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Home My WebLink About34195-ZFORM NO. 4 TOWI~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33346 Date: 10/21/08 THIS c~TIFIES that the building ADDITION/ALTERATIONS Location of Property: 345 PRIVATE RD ~21 (HOUSE NO.) County Tax ~ap NO. 473889 Section 78 Subdivision SOUTHOLD (STREET) (HAMLET) Block 9 Lot 40 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 30, 2008 pursuant to which Building Permit No. 34195-Z dated SEPTEMBER 30, 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 "AS BUILT" DECK ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #6190, DATED 9/4/08, AND NEW YORK STATE VARI~/qCE PETITION ~ 2008-0411. The certificate is issued to ANNE M ANASAGASTI (OWNER) of the aforesaid building. SUFFOLK COUNT~DEPARTMENTOFHEALTHAPPROVAL N/A E~ECL~-KICAL CERTIFICATE NO. 4014455 10/14/08 PLIERS CERTIFICATION DATED N/A /~/ Au/ori zed JSignature Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 bt.D~. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY k... T~WZ~ g~ 822/_:_IH0tg__.__- This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ao 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 lbrm). 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 l% 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. Bo For existing buildings (prior to April 9, 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 applicaat. If a Certificate of Occupancy is denied, the Buitdiug Inspector shall state the reasons therefor in writing to the applicant. 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 Bnilding - $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 New Construction: Location of Property: House No. Owner or Owners of Property: /t~t ¢..,~^e I Suflblk County Tax Map No 1000, Sectiou Subdivision Permit No. ~/~ Health Dept. Approval: Planning Board Approval: Request for: Temporaw Ce~ificate Fee Submitted: $ ~ o ~ Old or Pre-existing Building: Street Date0fPermit. /o-/- og Date. /O - ;Lo -8 (check one) Hamlet Block ~1 Lot Filed Map. Lot: Applicant: g~ / K Underwriters Approval: I/ Final Certificate: (check one) NEW BY THIS CERTIFICATE OF COMPLIANCE THE YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by MICHAEL ANASAGASTI 360 JASMIN LANE SOUTHOLD NY 11791 ANNE ANASAGASTI 345 PRIVATE RD #21 SOUTHOLD, NY 11971 Located at 345 PRIVATE RD #21 SOUTHOLD, NY 11971 Application Number: 4014455 Certificate Number: 4014455 Section: Block: Lot: Building Permit: . BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction and found to be in compliance therewith on the 14th Day of October, 2000. Name QTY Rate Rating Circuits Typ~ AdditionalCharges as built 1977 finished attic Alarm and emergency equipment Sensor 2 0 Appliances and Accessories Electrical Heat Baseboard 1 0 Wiring And Devices Fixture 3 0 Outlet 3 0 Outlet 20 0 Paddle Fan I 0 Receptacle 1 0 Receptacle 16 0 Switch 4 0 0 Smoke .75 KW Incandescent Fixture Gert, Purpose GFC~ Gen, Purpose Gert, Purpose Continued on Next Page 1 of 2 seal : and is Validated only by the presence ora raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by MICHAEL ANASAGASTI 360 JASMIN LANE SOUTHOLD NY 11791 ANNE ANASAGASTI 345 PRIVATE RD #21 SOUTHOLD, NY 11971 Located at 345 PRIVATE RD #21 SOUTHOLD, NY 11971 Application Number: 4014455 Section: Block: Lot: Certificate Number: 4014455 Building Permit: . BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the ]4th Day of October, 2008, Nan!~ ~ Rathe Rating Circui~ Anasbuil vsua nspection oftbedelineatedelectrical instal]ation, determined that an obvious hazard is not presem and tbe installation is believed to be in conformance with the applicable reference standard for the estimated period of construction oftbe premises wiring system. 2 of 2 seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 34195 Z Date SEPTEMBER 30, 2008 Permission is hereby granted to: CHARLES & WF ANASAGASTI 345 PRIVATE RD #21 SOUTHOLD,NY 11971 for : AS BUILT ADDITIONS AND ALTEP~ATIONS PER ZBA AND NYS VARIANCE AS APPLIED FOR at premises located at 345 PRIVATE RD #21 SOUTHOLD County Tax Map No. 473889 Section 078 Block 0009 Lot No. 040 pursuant to application dated SEPTEMBER 30, 2008 and approved by the Building Inspector to expire on MARCH Fee $ 684.00 30, 20~/ nature ORIGINAL Rev. 5/8/02 TO: Mike Anasagasti 345 Private Road Southold, NY 11971 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT NOTICE OF DISAPPROVAL DATE: May 6, 2008 Please take notice that your application dated April 22, 2008 For a permit for an "as built" deck addition to a single family dwelling at Location of property: 345 Private Road, Southold County Tax Map No. 1000 - Section 78 Block 9 Lot 40 Is returned herewith and disapproved on the following grounds: The proposed construction of an "as built" deck addition to a single family dwelling on a non-conforming 38,575 sq. fi. parcel, is not permitted pursuant to ArticleXXIII Section 280-124 which states: "This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which are recognized by the town under 280-9, are nonconforming and have not merged pursuant to 280-10." Lots measuring between 20,000 & 39,999 shall have a minimum rear yard setback of 50'. The survey indicates a rear yard setback of 19'. Also, the construction of the deck is not permitted per Art. III, Section 280-15 which states: In the AC Disrict & Low Density Residential District, accessory buildings ... shall be located in the required rear yard..." The construction of the deck, caused the accessory building to be in other than a rear yard. Authorized Signature tDAVlI~'LA~. P~tFER S O N STATE OF NEW YORK DEPARTMENT OF STATE ONE COMMERCE PLAZA 99 WASHINGTON AVENUE ALBANY, NY 12231 0001 LORRAINEA COR[£S-VAzQUEZ In the Matter of the Petition of: DECISION Mike Anasagasti For a Variance to the New York State PETITION NO. 2008-0411 Uniform Fire Prevention and Building Code Upon the application of Mike Anasagasti, filed pursuant to 19 NYC RR 1205 on July 07, 2008, and upon all other papers in this matter, the Department makes the following determination: NATURE OF GRIEVANCE AND RELIEF SOUGHT The petition pertains to alterations to an existing one-family dwelling, two stories in height, located at 345 Private Road, Town of Southold County of Suffolk, State of New York. The petitioner is seekin9 relief from: 19 NYCRR Part 1220, The Residential Code of New York State, Section R305.1 exception 4, which allows not more than 50 percent of the required floor area of a room or space to have a sloped ceiling less than 7 feet 6 inches with no portion of the required floor area less than 5 feet in height. [The petitioner requests spaces on the second floor with maximum sloped ceiling heights of approximately 7 feet 4 inches.] FINDINGS OF FACT 1. The building that is the subject of this petition was constructed with only the first story finished and with an expandable attic with a dormer. At some point, the attic was finished, without the benefit of a building permit, providing a bedroom, an exercise room and a bathroom. 2. The petitioner proposes that at least one window in the bedroom on the second story will meet the requirements of Section R310 of the Residential Code of New York State for an emergency escape and rescue opening. 3. The petitioner proposes to install hard wired smoke alarms that will be interconnected with devices in the rest of the building and monitored by an approved central station supervisory service. 4. The collar ties used for the ceiling have been set at a height of 7 feet 6 inches, however when the flooring WV~N.DOS.STATE.NY.US · E-MAIl: tNF~OOS.$TATE.NY.U$ Petition No. 2007-0411 Page 2 and ceiling finish were installed the height was restricted to less than 7 feet 5 inches. Although this is 2 inches lower than required, there is ample ceiling height for the use of this space and the 7-foot 4-inch ceiling height is over greater than 50 percent of the floor area. 5. The petitioner has proposed that the alterations will meet all other applicable provisions of the Residential Code of New York State. 9. The local code enforcement official has been contacted in this matter and does no object to the granting of a routine variance under the provisions of 19 NYCRR 1205.6 CONCLUSIONS OF LAW Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would produce a negligible additional health, safety and security benefit to the occupants of the building. DETERMINATION WHEREFORE IT IS DETERMINED that the application for a variance from 19 NYCRR Part 1220, Section R305.1 exception 4, to permit spaces on the second floor with maximum sloped ceiling heights of approximately 7 feet 4 inches, be and is PROPOSED TO BE GRANTED with the following conditions: 1. That at least one window in the bedroom on the second story will meet the requirements of Section R310 of the Residential Code of New York State for an emergency escape and rescue opening. 2. That hard wired smoke alarms be installed that will be interconnected with devices in the rest of the building and monitored by an approved central station supervisory service. 3. That the alterations will meet all other applicable provisions of the Residential Code of New York State. This DECISION is issued under 19 NYCRR 1205.6. Unless objected to by the petitioner in a writinq received by the Department, the decision shall become FINAL after fifteen days of receipt of the decision by the parties This decision is limited to the specific building and application before it, as contained within the petition, and should not be interpreted to give implied approval of any general plans or specifications presented in support of this application. NYS DEPARTMENT OF STATE DIVISION OF CODE ENFORCEMENT AND ADMINISTRATION Variance Attest List Petition No: 2008-0411 The persons below are advised to TAKE NOTICE of the attached document. The attached document pertains to a petition for relief related to code requirements. If there are any questions, call (518) 4744073 and ask for the Variance Unit. Please refer to the petition number in all related conversations or correspondence with us. MICHAEL VERITY TOWN OF SOUTHOLD BLDG DEPT 53095 MAIN ROAD PO BOX 1179 SOUTHOLD, NY 11971 MIKE & CAROLYN ANASAGASTI 360 JASMINE LANE SOUTHOLD, NY 11971 07111/2008 Page I of I APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Ruth D. Oliva James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman 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 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD MEETING OF SEPTEMBER 4, 2008 ZBA # 6190 - MICHAEL ANASAGASTI & OTHERS, APPLICANTS PROPERTY LOCATION: 345 Private Road, Southold CTM 78-9-40 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this apphcation 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 subject property is a 38,575 square foot non-conforming lot in the Residential R40 District fronting on a private paved road (50 ft. wide R.O.W.) located off North Bayview Road, measuring 235 feet along the front and rear property hnes, and 167.14 feet along the south and 161.15 feet along the north property line. The property is improved with a single-family dwelling, an attached deck and two accessory buildings. BASIS OF APPLICATION: Request for Variances under Sections 280-15 and 280- 124, based on the Building Inspector's May 6, 2008 Notice of Disapproval concerning an as-built deck addition to the dwelling, which construction is less than 50 feet from the rear lot line and which has caused an as-built accessory building to be in a yard other than the code-required rear yard. RELIEF REQUESTED: The applicants propose to legahze an as-built wooden deck attached to a single-family dwelling with a rear yard setback of 19 feet when the code requires a minimum of 50 feet, and to legalize the location of an as-built accessory building (shed) which the deck causes to be partially located in a side yard instead of the code required rear yard. ADDITIONAL INFORMATION. Letters were received by the Board of Appeals from the adjoining neighbor to the south (Judith Terry dated August 6, 2008) and the east (Mr. and Mrs. Edward Deptola dated August 18, 2008) both in support of granting the variances as applied for. Page 2 - September 4, 2008 ZBA# 6190 - M. Anasagasti & Others CTM 78-9-40 REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Town Law ~267-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. The deck and shed have both been in existence for more than 20 years, having been built by the owner's late husband in the mid 1970s' and early 1980's prior to existing codes. The rear property line is heavily vegetated with mature trees and shrubs and has minimal if any visual impact on the adjoining neighbor's privacy (see additional information above). 2. Town Law §267-b(3)(b)(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 both the deck and accessory building are as built. Further, since the applicant's house is located at 41.1' from the rear property line, any deck in the rear yard would have to be non-conforming, and therefore requires a variance. 3. Town Law ~267-b(3)(b)(3). The variance granted herein is not substantial for the as built accessory building (shed) since it is a small structure - measuring 10.1' x 12.4'- setback 12.5' from the rear property line, and only 3' +/- of the northwest corner is located in a non-conforming side yard. The variance for the as butt attached deck with a 19' rear yard setback is substantial since it is 62% more than the minimum allowed by code. 4. Town Law §267-b(3)(b)(5). The difficulty has been self-created since the deck was built by the current owners/applicants without a building permit.. 5. Town Law §267-b(3)(b)(4). 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 attached as built deck and accessory building 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, and shown on the survey by John T. Metzger, Licensed Land Surveyor, dated October 24, 2007, and elevation diagram prepared November 20, 2006 by Penny Lumber, subject to the Page 3 - September 4, 2008 ZBA # 6190 - M. Anasagasti & Others CTM 78-9-40 following Conditions: 1. The deck shall remain open to the sky; and 2. The applicants/owners must obtain a building permit and certificate of occupancy. 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 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 Goehringer (Chairman), Oliva, and Weisman. Nay: Member Simon. Member Dinizio w~fosCn~ This Resolution was duly adopted (3-1-0). ~~ J ~/G~e/rard P. ~ooehring~r, C~airm~n//9//z/2008 Approved for Filing TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JL-ATION [ ] FRAMING / STRAPPING [ ~]'qFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~'~ ~ ~ / DATE INSPECTOR FOUNDATION (IST) ROUGH FP~M[3~G & PL L~'I~BD,/G -- ---- ~S~ATION PER N. Y. STATE ENERGY CODE F~ ~DITION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ,~ /~_ . , 207 Expiration ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Storm-Water Assessment Form Contact: Mail to: ~d~' tq ~ Phone: APPLICATION FOR ~UILDING PERMIT INSTRUCTIONS Date '4 f2_2.~[o~ ,200~ 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. (Signature of applic9 or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder N~eofownerofpr~isesC~-). 4 n~ ~' ~ ~As on t~e t~ roll or latest deed) If appli~t is a co~oration, si~ature of duly authorized officer ~e ~d title of co.orate offic~ Builders License No. ~' ~t~r' Plumbers License No. I~, Electricians License No. V~a_~o.~. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) B~~ LOtLot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy I rztrl~-¥ b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition / Estimated Cost L%o °L /6-${ed If dwelling, number of dwelling units If garage, number of cars ( Addition//l$ Omar) Alteration Oi~'-er~,Vcrk J (Description) 1~Tq-~' Fee Number of dwelling units on each floor Height $ hl~e- 9. Size oflot: Front 2.-~ ¢' 10. Date of Purchase IO [~ lo'( (To be paid on filing this application) 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front (o L- Rear 5'~'- '~ '~ .Depth Height. 2_o' +_% Number of Stodes 'z.- ( Dimensions, of same structure with alterati,ons or additions: Front ~ Z (tie Depth ~_~ (~, c~,~l,~) Height 'cd-t~ (tooc~-~1-) NumberofStories ~.- 8. Dimensions of entire new construction: Front ~e~ Rear <o ¢r~ .Depth Number of Stories Rear ~ Depth 161.1~/ / 11. Zone or use district in which premises are situated (~.~ 5 ~ ~ e_,-q'~ ~ 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 C.l~.f o ,.~ ~t ,~,- ,¢oo ~ o~ ° 14. Names of Owner ofpremises~t~-M~ o A~t-~/or~ddress 5'(¢l°~w- /~,.~ Phone No. 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. No'r' 15ec~,~ to' there any covenants and restrictions with respect to this property? * YES NO ~ 1 8. Are · IF YES, PROVIDE A COPY. STATE OF NEW YORK) ss: COUNTY OF ) t~l if e.. ~r ~/A~ hC./r"oT( being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 00 - 0 L,O~f' (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 tree 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,t ~. 1~ day of -~ Notary ~blic ~l~l~ Signature of A TOWN OF SOUTHOLD OWNER ~ FORME~, OWNm I LAND IMP. TOTAL //Oo AGE NEW FARM Tilloble Woodland Meadowlond House Plot Total NORMAL Acre FARM DATE BUILDING CONDITION BELOW ABOVE Value Per Value Ac re PROPERTY RECORD CARD VILLAGE ¢ COMM. CB. MICS. Mkt. Volue REMARKS FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK ' DIST.[ SUB. LOT ACR. TYPE OF BUILDING ~ M. Bldg~ Extension Extension Extension Pofi:h Breezeway Garage Total COLOR TRIM Foundation Basement . Walls Fire Place Z ,~ ~ type Roof Recreation Room ~ ~ormer Bath Floors Interior Fihish Heat Rooms 1st Floor ROoms 2nd Floor Driveway Dinette LR. DR. BR. FIN. B N / / ./ / / 4t/0.4~. AREA=38,575 SO. FT. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VAUD FOR THIS MAP AND COP/ES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR I~rIOSE $1(~NATURE APPEARS HEREON. SURVEY OF PROPERTY A T BA YVIE~r TO ~rN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-78-09-40 $CALI~: 1~$0' O¢YOB£R 24, 2007 ~'o~ ka~ ¢, PECONIC · =MONUMENT e--PIPE ~/49618 (651) 765-5020 FAX ('651.) 765-1797 P.O. BOX 909 1250 TRAVELER STREET sou~oLo, N.× 11971 07-216 II Il FLOOD ZONE, ~ COMPLY WITH CHAI:~ER "46" FLOOD DAMAGE~ PREVENTION SOUTHOLD TO~ IN.CODE. APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION ' TWO REQUIRED FOR FOURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL ' CONSTRUCTION I · THE , % '"-"~ ,, q USE IS U ,< ~' '~ ~ I~,,,~, IIWITHOU[ ,-, o ~_~ ", ,. , o~occ~ ~ ~ ~ ;~, ' ~r h ALLCON, ~ ~ __ ~ ~ CODES O~ NEW ~ATE, PLUUBER CERT/F/CA T/ON -- iON L~D Jl ~ -r- SOLDER!USED IN ~ / '%T~ SUPPLYSYS'] , ~, .I, ~l----4~:~ --.--- __! N~W A~ CODES OF TOWN CODES ONDITIONS OF BOARD DEC UNDERWRITERs FEQUIRED