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33716-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMHNT Office of the Building Inspector Town Hall Southold, N.Y. OF OCCUPANCY Mo: Z-33189 THIS CERTIFIES that the building ACCESSORY Location Of Property: 2170 MAPLE LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 8 Lot 1 Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 19, 2008 pursuant to rhi.ch Building Permit NO. 33716-Z dated FEBRUARY 28, 2008 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY TENNIS COURT WITH FENCE AS APPLIED FOR PER ZBA # 6160 DATED 6/16/8, WITH NO NIGHTIME PLAYING OR LIGHTING. The Certificate is issued t0 JOSEPH & CAROLYN FERRARA (OWNER) of the aforesaid building. Filed Map Ho. Lot No. Date- 08/04/08 SDFFOLR COONTY DEPARTMENT OF BBALTH APPROVAL SLSCR'RICAL NO. N/A PLDl~SRS CERTIFICATZOM DATED uth ized ignature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For ne+t~ building or new use: 1. Final s~-vey of property with accurate location of all buildings, property lines, streets, and unusual natural or 2. Final Approva om Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electr 1 installation from Board of Fire Underwriters. 4. Sworn statement from lumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, in trial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from a itect or engineer responsible for the building. 6. Submit Planning Board Approv of completed site p]an requirements. B. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and "prc-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 dwclling $25.00, Alterations to dwelling $25.00, Swiimning pool $25.00, Accessory building $25.00, Additions to acccssrny building $25.00, Businesses $10.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certitcate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $ L5.00, Conunereial $15.00 Date. ~~3~~Q8 New Construction: ~~tt Old or Pre-existing Building: (check one) Location of Property: 0t ~7c~ P'lanle LLlYle.~~._ QpCI~/~- House Nor r Street Hanilet Owner or Owners of Property: T P~ `C~~ Opp Suffolk County Tax Map No 1000, Section 30 Block ~8 Lot I Subdivision Filed Map. Lot Permit No. ~~~ ~ ~ Date of Permit. ~ Applicants Sd~nk_ /~~ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ 025• ~~ Apph ant Signature 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. 33716 Z Permission is hereby granted to: Date FEBRUARY 28, 2008 JOSEPH & CAROLYN FERRARA 26 SUBURBAN AVE PELHAM MANOR,NY 10803 for INSTALLATION OF A TENNIS COURT AS APPLIED FOR at premises located at 2170 MAPLE LA GREENPORT County Tax Map No. 473889 Section 038 Block 0008 Lot No. 001 pursuant to application dated FEBRUARY 19, 2008 and approved by the Building Inspector to expire on AUGUST 28, 2009. Fee $ 100.00 Authorized Signature ORIGINAL Rev. 5/8/02 APPEALS BOARD MEMBERS • Gerard P. Gcehringer, Chairman Ruth D. Oliva James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman ~O~~QF $Qpjyo~ ~ i~ l~C~~ ~ • Mailing Address: Southold Town Hall 53095 Main Road • P.O. Box 1 l79 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 http://sou [hold[own. northfork. ne[ ZONING BOARD OF APPEALS REC IVES ~- TOWN OF SOUTHOLD q ~,p~ Tel. (ti31) 765-1809 • Fax (631) 765-9064 UN " '; ~. ,,3 L FINDINGS, DELIBERATIONS AND DETERMINASQOBIv1~o~d T®Wtt Clerlt MEETING OF JUNE 16, 2008 t ZBA # 6160 -Application of Joseph and Carolyn Ferrara Property Location. 2170 Maple Lane, Greenport CTM 38-8-1 SEORA 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. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14.14 to 23, and the Suffolk County Department of Planning issued a reply dated May 28, 2008 stating that this application is considered a matter for local determination as there appears to be no significant countywide or inter community impact. LWRP EXEMPT This application is exempt under Town Code, LWRP Chapter 268, since no natural resource feature was found within 100 feet of the tennis court fence as requested under this zoning variance. PROPERTY FACTS/DESCRIPTION The applicant's property consists of 3.819 acres and 2%z story, single-family dwelling and accessory building, as shown on the March 7, 2008 site survey prepared by Nathan Taft Corwin III. BASIS OF APPLICATION: Zoning Code Section 280-105, based on the Building Inspector's Apri18, 2008 Notice of Disapproval concerning proposed tennis court fencing which will exceed the code limitation of four feet in height, when located in a front yard o~a residential zone. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on May 29, 2008 at which time written and oral evidence were presented. Based upon all testimony, Page 2 -June 16, 2008 ~ • ZBA # 6160 - J. and C. Ferrara ApTication CTM # 38.8.1 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 a tennis court fence that will exceed the code limitation of four feet in the front yard of the applicant's residence, proposed at eight (8) feet in height. REASONS FOR BOARD ACTION On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Town Law 5267-b(3)(b)(3)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties because other properties in the immediate neighborhood have similar or higher fences. 2. Town Law §267•b(3)(b)(3)(2). The benefit sought by the applicant cannot be achieved by some method feasible for the applicant to pursue, other than an area variance because a lower fence height would allow for too many balls to escape the playing field. 3. Town Law 6267•b(3)(b)(3)(3). The variance granted herein is not substantial since three sides of the fence surrounding the tennis court area will be lower than the code requirement. 4. Town Law §267•b(3)(b)(3)(5). The difficulty has not been self created because tennis court requires a fence height than the code limit in order to allow for an enjoyable game unfettered by constantly chasing balls that go out of the confines of the fenced area. 5. Town Law 6267-b(3)(b)(3)(4). There has been no evidence submitted to suggest that the requested variance in this residential neighborhood may have an adverse impact on the physical or environmental conditions in the neighborhood. 6. The grant of the requested relief for the fence is the minimum action necessarv and adequate to enable the applicant to enjoy the benefit of a tennis court, while preserving and protecting the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD In considering all of the above factors and applying the balancing test under New York Town Law 267•B, motion was offered by Member Dinizio, seconded by Member Weisman, and duly carried, to GRANT the variance as applied for, as shown on the March 7, 2008 site survey prepared by Nathan Taft Corwin III and applicant's two fence diagrams with ZBA date stamp May 21, 2008, subject to the following Condition That there be no night time lighting or nighttime use of the tennis court. Page 3-Ju¢e 16, 2008 ~ • ZBA # 6160 - J. and C. Ferraza Ap~fication CTM # 38.8-1 The above condition shall be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features ae 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 Goehringer (Chairman), Dinizio, Oliva, Simon, and Weisman. This Resolution ~vae-clrtl~x adopt~•0). ~ P. Goehringer, C`hairn~an 6/ 2O /2008 ~d for Filing !! . ._. , ~~o Pos~tO t ~ C--pct. '~ E~.s~~ ~ r,~tis cous-z, ~ C~ ~°~` _':_ID r____-- 58~---1 114 ~ 5x~ 4' (1LL l~ ClZ v-tJV`(G. Coc~TLD '.aa ~bx~/G~.o',.~ ~~~ f~ocG ,,., -~~~~ BCA^~ CF APPALS FINAL MAP R~YIEW~D BY 2BA SEE DECISION * Cn l (oa DATED o lp / 1 fp / ~ o ,~ s;~:~ ~~ TOP f~~ g ~~ ~'4 ~ q G(aUGB S~LE~. CH~"~ L3,cVK. ~~` b C~6 ~U`Yo4c?~~ W'utt: `~`2 Pos-rS S `~ ~N i • Cl~c~,uv L~Nl~. a~~ a~~ TOWN OF SOUTHOLD BUILDING D$PARTMENT TOWN HALM.. SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need [he following, before applying? Boazd of Health ~` sets of Building Plans Planning Boazd approval PERMIT NO. 33 71~~ Septic N.Y.S Examined_~~~, 20 ~ Approved,20~ Disapproved a/c _ Expiration , 20~ __. -~..,, i INSTRUCTIONS Date 20 O8 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 Pemut 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 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. Mil ~ (Signature of~applicant or name, if a corporation) e?~7 ok~l~'~Ye/h d ~t/+18 1-g78 (Mailing address of applicant) State whether applicant is owner, Jesse ,agent, chitect, engineer, general contractor, electrician, plumber or builder 1 L-cV A1Z( ('c~c~TS21ac ~ptL Name of owner of premises _ JOSV~'t ~aYa ~ C~~wn. ~E3L/Gi/GZ_ (As on the tax roll If appli~Cant is a corpo~tigit, sigrla,(ttre of cj;tly authorized officer (Name a?td title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: deed) House Number [Street Hamlet ;i' ,. ~.,. 'ac County Tax Map No. 1000 Section t3~ Block r~~ "`~ `''" ' ;Lot ' ~~ Subdivision Filed Map No. ~ 1,.0~""`~ (Name) _ Contact: Mail to: ' ~'7 Ql d 12hd Rd wl~B ~iR78 Phone: a£38 ~f31 Q ~~~ Building Inspector APPLICATION FOR BUILDING PERMIT 2. State existing use and occupancy of premises and intended use and a. Existing use and occupancy F~QS!/'jP,l~l of proposed construction: b. Intended use and occupancy lr~Slolai'l~t'-~t,' ~~ 3. Nature of work (check which applicable): New Building Addition_~Alteration Repair Removal Demolition Other Worky~~nnl S ii (y~' (Description) 4. Estimated Cost ~~ ~~ Fee ~ ~~•~ (To be paid on filing this application) 5. If dwelling, number of dwelling units 1'1 0. 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~Q 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Reaz Depth 1 ~ -t Height /o ' Ff~C~. Number of Stories (~s t~r1`~cy 1 ~ ~ 9. Size of lot: Front Rear Depth J •~ ~-l ~~-t'is 10. Date of Purchase 4 ~6 d 1 Name of Former Owner ~ ~ Ann I~fU 1 i ~ 11. Zone or use district in which premises are situated R~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO~ 13. Will lot be re-graded? YES ~ NU_Wiil excess fill be removed from premises? YES_ NO ~,~y~ a[7~.•llbU2itic`eV Avfi 14. Names of Owner of premise ~~_~ Address trtllah'h tYYY1C)tL.NY Phone No. q I7 -~tf7 - ~6 ~N Name of Architect Address I Of03 Phone No Name of Contractor_~1? Address at{~1 OtA tZLV~LIGCGP~~te No. ~~8 -~ ) b 15 a. Is this within 100 feet of a tidal wetland or a freshwat- er wetlands? YES • NO ~_ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this 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 & restrictions? YES NO ,/ STATE OF NEW YORK) SS: COUNTY OF(1 ~~~ ~-~'~~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 aze 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 I„ ZO ~8 a-~1 dayrlof Ybrk ~ ~,~~ Signs a of Applicant l7 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. Septic Form C r r~~7+~ N.Y.S.D.E.C. S~~ Q l"~~~ 'J~ JJ 1,~ Trustees Examined , 20 Storm-Water Assessment Form Contact: Approved ° ROVAL Mail to: Disapproved a/c Phone: ,,,~ S{,~ - Y 3 / O Expiration , 20 ,;) ~ Building Inspector r•~ Ul: ~ '2 APPLICATION FOR BUILDING PERMIT '~ L__ ~ ~ = Date ~L ~ a,~ , 200_ ~, -,,.. `- - - 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. 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 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. ~~~Q~ ( atwe of applicant or name, if a corporation) a~~ oLa a~.v~-~~oo cam. l~~s-~i~CaMGr1tN~I e~~, ~v.K_ ~ta`iA (Mailing address of applicant State whether applicant is owner, lessee, gent architect, engineer, general contractor, electrician, plumber or builder 1 CNN'~.S CO U.(LZ CA RTC CtI~C.~CO tZ Name of owner of premises C(aaoL`;Iy ~5('~S~Qµ ~~,CLCtJ~,(2A (As on the tax roll or latest deed) If antakicant is a corooiation. siartature o£duly authorized officer (Name Ord title of corporate Builders License No. Plumbers License No. _ Electricians License No._ Other Trade's License No. of land on which nronosed work will be done: House Number Street County Tax Map No. 1000 Subdivision Hamlet Section ©~Q Block ~ Lot Filed Map No. Lot BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Boazd of Health 4 sets of Building Plans_ Planning Boazd approval Survey_ Check (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy (ZtSZO~~R`T~Pr1~J u9~P~~-t~"t"~ ~t92'C~1KVI.5 CCRa1TT b. Intended use and occupancy (Z~.(1~~5(Z4N A'L, ~ ~ t' 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Wor~~NUi$ ~OINI.-( ~y~,,~ (Description) 4. Estimated Cost ~ '~yC) .QQ Fee (To be paid on filing this application) 5. 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~r~ Dimensions of existing structures, if any: Front Height Number of Stories. Rear Depth Dimensions of same structure with alterations or additions: Front Rear _ Depth ~ Height Number of Stories 8. Dimensions of entire new construction: Front , Rear ~~ I Depth ~ 1~ + Height ~ ~ Number of Stories ~1c^' 9. Size of lot: Front Rear Depth ~ 11n1o . J"1 ~ • ~ 1 10. Date of Purchase u~~ln~c~~ Name of Former Owner N~R~a~ ~ caNN PY-)U~.,~~xv 11. Zone or use district in which premises are situated \` ~~ ' 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO V 13. Will lot be re-gaded? YES t/ NO Will excess fill be removed from premises? YES_ NO / Clat~.ols(N~~osf~4u at, ~+eur>.l~ rave 14. Names of Owner ofpremises - Address Q~~ M fyVUn- Phone No ~ ~`1 - ~{ ~~ - ~~~~ Name of Architect ~V (~ Address ~ Phone No t~[~ Name of Contractor ~~(Ll1'1 Address orlt{`I QID RZ,V. ft0• Phone No, oC6~ - 4~t0 W.I~PM'. (bCV, IV-K. 11ct'Zg / 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~t/ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this ~~ 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~1Fi l ~ ) ~(~ t~~~t ~,~-~~)~L being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~',Qt\77Q1~17~. (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 20 Notary Public Sign ture~licant FIELD INSPECTION REPORT DATE , COMMENTS ~~ ~ -~ FOUNDATION (1ST) ~_ x --------------------------------- (% -i ~~~ r ~ ~: ;~ FOUNDATION (2ND) rt ~ f `1-~ O n ~ T a ROUGH FRAMING & PLUMBING - ~ r r -- - l i .. ___ _ ~ _ I_NSti CATION PER N. Y. R STATE ENERGY CODE ~~ n F~ g ~d FINAL ~, ADDTTIONAL COMMENTS ~ ~'~ ~ (off { 1>°i(~{~i5 C~v-.(~ CSC. ~ o `j Z h m h ~ ~~ ~~ ~^ .- o ~ ~ ~ x ~, r -~ ~~ --- o ..* ^ I OWNER .~ TOWN OF SOUTHOLD PROPER3'Y RECORD CARD ,~ , ~ ~ STREET ~ ~ 7 VILLAGE DIST. SUB. LOT PA1~ .f7.(,IdleSerl ~~ ~s N ~. rE' r ' ; A T d ~e~1ea ~/ ~ e ka a s 7 ~~y acctl,i sen ~~ 5 V, ~/ '~ TYPE OF BUILDING - w ~ ,~ ~ r,~ a. uv 2E5. ~ ~ O SEAS. VL. FARM COM ~ MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS / ,,~' as S/a 6 /7 ,Tae z 6 6 fl~r~~ i ~ - ~ i, c-t~r , ~ O b 3~ .~ o o (e o J /5 7 O ~ ~ ~ ( Z.Z ~ !/.y r -~'r _ u ~~ s~ 45`4~r u s d / ~ L 7 - ~7U// SPi7 ~d~s to ~ /~p/b ~i /~s~ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Volue Per Value ' Acre filloble I 'illable 2 'illable 3 Voodland ~ ` oo ~-~ a'Fe e~tiJ' Q~ . wompland FRONTAGE ON WATER . .f.a ~ 3,~°= ~ /~, ~ s~ -d ,rushland FRONTAGE ON ROAD _ , louse Plot DEPTH BULKHEAD 'otal DOCK ~, ~ COLOR i ,~ TRIM ~ ~ ~ _ ~ '~ I a I W ~ I~` ~ r r I ~ 4 l . , . i, i 3 ... - ----- - -~. , Y N. Bldg. Extension 1 ^'ti ~~ ` ~~- ' `~; ~' ° - r ~ ~ Foundation Basement 13 'r ` c 1 ~ f .{A,fj', Bath Floors 3 ~', .r ~ Dinette K. __ Extension '' ~ ~ ' ~ YY i 2/ G c- /'. 3 0 Ext. Walls ~ s ~ S n Interior Finish %'` ~ G s ~ c .r LR. - _xtensjon i ~ Fire Place v Hear S c c, w,, DR. a y ~I ;, E p = •> ~ l ~ ° ype Roof Rooms 1st Floor BR. 'orch 'orch ' ` i~ '~ ~ d I `~ '. ~. Recreation Roam Dormer Rooms 2nd Floor FIN. B. Breezeway 10~(~ = Y k ~ c ~, , y Drivewoy ~ara9e __ Patio O. B. Total ,c/ b ~ T .ask Town of Southold ,~ -ate Erosion, Sedimentation 8r Storm-Water Run-off ASSESSMENT FORM ~! v~°~ I'ROPEaiv I.ocATIDN: s,c.7.M. d: THE FOLLOWING ACTION8 MAY REQUIRE THE SUBMISSION OF A 1~ ~- _~ ~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN District section Block Lo CERTIFIED BY A DESIGN PROFESSIONAL IN THE 8TATE OF NEW YORK. ---------------------------------------------------- Item Number: (NOTE: A Check Mark (.J) for each Question is Required for a Complete Application) Yes No ---------------------------------------------------- Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? ~ ^ (This item will include all runoff created by site clearing and/or txxtstmctign 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 Stmctures Indicating Size & Location? This Item shall include all Proposed Gmde Changes and Slopes Controlling Surface WaterFlowl 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Gmde Involving more than 200 Cubic Yards of Material within any Parcel? - Q Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? -/ rj Is there a Natural Water Course Running through the Sile? ^ , Is this Project within the Trustees jurisdiction or within One Hundred (100') feel of a Wetland or Beach? 111LLL/ 6 Will there be Site preparation on Existing Grade Slopes which Erceed Fifteen (15) feet of Vertical Rise to ^ One Hundred (100') of Hodzontal Distance? !lILLL/ 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 righlof-way? 111LLL/ Will this Project Require the Placement of Maledal, Removal of Vegetation and/or the Construction of ^ / any Item Within the Town Rightof-Way or Road Shoulder Areal 111LLL (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 Permitl EXEMPTION: Yes No Does this project meet the minimum standards for classification es an Agdcultural Project? - / Note: If You Answered Yes to this Question, a Storm•Water, Grading, Drainage 8 Erosion Control Plan is NOT Required! 1L/. STATE OF NEW YORK, CnOUN~TpY OEC...r..`c..1~c,Cn-.,`~'O.~<1G- ............. SS ~at I, .......... ``~.l-S.~.....7,~LTl}..V~L ...................... being duly sworn, deposes and says that he/ShE is the applicant for Permit, (Name of indivitlual signing Document) ,ran And that he/sF2isd~e ....................................~......~~~r.~.1Z:`~............................................................................................... (Owner, Contractor, Agent, Coryoiate Otricer, etc.) Owner and/or representative of dte Owner of Owner's, and is duly authorized to perform or have pedonued the said work and Co make and Gle this application; that all statements contained in this application are we to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn tp before me this; A j .....................~.~..~~.. day ofn./...)..t..`.!~.h.:.'..~.......... , 20~b' Notary Public . (SI rature of Appliwnl) •-VnrO ~ vV/VI FORM N0.3 NOTICE OF DISAPPROVAL TOWN OF SOUTHOLD Date: Apri18, 2008 TO: Ralph Schenk for J & C Ferraza 247 Old Riverhead Rd. Westhampton Beach, NY 11978 Please take notice that your application dated Apri12, 2008 For an installation of a fence at Location of Property: 2170 Maple La., Greenport, NY County Tax Map No. 1000- Section 38 Block 8 Lot 1 Is returned herewith and disapproved on the following grounds: The installation of a fence on this conforming, 3.819 acre parcel in the R80 Zone is not permitted pursuant to Article XXII, Section 280-105 which states: "Fences, walls or berms may be erected and maintained, subject to the following height limitations: When located in the front yazd of residential zones, the same shall not exceed four feet in height". The proposed fence, surrounding a tennis court is proposed at 8' as indicated on the survey. Authorized Signature New York State Insurance Fund Workers' Compensation & Disability Benefits Specialists Since 7914 199 CHURCH STREET, NEW YORK, N.Y. 10007-1100 Phone: (a88)997-3663 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~~~~~ HESPERUS CORP T/A PROCORM 247 OLD RIVERHEAD ROAD WESTHAMPTON BEACH NY 11978 POLICYHOLDER CERTIFICATE HOLDER HESPERUS CORP TIA TOWN OF SOUTHOLD PROCORM 54375 ROUTE 25 247 OLD RIVERHEAD ROAD SOUTHOLD NY 11971 WESTHAMPTON BEACH NY 11978 POG 1183UM08 9R CERTI ~I 167E NUMBER I PERIOD~C6 29E20017 TO.O6//129/2 08TIFICATE- ~ 1/16 2008 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1183 202-9 UNTIL 06/29/2008, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 06/29/2008 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND /fdN~ /~c?,nr~° DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at htlps://www.nysif.com/cert/certval.asp or by calling (888) 875-5790 U-2s.3 VALIDATION NUMBER: 747865464 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DO/YYYY) 1e 01/16/2008 PRODUCER (631)283-8000 FAX (631) 287-2207 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Maran Corporate Risk Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 300 Hampton Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Southampton, NY 11968 INSURERS AFFORDING COVERAGE NAIC # INSURED Hesperus Corp INSURERA: Merchants Mutual Insurance Co DBA: ProCorM INSURER B: 247 Gld RTVerhead Road INSURERA Westhampton Beach, NY 11978 INSURER D: INSURER E. I ne rvut,ICS yr msuHArvGt LIBI tU BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANYCONTRACT OROTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITION , S OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITB GENERAL LIABILITY CMP9140980 08/01/2007 08/01/2008 EACH OCCURRENCE $ 1 000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 3OO OO CLAIMS MADE aOCCUR MED EXP (An o y ne perm) $ S,OO A X Contractual PERSONAL$ADV INJURY $ 1 GOO OO , GENERAL AGGREGATE $ 2 OOO OO GEN'L AGGREGATE LIMBAPPLIES PER: -PRO- PRODUCTS-COMP/OPAGG $ 2 OOO,OO POLICY JECT LOC AUT OMOBILE LIABILRY CAP9256007 O8/O1/2007 O8/O1/2008 X ANY AUTO COMBINED SINGLE LIMIT E id E ( a ecc eM) 1, GOO, OO ALL OWNED AUTOS ~ BODILY INJURY $ A SCHEDULED AUTOS . (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per acdtleM) PROPERTY DAMAGE $ (Per eccitleM) GARAGE LIABILRV AUTO ONLY-EA ACCIDENT $ ANV AUTO OTHER THAN EA ACC - $ AUTO ONLY: pGG $ EXCESS/UMBRELLA LUIBILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ $ i DEDUCTIBLE E RETENTION E E ~~ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LU\BILRY ANV PROPRIETOR/PARTNERIEXECUTNE E.L. EACH ACCIDENT E OFFICERrtAEMBER E%CLUDED9 K yes, tlesaibe untler E.L.DISEAEE-EA EMPLOYE - $ SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES I EXCLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS E~ 1 Town of Southold 54375 Route 25 Southold, NY 11971 ACORD 25 (2001/08) SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRFAGUTeTVee AUTNORQED REPRESENTATNE ©ACORD CORPORATION 1953