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HomeMy WebLinkAbout33658-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33176 Date: 07/29/08 THIS CERTIFIES that the building ALTERATIONS Location of Property: 675 SUMMIT (HOUSE NO.) County Tax Map No. 473889 Section 106 DR (STREET) Block ~ MATTITUCK (HAMLET) Lot 47 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 2008 pursuant to which Building Permit No. 33658-Z dated JANUARY 29, 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 ALTERATION TO AN EXISTING FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PERICLES NOTIAS (OWNER) of the aforesaid building. SUFl'OLK CUWon' DBPAR'l'MKI!IT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE 11IO. 08-3386 OS/23/08 PLUMBERS CERTIFICATION DATED N/A ~~P.- Authorized Signature Rev. 1/81 L ..J Form No.6 TOWN OF SOUTHOLD " BUILDING DEPARTMENT .J 1 TOWN HALL 1 765-1802 A TLICATION FOR CERTIFICATE OF OCCUPANCY . -1[-- (1i/ c:? .t.rs /v~.(...:. cl.so S~<'<./L,?~' ~,t'rrr / rv c# "'-r / /9JZ- r. JUL 2 8 , . ~'~ -,'1. TC '",. 1"..< ~'.JliTHOLD This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of 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. ConU11ercial 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 I. 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 of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 Date. '7/ .;? .Fftd-" New Construction: ~ Old or Pre-exist:ng Building: Location of Property: ~ ,; S"',...,,.,,. >/ 0--. House No. Street Owner or Owners of Property: A /~ 4.. ;'7' ~ ..s / Suffolk County Tax Map No 1000, Section / 04:> Subdivision CI_, IC', J.I, Permit No. 3 =3 &.r cr- v--- (check one) ~ ~ rr .r-'TVC- (c- "7 , H:llnlet Block 0001 Filed Map. Lot 0<:./7 Lot: Date of Penn it. 1/.2 '1/tJlr / Applicant: Health Dept. Approval: Planning Board Approval: ,v/fI/- . Underwriters Approval: V' () fJ J.J/t f "';-.1- C# vllJ- . Request for: Temporary Certificate Final Certificate: ....--- (check one) Fee Submitted: $ ctl.5 c: O. Z JJ//? ~?'-e ?Yo -'? ~~-~~ Applicant S(gnature 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. 33658 Z Date JANUARY 29, 2008 permission is hereby granted to: PERICLES NOTIAS DOUGLAS TON MANOR,NY 11363 for : ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 675 SUMMIT DR MATTITUCK County Tax Map No. 473889 Section 106 pursuant to application dated JANUARY Block 0001 Lot No. 047 22, 2008 and approved by the Building Inspector to expire on JULY Fee $ 200.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHO~~rt-L'" _ C,' " ~".::r. ~:L__ , BUlLDINGDEPART~NT"IA.II)" 0 Jl'- .. :. TOWN HALL \:k:+-_.'~ "'-'=. '-" J . SOUTHOLD, NY 11971 Lp -_..J TEL: (631) 765-1802 ~0\". ") i FAX: (631) 765-9502-'--- --'-'--' SouthoIdTown.NorthFork.net PERMIT NO. 3%5R.:c.-- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Realth 4 sets of Building Plans .....-- Planning Bo'!Pi'approval Survey ~ / Chec14 ,'-{ n Septic Form NYS.D.E.C. Trustees Flood Permit Storm-Water Assessment Form_ Contact: Mail to: Examined Approved Disapproved alc Phone:.9.? .J {' <t- f.2 Dl J Expiration ,20_ t APPLICATION FOR BUILDING PERMIT Date I-.J.'Z - 200,f- '- 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 ofthis 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. I~ (Signature of plicant or name, if a corporation) cJSO ~'IA_ L (M. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises d/~ (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 01j _S'<.J""'_"~ House Number Street 777 Tt'U( Hamlet County Tax Map No. 1000 . Seytion Subdivision t'-9pr 1\. &'.j /vt, ;IiIO~ -~. ~ . .~;.~ i Lot Lot i{7 2. State existing use and occupancy of premises and)ntende4 use and occupancy of proposed construction: a. Existing use and occupancy ..:s:,,,,.t4 ~ 01 ~ - {/ ~ If b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration ..--- (Description) 4. Estimated Cost /eJ,"OeJ 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. If" 7. Dimensions of existing structures, if any: Front /"1 Height Number of Stories ;L Rear Depth 10 r Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated ?'fO 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO ..-" 13. Wi11lot be re-graded? YES_ NO,(;j~i11 excess fill be removed from premises? YESN/J9-NO_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. 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. 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 OFSuffiill:J ~.~ ~~~ being duly sworn, deposes and says that (s)he is the applicant (Name o1ArlClividual signing contract) above named, (S)He is the 4f~ /- (Contfactor, 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 thi~ doH. {'JII-. day of 0-.IrI~_ 20 D~ ~.O.~ Notary Pu i h C~~6 - -~ ~ }3 'Sr z.. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRlICnON [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~k~ tf2 . E:~ ~,~r >>t)c€' ~ C\--.- ~ DATE 1--- ~y - 0 Z' INSPECTOR ~ ~ 'I .' FJELD INSPECTION REPORT DATE I COMMENTS \.}J , , ~ FOUNDATION (1ST) ~~ <><,,,,, ------------------------------------ i\J FOUNDATION (2ND) ~ :z 0 E;:'- - \ -..J fAo, U ~(} \ UI", '..., '- ~ ROUGH FRAMING & PLl.JMBING f"' 5 ~ - , ~- '---- I' - ---~ - --- - ---~----\ b= 1------ /' . ~~ IA.. nT.DlT. ~ , INSULATION PER N. Y. -- ~ r~ -C- ,/, STATE ENERGY CODE 2 , ~ '1-~1 Il' J:::-, .. iT l:o......OI:-, ~ E~. A"NJ~ ~~ 7\ffiS: IJ ,. '-9,tj V", v r FINAL cr. , , Z ADDITIONAL COMMENTS ci -(- fLU 'i /d'f-o 'if FE.~.~: -k: \ 'L .... ..L L ((-~ ;;.:. . , V\ , v .. 'v ,. J ~ 0 ~ ~ ;ll po -' L. ' , I() l/\ -Jl"l . ~ p~ ...P ( ..., Co ....(') 2: <:....~ --~ ;::p...., == t:I l"l .., ~ /0(,. - r - r 7 " \. .\l~ ,'. " B .,j" j \ .0')! .- JAMES]. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 L ,-,.-" ,-.-.-..--,.' - Date: April 29, 2008 To: Town of Southold Building Dept. Re: StrappinglFraming /Insulation Inspections Perry Notias 675 Summit Dr. Mattitnck, NY 11952 Permit# 33658Z To Whom It May Concern: This letter certifies that all wind strapping on the above mentioned project is in tact, and meets all state and local building codes. A Framing /Insulation Inspection was also Performed on this Structnre, and all framing and Insulation was done correctly and also meets all state and local building codes. Any questions please feel free to call. erkoski P.E. 'I FORM NO. 4 COpy FOR lOUR INFORMATION TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32446 Date: 07/03/07 TRIS CKRTIFIBS tbat the building NEW DWELLING SUMMIT DR (STREET) Block 1.- MATTITUCK {HAMLET} Location of Property: 675 (HOUSE NO.) County Tax Map No. 473889 section 106 Lot 47 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 2003 pursuant to which Building Permit No. 29700-Z dated SEPTEMBER 5, 2003 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 SINGLE FAMILY DWELLING WITH 2 CAR GARAGE UNDER. COVERED FRONT PORCH & REAR DECK AS APPLIED FOR & AS PER CONDITIONS OF ZBA #4818.4836,&5005. The certificate is issued to PERICLES NOTIAS (OWNER) of the aforesaid building. SUFl'OLK COUNTY DBPAR'l.'MBIIIT OF BBALTH APPROVAL R10-Ol-01l2 03/18/04 ELECTRICAL CKRTIFICATE 110. 61758C 03/28/03 PLUMIlBRS CKRTIFICATION DATED 05/03/02 HOWARD E. WOLBERT ~ze13!:::- Rev. 1/81 APPEALS BOARD MEMBERS James Dinizio, Jr., Chairman Gerard P. Goehringer Ruth D. Oliva Michael A. Simon Leslie Kanes Weisman Mailini Address: Southold Town Hall 53095 Main Road' P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex IFirst Hoor, Nonh Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY I J 971 http://southoldtown.nonhfork.net L .-....- I L_..;' I ,~ ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765.1809' Fax (631) 765.9064 MA~ '0 7 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF APRIL 19. 2007 ZB File No. 5005 - Pericles Nolias Property Location: 675 Summit Drive. Mattituck CTM 106-1-47 SEaRA 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 Ust of Actions, without further steps under SEQRA. PROPERTY FACTSIDESCRIPTION: The applicants' 24,807 square foot parcel with 102.03feet along Summit Drive. The property is Improved with a two-story. single-family house. as shown on survey prepared by Joseph A. Ingegno dated April 10, 2000, updated March 16. 2006. BASIS OF APPLICATION: Request for a Variance under Section 100-30 A.3 based on the Building Inspector's March 30, 2005 Notice of Disapproval conceming a request to amend Building Permit No. 29780-z, for approval of construction that exceeds the code limitation of 2-1/2 stories, as built. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred pursuant to Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning replied on February 13, 2007 stating that the application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on March 29, 2007, at which lime writtan and oral evidence were presented. Based upon all testimony, documentation, personal Inspection of the property. and other evidence, the Zoning Board fmds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: The applicant requests relief from the determination issued by the Building Inspector concerned the 'as built floor area" and stating that the dwelling does not constitute three (3) stories. For the record, 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 pians depict a 2% story home, Including garage in the area below grade which encompasses about two-third of the entire as-built basement floor area. The neighborhood consists of hilly slopes. Photographs were submitted by applicant's attorney of severai homes with similar designs and hillsides. Page 2 - April 19, 2007 ZBA File No. 6005 - Pericles Nollas eTM No. 106-1-47 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than a variance. Tha new dwelling was constructed wHh 2% stories pursuant to plans submitted under a building permH issued 7/18101, revised 9/5/03 (also file ref. BP# 29700-z). In reviewing the record, a full grading plan from all elevations was not evailable, howevar, during Inspections under the building permit, it was found that the finished grade did not conform to the zoning code requirements for a half-story, although consisting mainly of occupancy as a garage, storage areas, and a small percentage of the overall living area. Based on the information given, the grading exceeded the maximum allowable by approximately eight (8%) percent. The applicant's attorney confirmed that the lower area will remain as built, without expanding the floor area and without a third story. The owner will maintein the proposed use of approximately two-thirds of the lower story, mainly for garage and storage purposes, and the remaining floor area use, as permitted under the building permit #29700-z. 3. The variance granted herein Is substantial. After viewing the record and the homes in the neighborhood of nearby hillsides, the Board determined that the relief grented for tha building, as exists, is the maximum that they would allow for use of floor areas equivalent to the floor area nolad in plans submitted under building permit #29700-z. 4. The difficulty has not been self~ated. Backfilling would not be able to be completed to meet the code percenteges because the foundation is covered with earth, placing a larger percentege of the proposed half story below grade, exceeding code requirements, and the floor area remains the same as that shown on the, interior floor plan. ' , 5. No evidence has been submitted to suggest that a variance, in this residential community will have an adverse impact on the physical or environmentel conditions In the neillhbOrhood., 6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of backfilling the foundation, while preserving arid 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 Goehringer, seconded by Member Oliva, and duly carried, to GRANT the variance as applied for, as shown on the survey prepared by Joseph A. Ingegno, Land Surveyor dated April 10, 2000, updated March 16,2006 and elevation plans prepared by Jeffrey T. Butler, P.E. dated January 16, 2007. Any deviation from the variance IIlven such as extensions, or demolitions which are not shown on the applicanfs 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 Zoninll 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 Dinizlo Resolution was duly adopted (4-0-1). , and Weisman. Member Simon absteined. This 10/07 , "'-"-~-""'_.'--_.-~ '.',-, ..,r ~BOAltDMEMBIlRS 0 ~1Y.1(Gerud P. 000briDpr; CbIinD... . J_ DiDizio. Jr. , 4diaA._ Lara S. Collins George lWmiDg t"\ ~ /.,. . SoutbOId n;...., HaIl . 53ll9S Molo Ilood P.O. Box 1179 SoulboId, New York. 11971 ZBA Fax (631) 76S>-9()64 ThIcphollC (631) 165-1809 WARD OF APPEALS TOWN OFSOumOW " ANDINGS; DEl,JsER,AfnOlJl!!ANP DErERlMNA noN . ...., 'MEeTlNGOFAUGUll:r10,2000 ':~~~ . ,.' ~ ". '. 1GC1O'1~'" 'D~tEOF~ HeARl., ll,lI'~ 29!lO;.~ 10, 2000; J,q a;~; July Q, 2000 " .. ~' . .' . . . ..AtilDlNGSOF FACT; · .~~. .-"1tI~_~!8:uacalit........r~iWl:::'ICl'ft. m-urlna . '~ . "':fn~~~~~~bnllihe~t '. r1y'~ 2M.rrilet .llr1l!iewafSlde'd' zlht:ilIrtlllililiiiL:1iilt~~:tIi\il''''OIllthe'llIfdlm.of. 1.=' ~ tIg~.~lI'.""" :a.2UoOt ................y.1les along the ~o~ 8dplltthll prq,ertv, ~. ..'u_....~" .~. ....... :"'-~'. . '.". .... . .. ......... u...1I ,__" . . . . . ., . . . . .. " . ~.oF -= ~1qg,~.Ni1encled Noll.. .ar:i*ii~ dated June 8, . . WhIch . .i!'ii~liigpeillilt~r .;PfllIl:1i1lUM ~ tile lIisfetlvsetballk mid:"". . 1~.~ftim!,~ .1i8!lt1lf....,-. TI!A . ~,lIlat \IIlI. ~ /!ahl-or-way ..~a:rtoi!f,Y~ ~~:....!'8 ~lllj.,oe.~NqU_ - froI1tY*!dof40r.eL '. Eli ~;/\p~ """'-- varWtce aufhCl''*'ll ihejll_<<*DerItrlf alKiUse : PQI" "in:fhiiki~' rmftappncetlOn.WiUtu'..-i!iMlbaCkof12.8 fIIot~...~':.. "'i~ pe " ':Q' ,u.e:bi~~;~. .e~~~~;~~'-'thII"W1rig' " q:1)b'iIl!; .... of the Cod. uncIIlf pLN~_;. ,c,,; ..~.' ~Jne<l1l*~~. rfllht-of.....y<<C;"'":f liorH.filtt&It::rIi.1/llilltln l/jjI fai:Jnu PnI.~\ill.jl':~ yarcJuilless lIIe rlGhf-Of:waV ..~.a. CQda ..lIf!m of ~~. 'Itlit.~" .t,fhilt... PIflIYon thII~y.1di 9flhUUbjeOt ~ does riOt.88lI8lY Nt diInR.m~ w. cioncli1!le that.. &MIIIrIJ yanl t.'a side ~ .' . . 'J:.The.PI'C1~:houH_large. ~ bUIcaIIy Cll'two ___~:..... ---. .iid;2k<lO.......II/idr..Mtllt ...---..;. Iltflllhi. ;'O'.......tI1ellou$e. - ..~~ ---q. ~- . ~If" appn.,(1~:2'7" ~fromlhll ~ tlgf1t.of-wat at... *-l po!nI$.ltwo ~) but.a IanJ.a 1IeCk OIl thII_ ~~ acIc'- _ 15 feet, leaving lhe;12.U~1 RtbaCkmeiJllcinelf 1nu...HotIce Cif DIHpproval. , . . (3) Code Mciion Joo-z,cf req_ lhatlhlllllda ~ on .lh.. prvperty ... . ml_ Cif 18 r..et.aiiiJ ""v. . "",otbI>ilIIf _ of at Ieaot 31,. The house:foolprlnt ~ In .. bulicllnu ,~11Il!t ap~ ~ . wwl8rIy .Ide yanl of 18 feet,...~ Wllh lhe qcide ~ ..qul",:~lli~-'dayUd of 20 feel; applkMlnla p...- . yanI of~ -. li4leaila lho .._, right-of-way t. In __ _ a'_llClkor only 12.1ffelil'lS ~ r-. P0g02-AIIallll1O,2llOO ','Of . ZBA. Appt. No. 4818 - C. and J. Me&koUril ParOII1000.1()8.1-i7. MatBluck. r". ~ . _~f' ..In.!hlql.I...,l!iIlI...........~,.of..uc;b,a. ~..~~.I.VIIY lU~nII,aI VIiII.-1n iemaI~,.,..~o;.a..~,.!~~...:~'iii~ Ttlii..,. conclUcItI thIt the giU18r Hlbacik aulhCKIied'lir. field aoIIon Nt fOrth.~ wm nat pnlduae an undIIlrable chanae In \lie c\1araater of the neighborhood or dIl\l'....nt to neaRly pnlpertlaa. (4) Th_ II nO eYlde.- that the Board IclIOn set Ior1h '*- win ,.,.. en ac1Vera8 effect or Impact on 1lhVI1Ca1 or envlronmental oondltlona. . (5) The ectIon set fOrth below II .,.. minimum nec;el!1I'Y and ...... to enlbJe . IppOclnt to ~d..a house on the _ -'" ......ne pnpieMng and protlictlng the Chan.al8r of the neIghborhoOd .nd the hiaIlh, Hfety Ind welfare of \lie COinmunIty. . ' RESOLUTlONlACTlON, On ,n0ll..;, by Member CollIn.. IICQIlded by Melllber Tortora, 11_ IIESOLV!:D. tG .DENY the.~ appUed for 'nd ALlERHA11YELy.tG GRANT I varlence aulbOt1zlnil en _rty .....ck of 1U rwt froin tile illiht.:of~. '. . VOTE. OF 'l1:E B9ARD:. AYES: .' MEMI,lERS GOEHRINGER.(~). TORTORA, COLLINS, and HORNING. (Member DInIzIo WII aliaeRt due to .lllnaaa.) This R8s0lulIon - duly ADOPTED (4-0). ~.. . . .' _ ~l/iD AND fILED BY.. . ',p, . . _ soumOLD' TO\i1i CT.JlkiK '" APPrOved fOr Flnng . . .'.. . '&'\I/oflE:> ~ I~:OS- ~~.t'~I.#(J.I../',.tM ~. - " '!O~ll. C.kt1r.. 'tO~'41\. c. .~u\hoW.. j" . ~t",'~.'" .....,~'.'...l............,.......,"",..._..u....f')r..f.l,'ri~",~"'I _"~~M'm-- f:&lllir."" - ~~.- _.'- .AOOITIOlW. ~: -LJ/MI A i .~ _'VPt;(A~ 'j \: . . v // I <P//OIr,V /)-.. J. ~~ L . j' ~. .A r\...._./ .1 f. ' ~ :/ . 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III ,.J.-JR1ff.,#kL .":'6 ~___ . rJ ~ .,,\:.' ~ :I~'~ . ... ,,.#. /...i"f.7/: t I~ W j~n~ ~ /.~~ A ").;.:.. at r7'rblv./ ?.J" A_ _ >~'''r/ /', J B l- . / I P:., ~ ~ t:/~" '-(T) '17... :f~. ~ ~V().z.I/J -// '~.~.//d.. . ~-~.... os;/~/t. ~~'Z'~~~ ,,# '" Y . ~~ ~.- . r. /.Y~~"'/.. ~"'~JH~~h'._ ~,5 -'-t/- i' 11/~..a.6..L · ~ ,/.,-r7 ~A './ .,' ~.. . . A r.l r- /K..Ju' 4, t., ./ " . ",yy ~ . 3/,,/1 L: ., 7;."Lf,. .~. !#I "// I '] 11'}f '" / '/J Z .17 V r ~ !l ~ fA V> ~ ~ IlOUGII FRAIm & PLUKBIIIG ~\: DSULATIOR PEJt II. Y. STATE EIIEIl.GY CODE FIlIAL . ." (;- '^ TOWN OF SOUTHOLD PROPERTY RECORD CARD '1 J?' /0., . j 6t. . /. 0/'7 .. , OWNER STREET c,7/.5 VILlAGE DISTRICT SUB. LOT -X . "-..' 1- '"J i;- --Pu,tlts NLJt;'a So SUN,/ T 1\,;'.,. '/ ',2f1;'-17.~ r q V (t!i)f..' j/.M.' '. o. j r.O~ER OWNER . N E ACREAGE ,-- . yj.... ,. ",re.. . (,O"'~ ~Y{-<S 6/e/-IJ),rL-M-' S W TYPE OF BUILDING ...~ "/'" RES. 311 SEAS. VL '1 FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS ...1"0 300 /../7 3 ~A. A /0 /"'--... /3 "t" 00 ~o 0 ./ /7"..1 . '1/'/47 '" ~ '- 0(1 ~ . _-I?'CJO 14'00 ... "/~~k F' O,~ ,~!/I,//.(.k -I.a.jJjji-<Ji 0/, .', yC/.y 1/ y/!;4 J,." ~/iZ/23 em.ell..../..1 ..." '?{,...d I r(.r;< 1Zi('.~v ....) I . ""0 e. .. L :/0 '," v''OS,(..c ',;,l~~tJtJ (!QPl"fl5 ~~ ,t./IJ~I" Z -u-cu: AGE BUILDING CONDITION .:.h-,.,/......I A _....,A~~( .~ M: 11_.- }'.:;"",-",,>": NEW NORMAL BELOW ABOVE ' FRONTAGE ON WATER BiA~., "',""'<0 ~ 751.M~ /1_ .f'1i~O-PO . c Fann Acre Value Per /v:.re Value FRONTAGE ON ROAD l(Jo . (OJ. Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 j:d. ,'I ?.7'D _ :"?" <<", ..~,.! . ~..... . . , Woodland ,<;.J/. DO-LI~tlJJlo~ ~'~~_Al~'" JO~ i tJys.1O /tot,fL< - ~g'.s;~ Swampland , Brushland HOl.l5O Plat Total d OWNER Cl...y,.. M",,,,,kolAY;s. FORMER OWNER Mdt." C ,"'s LAND IMP. AGE NEW NORlM<l Fa.", Tillable 1 Tillable 2 Tillable 3 Woodl Swampland Brushland H..... Plot Total ........... ,h". TOWN OF SOUTHOLD PROPERTY RE(ORD CARD STREET {, 75 VILlAGE DISTRICT SUB. LOT ~~ SUM'" I /k' --'(". , q V ACREAGE .6"..- TYPE OF BUILDING N S VI.. '1 I CB. I MISC. FARM TOTAL /, (., -)1',,-: ;r BELOW FRONTAGE ON WATER g. (G - .~r. FRONTAGE ON ROAD /"D~___ BULKHEAD DOCK Value Per Acre Value ............,::.:...:~--_.._-~~-.!-..._-----_.. " /1..3f ....!-' /1- .' /,j-- ('" ..'*' V\~{:: Est. Mkt. Value ;:, -" .- '\ ,J'-, 7..-,.Z,0iGI,-_' ~11.,-~- 4, M,=,.~~. .Ln ;,. I I ~~ . i 1 I i i i i , I j Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M, #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. DiStriCt 8eCiiOO BiOCk "LOt ---------------------------------------------------- Ilem Number: (NOTE: A Check Mark (.f) for each Question is Required for a Complete Application) Yes No ---------------------------------------------------- v[J /[J [J [J [Jv [J [J [JJL' [J/ 1 Will this Project Retain All Stonn-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 activltles as well as all Site Improvements and the permanent creation of Impervious surfaces.) 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! 2 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? "".-- v 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? v 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? ./' 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Stann-Water Run-Off into and/or in the direction of a Town right-of-way? 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! ---------------------------------------------------- EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl ---------------------------------------------------- STATE OF NEW YORK, I COUN'TY OF .Sl.\..-ffo...K................... 55 That I, ...Cb.r::.i.~.n~...~Ii.e.r-.0,...................... being duly swom, de~oses and says that he/she is dle applicant for Penl1it, (Name of individual signing Document) And that he/she is the .........A.%~.. .......................... ............................... ............................................................................. (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner of O\vner's, and is duly authorized to perform or have performed the said work and to make and file this application; that all statement" contained in this application are true to the best of his knowledge and belief; and that d,e work will be performed in d,C manner sel fordl in thc application filed here"oth. Sworn to before me ulis; ...................aa.~~............. day of J.M.U.IU:\{.............. , 20.0.0 Notary Public: ~.Q.:..~................................. ....C4~ig~~i~~................ FORM - 06/07 ;~1 reJ ~ ~:'s:; CI) ;~ 5E n~ !~" --- \ , -- '~\ J~ U'\ \ " ~ll ~ !!~ ('\iii -I. ~ m ~o """{T' ill II r. )> ~ z II ~ ~ g ---- \ \ MIRIAM ROAD --- \ \ '\ ~ --\ \ '() "& '- 1"1' II ~ ~ bl ~ -(f(n I ~! ~! ~! ~~~ ~;i ~~ i i i ~~ ij~ ~ JEFFREY T. BUTLER, P.E. P.o. BOX 634- SHOREHAM, NEH YORK TEL 631.8021.8850 FAX, 631.82l.128/ . W~~i i~ gd~;> ~~ m- ~I ; r ~ ~ - \ \ \ SITE PLAN PROP05EV RESIDENCE CAPTAIN KIDD ESTATES - P/o LOT #12 MA TTITUc.K, NY' S.c..T.M._ 1000-106-01-41 GOI.MY OF SUFFOLK TOI+l OF 5OlJTHOLD