOUNDATION LOCATION STAKED PROPOSED HOUSE ADDED CERTIFICATIONS MAP PREPARED OCT. 11, 2007 AUG. 11, 1999 FEB. 25, 1999 DEC. 23, 1998 JUNE 11, 1997 JUNE 3, 1997 SCALE l' = 100' JOB NO. 2007-0442 DWG. NO. GU970325_fl FL 3 @ ~~gi ~~I .& ~ ~~ !I~~ ~.~~ ~~~~ i~~ ~.~~ 0 ~U ~C1~g ~~~ffi 11.1 ~~~~ ~I~I :il: ," ~ g~ F i!~~~ Fee .~~i ~e NI iii . ~,~~ i~~~ ~::!I='" ~~~~ F~'. ~. ~ 0 ~5~ !~i> '8~~ \I.~ '-0 ~, !~~~ "il.' . ~. b~le ~~ ~ o M~ E!~~ ~~8~ ~~:~ ~ie~ ~~~~ ~~~; ~iW "- ~ .~~. ~e~~ o 15<~~ -b i~~~ ..M .~. 1i}~1lI~ ~.b; i~~~ @ ~.~~ " ct) llJDung ~ llJDung 1I1anning En tnrtring &unr,ving \ ~o~Q SOO, ,,";;~i.1>1 V' \ \ \ 0'-\' \,: \ \ U' \ (1 '1 '" \ ,-1- \ \,.0 '" \ \ -t- \ 'A \ c:. ." r- \ ~ct. , ~~'<^ \ \ i/ \ . , ~ ~. cO \ / O~ ,!-'O. +/-.. ,1J..~' (1 0" ",.. :.L- 0..... " U' o~ "..... ..... ~~ Of ..... C'(!.q., -:;, 9. c;> 0" ?L. c;> ( J' ~ <0 '" -t- 'b. ~. ~. # .,~ ~'I-'O Sl'j [). 0'- \,: OJ C ~ '1 '" ;U \ \ \ \ Young &- Young, Land Surveyors 400 Ostrander Avenue, Riverhead, New York 11901 516-727-2303 Alden /Y. Young, P.E. &- L.S. (1908-1994) Howard W. Young. Land Surveyor Thomas C. Wolpert, Professional Engineer John Schnurr, Land Surveyor NOTES [:] "'" MONUMENT SET . '" I,(ONUl.IENT rOUND IA '" STA.KE SET ... '" STAKE roUND AREA = 5.0001 ACRES . LOT NUMBERS SHOWN HEREON ARE REFERENCED TO SUBDIVISION - "WOLF PIT POND EST A TES" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE NO. 8963 · WE HEREBY CERTIFY TO RAYMOND GURRIERE .JR., DEBORAH M. GURRIERE, FIRST AMERICAN TITLE INSURANCE COMPANY & NORTH FORK BAN K THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SURVEY LOT 3 "WOLF PI T POND ESTATES" RAYMOND GURRlERE -R & DEBORAH M. GURRlERE At Mattituck, Town of Southold Suffolk County, New York County Tax Map DI'tcld 1000 Seotloc 100 810,,05 Lot 3 L FINAL SURVEY FINAL SURVEY FOUNDA TION LOCATION STAKED PROPOSED HOUSE ADDED CERTIFICATIONS MAP PREPARED AUG. II. 1999 FEB. 25, 1999 DEC. 23, 1998 JUNE I I, 1997 JUNE 3, 1997 SCALE I" = 100' JOB NO. 97-0325 DWG. NO. GU970325 1 OF 1 @ 01" 000 ~A~ .r;; g-~ ~ac w~~ h"~ ~." ~~~ .. ".' ~i~ "> 0 ~ ~t .o~ ~~~ >0 2U'" 0" i~~ e;!i ~i: .~. > ~g", ..-t:;: e~t5 "'i~ io'" ou. ~;;!;;: .'0 ~~i .0' ~~~ .'. ~~~ ~<:'~ .'" !:!Z"\(, ~o- i~~ '0' jizo ~"-~ .u u. u' . 0 o c ~3~ il:;e'f :;lX:3 :~~ .." '-0 ;~~ ~~~ .,- ~~; h!o . >. ~~~ o , u " 0 ~!:!~ ,'. ~~:r. ~:E f3c ~...~ e:~li' ~". i:;2c ,u. i~~ \>". :~~ tl~:, ~""c ~e~ o @ . ~ 0 h ~ ~ ~ ~ g 0 i;i ii . . . . 0 0 ~ ~ s