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HomeMy WebLinkAbout33595-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY lIIo: Z-33101 Date: 06/18/08 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1385 (HOUSE NO.) County Tax Map lIIo. 473889 Section 87 MINNEHAHA BLVD (STREET) Block 3 SOUTHOLD (HAMLET) Lot 23 Subdivision Filed Map No. Lot lIIo. conforms substantially to the Application for Building permit heretofore filed in tbis office dated DECEMBER 11, 2007 pursuant to which Building Permit lIIo. 33595-Z dated DECEMBER 26, 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 ONE FAMILY DWELLING WITH COVERED FRONT ENTRY, REAR COVERED PORCH, ATTACHED TWO CAR GARAGE AND OUTDOOR SHOWER STALL AS APPLIED FOR. The certificate is issued to PATRIZIA M ZANABONI (OWNER) of the aforesaid building. 05/14/08 SUFFOLK COUNTY DEPARTMElIIT OF HEALTH APPROVAL R10-07-0093 06/05/08 ELECTRICAL CERTIFICATE NO. 127500 06/12/08 DENNIS FRANKS PLUMBERS CERTIFICATION DATED uthor~zed Signature Rev. 1/81 ~U ~ I • . Form No. 6 TOWN OF SOUTHOLD ~ - ~ - BUILDING DEPARTMENT ' ~ ~~ ~ t, TOWN HALL ~ r - 765-1802 ~7 l APPLICATION FOR CERTIFICATE OF OCCU~'AN~Y j ~,~ 7"i' . This application must be filled in by typewriter or ink and submitted to the Building Depa-fr in~nt with-the f321IDwing~ 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 Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 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 Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 $2~.OQ 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. iG~t1~~pOA New Construction: / Old or Pre-existing Building: (check one) Loca[ionofProperty: 1385 I~l,hne~'w~,c:~ c31~d1, So~.~'~o1cQ House No. Street Hamlet Owner or Owners of Property: ~ar.~'~ Z ici ~ce v~cY~ v~', Suffolk County Tax Map No 1000, Section '~ ~ Block ~ Lot ~~ Subdivision Filed Map. Lot: 3j5~ Permit No. ~~~, ~~ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ ~ ~ 3 ~ \ `, 1 \ a Lr,.Z~a. ~ o~o~c~ ~G ~I U ~,~ ', Applicant Signature LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. I 670 MIDDLE COUNTRY ROAD APPlication No.: 127500 Permit Number: 33595 ST. JAMES, NEW YORK 11780 Block: Lot: (631) 265-3075 Fax (631) 265-6057 section Owner: Zanaboni Residence Address: 1385 Minnehana Blvd. Municipality :Southold NY OwnerPhone Agent: Triangle Electric Address: Post Office Box #61 St. James License#: Agent titan NY 11780 No. ITEM SIZE No. ITEM SIZE No. ITEM SIZE 34 Switches: 0 SubFeeds: 0 PoolsAbvBlo: 44 Receptacles: 0 Timers: 0 PoolslnGround: 6 GFCI Devices: 1 Transformers: Bell 0 Pools Filter: 0 Dimmers: 2 ACEqulpmentCentrel: 0 Pools Lights: 54 MedlumBaseFlxtures: 0 ACEquipmentWindow 2 CO Detectors: 0 FluroescentFixtures: 0 MotorsbyHP: 0 Disposal: 0 HID: 0 Generators: 0 Metal Halide Lamps: ~ RangeOvenCook7op: 30A 0 WhirlpoolHot7ub: 1 RefrigUnits: 1 DryerElectric: 30 A 1 Microwave: 0 WalkinBox: 3 ExhaustFans: 0 WaterHeaterElectric: 0 ExhaustUnit: 3 CeilingFans: 6 SmokeDetectors: 0 SteamShower: ~ pyy; 0 TrackLightingStrip: 0 BreadWarmers: ~ Laundry: 0 ElectricHeat: 0 GarbageDisp: 6 HeatingEquipMotors: 0 PumpMotor: 0 CentrelVac: 0 ExitSigns: 2 Disconnects: 0 ChandelierLifts: 0 EmergencySlgns: 0 Future0utlets: 0 ElevatorLifts: LOCATION OF WORK :^ Basemen J^ Fi rstFloor G SecondFloo [] Outside [~ Addition ^ Survey d^ New Const. Comments New Residence Wiring Final 6/02/08 / Additions OH ~L UG IJJ Amp: 200 Phase: 1 Volts: 240 WireType: <1L Conductor 4/0 # Meters: Member l.A.E.I. Electrical CertIflCBte Certifcate No. 127500 LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. THIS CERTIFIES THA OCAL DISTRICT Certificate Issued on: 6/5/2008 INSPECTOR COND TED AN CTION OF THE Issued to Zanaboni Residence VISIBLE PORTION F THE EL TRI L INSTALLATION CRIBED REIN ND IS Address: 1385 Minnehana BIVd. COMPLIANT H HE CUR NT TIONAL ELECTRIC CO Southold NY Triangle Electric Post Office Box #61 IAEI Certified Inspector St. James NY 11780 Town Hall, 53095 Main Road P. Q.Box 1179 Soutliold, Neon- York 11971-0959 h~O~~gUF FO(,~coGy o ~ ~ z W ~ °~ #~ ~~~~ BUILll(NG DEPARTMENT TOWN OF SOUTHOLD CERTIFICA'T'ION Date: Buildipg Permit No. ~~'~ ~ ~ ~ Owtler: ~!\C,~ ~~~ (Please print) Plumber:~i~/i ~ ~i<"~4«~ ~~ 3~~© (Please print) ~alU Fax (631) 765-9502 Telephone (631)765-1802 I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. F~ (P umb s Signature) S«~om to before me this ~ ~ ~- da~~ of ~~ ~~~ Nolar}~ Public, ~ ~-~ ~~~ .County ~~'gt y~~?W sandY~ uoimwwal ~f0~ 1H q, n~ti~Fr_,AN V ~ ~~, lquno~ u,,,;p~ ui pagi~en~ NOTAFr r ~ iC 'r el New York 5iN , 54'~N ~ '9i ~ ~' gtoA MaN :~. & ~ "Jll~~d A21V10N ~ "I it Su 'a County NV93F~0(1 .q HVi1~ii34 Comm~ss~~n Ea,u~u f~iorch 18, _r~i l1 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. 33595 Z Permission is hereby granted to: Date DECEMBER 26, 2007 PATRIZIA M ZANABONI 1385 MINNEHAHA BLVD SOUTHOLD,NY 11971 for DEMOLITION OF A SINGLE FAMILY DWELLING AND CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA/SCHD APPROVALS at premises located at 1385 MINNEHAHA BLVD SOUTHOLD County Tax Map No. 473889 Section 087 Block 0003 Lot No. 023 pursuant to application dated DECEMBER 11, 2007 and Building Inspector to expire on Fee $ 384.80 by the ORIGINAL Rev. 5/8/02 3~~~i~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 -~~INSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE RESISTANT C4NSTRUC'J REMARKS: [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION DATE ~~ ~~~~~/ INSPECTOR f~ :~.~ ~~f~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ] FOU ATION 1ST [ ]ROUGH PLBG. [ OUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE RESISTANT [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE ~ ~~ ~~ INSPECTOR 33 s~~-~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 [ ]FOUNDATION 1ST ROUGH PLBG. [ ] F DATION 2ND [ ]INSULATION [ FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION DATE ~ ~ INSPECTOR 1 NSPECTI N [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ~ ~' 33-s~s z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND ~ INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION ~] FIRE RESISTANT PENETRATION d {c DATE 3 ~~7~ ~ ~ INSPECTOR '"~ REMARKS: . i , l./3n. DL 33S9sz TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8 CNIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMORKS: DATE b-/~ ~ 8 INSPECTOR °~~ 3 3 ~~~z TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ] FlRE RESISTANT PENETRATION REMARKS: DATE ~ 1 3 f ~ ~ INSPECTOR -~ FIELD INSPECTION REPORT DATE COMMENTS l?~ ~ FOUNDATI ON (1ST) x ww,,,, lr' G FOUNDATION (2ND) [ ~ D z ~3 i ` ~ ° ~ ~ c~ y ~ ~ ~ ~y ~ ~ ROUGH FRAMING & PLUMBING .~.«.0 y -- ~ ~ ------ 3-~~ ~ 7 INSULATION PER N Y - - ~~ . . STATE ENERGY CODE O y ~ ~ FINAL ADDITIONAL COMMENTS ~ Q ~. ~ Z m , - - ~z ~- S ~ . 4 ~~ . / ~ O O z -~ x c b y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLIi, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.n et 20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? sBoard of Health 4 sets of Building Plans Planning Board approval ^- Dui vcy PERMIT NO. 3 ~ ~~_ Check ~ Septic Form N.Y.S.D.E.C. Trustees ~_ Storm-Water Assessment Form Contact: 20 -__~ Phone: ~ 6S - / Y ~ O ' c~ t~ ^~-~.~ Expiration , 20 '"ry .^, f i r ~ 1 ~~ 1 h ~a rs ° ,~~~ Building Inspector ~_`_ ,' ~ ~ ~ I APPLICATION FOR BUILDING PERMIT ,.'w~ ~ `, ~, Date , 20 -~~ ~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location 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. £ 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 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. ~L 2 (rr.o ...~ Y-~._ (Signature of applicant or name, if a corporation) ~'JSS H~NNr~+WHW ~'~,' V 'Hey-t~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises _ ~ A ~ rt,z iw z W rr t~ ~ ;~: , (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. 14-7©-j Fi-T Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: t"'~SS ,+ttNN House Number Street bounty Tax Map No. 1000 Section ~~ Htq^$]apirt / Lot ~~ bdivision -'~"~'"' y ~i~ ' ap No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy R t; 5 , ~~ ~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Repair Removal Demolition ~/ Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Ot:G Number of dwelling units on each floor If garage, number of cars rwo 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ',SEE. ATT ~Gr4ED JU 2Jc`i' 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories SE~% >9 TTI~GttG .D P~RNS Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories. 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Reaz Depth 10. Date of Purchase 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 NO / 13. Will lot be re-graded? YES~NO Will excess fill be removed from premises? YES NO zr'1 N q '3on~ i 14. Names of Owner of premises ?~'rY2-,z. ,~ta Address ,mss NwrrcMydH ~wD Phone No. _ 7luS- t9Lo Name of Architect Mq L k sc.H wa ,z-rz Address?o~ rsi ~ „-crto~u~ Phone No 734 - 4 if3r Name of ContractorFt~~N q C.TI l.l_ co.~wcT~.;c-Address ~o Box s Phone No. '1S'-F~ - 144-5 w aa, w v R, oe~e 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO / * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO * IF YES, D.E.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. 18. Are there any covenants and restrictions with respect to this property? *YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COiJNTY OF suFFOC.rcl R . 'K.. ~ Z i ,P. Z A ~ i•1 ~c° A; , being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 tme 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 th' V~.. day of ~ ~ 20 07 1, ~ ~~c9.-~Gy c/: i±~ Notary Pub is ~IIGIFR ` Signature of ~Np.0110~7~IMw1Mh tJualified in SuMOIk CpunN 9-lam Commission 6Dires _ _~ / ux ua~e/i uie UC6-l U-LUU/IhUIVJ 13~UL DEC-10-2007 12 27 ~, ~~ RiverhDead, NYar1907 loop IganA Power Aulhorlly December 10, 2007 Ms. Pat Zanobini 1385 Minnehaha Blvd. Southold, NY 11971 RE; 1365 Minnehaha Blvd. Southold LIPA Ref # 7100817978 Meter #029399114 Dear Mr. Zanobini: P. 002 P.02 This letter is to advise you that the electric facilities at the above location were removed on December 9, 2007. If you have any questions, please contact Fred Perez at (631) 548-7037. Very truly yours, ~~~~~~. ~(lQ~'t~~Q.v~> U" Steve Aylward Design Supervisor Electric Design 6 Construction SA/am TOTRL P.02 . , APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Gcehringer Lydia A. Tonora trncent Orlando James Dinizio, Jr. ~~1FFOt,~~o ~~ w = • ht[p://southoldtown, north fork. net $OAARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 Tel. (631)765-1809 Fax (631)765-9064 RECEIVED ~-~~ /O •00 ~M I~AR 92004 FINDINGS, DELIBERATIONS AND DETERMINATION - - MEETING OF MARCH 4, 2004 u• ~ •'- vSoufhold Town ~crk Appl. No. 5452 - PATRI27A 2JUdABONI Property LOCatlon: 1385 Minnehaha Boulevard, Southold; CTM 673-23. 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 applignt's property contains 17,898 sq. ft. with 122.42 ft. along the west side of Minnehaha Boulevard and approximately 127 feet along Opechee Avenue at Laughing Waters, Southold. BASIS OF APPLICATION: Building Department's August 22, 2003 Notice of Disapproval, amended February 19, 2004, citing Sections 100-242A and 100-2446, in its denial of a building permit application confoming a new single-family dwelling with a front yard setback at less than 35 feet, after demolishing the existing building. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on January 22, 2004 and February 26, 2004, 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 fads to be true and relevant: AREA VARIANCE RELIEF REQUESTED: Applicant wishes to construct a new dwelling with attached garage, replacing the existing one-story dwelling. The July 3, 2003 site plan, issued 8/8/03 by Architechnologies, shows a front yard setback, at 12'9" and 19'8" variable setbacks from the front line at Minnehaha Boulevard, and 22'5" from the front line at Opechee Avenue for the new two-story dwelling with front porch and attached two-car garage with storage above. ADDITIONAL INFORMATION:AMENDED RELIEF: During the January 22, 2004 public hearing, the applicant was requested to increase the setbacks with a possible alternative that would be more conforming to the code's front setback requirement of 40 feet. On February 23, 2004, the applicant submitted a revised plan dated 2-19-04 increasing the front yard setback from the westerly front line at Minnehaha Boulevard from 12'2" (existing) to 22'2" (proposed/new), and increasing the southerly front lot line at Opechee Avenue from 24'5" (existing) to 27'9" from the new, enclosed front porch. ~ • Pape 2 -March 4, 2004 Appl. No. 5452- P. Zenetwnl CTM 1000-57.3.23 at Southold REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the variance will not produce an undesirable change in the character of the neighborhood w a detriment to nearby properties. The applicant wishes to demolish an existing single-family dwelling and censtruct and anew dwelling, located on property with two front yards. The new dwelling will increase the existing front yard setback on Minnehaha Blvd. from 12'9" to 22'9", and from 24'5" to 27'9° on Opechee Avenue, and will therefore be more conforming. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than a variance because the applicant wishes to utilize part of the pre-existing footprint. 3. The variance granted herein is substantial to the code requirement. However, the variance will allow the applicant to construct a new dwelling which is more conforming to the code. 4. The alleged difficulty has been self-created. 5. No evidence has been submitted to suggest that the relief granted will have an adverse impact on 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 new dwelling while preserving and protecting the character of the neighborhood and the heath, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all o the above and applying the balancing test under New York Town Law 267-B, motion was offered by Member Tortore, seconded by Member Gcehringer, and duly carried to DENY the variance as applied, and to GRANT alternative relief, as applied for and shown on the revised plan dated 2-19-04 prepared by Architechnobgies. 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 ara expressly r',1 i Pape 3 -1Narth 4, 2004 Appl. No. 5452- P. Zanabonl CTM 1000.87-3-23 at Southold addressed in this actbn. Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer, Tortora, Orlando, and Dinizio. This Resolution was duly adopted (5-0 . ]l s.a..C~v t~Y_ l~O~.Wa. Ruth D. Oliva, Chaiwoman 3/7/04 Approved for Filing ~ ~~~~~ ,a~~~ Town of Southold ,~ ~ Erosion, Sedimentation r& Storm-Water Run-off ASSESSMENT FORM -~ rROpERrr t.ocnrroN: s.c.T.M. a: THE FOLLOWING ACTION8 MAY REgU1RE THE SUBMI8SION OF A 1~p ~~ ~aZ ~ STORM-WATER, GRADING, DRAINAGE AND ER0810N CONTROL PLAN District Section Block of CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. ---------------------------------------------------- Item Number: (NOTE: A Check Mark (.~) for each Question is Required for a Complete Application) Yes No ---------------------------------------------------- Will this Project Retain All Storm-Water Run-OR Generated by a Two (2") Inch Rainfall on Site? `/~ (This Item will Include all ran-oH created by site clearing and/or construction activities es well as all Site - Improvements and the permanent creation of impervious surfaces.) 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 Surtace WaterFlowl - $ 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 Paroe17 - 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of ^ / Five Thousand (5.000) Square Feet of Ground Surface? ~- j Is there a Natural Water Course Running through the Site? ^ V Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Welland or Beach? - s Will there be Site preparation on Existing Grade Slopes which Exceed FiReen (15) feet of Vertical Rise to ^ One Hundred (100') of Hodzontal Distance? 7 Will Ddveways, Parking Areas or other Impervious Surtaces be Sloped to Direct Storm-Water Run-Off ^ / into and/or in the direction of a Town dghtof-way? ~C $ 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 Area9 (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, aStorm-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 Agdculluml Project? Note: If You Answered Yes to this Question, aStorm-Water, Grading, Drainage 8 Erosion Control Plan is NO7 Required) - STATE OF NEW YORK, COUNTY OF ...`~.. ~? FFO.!n. ~ ............. SS That h •~ ~~~} Z (Kk,,,,, Z/-1,N (~„i~p~ V! .................„ beutR duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing DocumenQ And that he/she is the ..Q W.N ~.~ ...................................................................................................................................... (Owner, Contractor, Agent, Coryorale O~cer, ale.) Owner and/or representative oC the Owner oC Owner's, and is drily authorized to perform or have performed the said work and to make and file this application; Utat all statements contained in This application aze true to the best of fill knowledge and belief; and that the work will be pedonned in the manner sct forth in the application filed herewith. ~~R~N ~~~~~ Sworn to before me this; NO~ry ~ ~ NeW ~~ No.O1ST61fi4008 ................~.! x;~;l;•................. day of ....ilk- .~-:s:.~~.;1........... , 20.E ? Qualified in Suffolk Coug~y Commission Expires Ap11I 9.20, j~ r Notary Public....t~~,,,~„!lQ.`]...~..r...~.,,/ ". ~ ...` ........................ ~ ... ER .t,~ti • GcRA. ~i. ..................... 1*<. ~............. . (Signature of Applicann FORM - 06/07 Tesl Flop by AleDondd Geosc%nce D 6~/l2y/07 EL./6.9 OL bsw ~.'~, 3• ------ Ar SeW '~ _ EL Z. G 14.. ____ ~/r el I~,z ~~ yli~ v' ay ~ ~t • SCOHS REF # RlO-07-009,3, SEPTIC SYSTEM BEDROOI4- HISE sEwirc raNK agrECasr loon cac. P a s s• DELP wnl ~ I~'° _ SgY N/0/F M 11' hgol ~ r ~ N/~/f - - oo, o/' ~ 135• 6 as D• E• ,56'0 \\c. N• 1~ of d` erX S~,n 9 / , ~ ~~.ti ~ ~stbm ~ Tes1 ~b•g Z lT O O Z O mz ~.~ ~ i a~ tA{ ~m t~~ die ~1~~~~er~ b 1' cps o-^k / a° SPY ~L 'GPM o EwsraG HousE .ro eE REMOVm EX/srrvc wELC ro eE REMOVm OR FtLm w EX/STNVG CESSPOOLS TO BE REMOVED OR FILLm N PROVIDE P ARYMELLS lO'N 6T1EEP FLOOD ZONE X FIRM 36/03C0/66 G 5/04/98 AREA = 17898 sq.ft. n ~ U,CG' 0 On- N ~'oj5 ~ ~ \ -/ e ~ ,~~~a \o ~: m i\ ~ '~. \~~/ O Nz ~o rD~ ~~~ ~ pdrl~ JIDUy ~ P`~ / O .- N N •A '~ N tT v m~ oc ~r el 15 3 Dw ~~ ~ 14" j / '.. -O A ~~ ~- ~ \ ° e r ; ~ ~ ~~ S '~ '~; e~ ~. ~ \ ~ ti ~~ ~l e t ~ i, ~ \ 1 3 E >. ~11 s~ S r y •t V~ UT e r 4~. i~l rY 5I? 8 Prof+~L dp _~ ?~ warER METER IE i3 hp) 95.02' ACTUAL 94.9' DEED ! OPECHEE AVE. f PUBLIC WATER PV STREETI awe//i~4 /ovb/~i wa.~'er~ ,}NY ALTERATION OR ADDITION TO THIS'SURVEY IS A VDLATDN OF SECTION 7209 OF THE NEW YORK STATE EDUCATIO/J LAW. EXCEPT AS PER SECTION 7209 - SC/BD/V/SIGN 2. ALL CERTFICAT/ONS tiER£ON ARE VALD FOR THIS MAP AND COPIES THEREOF ONLY F SAD MAP OR COPIES BEAR THE gPRESSED SEAL OF THE SU7VEYOR /HOSE SIGNATCMtE APPEARS hEREaI~L . ADDITIONALLY TO COMPLY MiTH SAD LAW TERM 'ALTERED BY MUST BE USED BY ANY AND ALL S(A4VEYORS UTpJZNYG A COPY OF ANOTHER SIMtVEYOR'S MAP. TERMS SUCH ' NVSPECTm 'AND BROUGHT - TO -DATE 'ARE NOT NV COAPLIANCE M7TH THE LAW. l om lamlNer wilA fhe STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE w DISPOSAL SYSTEMS FOR SpNGLE FAM~Y RESIDENCES .~ and w6 abide by the con~hons sel Ior/h Ihsrsin and on Ms ;\ ~ Permil to conslruef. O.f bpi J! ryHn a~ eI.15 6 77eID OD. t•I• S. 31,88 _ ~.}.9 ~ ~S ~~ [~ l i Ldp -[~ . NO''; ~ ~ n;,'' ~ ~I .The locolions of wells and cesspools shown hereon oie /ram /field observolions and or Irom dolo oblcined /ram r r~s.I ~+~,,•,,w~ ,~av '. `'~'>t ~~ . h`~ !63/1 765 - 5020 FAX• P. O. BOX 909 , 1230 TRAVELER STREET SOUTHOLD, N. Y. 1197/ i wad ~~ ' N ny` ° 5d o +, ~c \ . -~ ~ ~_ zP D a V o_ ~ 5.0` ~ \ ~ o ~ ~~'y-~ ~\ ~~//'~! , -' 1 1 ry ~ ~ BI \ .15 5 aF ~ ~ > o o_ ~ - S. 88'lI'00' W. SURVEY OF PROPERT Y A T LAUGHING WA TERS TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 87 - • 03 - 23 SCALE: 1" . 20' APRIL 22, 2003 NOV. 6, 2007 NOV. 15, 2007 (PROP.+iSE) O ~ NOV. P8, P0O7 OTEVRSIQN81 ~ o __ T C ~ a ,J}UC.~ s ~- )T G Q ~ ~ ~ ~ ~'~ d . tt~ V~41 .,. ~.I~ A~~m I~ :.:,~ ~U LI~L.,. _......---,-,.,,, ~ k ~' / I r ' ~?' 11riJ ~•'~ A ~... .3_ .'.Iw_'..~I'~.t 51....~,tkLiT~ir~yi:Nd ~i^N_r1AL -- VJ - /4/ J 0 0. 3' I ~/7 Tesl Fh/e SCOHS REF ~ RlO-07-0093 4y McDonold Geoscknce 6/12/07 ~ ~~9 SEPTIC SYSTEM oL 4 BEDROOA/ NSA 3 ------ ~~ / SEP711C TANf ~IRECAST 1000 BAL. - P Q ~P~OLS 6' DE~1? WITN 3' ~ s~.'w Y ~ _ EL Z.G ~~~~ s~ N~OIF M l~lhg~er~ (~ ylic '~ t ~ ~ ~ • E• ~ 7056 00 N• C ~ X1.1. e~ nt \ ~ dNe~li~~~Bra p~bllL „k ~o- zz N tT O O Z Z mz ~~ ~_ f1 a~ a ~~ tom' r ~e9 2Vb~i ~ i %. .- N N ~D '~ N o~ r ~ $o N ~. g.~ 0 'y., o c ~ .~ 4~ O' PM SPY ~4 " '~~ MO(/SE .TO BE REMOVED E)OSTI~ MG WELL TO BE REAgVED ONt FLLm N EXIST7YG cESSPOOCS ro BE REMDVm OR FKLED N PROVDE P QRYWELLS l0'N 6'OiEEP FLOOD ZONE X FIRM 36/03C0/66 G 5/04/98 AREA = 17898 sq. ft. n ~~~~ ~N ~~ I &, I /5 5 aF n ~ I 0 rn .' o:' `„ O r- .~ ° T o a ~~ ~ / ~ WATER METER S. 88'//'00" W. 95.02' ACTUAL ( 94.9' DEED 1 e1153 OPECHEE AVE. ( Pl/BLIC WATER AN STREET/ .z,..o !/~~ a /~~~A/iG wcc.~ erg T~ &v \` N~0/f - - . r 00 °/~ a~ , 13~' 6oe' `c ;;~ -~ ol~~ N,~\ b _ O n 21.1 s_ ~~ o° Q.^~ . ~1 SURVEY OF PROPERT Y A T LAUGHING WATERS ~~~~JOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 87 - 03 - 23 SCALE: 1" . 20' APRIL 22, 2003 Nov. s, 2007 NOV. 15, 2007 (PROP.'/'+'S'E) ear JAh ~ ., Z -~1 u~ w .~ o, o __ ~~ NY ALTERATION OR ADDITION TO ThYSSURVEY lS A VIOLATION SECTION 7209 OF THE hEW YORK STATE EDUCATION LAW. ''XCEPT AS PER SECTION T209 - SllBD/V/SION 2. ALL CERTEICATIONS HEREON ARE VALD FOR THIS MAP AND COPES ThEREOF ONLY ~ SAD MAP OR COPES BEAR THE MPRESSED SEAL OF THE SURVEYOR (HOSE SIGNATU4E APPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAD LAW TEfU1 ' ALTERED BY ' MUST BE USED BY ANY AID ALL SU4VEYORS UT4/ZNVG A COPY OF ANOTHER SG/tVEYOR'S MAP. TERMS SUCH ' MSPECTED ' AhD `BROUGHT - TO -DATE 'ARE NOT M COMPLIANCE W/TH THE LAW. / am /amlYar wlhl the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAApLY RESIDENCES and will abide by the conditions set /orlh /herein and on the permit fo conslrucl. d~ ~~ e~. l a.v ~ el. (5.10 T~.~ 0,p0, W. S. 31.88 The locations o/ wells and cesspoo/s shown hereon ore /rom lie/d ob;ervahops and or lrom dolo ob/Dined /coin ofAers ~~,J J . f~... 8' (63/) 765 - 5020 FA7FF '= 1797 P. O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N. Y. 1197/ ~' 03 ~ 147 o ~._. ~~ -- - -- ~.`~, 3' ----- / __-__ ~w ~/>• Geosc%nce BCDHS REF # RlO-07-0093 EL.lss SEPTIC SYSTEM BEArfDOM ,RSE' ~rx rANC ogrECASr looo sAL. Y ~ C7IYYi ~ S 6' DE~'P WITN 3' EL 2.G i•~'" _ SgY N/01 dM ~~i 9~ s r~ 1 1~ eI ,-,x o" E' N• 70 of d~ erX~,n9~ ~ ~ iti sa~om ~ s ~ TeS~ \6,9 ~ ~ zz N 0 0 Z mz. ~~~ y 9~ g cn~ ~~ ~~e ~ll~a~er~ p~bl1` . ~k ~o- ~pY ~~ "~ry~iG`NPM ~ EX/ST1NG HOUSE .TO BE REMOVED E1oSTtNG WELL TO B£ REMOVED CR FLLED /J E~asrlNS cESSPOas ro BE REMOVED OR FiCLED MJ PROVDE 2 DRYwELCS lo•r s'DEEP FLOOD ZONE X FIRM 36/ 03C0/ 66 G 5/04/98 AREA = 17898 sq.ft. i k \ n J O.L~' ~~ ~ ~'~~~ h5e we\\ N/0% ~~ ~ cMF ~ pIL ~~5 J o_ ~ \ g°x~ ~ , _ ~_ rod e~la ~~ J/i~ 'Of1!'~ °Q~ !Y G~,~ tyA ~~~, [ P ~ N ezn ~~ - ~~ ~' S O O V c'~ ~~ \ ~ n, ~ ~~ 5~ o '~~ \ _ -o ~~ D A ~ 5.0 o ~"'- -2 i .-N \ _~ ~ 0 NN ~ ''~ o \71' .~ N ~ f °~ ~ ~- ~ , mo c Zz5'~ ~ `~ ', v ~ ~~ ~~ i ~ ~ ~ Oo_ I e/ I r5 5 [xi ~ S. 88'Il'00' W. DW I35 ~O d as e~.i~.~`\ 6\ \ N ' o rn 0 o Q m ~~ i- b p c ~ ~ o r ~ ~ ~ ~. < ~ Z `~ OR ADD/T/O!V TO THISSLN7VEY lS A VIOLATION OF THE NEW YORK STATE EDUCATION LAW. FCT/OW 7209 - SUBD/VIS/ON 2 ALL CERTi~ICATIONS WATER METER 4EREON ARE VALD FOR THIS MAP AID COPIES ThEREOI- ONL r r SAD MAP OR COPIES BEAR THE AM°RESSED SEAL OF THE SURVEYOi YNOSE SIGNATLMiE APPEARS HEREON. - - 8\ \.~ -o ~ -~ A ~~ I~P~ ~F 95.02' ACTUAL (94.9' DEED 1 e115~ OPECHEE AVE. ( PI~LIC WATER NV STREETI awe//rte R ~avb/iG tva.~ erg el. X4.9 ,The locations o/ wet/s and cesspools shown hereon are tram /field 'ons and or Irom data ob/ained ~/p~Fd~sl„ •c .. I /, - -: i 1 r 'e` ;' . ~.1'.~1LlC.~`Nfdt~ 6l8' ~_;~ ,ty 1 f~' CONICS Y ~~,y_. ' ~`' (63/J 765 - 5020J~1 - 1797 P. O. BOX 909 , 1230 TRAVELER STREET SOUTHOLD, N. Y. 1197/ S~ \ (n c ~r w ,.e Prop ,.o }~L IE I3~ SS~ry,~ern lp Z SURVEY OF PROPERT Y A T LAUGHING WA TERS TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 ~ - 87 - • 03 - 23 SCALE: 1" = 20' APRIL 22, 2003 NOV. 6, 2007 NOV. 75, 2007 (P;CO/~f-ISE~ MOV. f8, P007 IREV/SIONfSJ ADDITIONALLY TO COMPLY W/TH SAD LAW TERM 'ALTERED BY ' MUST BE USED BY ANY AND ALL SGWVEYORS UTK/ZAVG A COPY OF ANOTHER SLRRVEYOR'S MAP. TERMS SUCH ' NVSPECTED 'AND ' 9ROUgiT - .TO -DATE 'ARE NOT NV COMPLIANCE W/TH THE LAW. l om lomkPar wiM the STANDARDS FOR APPROVAL APoED CONSTRUCT/ON OF S(~SURFACE SEWAGE DISPOSAL SYSTEMS FOR S/NGLE FAMALY RESIDENCES and wi/ abide by Me conditions se! /orM therein and on Me permit to construct. . Qf $ y~tm~ - ~ ei. /5.~ 10~p0~ W S• 77.31.88 03 - 147 Y o ~ ~- ~~ a3 - -- strrr r -----• ~ s•.'~r Sr / __ __ ~Ir e~ n.t Gsosctsnce SCOHS REF ~ R/0-07-0093 G~.E• % „e~ ~ & h5 ~ I t ELJAi.9 SEPric srsrEM ~ ~p/f t~ _~, \~//~ / s~rnc rAac ~RECASr /ooo eAL. p0' a• °F 2 ~~ s e' GIE~i? IgT1A 3• X35• SY ~ uF oh e~. i~,a y~ ~ Y~c I s ~ _ IBAr d 1 r ~ ~ o E. ~ ~ °. ~ N' 7056 00 `,~ ~ \ m ~ ~~ /~~~ ~y , ` f/ ae p.ti Z N ll~ O O Z 4 AZTT. ~Y~y ~~ ~~ ~~ ~r ~ d~e~ll~a~erl p~ei~` . Q.n k (~ M~ 0~" PY R~' 6 dJp sa ~ -- xd ~~ ~ d y .- NN NN A '~ N _.. ~ Y ~ ~~ GPM VIP ~ ~~ G ~flOSTNG /AOt/SE .TO BE REMOVED E7aGSTIVG WELL TO BE' RE710VED 0R fXlED N E7aSTNG CESSPOOLS TO BE REMOVED OR PALLED N PROVDE 2 OVtYWELLS lO'M 6'DEEP FL 000 ZONE X FIRM 36/ 03C0/ 66 G 5/04/98 AREA = 17898 sq.ft. t \ n J U,~Cr e, rs 5 o,F el 15 3 G N ° '~ pe G1 9'A v ~,d YQ tT.f , ~_ IN ~ ~. I T~ S. 88'/1'00' W. AO 6 0 Y~ ~~ i Pp ' 38 ST ~_~' \~~s` 6__`___\\~ O \ ~ LP b WATER MErEr+ 95.02' ACTUAL ( 94.9' DEED 1 OPECHEE AVE. PUBLIC IYATER pJ STREETI ' dwn//i ilw /nrih/iL IvCLIr GYM u~ w .~ O ~Ir The /ocdlions o/ we/ls and cesspools shown hereon are /rom /ie/d obs and or /rom da/a obtained /r gjAdt w~ r .~u~ 1 Jfy 1 71Jtf'/~(I N,`4.rZ 1 Ot' a~ii.~~ ~~ ~.:oAY 1 t ~.~ i~-~.B~o-o~-oo9s . Ill BF152 f'°::+! .3rf, balf.' ^U x~ {..:PiutE:~ 3: Imo' ti lasts] haVt bslfi '14'j."s<::~7J ,x ^:::!•..d~r,:;'~5~'.~`r:9'.:!1:.~t +?Yp::A:~`7:iL~SR 3aC /W11(idp b®sik~i..crwD+."^. /~, ..~, ,~}:~~F ~-- tECF^.9?AS. Offioe of Wastewater Manaq~meM nIOSE SIGNATURE APPEARS HEREON ADOIT/ONALLY TO COMPLY WITH SAID LAW TERM " ALTERm BY " MUST BE USED BY ANY A/KD ALL SLARVEYORS UTd.IZNYG A COPY OF ANOTHER SLA4VEYOR'S MAP. TERMS SUCH " NSPECTED " A/~D 'BROUGHT - TO -DATE "ARE NOT N COMPLIANCE W/TH THE LAW. am /amNar wl/h /he STAADARDS FOR APPROVAL AhD CONSTRUCTh7IV OF St~SlA17FACE SEWAliE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and wIW abide by HAS eondilions ssl /orM !herein and on /he perm/! /o conslrucl. a~ _ ~ el. (5.1n 00• W' 5 77.10:g8. I II I MAY 0 8 2008 I ~ Z 0 'O p c v m ~c o ~ C ~ ~ < ~ Z ~• SURVEY OF PROPERT Y A T LAUGHING WA TERS TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 87 - 03 - 23 SCALE: 1" = 20' APRIL 22, 2003 NOV. 6, 2007 NOV. 15, 2007 (PRO/'+iSE) MDV. 28. 2007 OIEVASAOWS/ _ .AUK 23. 2008 fFOLhOATIOW ~ aLrERArioN oR ADD/T/ON ro rnrs slA?VEr Is a vroLATADN SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. :EPT eS PER SECT/QN 7209 - SI~D/V/S/ON 2. ALL CERTFICATIONS i ~P , ~.nrt*r.r~^ 'F g R~ ~a i LL>~ . A+; Ioary yo:~ - :wcv rw.c~~ P. O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N. Y. 1197/ 79 7 n.~ _ ~a ~ Town Of Southold P.O Box 1179 Southold, NY 11971 ***RECEIPT*** Date: 12/ 11 /07 Receipt#: 1424 Transactions): Reference Subtotal 1 Septic Permit -Construct - Resid. 3768 $10.00 Cash Total Paid: $10.00 Name: Zanaboni, Patrizia M. 1385 Minnehaha Blvd Southold, NY 11971 InternallD: 3768 Clerk ID: BONNIED