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Home My WebLink About32436-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: OS/28/08 No: Z-33051 THIS CERTIFIES tbat the building ADDITION Location of Property: 450 BAY RD (HOUSE NO.) County Tax Map No. 473889 Section 116 (STREET) Block 2 CUTCHOGUE (HAMLET) Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14, 2006 pursuant to which Building Permit NO. 32436-Z dated OCTOBER 18, 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 ADDITION, COVERED ENTRY AND STOOP, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA # 5900 DATED 6/29/06. The certificate is issued to MARIO & JOAN C SHORTINO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMRIlT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3019490 06/04/07 PLUMBERS CERTIFICATION DATED N/A ~iZ~ Rev. 1/81 . , Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ,'iAI Z I ~'G- :\1. ~ ' 1 r'I \ I , ;\ ",..1) -..........~.~. . 'i ' .;")""! APPLICATION FOR CERTIFICATE OF OCCUPANdY..J)" 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. Fi1131 survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Flllal 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, industri'al 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 wliting to the applicant. C. Fees I. Certificate of Occupancy - New 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. 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, COlmnercial $15.00 New Construction: ./ Date. .s-J/?ht , . Old or Pre-existing Building: Zrl.cL O(;.:~1JkP--- Street Hamlet Owncr or Owners of Property: ! }/(1y-io F .s t~ fi. () (&,,,,,t.<......QLf;;: D -jF('o.<tC.~) ::z... Lot 18 SubdiVIsion Filed Map, ~ Lot. PennitNo. 3v~3bL- Date of Permit. /oJlo/~f;~APPlicant_I-'~ I' / Health Dept. Approval: _ /) A-- Underwriters Approval: _~ '_~_ , J' I Planning Board Approval: -J&4-~~ I ~ IJtr- (check one) Location of Property: ~'" '7 fIo~v ..:>ay ouse No. Suffolk County Tax Map No 1000, Section--1C. Block Request for: Temporary Certificate Final Certificate: ~ (check one) -'L""~) Applicfnt Signature Fee Submitted: $ ~ s.~ ce ~/~~~ r \ 1/6,- .2 - I!? @].@] I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ MARIO SHORTINO MARIO SHORTINO ~ ~ 450 BAY ROAD 450 BAY ROAD ~ ~ CUTCHOGUE, NY 11935 CUTCHOGUE, NY 11935 ~ ~ ~ ~ Located at 450 BAY ROAD CUTCHOGUE. NY 11935 ~ ~ ~ ~ Application Number: 3019490 Certificate Number: 3019490 ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ 3~4~ ~ ~ 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 ~ First Floor, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ @! authority having jurisdiction, and found to be in compliance therewith on the 4th Day of June,2007. @! ~ Name OTY Rate Ratine Circuit ~ ~ ~ Miscellaneous ~ ~~~ ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 1 0 Smoke ~ ~~~~ ~ ~ Outlet 5 0 Fixture ~ ~ Fixture 5 0 Incandescent ~ ~ Outlet 14 0 General Purpose ~ ~ Receptacle 9 0 General Purpose ~ ~ Switch 7 0 General Purpose ~ ~ Receptacle 3 0 GFCI ~ ~ Paddle Fan 2 0 ~ ~ ~ ~ ~ ~ ~ ~ e~ ~ ~ ~ ~ 1 ~ 1 ~ 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 @].@] 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. 32436 Z Date OCTOBER 18, 2006 permission is hereby granted to: MARIO & JOAN C SHORTINO 450 BAY ROAD CUTCHOGUE,NY 11935 for : ADDITIONS/ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA #5900 at premises located at 450 BAY RD CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0002 Lot No. 018 pursuant to application dated OCTOBER 14, 2006 and approved by the Building Inspector to expire on APRIL 18, 2008. Fee $ 150.00 -" ORIGINAL Rev. 5/8/02 N co utJ1!<'-/ fOi<fI-. CL.-U8 j/Of,10 ~" "",v10,.J ~ \fl t' I:'-.i ~- \;>J ~ "z ~~ -~ z 0 '- ------- ,; .----- \J (--~ 8 E~ I ~ I ~ 4~.o ~ I 244 " r "- '2(9 " I I .. EL ~ ~ 4:n L_ 17:') 1 srY FI'? 5 f3R. ';t 24./ ~ ~ ( l. Res ~ , OAR ;:;: eL 613 ,,~ . ~ I !-I6PH. ~ 57tJNl: H. .. eL 49.9 ~ '" . ~ .. .. ~ Of<lVe:. "- N 3<../ ~, I I/~ -- , e~ " 4~_t , ~ (- 3dS \J I /7:') tEL C.ONG f \], ~ 41.1 \ "SI-A..,E 6Ltlrc ,"'WNc:... "'K '- I ~ - \J , ~ \ ~ .0 <IJ \\l I ~ ~ '- '" (1\ 0 ---- - CI I ~ "' '> \f\ ~~ a Q ~ ~ '1 '1 "- \ <J) ~ 'r ~ I " ] I r-- " ~ ' ~~ ,. I ~ct I .,.; " "'.. I I ;/70058' 10" vV /0000 I ~~ I -Ji I h ~~ I " -J I ,vIF CASE <I I ~ ~ C/i5E R040 REIef'.. 70 ASSUMeD o?iTi/M THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD. IF ANY, NOT SHOWN ARE NOT GUARANTEED. THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 SUBDiVISION 2 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE' COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TfTLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE lENDING INSTITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAllNSTITunONS OR SUBSEQUENT OWNERS _K COUNTY TAX MAP OIST. /{JOO SECT. 110 BLK. 'Z LOT 18 BLOCK BURTON HAND BEHRENDT SMITH o. DATE: . PRoPERTY ON: curcl/obUE EYEO: FIEO TO: M?iRUI '20, 1990 M4Plo i -JOAN 5/-101'</lNO ce/\/TeR 8CiNI-< Cf/ICt::iC,O /ITc'-c /N5 co 20' FILE NO. 90 -( &, 1. ENGINEERS ARCHITECTS SURVEYORS 244 EAST MAIN ST. PATCHOGUE NY 11772' [516] 475 - 0349 567-6300 OF: "5our/-loLD - SUFA:J!-.!<. Cou/\/T'/- Nt:: tV VoRl<, I" ~ ~' \ct1 ~ d APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman ~~/ ~ (~~-\ hup:/ /southoldtown.northfork.net 3:2 Lf 3(o-'L 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 ZONING BOARD OF APPEALS TOWN OF SOUTH OLD Tel. (631) 765-1809' Fax (631) 765-9064 ~ FINDINGS, DE6B~ DETERMINATION MEETING OF JUNE 29, 2006 ZB File No. 5900 - Mario Shortino Property Location: 450 Bay Road, Cutchogue 28 CTM 116-2-18 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 applicant's 11,129 square foot parcel is improved with a single- story, single-family dwelling with garage, as shown on the March 20, 1990 survey prepared by Burton Hand Behrendt Smith, Land Surveyors. BASIS OF APPLICATION: Building Department's April 17, 2006 Notice of Disapproval, citing Section 100-244, in its denial of an application for a building permit to make additions and alterations to an existing single family dwelling. The reason stated by the Building Inspector in the denial is that on nonconforming lists measuring less than 20,000 square feet in total size maximum lot coverage of 20 percent is allowed. Following the proposed additions and alterations, there will be total lot coverage of 22.3 percent. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on June 22, 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 applicant wishes to demolish an existing deck and construct a new 22 ft. by 22 ft. one-story addition as a family room shown on the construction diagrams prepared 4/7/06 by Gary D. Cannella Associates. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: I. Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. After demolition of the existing deck, a new family room will be constructed in the same location. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance because the lot is small. 3. The variance granted herein is not substantial. The code requires a maximum of 20% lot coverage. After construction of the new family room addition, the total lot coverage will be 22.3% Page 2 - June 29, 2006 ZB File No. 5900 - Mario Shorlino eTM No. 116-2-18 4. The difficulty has been self-created. 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 family room, after removal of the existing deck, 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 Dinizio, seconded by Member Simon, and duly carried, to GRANT the variance as applied for, as shown on site plan map dated March 20, 1990 and construction diagram dated 4-7-06, revised 5-1-06, by Gary D. Cannella Associates. 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 nonconformities under the zoning code. 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), Goehringer, Dinizio, and Simon. Absent was Member Weisman. This Resolution was duly adopted (4-0). ~~~~ ~r8/~}~' Approved for Filing 'I I '3 ;J-Y- 3 Ie 2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRucnON [ ] ROUGH PLBG. [ ] INSULATION P1 FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: l~~ 4- ( -<--;;2. 0 f\ ~ ~~ a4: ~cl ~ ~ f:r-.-~ DATE L.j--/7-tJt INSPECTOR ~~ 3~3bz- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. ~ INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: v-~ ~ . DATE '--10 -07 INSPECTOR ~~ 3 rf3b 7 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING J><1 FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: - I:t-~ ~cl. ~ ~- ~ ~~/ J I JI~ . "dL \ ,~~~ DATE )[) ......')...-;LJO 7 INSPECTOR~~ 3'J-'t3~Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND t><J FRAMING I STRAPPING - [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~. ' J-~,'- /O,,~ P DATE 1J--/3 - 0 , INSPECTOR ~~ Jif 1-1 3~7-- f50 lh-- fJ I ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION ~RAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~ ~r ~Ok~ , DATE I J-- /)- 0 (, INSPECTOR A:~ 3 ~3~ Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION P<J FOUNDATION 1 ST [] ROUGH PLBG. [ ]. FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: /~~ . - 'I - - ~ ---iA? , DATE I/-}o -~ h INSPECTOR ~~ FIELD INSPECnON REPORT DATE COMMENTS l).J j..;'" ..L~ L\J ~ 11.., W"" FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PERN. Y. STATE ENERGY CODE FINAL \\.:- ,,,,'_Y X")d 0\~ 1;2 -/ I-v A1A.a..",~ ~ o-k- ~=-'-"Fr ~ w.... 1'_' r~"~'~~~.~__ '" .., [;l ~ .., ~ ~. ;x.. V> <A f ! if--ll-'Z r~ ~ '-t-- ~." '~ o~ ' E. cv::tr ~ . ~----- ADDITIONAL COMMENTS , , , v :J;- r r -I - '0 C1 / ~ <> .-+: ~ t if ~ f ~~i =:: L' ~ -~ """. ..., k=:: eJ ~ '" :-l , TOWN OF SOUTHOLD f BUlLDING'DEP ARTMENT TO)YN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO~8&Z.. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets ofBuilding Plans Planning Board approval Survey Check ;.; .00 D" S . ~ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Examined Approved Disapproved ale /0 Expiration ,20 Phone: Building Inspector 14 . APPLICATION FOR BUILDING PERMIT ~ I , _____.J Date (/ //tj f / ,2012k- 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ t ~ ~() p/: ~~ (Signature of applicant or name, if a corporation) "'Sv .:5S State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /I!ntl'(() p 0-.,1- \~)I9.c c- C !{'cjJ;lSeJ) c. V LymiJ (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 proposed w S-~ House Number k will be done: (IlcL (! v-+Jd It~ Hamlet 'tot / t .Lot County Tax Map No. 1000 Section II ~ Subdivision 1\1 A- (Name) Block Filed Map No. ~- \ ! ---..... -~-_._- ..~- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction", a. Existing use and occupancy P~11S:~) { e s'c c6sulc ,p .J b. Intended use and occupancy ~ CJP+Y<<l.--- 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work /' Alteration 4. Estimated Cost (I/~I/"'I (CN) J{; .2) rJ. ChftJ I .) I 5. If dwelling, number of dwelling units I If garage, number of cars '2- z; .5c , ) (To be paid on filing this application) Number of dwelling units on each floor (Description) Fee 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front .;2 I.f I Height .ilr~ ,,.,,, 'X / '5 ' Number of Stories I u Rear ,.;l 9 ) Lj" , , 7 / ' Depth tP 7 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 9. Size ofIot: Front //;-0 I , I /27./:::,7 Rear d.;:) Depth SZ / ' /J " 8. Dimensions of entire new construction: Front A Q.. Height 11/ I 1/1 Number of Stories Rear Depth /00' , r CPt tk",Q(. .I /t;J/f:r 10. Date of Purchase Mils<' A , Fi70 Name of Former Owner I I. Zone or use district in which premises are situated --.f Ps, (J €h -+ ;J 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_NO ~l excess fill be removed from premises? YES_NO_ pA;.e"l"f1iio Address (,1' SC1 ~y-?cL Address Address 14. Names of Owner of premises ht!lffiJ Name of Architect Name of Contractor Phone No. t) 54- 7/?- ^ I _. Phone No Phone No. IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ~' * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO .,./"" * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16, Provide survey, to scale, with accurate foundation plan and distances to property lines. L--' 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. being duly sworn, deposes and says that (s)he is the applicant ame of individual signing contract) above named, /'/~ ~~ (S)He is the O-<~)l\.Jb~ (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, ~o before me t~ ' :tL day of " 1 ~ " 20~ I'~N 1 /~ Si MELANIE DDROSKI NOTARY PUBLIC. Slate of New '1tlrk No, 01004634870 Qualified in Suffolk County ")N'il.:, Commission Expires September 3O,.AJ,U " /QoO- /I~-J-/R' OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET L 1--- I' ,'( ) /3d. ~a <I .}- S J; ~ y~c.~ . VILLAGE DISTRICT SUB, LOT VL. FARM COMM, I~ ,&.r<:: ACREAGE ''2---9 /' tiC:; I ~ TYPE OF BUILDING J I, /) 131'(;,(",/ Llj(Jori 5.....<,; (('4.. CB. I MISe. I IMP, TOTAL DATE ? {jlJ rcv o 7[c (~ v 100 ... 07L('\C 0-, (J () CoIOD / AGE BUILDING CONDITION NORMAL -r BELOW ABOVE cJ () fir .r iD 7 a 0 :s 70a NEW Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woad land Swampland I _=-~____, Brush~ _ House Plot Total . --T I I , I G.,I-f' (\ 1\ 0 r.r <t . ? 'L II ~ i 0 1'- e, I, I 1- \- ~ I" .10 I 1 )( L' 2- -I Ii I -1-1 . n C 1'/ 6 , ~ :L 1\ ;L .1 , I /0 . '" ::${, . 'l.y / M. Bldg. 21;:2,/:; ,/ i Foundation I IR Both t/i-t.. (, 7 L , ! ~ Extension /.-IK2't:..c9~ 'j.J, 6' l/ 3,$tJ '/6 r/ ~ment ~ () II Floors UJ" Extension I() X " - b O' Ext. Walls W 'fJ. I 111nterior Finish JI /(0 c A" - ooaJ I~ ~I[' '" Ohe. " 8, 8'. t/ j;, Extension Fire Place HeOlt --.--- ---- .. ~\ ~~ \2..,!-I'2...~ \# ,'2s 3(0 Porch Attic ~,._-- - Porch Rooms 1 st Floor Breezeway I Patio Rooms 2nd Floor Garage :).VX 2,'1 /,j/6 ;/ /:d,~ I;?!:: ,/')riveway O. B. / iL"'1 ,., / ,-./ , ~ 3' I 5:3q<=t @ ~ ~ o ~ ~ ~ ~ o"t BO.O t\ Z:.J--- S ~--- '-""""- --- I- o o o I , 1 , 1 , 1 , I , J IT-II" ~ I lU' = I 0' '1"1 - , -I 0, o 1 ('(), -I Z' L___________ N 7(;0 58' 20" W PLOT PLAN SCALE I "~20' 5 2' (j) _J-91:c----t] ---.----- f\J ~ ~i I , 1 , I NEW I STORY i ADDITION ----- --- --- ----- - I'< Q % 21 '-I I" ~ ~ D , N (\j EXISTING FRAMED RESIDENCE 't , D " 5 o 'I" o o ('() __________________________Jm /00.0' ZONING CALCULATIONS MAX SITE COVERAGE: 20% EXISTING SITE AREA EXISTING FOOTPRINT EXISTING SITE COVERAGE NEW FOOTPRINT NEW SITE COVERAGE I I, I 29 50. FT. 2,00050. FT. 17.9% 2,482 50. FT. 22.3%