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Home My WebLink About33692-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32948 Date: 03/25/08 THIS CERTIFIES tbat the building STORAGE BUILDING Location of Property: 3450 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 125 (STREET) Block 3 LAUREL (HAMLET) Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 12, 2008 pursuant to which Building Permit No. 33692-Z dated FEBRUARY 21, 2008 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 STORAGE BUILDING AS APPLIED FOR. The certificate is issued to HALF HOLLOW REALTY, INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A -4 ~ ~orized Signature Rev. 1/81 tI, 24 C8 ~ --Iu~<< -f~r5/(1 I 5 H'--:;1 Form No.6 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL 765-1802 ::11" i L , . APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings. property lines, streets. and unusual natural or topographic features. 2. Final Approval from Health Dep!. 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 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 Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy ofCerti!icate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. .3 ~V ~C;}O e New Construction: ~ Old or Pre-existinJ Building: / (Che[k one) Locationofproperty: c.3!fc;u MClJ./n -Pel 73 zS:- J...~ House No. Street) Hamlet Owner or Owners of Property: /I Cl J fU ~ II D w?a..a..Yt-1 J N c.. Suffolk County Tax Map No 1000, Section I Z5 Block C) 00:3 Lot % I DO I Subdivision Health Dep!. Approval: Planning Board Approval: ;/J;:! Ve~ . Filed Map. Lot: ;;/2//oorJ'D Applicant IIcdf !Iot( 00.; )J{L.(Seri I ( Underwriters Approval: IV /l Permit No. 33 (? 9 c2 Z Date of Pennit. Request for: Temporary Certificate /' .-- Fee Submitted: $ ~~ ~ Fioal Certificate: (L~. }l..j6J3 co-t:3J~1'T 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. 33692 Z Date FEBRUARY 21, 2008 permission is hereby granted to: HOLLOW NURSERY HALF DIX HILLS,NY 11746 for : CONSTRUCTION OF A STORAGE BUILDING AS APPLIED FOR PER PLANNING BOARD APPROVAL. at premises located at 3450 MAIN RD LAUREL County Tax Map No. 473889 Section 125 Block 0003 Lot No. 010.001 pursuant to application dated FEBRUARY 12, 2008 and approved by the Building Inspector to expire on AUGUST 21 09. Fee $ 150.00 , ORIGINAL Rev. 5/8/02 YOUNG & YOUNG 400 Ostrander Avenue Riverhead, New York 11901 Telephone (631) 727-2303 Fru;simile (631) 727-0144 admin@youngengineering.com HOWARD W. YOUNG, Land Surveyor THOMAS C. WOLPERT, Professional Engineer ROBERT C. TAST, Architect DOUGLAS ADAMS, Professional Engineer March 7, 2008 Town of Southold Building Department 53095 Main Road P.O. Box 1179 Southold, New York 11971 RE: Galvanized Arched Structure HALF HOLLOW NURSERY INC. At Laurel, Town of Southold Dear Sir or Madam: As requested by Half Hollow Nursery Inc., I have visited the site of their arch storage shed in Laurel on February 25, 2008 in regards to verifying the conformance of foundation construction to drawings prepared by Stephen P. Maslan & Co. Engineers. The foundation is a monolithic slab and perimeter grade beam reinforced with welded wire fabric and #4 bars with #6 ties at 8' 0" on center. The bottom of the grade beam was exposed to determine the depth of beam, which was 1 y," deeper than the plan requirement. It was not possible to determine the reinforcing without destructive testing, but I did have a detailed conversation with the concrete contractor and am convinced by his narrative and understanding of the drawing that the reinforcing is as per plan. Therefore, to the best of my knowledge, information and belief, the foundation was constructed in accordance with Sheet 1 of 1 dated October 16, 2007, prepared_ by Stephen P. Maslan & Co. Engineers. i(. of NE-~:~ "\~ _'_ J;....., <0 ..~ CH4,~",'::--i>1- ..<,; <,r., o ... \ "" ~p~ 'C-j ='\f'!'~)J~-- ~ ~;;l;/\ " ~.;~ 1>~ 1\-0. 10\~'). /..'-. Q/ -'; Iv &1'. --'1\-<' <RED AIle" Very truly yours, \ .!ct- . . /. I;J"/~/ Robert C. Tast RCT/dc Planning Engineering Land Surveying Architecture YOUNG & YOUNG 400 Ostrander Avenue Riverhead, New York 11901 Telephone (631) 727-2303 Facsimile (631) 727-0144 admin@youngengineering.com HOWARD W. YOUNG, Land SurvClJor THOMAS C. WOLPERT, Professional Engineer ROBERT C. TAST, Architect DOUGLAS ADAMS, Professional Engineer March 7, 2008 ATTN: Mr. Charles Scheer Half Hollow Nursery, Inc. P.O. Box 536 Laurel, New York 11948 RE: HALF HOLLOW NURSERY INC. At Laurel, Town of Southold (08-0077) Dear Mr. Scheer: Enclosed is our letter addressed to the Town of Southold certifying that the foundation was construction in accordance with plans prepared by Stephen P. Maslan & Co. Engineers, for your submission to the Town. Very truly yours, /lJx'd L Tit~-C Robert C. Tast RCT;!~ End; Planning Engineering Land Surveying Architecture 3}{,?'J-Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~INAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: F~ ~\ II^' C ~ ~DJ< 1) "- ,. 3 -I J-~ 0 ! DATE INSPECTOR ~~ " . FIELD INSPECTION REPORT DATE I COMMENTS \.;" \)~ >tI ,,' i"J FOUNDATION (1ST) ::,~ ~/ ..., ('\J "" ---~--------------------------------- , , ~,-\,: '. C "" en FOUNDATION (2ND) -, i"J - - 2: 9 \..,\.......'. " , en r ..., " ~ ROVGH FIL'u'\1ING & " . t'j PLUMBING -, ..., " , ~ --- ~- . ----- ---- - --~ ~~-- " :I: -.------ ~ L"ISULATlON PER N, y, ~-- ~ ..., STATE ENERGY CODE '" " r J--J~-D B z:-~J- ok. ~ , . r,Jj 1) , <-Q..,. 1If~ ", ",_h._- L..u < VI' 11 (J /A - ~ FIN AL . ~ ADDITIONAL COMMENTS '\,1 r- ~ ~ . .3 ) 1- -'0 Y /'o....Jl.<"T. -L .. LA f, UJT" ~,7t? ;:'T v v ~ 0 1----- ' ~ ::E " z , m .' ;0 - r .. , -", , , , , t'j c.y"'; ~ - ~ ," ..., - J 0 2: ~, ~ -- .. t"' ..., - - ~ 0 -- , , t'j ." ~ '"= .~ If-s-y . __ ""'1ie (0.1 TOWN OF SOUTHOLD PROPERTY RECORD CARD eX . - ,. I,,-.,"',.;j .- ,1,J~t 1.,,,)./ DIST. I COUNTY TAX MAP NO, / I I /OCO. 1.2,:)- 3',f I STREET34'!._J 1 7)),;,,;. i2c! VILLAGE . .~ c:::.. I,Dlx'jOt- Dru .-,_etl ,F- -~, 1::2 i) / /, 2f ' LAND IMP, TOTAL DATE It;f '7'" <! I/V' ,rl- Je I"'''' ,/ 'f /l ;I., I:) " , I 00 REMARKS: A c: ,;>,) tt' &' 0 / I' 1> ~i'(. f-~r:>i'l;.--;' i"{(,'t'" ",',-, 4-('1-':, JC'_ ,1",\ " . '" (d. ':;':"e'e $; ,(1, ':t(.c'- H\.A' '".JllouJNUfY' K(';{/'j LOl' .c/.....~ .2 (;,;/ <; /;: ,{ ,-"-,;.,, , L-( &0 0 I, ;,;.. (r 1'/ (I ,12k,A, - I e"'"' oj /33tJo " Iko (4/7".;6) / /2CO II I Jrr' I{ r~o II "r, (~/7':"(.) " , , ____t... J Ii r( iI , ( II I( /2-00 Ii I 'Z--OO t ) I 13 CO Ii I I f i I( I II , II 1/ U /I ,(CIs. """'. - I 0"" f' (p" ' N I (JlI " ,- <.Ii, r/ t ~,~- ';3-"!fd-o _.,"_+~' o( .:; t ,:; ,. I-/- l 6 N FA M,2~M .NOR..M~L Acre if 1 ~~d Tillable Tillable 2 Tillable 3 Woodland ~d1; I B rush land -.5' // l.- House Plot Total . ~~,', ~oRb' CARD' STREET DIST. LOT SUB. VILLAGE " 'if j) ,r ~, f'\ ~ C'/7 , ,'. .u'"-'l~' AC~t Y-v TYPE OF Bl)ILDING " of ( 4,:,., N . E 13. S' W '\ ' SI-.J.Ki: Ot1fi.NIWI!I . f '~ VL. FARM V-- COMM. CB. MISe. Mkt. Value .-,--, TOTAL DATE REMARKS ~o tJo 40 !) ; ,<-. -' t::C'~"(}l>(J. . L UrOb f' J'jg' ~EfQW Value Per Acre /07 .... ~ R:t <'/!'):"! t" 1:;(- ('I/oIV' MvA/E}.,/rl'l1f'111 PLD'j(noo, Fofi'~' _ j f9H~ /':.. r r;. t; + (;) 17' <oJ J. /20"""'" l'lV ",,/::.I I=>;f t Mk p~f,\O~7. >''h iff ,-K t <I'''otJ , 11)( I" f I, II. -I, P /. L 91>7 /1"'''' /',//'"1 /~ ~(, ." IL~"',.P'u.:'JSIU r .:J-?t' (I .5arf>-t' /hl/13 'Sv<~c~/(:.. i"IJ[ ,ff. -j, II" !-' ')' ,""iv":,ll J 9~'l- r. ~I ....) ~ /'7 ,11".....J.<S!lv~. ;? <~ } 1.3 1 ~-- FRONTAGE ON WATER FRONTAGE ON ROAD +6-L \., _'0 Cf.l 3,),,' ...... (/'.. /70. /' .. ..' j G .~-1-- 800 ' '.~ .(j, I / BULKHEAD / <J 6.... t/II/7'/ ( 7 J ..roCK /0 ;11" -..- .......'1 COLOR . tvA, -I:r' - ,? M. .. f>. rI TRIM /-:l 'It / 'c- r J, ChU41 rf f-"' 'I (:5 r IIf . - ; " . '( fV<: V ;1.1 1/ - , rC Iv i IL: ..... ..., ~ .~ . ~ i/ '... f. . IJ- <> / j./ 0{. Jl "" ,.i: 0 ~: {' f- c M. Bldg. I ! ;./ . I Bath / Di nette 1 . \ Foundation . .( v . Extension ,/ r r Floors ,A-/< K. - Basement .. f ,. -. Extension , ) . " J L/ Jf' 151(( c I . '. Walls Interior Finish LR. .' It -- f i ---- I . , .,' - ! '. Extension "f . IEire Place Heat (~ /- DR. . [/ - . ,. I . ,j IType Roof . Roams 1 st Floor SR. Porch I . . . f(ecreation Room Rooms 2nd Floor FIN. S. r '. -' ( '. - ~ ---- Porch '., (., r/ . iDg,uner .\..Jrt ---..- .-. Breezeway '0 . I r1veway , --. --_._--~- ----- .. Garage 1 ',. ,('e " . /1 , ~ ',:. '! . , =-_..? ; {~ < ~ . z.. .- v- I ) .' / , .. ,~ , , . . - .. - -~---- -------- _r .. Patio ) -; ! " , ~, , B, .... , 31- ;,:' .' ,( ,r .. . " I. / , . '/, Iv ..-------- ..- , L, .. , r( /1 ' " . -'- ! cr I.. 0 / 'C!iI1(/I ..,. 2- ".,' ) . .,3- . . Q....... '~ ~,,~'.-~ i~~l_ ..it ')- <''''l~p ~ . . . /_ 'i J ~d_. yr HE RD CARD -' , ~ I STREET r I I r OWNERAr-I-!)i.{(" Mt1-S 4=4. N X-d /"1 , ' \,.. i, -.... RES. 3) 2- LAND c; /1 ,~. j r " 00 :;'/0' d-COO AGE NEW FARM Tillable Tillable 2 fillable 3 Hoodland ;wampland 3rushland ;ouse Plot rota I .t;1 , i", 0 4/72.-i::;) I~a() If l~rI/) 1/ I Do 'I ICj(T(J It /1o-D II / 10-0 (I I quo II J-bO () ~1! tJ 1< -Z-t3V[) " ~ S Ji t) .... . ~ .. ' ' ~, , STREET 'c:; '-. ", J, VILLAGE p l'i. ! ' ) / " E ~)'y;?'I1{!/ W ( ,,",- ~ i . i/t, ,<'\0/ ' / AJ "<.I'A A)," _, J~..,-" v/' '.. S~. /. R{~ o / , (,j i. SEAS. FARM ~ COMM. CB,. REMARKS MISe. VL. IMP. DATE TOTAL /". l ( P~t. ;,,- , . Ice (l .-<. . G" () &,! '/ c c ,': , ' ~_' (. c. () BUILDING CONDITION NORMAL BELOW ABOVE Acre Value Per Value Acre I ./,/ I 3.7'2- rl-. J-SS. 3 Illq~ " J~dJ II /I II I 1'l0 () II II /I / 1/ /I 1/ II I, II I( (' u II II /I !CJCO /c tJCJ DEPTH BULKHEAD ...... , DOCK SUB, ) ~--- ~/.. - .::> If ;~. c.....-- TYPE OF BUILDING /'-" +111 ,} .,' f! .....J I v: Mkt. Value ;/.~l. ok. ,; i /9; ,,,"- I I JI)-f/~ ;1 ~"'>i~! t. ," c'" ',.. . / ' ~.' 1 ,,> " ,:;rrJ ) ::?/ ^ tf'.c. . - /' '00 '" '" ;;- . - COLOR -- I ,r ( .- -. C' C TRIM . I . --- ~-- -- - #/ {' () (.! - \ L~ , A. Bldg. I Bath Foundation , Dinette xtension I . Floors K. iBasement -- 'xtension IExt. Walls Interior Finish lR. :xtension , Fire Place Heat DR. - IT ype Roof Rooms 1 st Floor BR. 'arch Recreation Room Rooms 2nd Floor FIN. B. 'arch Dormer Breezeway Driveway ;arage ~---- Patio O. B. - = . .... --~""""= . .......-...... . . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD.N'r 11971 . TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.N orthFork.net PERMIT NO. 5,?t/1Z- ~' 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 Storm-Water Assessment Form_ Examined ,20_ Expiration ,20 Contact: Mail to: Ap ,20r Disa Phone: 'I, ;:+,'(:; - D:::'" q ~ f\ r 0,'0,--,'. \ " I' i ~--- , i'.D frPLICATION FOR BUILDING PERMIT .-' \ ,~ , , Date !o/z"O I ,20~ , " -~\ L.. : ~ 0: ,~ 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 ofbuiIdings 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 regnlations 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 Regnlations, 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 regnlations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) G2V~ VQA'==:!-1f.,lQ. ~ LX (Jitls; (Mailing address of applicant) NY. Itlrb State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0~_. Name of owner of premises f( a tf 1/ o//-oW }J LU)~V'2 ~t~. .J. IJc. (As on the t roll or lates~deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. .AI II Plumbers License No. N 1/ Electricians License No. )J A Other Trade's License No. N II 1. Location ofland on which proposed work will be done: House Number Street Hamlet LO~ 10./ Lot ' County Tax Map No. 1000 Section /2 f5'" Subdivision Block Filed Map No. 3 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy S+oV'O...~ -g Q../v1;\. . 3. Nature of work (check which applicable): New Building ~ Repair Removal Demolition Addition Other Work Alteration 4. Estimated Cost 8 000 ) (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front N fI Height N A Number of Stories IV A Rear N/1 Depth . -. Dimensions of same structure with alterations or additions: Front Rear Depth Height .. Number of Stories 8. Dimensions of entire new construction: Front ..3 0 I Height I V I Number of Stories I L,",^ ' Ll" ,I Depth -Z~ 0 / 9. Size oflol: Front <..J-^' Rear 7i.l.t 7U 10. Date of Purchase !9c;O'S Name of Former Owner ~oma.r\ oWS k l.' Rear , 30 Depth 68 ' +u.JUJ. s ;,J, 11. Zone or use district in which premises are situated L..G..u..JuLJ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO~ 13. Will lot be re-graded? YES_ NoLwill excess fill be removed from premises? YES_ NO~ ~ \\ ~ Aoe))ix.~iJ/s AJy. /17//(, 14. Names of Owner of premises ~ q'J[~NIJ-tS dress~PhoneNo.G"'V-~9a:-9!A~ Name of Architect"Sie p QJ Io-M.. ddress Phone No \ )... tf Name of Contractor Address Phone No. IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MA Y.B~ REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO ~ * IF YES, D.E.C. PERMITS MAYBE 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. 18. Are there any covenants and restrictions with respect to this property? * YES_NO X * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNT:OF~ .~c:( ~ t-cA: VI ~ Q being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, Gnp ~. (Contractor, Agent, Corporate Officer, etc.) (S)He is the 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 r ~ .1, A _ ;)-;)- dayof O~20~ ~(P.~ Notary Public JEAN P. HEBBERO Notary Public, State of New York No. 5044676 aual~ied in Soffolk County II Commission Expires June 5. 20 _ (J;5w;a( cY~ ~R_ Signature of pl1cant Robert I. Scott, Jr., Chairman Darline J. Duffy, Assessor Kevin W. Webster, Assessor rO=~~ ~~~ \)1' SOlJ1It~'\ jj~.~\ + + ~ ~ ~ - ~J ~"cou~1 Southold Town Hall, 53095 Route 25 P.O. Box 1179 Southold, NY 11971-0959 Fax: (631) 765-135t:.. Telephone: (631) 765-1937 '. BOARD OF ASSESSORS TOWN OF SOUTHOLD October 11, 2007 Half Hollow Nursery Realty Corp PO Box 536 Laurel, NY 11948 Re: SCTM# 1000-125-3-8 & 10 To Whom It May Concern: As per your request, we have merged the above-referenced properties. The new tax map number is 1000-125-3-10.1. This will take effect on the tax roll for December 2008. I have notified the Building Department of this change. If you have any questions, please do not hesitate to give our office a call. obert I. Scott, ~r. Chairman . RIS/cg - f~~ '5~J ~J+~J Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: 1000 /2S- .3 '3-r/0 "'i5iS'iii'Ct Section BiOCk ~ 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. ---------------------------------------------------- Item Number: (NOTE: A Check Mark ( l) for each Question is Required for a Complete Application} Yes No ---------------------------------------------------- [J [J 1 Will this Project Retain All Stann-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the pennanent creation of impervious surfaces,) '-.....L 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! "::L [J~ [J~ Id~ Id"-' [J~ [J'L [J~ 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 Storm-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) Vear 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 Required! "J ---------------------------------------------------- STATEOF~~~:~~~..~..SS That!, ...sc?x..('0.h.....s:~?;..Y.:\.~..f......... being duly sworn, de~oses and says that he/she is the applicant for Pennit, (Name of individual signing Document) J And that he/she is the .................CCU.f............~.,............................................................................................... (Owner. Contractor, Agent, Corporate Officer. etc.) Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have peIformed the said work and to make and file this application; that all statemenL5 contained in this application are true to the ~51'tf of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed ~Ot\i.: ~~~e ~f New York Sworn to before me this' No. 5044676 , Quatified in SuffolkCoun~ 1 , ....................~.~................dayof......()..~..,2rQ.7 CommissionExpiresJune5,2 - ~ 1. NotaryPublic: ...~..P....~.. ~~Jid;::~712............ FORM - 06/07 \J .- :>1 OR INTERNAL USE ONLY LAN USE DETERMINATION Date 'I ,~~ . Date Sent: I ( t "Z.- I ..~ Project Name: Project Address: 5l.{ ~) i&u -I- t --- (_.... Suffolk County Tax Map No.:1000- J't:S- 3 - I D./Zoning District: kc Request: [S+~n-< '2r<< ~ ~ u:.......O JJ ~" . (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted:-l}?t ~~ ----------- ---------------- ItZt'b Initial Determination as to whether site plan is required: .-/ Planning Department (P.O.) Referral: P.O. Date Received: / / / L{ tLJ") Date of Comment: II /) / (J/ Final Determination Date /1/ L. Comm,"" i}; 1;:.;Ji <>" (..1: ~I II 'f ~,.,r-__"/' Decision: ...- ~~ Signature of BUll In; ln~~ FORM NO.3 NOTICE OF DISAPPROVAL DATE: November 8, 2007 TO: Half Hollow Nursery Inc. 624 Deer Park Avenue Dix Hills, NY 11746 Please take notice that your application dated October 26, 2007 For permit to construct a storage building at Location of property: 3450 Route 25, Laurel County Tax Map No. 1000 - Section 125 Block-.1 Lot8&10 Is returned herewith and disapproved on the following grounds: The proposed use requires site plan approval from the Southold Town Planning Board. ...... Note to Applicant: Any change or deviation to the above referenced application, may require further review by the South old Town Building Department. CC: file, Planning Board