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HomeMy WebLinkAbout33366-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33230 THIS CERTIFIES that the building ACCESSORY GARAGE Date: 08/18/08 Location of Property: 1475 PT PLEASANT RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) COUnty Tax Map No_ 473889 SECt10II 114 Block 1 LOt 5.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 2007 pursuant to which Building Permit No. 33366-Z dated SEPTEMBER 4, 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 NON-HABITABLE UNHEATED ACCESSORY GARAGE WITH STORAGE ABOVE AS APPLIED The certificate is issued to JOHN P DUMBLIS (OWNER) of the aforesaid building. SDFPOLR CODNTY DEPARTM6R'P OF HEALTH APPROVAL, N/A ELECTRICAL CERTIFICATH NO. N/A PLDMBERS CERTIFICATION DATED ~~~ lid _ ./' _ r uthorized Signature Rev. 1/81 ~ 3?,~~ i ~ Form No. 6 L 3 ~ ! 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 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 $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, Commercial $15.00 Date. 5 ^ z~ ~~ New Construction ~ Old or Pre-existing B/uil~ding,: • ~, pt~ (check one)[ ,~ Location of Property: ~ 7S ~ ~t!.I~tT~.t L FAY IW~iTI~~x~- House No.A+ '.,A,~ 11 ~p Street Hamlet Owner or Owners of Property: J~t`IT`.l r . ~~.L.~L~S Suffolk County Tax Map No 1000, Section ~ ~~ Block ~~ Lot ~ ,~mZ Subdivision Filed Map. Lot: Permit No. ?j37J' ~o Date of Perrru~" ~-U~ Applicants F"~-~-~1 Health Dept. Approval: Underwriters Approval: fSl~"Y Planning Board Approval: ~~ Request for: Temporary Certificate Fee Submitted: $ 25 Ca ~-33'a3o 2e ~~~1 q3 Final Certificate: ~~ (check one) p i t ign ure 3331010 .~ w July 23, 2008 Mr: Michael Varity ...Town of Southold Building Dept. . Southold, NY RE: John Dumblis 24'W x11'9"Hx 40'L Residential Outbuilding Mattituck, NY MBLJob# 128-0809 Dear.Sirs: :Please find enclosed rafter design that was used for this job. I am also'writing to confitrn and advise that the: footings and foundation were observed to have been installed in accordance to myplans dated 11-02-07. 1_) Footings were planed-4'8" and 6'0" below grade and were drilled the diameter ..specified in the plans. 2.) 11/4" x l 1/4,"x14' Ga column stilts were. attached to each column cornerwith (3)-0-148" dia. X 2" stainless nails. 3.) Concrete for each footing was placed in accordance with the plans. Yours truly, Design &E Group, PC F 1 , .._ .' _ .~ r ~~.I 333te~" P.C. a,,g~st 12, zoos Mr. Michael parity 1 5 Town of Southold Building Department ~ d Southold, NY J + ,~ 1tE: John Dumblis 24'W x 11'9"H x 40'L Residential Outbuilding Mattituck, NY MBI Job # 128-0809 Dear. Sirs: I am writing to confirm and advise that the subject jab has been completed it substantial compliance to my drawings dated 11-02-07. Please be further advised that I have confirmed. that the wind bracing, strapping. and roof and wall connectors were per my plans.. Thank yon Yours trulg ied Design & E Group, ~~ .r„ Presi r~:o a• • d 2 ~~'~. ~S 33~~ 2-8x8 Nail Pls. O Fl_ C~J_ /\.. 1.. 6x10 PL. 20 GA. I I 13X6 PL. 18 GA. RAFTER DESIGN SPECIFICATION: Ratter has been designed by computer using the Purdue Plane Structure Analyzer IAW current standards and specifications of recognized engineering principles. Rafters are manufactured by Morton Buildings, Inc. 00000001 I 000000 eeeeeee 000000 01 000000 LUMBER SPECIFICATION (2001 NDS for Wood Construction): Lam # 1 --- No. 1 K.D. - 19 Southern Pine Lam #2 --- No. 1 K.D. - 19 Southern Pine TRUSS PLATE SPECIFICATION (ICBO Evalua}ion report No. 29291: ASTM A-653. Grade A 20 Ga. and 18 Ga. where noted. ~r galvanized steel Morton truss plates identified by a hexagon stamped every 1 1 /4" along the center of the plat ,p~ e. P 0 N~N/ ~, • RAFTER SPACING 10'-0" O.C. (` • r • +" SU LIVE LOAD 20 PSF ~ J~• DEAD LOAD 4 PSF _..- - - -- - - - -. ~ d CEILING LOAD 4 PSF * • O TOTAL LOAD 28 PSF OFFICE: CUTCHOGUE. NY JOB NO. 128-0809 J m Z U Z~ cv a . a O~ ~° C~ z w r.. z_ Q F- w ~~ Za ~ ~ Q 'oF x N ~ W 0 Q i W ~ J ~ J ~ Q 8 ORAwN Br: KLEIN DAre 8-23-08 CHECKED BY: DA iE: REVISED DATE: scAfE: AS NOTED SHEET NO. S1 of Sl 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. 33366 Z Date SEPTEMBER 4, 2007 Permission is hereby granted to: for JOHN P DUMBLIS PO BOX 162 MATTITUCK.NY 11952 CONSTRUCTION OF AN UNHEATED ACCESSORY GARAGE WITH STORAGE AS APPLIED FOR at premises located at 1475 PT PLEASANT RD MATTITUCK County Tax Map No. 473889 Section 114 Block 0001 Lot No. 005.002 pursuant to application dated JANUARY 22, 2007 and approved by the Building Inspector to expire on MARCH 4, 2009. Fee $ 460.00 I Aut orized Signature ORIGINAL Rev. 5/8/02 ~3~~~~- 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 REMARKS: ~ ~~ ,~ DATE j 3 ~~~ ~ INSPECTOR /~° 333,~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION DATE ~ ~ ~ ~ ~ ~ INSPECTOR / ;~~- `~Z`~~ 33~~~6~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ] FIREPLACE ~ CHIMNEY [ ]ROUGH PLBG. [ ]INSULATION ~] FINAL [ ] FlRE SAFETY INSPECTION [ ]FIRE RESISTANT COWSTRIICI'ION [ ]FIRE RESISTANT PENETRATION • -- ,„ REM~A//RKS: °'"' '~ _ ~ ~' ~~ ~~~ DATE J ~/~ ~~ ~ INSPECTOR ' e~ • ~~~~''_~ ~~ 333~~ z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING (~ FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION T R CTION [ ] RRE RESISTANT CONS U RESISTANT PENETRATION FI R E [ ] {/ ~ ~ ~ '' ' ~ ~~~ , ~ ; ~/ p '"` `~"` °~~~ ~s ` , "~`~ REMARKS: ` " ~ ~- ~f2 ~-~ ~ `~ l~ ,1t,~-~= ~` a~ ~.~;~- 3-~~ o~ £~ ~~'~ DATE INSPECTOR FIELD INSPECTION REPORT DATE ~ COMMENTS c ' J b l~l t~l ~ ~ ~ FOUNDATION (1ST) a ~. ----------°---°------------------° / ~ ~r[n (°w~ FOUNDATION (2ND) z 0 \ ~ ROUGH FRAMING & PLUMBING y -`/ -' r ~. -- - ~. ----- -- <, '_ x -- ---- - ' U - -- C ! 1y y INS LATION PER N. Y. STATE ENERGY CODE j Y~ ~' r ~ ~, FINAL ~ ~~ i ADDITIONAL COMMENTS ~! f ~ ' I-s.,, ~~ "~.-c ~ t~ O Z r ~~ A -. ~~ . ~ . ~' i y ~ `'s ~y Y H x d b y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Bo approval Survey SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. -3.334, 6 ~ Examined- `7/~_, 20Q~ Approved ~~//_ ~(~,?,00 Disapproved a/c ._ .. . Septic Form N.Y.S.D.E.C Contact: Mail Phone: I ~ i ~l •- '7 Q (J ~ Expirationpp M ry , 20~ ~~ v ~ u~0: DEP' I ,/~ iil ~ X35- `~g~1 % Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Dated ' Z 20U~_ 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 afrer 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, [he 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 inspection l or name, if a corporation) fib. ~( I C->8v (Mailing address of applicant) ~vzHc~iD ~U 115' l State whether applicant is owner, lesse a e chitect, engineer, general contractor, electricran, plumber or builder Name of owner of premises JbYfh.l ~ V>/~~~5 (As on the tax roll or latest deed) If applicant is a r oratio , st ature of duly authorized officer officer) Builders License No. ~ 7J, ~J76 N,l{ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: _ ~-~s ~ 'Gl bow 1 ~ /ul~-7t Yom` l~l~-l l~~`~ Z House Number Street Hamlet County Tax Map No. 1000 Section Block 6' Lot S • 2 Subdivision ~Q t~ ~ Filed Map No._~ ZCJ Lot (Name) BUILDING PERMIT APPLICATION CHECKLIST 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~NCr~ b. Intended use and occupancy ~S.1C,L~ ~1kx~t.~-1 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost~~ ~ ~I r~ Fee (Description) (To be paid on fi]ing this application) 5. If dwelling, number of dwellin units__~~Nu ~of dwelling units on each floor N l4 If garage, number of cars -1 OP.11C1.r~ ~ _ - 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~. ~- 7. Dimensions of H Dimensions of same Depth 8. Dimensions of entire new construction: Front Z~ t Rear z~ 1 Depth ~ ~ ~ Height ~~' MAD Pt~I7 Number of Stories Z 6F Ct~~ pp 9. Size of lot: Front ~~ Rear ~~ U Depth ~ S lU. Date of Purchase 'J' lam" ~tfl Name of Former Owner ~~i4,~1-. 11. Zone or use district in which premises are situated ~ ~ -L ~ . „ST ~~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~ 13. Will lot be re-graded? YES NO~WiII excess fill be removed from premises? YES_ NO 14. Names o: Name of Name of No ~31-7~U -L/UGy 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 MAYBE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. S ~ ~-7~D 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. STATE OF NEW YORK) SS: COUIQTY OF~ ) ICJ F-~I--~ 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.) rovlf~ alterations or additions: Front Height Number of Stories 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 ?.u d< 20 RT 1. SCOTT, JR. Not ublic, State of New York alified in Suffolk County No. 01SC4725089 Term Expires May 31, ~q O - -. ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD -, .~ 7~~ .~ 3 OWNER STREET ~, jj VILLAGE DIST. SUB. LOT~j ofd i ~ }} ~ V'~ `f 5 ~ ~~~ ~ % i % 9 ~~ .~ O ,rl Um f t`~El. vc )a ~ c FORMER OWNER ~ N E ACR. ;,, -- ctrl, . ,fr Z rl K ~ O J -~~~.~, ~~1 ~l05~ ~:~., J S W TYPE OF BUILDING %F < e r REZSf~- SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ~OC> ! ''~ ~3~i •, G c~-r~ . k ~' ~. Q O r~ fj e d - <F'3 ~ 2u ~ Sul_ Z ow. ~.2i i=_cLi= ~2 T G~A ~~ 1-~oL ~ ~.a C.u rz ~ L• 9SO<4 1~- 21 "~~,~~ ? ~C.~ '~~>~~,., z o~ hg 31~~41Z1 ~=mv G~2A6~E ~=~ J o~'a /O~ F/o~ z E s t aT'- 44 ~!-: ~~~~c~'t~ ~' 3 ~ 5" o - L I fY1- CXo - 1= -}o m ~ - ° ~ o > ~> ~50 ,SI l- ~ r)~1•. e ~a~. ~4)~. ~ w otrC- ~' 9 L!-, ~SOa :-~ ~, _ _.._. ~~ Tillable FRONTAGE ON WATER / j'r ,.. ~ ,_.~ ~ ~ ~~ ~ - ~' . _. ,~. ~~ ~ fir;, ,, Woodland FRONTAGE ON ROAD ~" .~ ~ Meodowland DEPTH L,C ?'s' J ~, , House Plot BULKHEAD Total ,s- ~ ~. 1 ~ I r . ~~~~ ~. ewe ulh tt e fi ~~ , M I s/4 s ~'12av1" z4 ~ _ -_ M. Bldg. Z y ~ ~ O = Q ~O S'00 g ~ Foundation r~ , Bath Extension i Z : Z L rJS' ~ Basement ~v (~ Floors t~ RAp Extension !{ I Z .fir (~ Fxt. Walls ~ ~ ~ Interior Finish Extension Fire Place GS Heat ~ ' ()[c k.s'S Yo t 8 c l 2 o Z - 2 9(0\ !~ . L ~ (,~ Porch Pool Attic Deck Patio Rooms 1st Floor Breezeway ,i Driveway Rooms 2nd Floor Garage ~ ~ x ua O. B. 5 ~a3 s _ _ _ 1 1 ~ .. ..York State bepartment of Environmental Conservation F gulldinp 40•--SUN`Y, Stony Brook, New York 1t7pA 5 ~~ ~ • S~S~ BATE s J`5' ~~ ` ~n : ~~ .~, wo~~'~ ~.~ve~, Ny it'1~ a. ~. Dear ~~~JV~J 1 ' review has been~,m~~ad~e oi' your proposal to: ~c~.~~.~ ors ~ N~~~e 1'p~ ~~~~ ~ Thoms~ C. JotNnp g ](~~{-' 1~,,~JUCommtsoi5nsr 1 V O ~' /~ ~ I 1~ ` y V' V 'Y,UC.~ 'J ~ ~.. ~al~\t~ Yt~• S:~@ 1~ u,5~ d~~- ~/~ ~~~ So~~tiat Based on the lnformatton.you have submitted, the New York State Department o P vironmental Conservation has determined that the parcel project• is: Greater than 300' From inventoried tidal wetlands. Landward of a substantial man-mafie structure .___ greater than 100' in length which waa construe a pr or o•9 ZS~'~7. Landward of the 10' above mean,$ea level elevation contour on a gradual, natural slope., // Landward of the topographic treat of a bluff, clifF or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Acticie 25 of khe Environmental Conservation Law). Please be advised, however, that no construction,.sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsfbllity to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing ad¢quate work area between the l0' contour or topographic crest and the project ti.e. a 15' to 20' wide. construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note Lhat any additional work, oc modification ko the project as described, may r¢quire authorizat.•ion by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the respone)biiity of obtaining any necessary permits or approvals from other agencies. V ~- Very ,truly yours, De uty Regional permit Administrator 3~3 ~~ e~~~ ~~~ Town of Southold Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: a.C.T.M.#: ~~~~~ Ci9~( 0~ District Section 61ock Li THE Item Number. (NOTE: A Check Mark (.~) for each Question is Required for a Complete Application) Yes No ---------------------------------------------------- Will this Project Retain All Stonn-Water Run-Off Genereted by a Two (2")Inch Raintall on Site? ~ ^ (This item will include all runoff created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) rZ Does the Site Plan and/or Survey Show All Proposed Dreinage Stmctures Indicating Size & Location? y ^ This Item shall include all Proposed Grade Changes and Slopes Controlling Surtace WaterFlowl f~- $ Will this.Project Require any Lend Filling, Grading or Excavation where there is a change to the Natural ^ ~/ Existing Grede Involving more than 200 Cubic Yards of Materal within any Parcel? A Q. Will this Application Require Lend Disturbing Activities Encompassing an Area in Excess of ^ c ~ y Five Thousand (5,000) Square Feet of Ground Surface? ~> 5 Is there a Nature) Water Course Running through the Site? ^ hi ' Is t s Project within the Trustees jurisdiction or within One Hundred (100 ) feet of a Wetland or Beach? s Will there be Site preparetion on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to ^ One Hundred (100' f H d t l Di t ? ~( /- ) o o zon a s ance ~ 7 Will Ddveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Stonn-Water Run-Off ^ into and/or in the directio f a T i ht f ? n o own r g o -way $ Wili this Project Require the Placement of Material, Removal of Vegetation and/or the Constmdion of ^ any Item Within the Town Rightof-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? ^ X` 1/ 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 Agdculturel Project? Note: If You Answered Yes to this Question aStorm-Water Grading Drainage 8 Erosion Control Plan is NOT Re uired) - , , , q STATE OF NEW YORK, c `~qQ f ~ -~`!...:..'.".'."" :............. SS COUNT Y OF . ~ J ( ~ Th I ~ .C U~ ~~~ ~ ' at , :c .... .......]-l.. . . ,J ............... being duly sworn, deposes and says that he/she is the applicant for Per mit, (Name of individual signing Dowment) (~ And that he/she is the ...........r(,~....lt>1.~~1.1.,,,, .................................................................................................................. ..... (Owner, Contractor, Agent, Coryorate Olfcer, etc.) Owner and/or representative of the Owner of Owner's, 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 hfs knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; Notary Public: .......Y...y!.:^.:w'~-::..~~^ ................................................. ~ ..... ........ . ~~c~..•u• •'o..................... .. ~i)(~P. Da,PM (signature of ApplicenQ FORM - 06/07 ~~ ~~~ tc O~Iw1ilMoh Eaoiltw.hdv 20 ~~~`~ MORTON B U I L D I N G S, I I\ ~• www.mortonbuildings.com ® Cox Lane Industrial Park • 22355 County Rd. 48, Unit 4 Office: 631/734-4060 Cutchogue, New York 11935-1159 Fax: 631/734-4061 To: Southold Town Building Dept Main Road Southold, NY 11971 Fr: Bill Kelly Morton Buildings, Inc. 22355 Cox Ln. Unit #4 Cutchogue, NY 11935 Re: John Dumblis 1475 Point Pleasant Rd. Mattituck, NY 11952 To Whom It May Concern: 09-5-07 This letter is to confirm that the proposed gazage at the above referenced address is greater than 100' upland of any wetland (Aprox. 325' ). Thank you, Bill Kelly Excellence -Since ]903 H.S Ref.No. 90-SO-114 ; z , ~\ .~ z~ .: ~ y~' Q~ . e w ~ ~ o G jam, Z ~: 6 ~ Au r ~ A ~~ \ e{IQ~d ~ ~\ 'P ~, k'n ~ - Pip .. w /; ~ \ ~ ~G~ ~ r ~~- ~ ~ ~~~ ~'F 50~' O'C .. ~gn * ! ` 111 ~ \ m s _ I~~ ld ' k ~ _ W, --mss -- ~' rw ,,; ` q, ~ ~ > .~" Ply . - \ a `~ .:E .oVlfo~.i.~' ,~~ X, qO 547. g1 O - / S+ A , gk ~p~P .~ ~ ~.4 k~ . , . ~ ~'~~> ~ .` ._ ~~ - - - A ~:: ~~ ~°*~"~_ ~ AREA = 1.271 ACRES Y ~ ~ Y F ,a a'1 ~:~`. ~~ ~'` ~,. '.. (to tie line) ,,: ~°~ ~~$ cn:ifl: ~ ?i =: - sI. ~' `~a'~; ~ _, :~RTIFIED TO _ ~., «"' pi0f ~ x` ', ~ COMMONWEALTH LANQ TITLE INS. Co. ~7~+ ¢B ¢a -' ~;. 0,~ r ,. ~ ~ ,~ ~ONIJ P. DUMBLIS. ;. / ~,a 4. ,2~ _. ~fr $ 7.400 ~ .- S~+L~f.IS -Y"G f~: J~O'~F` ,}A,~, ., ~ y~;A.Tf(tNS . ~ -A R_ E REFEREN.C ED .. - ~~ s7 } ~-", ~ u* p3' ,. .. /~ ! \ ~/ . ~! \ ! '. ~ .e' 7i_~~4 a~~N - N~ G : V: DATUM stk ,,°'- A°T.. MATTITUCK:- ~~ a ,~ _ - T,O V[tN OF SOUTHOL D` ~~;_ ~ ..z f ~,bp jaMOS(r9 ~.,. 4i _ : o SUFF£~L K COUNTY, M..~ ~~~:.~ ~a ~N z ~ ~° 1000 - 11~ - O1 - 5.2 ~',~ "~ N~ PLEASANT ~~ ~ ~ ' ~' ~~ ..: -. - ~ G,~.,a~Pr 1 // - AO / _. ~ `~ 1'916 ;/N ~TME QFFIC E J Y f~i~L~K~' COUNTY CLERK N 'F F~ q ~~ _ JUIy 25, 1889. . ,~ ~Q~ Y S UC N -.~, LA7`'d5 Sept. 12, f990(revise hse_) ~,~' f ,, C - May 28, 199t(found. loa) °~^ '° ~ PECO SURVEYORS,_ P:C. ' - ~~ Pre arsd rn accordance with the mnumum ~ - -. standaprda for title aurrera u eatabliahsd NOV. 12, 1991(f~8/) - ~ ~- 1;:. ~`t~~ (516) 785 - 5020 ~~ ~ - ~ ~ by the L.LA.L.S and approved and adopted ~~.rsrona - //3r/9r ~ ~' - - ~ l? Q BOX 909 ,~~ for each use by Ths New York State Land eKy.~ "w cl! : .r2/~s /90 ;,y .~ ""+ ,. -: Titls Aasocianon. w;t//'/oco.tron r2 f':o MA/N. ROAD a}o " ri 2c 9i ~.t./ .w/es ~*, ;. : ~: ~*.~ SOUTHOLD N. Y. 1971 ,~ . ~ . - 86 - 616 D' . h ,. ~ ; > H.S Ref. No. 90-SO-1 14 W ~ ~~,I t f ^) ] _O ~ ~ 0 0 b o~ I.V W8 row ~' `~ ~~ '~ o¢~ ~~ 2` ~ Z zzz - r sel 6Ik ' /i 0 ~f ry _ ~(/ P~ ti >r~d mon. ~__ .. __ _ - - / LOT 15 ANY AL TEHA TIUN UH ADDITION 70 THIS SURVEY !S A VlULA `!JN OF SECTION 7209 OF THE NEW YORK STATE fDl/Ca TION t. °. EXCEPT AS PfR SECTION 7209 - SJBDlNSION 2, AL! Ct.n: HEREON ARE VALID FOR THIS MAP AND CJPIE.S TnentJ~ WHOSE SIGNATUHEEA/f EARST HEHEGN£S.SfD SfAI Ui Yn' '+~ ~ . L),`' ~ P,J. ~' ~ 1 M s~ G~ P~ 5°~ ~'( F N~°~ PIS ~ ~~ h>z I cif _ / -, ~~ ,~~~ ~~ ~~ -~2 9° \v p ~ ~ \' ;% ug'' \ ~g0'; ~ a_ \Z~ ()G ~.~ \9 ;~ ~ ~. ' ~, Q ~ ~l _ \ „ 1 ~ _ ~ 'o i~~lp.~' .~y'i .~ ~ .~. 1 fR G N g STOIC c j ~~ 52•B~ g '~ , p0 6~ °~ , ~~ l~ 0 40'4 PR' ~: ~~ r~,. ,r,/\. .. tPttJs Er -/ ^'~ , ~~ ,D ~\ ~[LN ~ {~ ` ~ i 1~~~?3t n.5 r s~% ~ ~~ ~. (7 :~ Cn~L m T / ~'~ ~ // ~ / / i ~~ 73. ~-' ~~. 1L ~ / 5~ i ~ 15 '~j ~/ i j ~~~rPN~'R M~i_ id'` ~ . ~I~~. "c/ ~ ~~ t i . f de D~s~ /~2~ 3~°~K~ ,3 M 5.74°°°°° w SURV-EY Ulm D3 ~R 0/ F. R A I ~ 5 ~ J 1, N A T MA T TI TUCK TOWN OF SOU~rHOLD SUFFOLK COUNTY, N. Y 1000 - 114 - O1 - 5.2 Sca/e 1" = 40' July 25, 1986 FEd 5, 2008. F I EvwTiONS ARE REFERENCED "v r.N N G V. DATLM ,O' N~~M BENS REFER TO iAP ur POIN7 PLEASANT ~~ ;LEi IIAY 17 1916 IN 7HE OFFICE ~UF THE SU FFtiLK COUNTY CLERK ~.S MAP N0. 720 /~f ~ r r L ~~ ( C i ` , ' PECONIC SU ~ e (s31) 765 - 5020 P. O. BOX 909 1230 TRs~ YELER STREET SOUTHOLD, N. Y. 1197 ~fzP~-fL`~ ~ ~~ ,~~ A z3 ~~~5 ~ _ ~ \ o ~~ ~~~~ ~ d '~ ~ \ ~ ~ ~ = s ~ ~' G ~~ 1 `~ ~ ~ ~~~ () \~ e+LOrd ~ ~~_ ~. .~ 1~ ~ ~, ,~ ' ~ ,~ .. ~ . '~ \ ~ `~ ~~E~ _ ~ ~~r- ~ ~, z 6 ;~ \\ METAL kAAP i woc~ ~~ \ I - DOCK \`L u,, O ~ t pl ~ ~~ FLGATIIAG DocK ~ d TIDAL WETLANDS 60UNDARY aS ~k DETERMINED BY k08 HERM:NN, EN-CONSULT.INTC \ ON IO/!3/04 o ~ WETLANDS FLnG AREA I~ 271 ACRES (to tie lina) -f~~lf IUD ~U (~~~NIMOfJW[=ACTH LAND TITLE INS. Co. ,;..riv P. DUMBLlS c~ i assla -1797 86 - 616 L7 H.S Ref. No. 90-SO-114 Pc°~o~9~ f2~~'x ~op~'~~e~ ("~11r--:~~`~')t 2cic~ ~-\p}L~2c C` ° ~p0-^3 ~ S I~t \Z~V ~ \1~J2CK~ \V~~` `~ ~,. ~~ J~ i j f ~'~ ~ fry t t ~ ,a ~Fh, \t m a, ~- 2~ \~ ,9~ ~~~o ~ \Aga. / e ~~ ~- \\ G 2, ~ s ~- ~ „ o : .F \ ti \ p1 M ~ ~ ~ - \ \ C+ ~~rJ ~~ ~ ~,0 O ~ I /e~~Ond~ ~ ~ \l QI \ / \ ~r~ 115 \ NG ~ ~ ~ \ m. lob F Ip ~' K \ we~3S ~` \ ~`• 13~~; 2 ~ ~ ~~\ ~ ~(~ - 'zs Ybe .~.', r - A ~ t ~~\, d ~~ ~ ~ / / ~~ ~-~a°~~~~~ ~ ~ 0 ~~ +~ / ~ .~ s ~ s !~ ~ "' ~ ,d~sa~ 232' ~~ ~./ ~± \/ q,o 7. $1 ~ ~ c j ~~ Y u© A 4 5.- ` E ~ ~ i ~ ~/ /' ~~ TIOAL WETLANDS BOUNDARY AS a0 / ~9a ~ ~g e' ~_ '+ ~ ~~ ~ DETERMgJED BY ROB HERMANN, EN-CONSUL TAI ~ z_~ ~ ~ ON 10/!3/04 ~o ~ j ndPe ~ 9. _ ~~ z~. z~ ~~c~ vQ~` ~ ~ 0 ~ WETLANDS FLAG °j ~ ~~~ ~ / / tom. E n; '? / \ ~o ~ ~ ,~ D Q~-°e ` ~~ ~ AREA I~ 271 ACRES W , ~'; ~ ~ l (to tie line Y rno^ I a' ! C~ C5 ~ ~ ~€ c Yee. a ` S.- ~;~ M'~~°d~ / .~. P S E v ~ 0 4's~\' o o ytpn2 2Zk~ ~Ikp K~.~~„~e Pl '~ ~ ~RTiFiED TO - V.1~ 8 ~~ ~,,t C-~~ saw` /~/F '~ t -'` _< COMMDNWEALTH LANQ TITLE INS.,Co. h cP. / N ~ ~ ~ ?UOFf(J P. DUMBLIS M ti z r/ S ?Qo OO SURVEY OF ` :'.ELEVATIONS ARE REFERENCED ,.-'AN N. G V. DATUM, i ~ z~2 ,sew PROPERTY _ ,~~ .,~.~ K ^bK - A T MA T T/ TUCK ~~ ,~ TOWN OF SOUTHOLO ~, 5~,. ` P SUFFOLK COUNTY, N. Y ~~~LOT ~BERSREFER TO 114 - O1 - 5.2 . '7dAPrQ QINT PLEASANT ti e 1000 _ ~~ , _ ~ ~~ - ~ FI't„~`Q A,Y'17 1916 IN THE OFFICE Scale 1 4O r~=' OFD ~~f~SU FFdLK COUNTY CLER% y ~ ~~` N. r. s. uc. h ~~~ ~, ~ .IUI 25, 1989 '~'. as ~~, ;~,xo 7zo mon '' ~ - -- JULY 21, 2005 {~~st, PECON/C SURl/EYORS, P. C. LOT ~ 5 _ (631) 765 = 5020 FAX (631 70^: ~~~ L