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HomeMy WebLinkAbout33431-ZFORM NO. 4 No: Z-33151 CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building ACCESSORY BUILDING LOCatiOII Of Property: 933 NEW SUFFOLK RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map Fo. 473889 Section 102 Block 6 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 2007 pursuant to which Building Permit NO. 33431-Z dated SEPTEMBER 28, 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 SHED AS APPLIED FOR PER ZBA DATED 5-10-07. The certificate is issued to ALAN C SANTOS of the aforesaid building. (OWNER) SIIFFOL% CODNTY DBPARTMBNT OF HEALTH APPROVAI, BLSCTRICAL TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. NO. PLUMBERS CERTIFICATION DATBD N/A uthorized Signature Date: 07/15/08 Rev. 1/81 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. 33431 Z Date SEPTEMBER 28, 2007 Permission is hereby granted to: ALAN C SANTOS 19 LYNN ROAD PORT WASHINGTON,NY 11050 for CONSTRUCTION OF AN ACCESSORY BUILDING AS APPLIED FOR PER ZBA #6011 at premises located at 933 NEW SUFFOLK RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0006 Lot No. 024 pursuant to application dated SEPTEMBER 19, 2007 and approved by the Building Inspector to expire on "--_ Fee $ 100. ORIGINAL Rev. 5/8/02 ~~\ `~~~ ~a~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1502 JUL 15 1 '~ APPLICATION FOR CERTIFICATE OF OCCUPANC`~_T~ - 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 properly with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health llept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement Crom 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 fiam architect or engineer responsible for the building. G. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prim to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sm~~ey oCpmperty 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 Certitcate of Occupancy is denied, the Building hispector 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, S~~~imming 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, Corrunercial $15.00 / Date. New Construction: / Old or Pre-existiCng Building~j ,! (check one) Location of Property: _ ~2f ~~ r~~--CJt~~ ~~ GC~C~~gtJ I~ No//.jj ~~ yy~~''~~ Street Harrilet Owner or Owners of Property: /'Cy'~~(/L1 `~ ~~S Suffolk County Tax Map No 1000, Section ~ C~Z. Block (S6~ ~ Lot (~Z~- Subdivisio^ Filed Map. Lot: Permit No. ~3 4 3~ Date of Permit. ~ Z~ Applicant: Health Dept. Approval ~_ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Z ~~ ~~~~~ ~ ~~r~3 y Final Certific TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL Do you have or need the following, before applying? Board of Health SOUTHOLD, NY 11971 , TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.netJSouthold/ PERMIT NO. ~` ~{3I~- Examined ,20 Approved ,20~ Disapproved a/c 4 sets of Building Plans_ Planning Board approval Check Septic Form N.Y.S.D.E.C. Contact: Mail Phone:~j ~~ y~~~~~6 ~ Expiration , 20 g ns r __~ ~ ~'' + ,~ APPLICATION FOR BUILDING PERMIT 9 ~ ~ Date ~ ~ , 20 ~ 7 INSTRUCTIONS ~ a. This application MUST be ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pl'aris; accurafe pI-ofplan t e. 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 par[ for any purpose what so ever until [he 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. (i~ re of applicant or name, if a corporation) ~o t~IO /`147 , t6Cs2t'~GLt~, itlY (Mailing address of applicant) ~ ~ ~~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~~Y Name of owner of premises ~~~ /~~ (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 N of land on House Number Street work will be done: County Tax Map No. 1000 Section ~ 0 Z- Block Subdivision . ~,~ BUILDING PERMIT APPLICATION CHECKLIST Hamlet Lot Z~4 Lot (Name) ~'~0[SEada awl ` ~y ., ~.,.( .~, wtitilEtlD,ctfnl3a rF 2. State existing use and occupancy of pre~tises and intended use and a. Existing use and occupancy J ~ ~~1.~ . `~/~'d~ t b. Intended use and occupancy GI~~J (NI ~j~( of ~l.~tg~ Nature of work (check which applicable): New Building ~ Addition Alteration Repair Removal Demolition Other Work ~ ~ ~ (Description) 4. Estimated Cost Fee (To be paid on filing this application) If dwelling, number of dwelling units~Number of dwelling units on each floor If garage, number of cars , 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N t/ ~ 7. Dimensions of existing structures, if any: Front Reaz Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire net construction: Front 1 g Rear (~ Depth Height ~ ~ Number of Storiesc- ~ I 9. Size of lot: Front 3 Z.y ~ Reaz 3 ~ v / Depth 3 ~¢ 2-z 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises aze 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 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address No. 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: COUNTY OF S k ~/r~14'(~ ~~~~~/rl/Li'l/ 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 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 ~~ day of J u,nL Notary lic TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOL>), :NY 11971 TEL:(63~1) 765-18Q2 . FAX: (631) 7659502 www. northfork.net/Southold/ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? ~ ~ Board of Health ~ 4 sets of Building Plans - Planning Board approval PERMIT NO. Check Septic Form N.Y.S.D.E;C., Trustees Examined ,20 Contact: Approved , 20 Mail to:_ Disapproved a/c J ~/~~. Phone: Expiration 20 !'. i ~~~ { ~^~6 ~~~ i 1 _, , -- - ~J Building Inspector APPLICATION FOR $UILDING PERMIT INSTRUCTIONS Date 20 a. This application MUST be completely filled in bytypewrjter or in ink and subn}itted 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 $uilding 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. E 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 IS 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. ~i ~~~ ~b[ure of applicant-rte e, i1 3U ~~/t ~J~ (Mailing address of ~y'SS'Y~-yam, z State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OW ~t/C /Z Name of owner of premises /7.~ A ~ ~~ Sl9 11J TcJ~ (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 K Other Trade's License No. Loca 'on of land on which proposed work will be done: ~33 ,l/l/.ecy S~f~o.~,c( !2~ G/~r~.os/~ House Number Street Hamlet ~'~`'"tlmat.M oW County Tax Map No. 1000 Section /0 oZ. Block C~ t~t« °f?~N'~Nttiol~ o Subdivision Filed Map No. rn M~ °~ (Name) ~ 2. State existing use and occupancy of premises and intended use and occupancyo/f proposed construction: a. Existing use and occupancy , ,S/N~ ~ ~~ ~~7i z ~r 7~ ON ~ . , b. Intended use and occupancy 3. Nature of work (check which applicable) Repair Removal ~fRvcTV2e 4. Estimated Cost~l~-/300 Fee ~/7t) Alteration (Description) 5. If dwelling, number of dwelling units_ If garage, number of cars - 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories with 8. Dimensions of entire ew construction: Front Rear l 1s Depth /'U Height V ~ Number of Stories ~ O, 9. Size of lot: Front 3 b ~, 31 Rear ~ J~to . Ids ~ Depth 3 ~~ • ~ y ' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 1 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO / Q N ~%I9-~ p'e 13. Will lot be re-graded? YES NO /Will excess fill be removed from premises? YES NO ~~ 14. Names of Owner of premises~~~~ SAN~Address~;/OAltp„rghone No. J~4"SMo7 yea f Name of Architect Address Phone No Name of Contractor Address Phone No. 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. LOUIS/A N0., STATE OF I~'f`bIt~) SS: ^~.~ OF ~ S ~!'GL,YI `JG1yt{aS being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (To be paid on filing this application) Number of dwelling units on each floor ~' (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 day of /1~-vw~.-.h-~-~- 20 D 6 ~~ Notary Publi ~y-~tp~p•IASar /U41 f N G-2.A~ D `. +* New Building (/~ Addition Demolition Other Work 3 3 ~f ~ l z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [)(] FOUNDATION 1ST [ ]ROUGH PLBG. /[ `] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CNIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONS'iRUCT10N [ ]FIRE RESISTANT PENETRATION REMARKS: •~^"'O` DATE ` r (/~ ~~ INSPECTOR ' ~~ "° ~ J .- FIELD INSPECTION REPORT DATE COMMENTS V,j IN ~ . ~ FOUNDATION (1ST) .3 ~'~ ~ a ~ [ .~~ ~~~ FOUNDATION (2ND) ~ z ~o t~ V~ yr ~y ~ ROUGH FRAMING & PLUMBING ~ ~,~ o ~ , r _ '~ x - H INSUZATION PER N. Y. STATE ENERGY CODE . ( -.~ ~. FINAL C ~ ADDTI'IONAL COMMENTS , ~O Vl z m ~~ ~~ y ~~ p ~z - Z r~ max ~' b y APPEALS BOARD MEMBERS .lames Dinizio, Jr., Chairman Gerard P. Goehringer Ruth D. Oliva Michael A. Simon Leslie Kanes Weisman ~~o~ soUry~ G`. • ~O ~~y00UNT'(,~~ 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 _. h[tp://southoldtown.northfork.net ZONING BOARD OF APPEALS i-i,;i Z 3 ~ TOWN OF SOUTHOLD Tel. (631) 765-1809 • Fax (631) 765-9064 ---DINGS, DELIBERATIONS AND DETERMINATION MEETING OF MAY 10, 2007 ZB File No. 6011 -Alan Santos Property Location: 933 New Suffolk Road, Cutchogue CTM 102-6-24 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 further steps under SEQRA. PROPERTY FACTS/DESCRIPTION: The applicant's 98,657 square feet parcel (2.26 acres) is improved with a two story single-family dwelling as shown on 11/5/04, survey updated 1/25/07 by Young and Young. BASIS OF APPLICATION: Request for a Variance under Section 280(15)B, based on the Building Inspector's December 13, 2006 Notice of Disapproval concerning a proposed shed at less than 20 feet from the property line. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on April 26, 2007, 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 relief requested is for the as-built 18' x 10' x 12' high (maximum to the ridge) accessory shed located on the north side of the swimming pool. The setback is 16.65 feet from the northerly property line, instead of the code-required 20 ft. minimum setback for this 2.2 acre parcel. 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 or a detriment to nearby properties. The subject property is bordered by views to a farm planted with fruit trees to the east, and an open grassy field owned by the Cutchogue Fire Department property to the north, buffered from view by a screen of mature evergreen plantings and a cyclone fence on the owner's property. The house is accessed from New Suffolk Avenue by a long private right-of-way and is not visible to neighbors or the street. The scale of the proposed shed is in keeping with the house and other accessory structures on the property and with the neighborhood. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance, since no other location is desired, since the shed is intended to be used, Page 2 - May 10, 2007 ZB File No. 6011 -Alan Santos CTM No. 102-6-24 as testified by the applicant at the hearing, for storage and changing of clothes related to an existing accessory swimming pool use, and needs to be in close proximity to the pool. Moving the shed toward the south would encroach upon an existing brick patio surrounding the swimming pool; further to the west would interfere with existing mature landscaping and not be convenient to the pool; there is an existing accessory shed and trellis to the south of the pool; and placement between the existing house and pool would block open vistas. 3. The variance granted herein is not substantial. Ownerlapplicant requests a setback variance of 3.35' or 16.75% of the code required 20', beginning in the northeast corner, along a length of 7 feet of the 18' total length of the proposed shed (38%) at which time the location of the proposed shed along a diagonal property boundary resumes the code required 20' setback. 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 an accessory shed, 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 Weisman, seconded by Member Oliva, and duly carried, to GRANT the variance as applied for, as shown on the survey prepared by Howard W. Young, L. S., dated 11/5/04, updated 1/25/07 and in diagram with ZBA of date stamp of 2/6/07, subject to the following conditions: 1. The shed will remain unheated. 2. The shed will not contain indoor plumbing. That these ZBA conditions be written into the Building Inspector's Certificate of Occupancy, when issued Any deviation from the variance given such as eMensions, 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. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Oliva Goehringer, Simon, and Weisman. Nay: Chairman Dinizio. This Resolution was duly adopted (4-1 ). ~ /"~ James Dinizio Jr., ~fiairman / 5/a3 /2007 Approved for Filin I `.~„e -"~ 1400 -102-~ - ~4 TOWN ~,' OF SOUTHOLD PROPERTY ... RECORD CARD OWNER STREET ~ ~a'; -~ VILLAGE DIST. SUB. LOT r~' rk?w ~G~f~F Ik d Cu-~-~~r~~ 4~ - 9 FO ER OWNE ~i # - _ N V2YNUH E Wtc l<I-tGTN-t ACR. ~.~~4 ~'~GJ~- M~-~lu'niL{uJ-F -. K{v 5 S W ~~ { ~aYQ1 w UYS PE OF BUILDING RES. ~~a SEAS. VL... FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS r ~. ~" ' ., .~~ G ~ ~- c r ~7CJ G I Sla (7 Cs~~ Z /00 ~/I ©p 3 5 rr SRI-LIISId a O- r o 1 ~~ rnr'~: ~ - `~/ ~ ooc. 000 oc~ (o%0 99 13o q - ~ ~ _ f /Cy ~ , q -~,. rlvl I ~~~/ 44 (Itl. 7 ~(..f r .. 7000 .i?J ~',:~iJ ri 03 l3 ~ '~~~C17 S"/ -IV~~ r '2.'~' ,~--~Ft,r ~'' ~J`"OD~Y. I is r - lal !~ - h~n~u3F. -~ Sa - '~5.3p ~~~~ .o ~p a8s~ ~,~3~,, ,-~.~~~~~~ 5IS 1~~a8-39/ inct~uc Fxc i C.I(; -~ ~ ~ Tillable ,,~~,! ~,.~ ~* v.J C FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowlond DEPTH House Plot ) ~,~ 1 Lf ' I j °. c` ~ BULKHEAD Total a, 0_ , ~ ~ ---~.r- - --.-_ ~l _ _ ol.arn _ l ' ~~ w~.~ ~,. -R , ~ ~l~~t ~ 3~ < S ~ '- _- - M. Bldg. jy x ~. 2 ~ z{ Z$ ~ ~"z Foundation v•th.~nl~,e Bath s Extension Basement ~., o ~ Floors r.Vc Extension F_xt. Walls u So+-u~N Interior Finish Extension Fire Place ~Joel~ ~ Heat ~' H a2r~ _ Porch Pool Attic deck Patio Rooms 1st Floor 3reezeway Driveway Rooms 2nd Floor 3 ~P~ f'0~ . ~~~ ~~~~r 7J~2 I ~~L ~ i . ~. r~l:. ~ ~Jj bosuRRM ~~~ Town of Southold Erosion, Sedimentation 8r Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: ~~~ Diatrlet Seetlon Block Lol Item Number. (NOTE: A Check Mark (.~) for each Question is Required for a Complete Application) THE Yes No ------------------------------------------------ Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? f ^ (This item will include all run-off created by site clearing and/or construction activities as well as all Site - Improvements and the permanent creation of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage SWCturos Indicating Size 8 Location? / ^ This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlow! - Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Nature) Existin Gmd I l i th 200 C bi Y d f M i l ~ / / - g e nvo v ng more an u c ar s o ater a within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Fi Th ^ - ve ousand (5,000) Square Feet of Gmund Surtace? rj Is there a Natural Water Course Running through the Site? I hi P ' ^ / s t s roject within the Trustees jurisdiction or within One Hundred (100 ) feet of a Wetland or Beach? - s Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One H d d 100' f H i t l Di t ? ~ / un re ( ) o or zon a s ance 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 dghtof-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Constmction of any Item Within the Town Right-ot-Wa or Road Shoulder Area? ^ - y (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 Watemourse? ^ / - NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, astorm-Water, Grading, Drainage 8 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, aStorm-Water, Grsding, Drainage 8 Erosion Control Plan Is NOT Required) - STATE OF NEW YORK, ~~C/~/LINTY ,O,fF ... ~4l~~....... SS That I, ....~t."(/...(.~~'^'4 ............................................. being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of intlivitlual signing Document) And that he/she is the ...............................~..................................................................................................... (Owner, Conoactor, Agenl, Corporate Oficer, etc.) Owner and/or representative of the Owner of 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 aze true to the best of his knowledge and belief; and that the work will be performed in the manner sct forth in the application hied herewith. Sworn to before me this; ......................oc.~............... day of .......... f~A~,Y,,1,-~~~.1................ , `LO%~.~ Notary Public:...~L~yA~-~L..~t....S~~~4~--1P~"'~' J~pyfy6 ~...... ..................................... (((VVV\\\ JJ .............................. .. . ign of Applicant) Oualifred III 00110 mm15 IU , v~~m - vvrv• FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date: December 13, 2006 TO: Alan Santos 5230 Coliseum St. New Orleans, La. 70115 Please take notice that your application dated December 1, 2006 For a permit for an accessory shed at Location of property 933 New Suffolk Rd., Cutchogue, NY County Tax Map No. 1000 -Section 102 Block 6 Lot 24 Is returned herewith and disapproved on the following grounds: The proposed shed is not permitted pursuant to Article III, Section 280-15(B) which states: On lots containing in excess of seventy nine thousand nine hundred ninety nine sq. ft., such buildings shall be set back no less than twenty feet from any property line. The existing pazcel measures 2.2 acres. Upon construction of the shed the setback will be approximately 16.5'. 7 __ , Authorized Signature w 0 0 ]7C4 N 8PR ~'rf~ • (Ire O.G. ~an°nr'b'8', ~"v sra• rux, ~vurcxx,~ o'v au~re ~ ~- 9 g 74" 3 6~ PLAlJ ~i ~IZ~E \ ~I TYPE. tR'P~ -~, s N CC ti ti ~ VP:RTPGgL flHlft~ ~vB ~ . PlP+~ D0,4Pm t CATTlSN C eir~u~ TTp. Yet ~aK ~PeACPs iMo ouc ~ +uGtc PSOAIYGb aw4 oAK G ~ ~.~ -®- ~~ d«,e aac P'08T ~. r.T, ~xs / S~CTlUN ~~ a~F21~$ I~ iQlttd-IN-SW~~g oeov.~ are°. r-m~ '~ ~x4 v~~rnr..aL To Ex~ ~ ++~aoeje eft ~~ ~, Ica. ~tx4 11A9. iT tT~r.- 4 ~, TiUN-Iid-BW~1~ !Im'X18') 3xID N CPM {~A®!?~ 0 vT 1~rI ,O-I V~[~ NV 1 ~mV L ExtER10R IitA1.L0 TO CL LM® ON M816E u/ .!~ OAK VE!@TICAL bOLIG Up TO 4'-m" A~3~. B. I~MiSW•:p t~00R !~ CONG POOTINCaE 17EbKtiMED OY O'IFiERb 4. MLxP 171~61Ci1~1lP Fgft !0 PaF dNgU LOAD V ,~ aX ~~ ~L~~®A I 4~~Mi1 I~Ie~ll `u'~-~~ FLAN I~xl~ RUN- IN-51~EC~