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Home My WebLink About33947-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~=qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33426 Date: 12/09/08 THIS c~KTIFIES that the building ALTERATION Location of Property: 90 KIMBERLY LA SOUTHOLD (~OUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 13 Lot 20.20 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 2008 pursuant to which Building Permit No. 33947-Z dated JUNE 2, 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 FRONT ENTRY ALTERATION AS APPLIED FOR. The certificate is issued to ROBERT & GALE WALSH (OWNER) of the aforesaid building. SUFFOLK CO~DEP~T~T OF ~TH~PRO~L~L N/A ELRt-rKIC~%L C~TIFIC3%TH NO. 4015457 11/21/08 PLUMBERS C~TIFICATION DA'rXo N/A //ho r~ed Signature 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 new building or new use: Final survey of property with accm'ate location of all buildiugs, property lines, streets, and unusual naturalor topographic features. 2.Final Approval from Health Dept. of water supply and sewerage-disposal ($-9 form). 3.Approval of electrical installation from Board of Fire Underwriters. 4.Sworn statement from plmnber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Cotmnercial building, industrial building, multiple resideuces and similar buildings and installations, a certificate of Code Compliance from arcbitect or engineer responsible for the building. 6.Submit Planning Board ApprovaI of completed site plan requirements. B. For existiug buildings (prior to April 9, 1957) nou-couformiug uses, or buildiugs and "pre-existing" land uses: 1. Accurate survey ofpropelly showing all property lines, streets, building and Ul'Ulsual uatura[ or topographic features. 2. A properly completed appbcation and coasem lo aspect sigq~ed by the apl~[icactt. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees Certificate of Occupancy - New dweli ~g $25 00, Additions to dwelling .$25.00, Alterations to dwelling $2500, Swiimning pool $25.00, Accessory buildmg $25 00, Additions to accessol3, buildmg $25.00, Businesses $50.00 2.CelXificate of Occupancy on Pre-existing Buildmg- $10000 3Copy of Certificate of Occupancy - $.25 4Updated Certificate of Occupancy - $5000 5.Temporary Ce~lificate of Occupancy - Residential $/5 00, Connnercial $15.0(I New Construction: Old or Pre-existing Building: J _ (check one) House [ Strer4 ~ Suffolk Csunty Tax Map No 1000, Section "~O __ Block /_~ Lot Y-~O, 2--0 Subdivision Filed Map. Lot: eemait No ~ 5_~ c/~7 Date o f i~ennit _~?~::~d~- Applica ut: Health Dept. Approval: Underwriters Approval: ~,/,.fl~ ~/j-? ~?.,r2/~d9 Planting Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~ Final Certificate: _/~ (check one) Applicant Signature ~'~' Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York I 1971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 19, 2008 Mr.&Mrs. R.Walsh 90 Kimberly Lane Southold N.Y. 11971 We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) ,)~No Electrical Certificate on file The Check is not on file - $ 25.00 No Final Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance fi-om Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval BP# 33947 Alterations 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. 33947 Z Date JUNE 2, 2008 Permission is hereby granted to: ROBERT & GALE WALSH 90 KIMBERLY LA SOUTHOLD,NY 11971 for : FRONT ENTRY ALTERATION AS APPLIED FOR at premises located at 90 KIMBERLY LA SOUTHOLD County Tax ~ap No. 473889 Section 070 Block 0013 Lot No. 020.020 pursuant to application dated MAY 20, 2008 and approved by the Building Inspector to expire on DECEMBER 2, 2009. Fee $ 200.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLI~, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ~/,,,2- ,20 ~e~ Approved ~/C) , 20 O~_ Disapproved a/c Expiration PERMIT NO. 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 Flood Pem~it Storm-Water Assessment Form Contact: '"~ t t4..-- Mail to: Building Inspector Phone: APPLICATION FOR BUILDING PERMIT ~\°'~Z 0 J Date 5-/e O ,20Og a~ This applicalio~ MUgT-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, Suffblk 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 applicant or name, if a corporation) 0 k/ 144' . t/tx'p/rUrgl/d (M~{iling ad~tt/~ss of appllcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises t~0~. [ 1.--~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians LicenseNo. Other Trade's License No. Location of land on which proposed work will be done: HouSe Number Street County Tax Map No. 1000 Section ~/' I) Block Subdivision Hamlet l '~ Lot Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ /I.c~ [.~. '~(~r,l.a~K. b. Intended use and occupancy %' tL~[[~- "~'~ · Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost [ ~ ! ~ 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 8. Dimensions of entire new c!~nstruction: Front ~, Height [ ~ ~ ,a~- Number of Stories If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front (-~ ~ Rear (e. ~ Height 2.~- t_ / o Number of Stories ~ Dimensions of sameI structure with alterations qr additions: Front ~ ~> Depth ,dL-Z[ ?,g. Height ~_}._ ._! ~ v Number of Stories Depth Rear ~' 3! Depth '~ ~ [{ 9. Size of lot: Front Rear _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO ~ 13. Will lot be re-graded? YES NO ~Will excess fill be removed fi.om premises? YES NO ~ 14. Names of Owner of premises Name of Architect Name of Contractor Address '~0 F,a~e-~.,4 Phone No. Address ~ Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE~QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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 ) /.~{ldA ~4-(A,~ ~/7~1,t'~ ~g~) being duly sworn, deposes and says ~.~e applicant (Name of individual signing contract) above named, Nota,~lfl~i?l~,,~,~o~ll~l~ Qualifi~ in Suffolk County (S)He is the 4 ~ ~'~ C~ml.i~. Expim~ ~d114, 20 (Contractor, Ascnt, 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 o~04{, day of 20 Notary Public ~-- ~ SV~n/at{~ f Applicant COMlVlENTS F1]~LD INSPECTION REPORT FOLFND ATION (1ST) PLUiV[BLNG I/qSLrLATION PER N. Y. STATE ENERGY CODE F~ ~DITION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [,~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ DATE ~ INSPECTOR~/-~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]/F~UNDATION 2ND [ ] INSULATION / [/] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: /~.,,-~..,,^ ,~ °~~--~ DATE INSPECTOR~ 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 CUSTOM LIGHTING OF SUFFOLK INC ROBERT WALSH PO BOX 1698 90 KIMBERLY LANE MA'I-TITUCK, NY 11952, SOUTHHOLD, NY 11971 Located at 90 KIMBERLY LANE SOUTHHOLD, NY 11971 Application Number: Certificate Number: 4015457 4015457 Section: Block: Lot: Building Permit: BDC: 070 0013 020,020 33947 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: Outside, 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 Zlst Day of November, 2008. N~m~ QTY Rate Ratin~ Circuits Tv~c AdditlonalCharges re-do front entPJ way, remove 2 side lights and install i overhead light Wiring And Devices Fixture I 0 Incandescent seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD PROPERTY RECORD CARD )WN£R STREET ~ ~ VILLAGE DIST. SUB. LO~' ~0 h~n~ S W WPE OF BUILDING ~S.~/~ S~S. VL~ ~ FArM " CO~. CB. MICS. Mkt. Value ~ND IMP. TOTAL ~ DATE RE~RKS / ' Z " ' (>' ~,:' I~o~ ~ *~,%~ / /~1,~1~ :/~I~-Z/~7~TO-N~r~ ~- ~ labJe FRONTAGE ON WATER ~land FRONTAGE ON ROAD Z~:> ' ~adowlond ~ 0 q~ fOO ~ 7 DEPTH ,~ P~ot / /6oeo ~? BULKHEA~ COLOR TRIM 70.-13-20.20 2/08 ~tension ~ ~ F~h~n j '~-> ~Q Bath- .Porch ~ ~.~ ~ ~. ,S--O ~ ~ Basement ~'~ ~ Fl~rs ZO:' ~ I,~ ~00 FirePlace ~eat Garage -- , . ~ J ~ ~Z-- ~4 {,Z% (~0< T~e Roof ~,~c-~, C~ Rooms 1st Floor P~'~ ~ ~0'/Recredti°n R°°m --' R~m, 2nd Floor COLOR M. Bldg: Exten~iOn Extension FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32464 Rte: 07/13/07 THIS u~KTIFIES that tJ~e building DECK ADDITION Location of Property: 90 KIMBERLY LA (HOUSE NO.) (STREET) County Taxi, ap No. 473889 Sectio~ 70 Block 13 (HAMLET) LOt 20.20 Su~vision File~Map NO. -- LOt No. -- conforms substantially to the Application for Building Permit heretofore filed in th/s office dated ~RIL 19~ 2007 pureed%Bt to which Building Permit No. 32944-Z dated APRIL 25, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issu~-d to ROBERT & GALE WA~SH (OWNER) of the aforesaid building. ~oMFOLK (]OL%qTY DEPART~NT OF H~2%LTH APPROVAL ~.RCTHICAL CERTIFICATE NO. P~.L~RS ~TIFICATION DA~-~ N/A N/A Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICATE OF OCCUPANCY No Z19209 Date JULY 11t 1990 THIS CERTIFIES that the building. ACCESSORY SHED 4640 PINE NECK RD. & 135 NORTH BAYVIEW Location of Propertx & 90 KIMBEP. LY LANE SOUTHOLD House No. Street County Tax Map No. 1000 Section 70 Block 13 Lot No. 20.20 Hamlet Subdivision PARADISE BY THE BAYFiled Map No. 6463 Lot No. 20 conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. it 1989 pursuant to which Building Permit No. 18921Z dated MARCH 30, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupan6¥ for which this certificate is issued is ACCESSORY SHED---Z.B.A. APPEAL 3902 The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A HENRY & CATHERINE HUNSTEIN ' / ~ulWlding ~nspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Tow~Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18272 Date AUGUST 11~ 1989 THIS CERTIFIES that the building ~O~RING ENTERPRISES Location of Property 90 KIMBERLY LAN~ SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 070 ...... Block 13 Lot 20.20 PARADISE BY Subdivision THE ~AY Filed Map No. 6463 Lot No. 20 ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 18~ 1988 pursuant to which Building Permit No. 17730Z dated DEC. 3~ 1988 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 ONE FAMILY DWELLING ATTAu~O GARA~3Er AMEnDeD TO INCLUDE DECK. The certificate is issued to MOHRING ~N'I'~d~AISES (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALTH APPROVAL 8B-SO-137 6/23/89 UNDERWRITERS CERTIFICATE NO, N884092 AUG. ir 1989 PLUMBERS CERTIFICATION DATmO SANDERS PLUMBING & F~ATING AUG. 8~ 1989 ~ t- / [ Buildin~ Inspector Rev. 1/81 th ldTo d lapp Is Sou o wn Boar o ea ~,~'~'~.~ MAIN ROAD- STATE: ROAD 25 SOUTH OLD, L.I., N. Y'. 11971 ~ TELEPHONE (516) 765-1809 APPEALS BOARD MEMBERS GERARD P, GOEHRINGER. CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAlt/ICKI JAMES DINIZIO, JR. ACTION OF THE BOARD OF APPEALS Appl. No. 3902 Matter of HENRY HUNSTEIN. Variance to the Zoning Ordinance, Article III A, Section 100-30.3 (100-33), as disapproved, for permission to construct an accessory building in frontyard area. Property Location: 90 Kimberly Lane and 135 North Bayview Road, Southold, County Tax Map No. 1000, Section 70, Block 13, Lot 20.20 WHEREAS, a public hearing was held and concluded on February 1, 1990 in the matter of the application of HENRY HUNSTEIN, under Appeal No. 3902; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAs, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along the south side of Pine Neck Road, Town of Southold, and is identified on the Suffolk County Tax Maps as District 1000, Section 70, Block 3, Lot 20.20. 2. This is an application for Variances from the Zoning Code Article III A, Section 100-30.3 (100-33), for permission to construct accessory building in frontyard area. Page 2 - Appl. No. 3902 Matter of HENRY HUNSTEIN Decision rendered February 15, 1990 3. Article III A, Section 100-30.3 (100-33), No building or premises shall be used and no building or part thereof shall be erected or altered in the Low-Density Residential R-40 District unless the same conforms to the requirements of the bulk Schedule and for the Parking Schedule, with the same force and effect as if such regulations were set forth herein in full. ~ Article III, Section 100-33, In the Agricultural- Conservation District and Low-Density Residential R-80, R-120, R-200 and R-400 Districts, accessory buildings and structures or other accessory uses may be located in the required rear yard, subject to the following requirements. 5. In considering this application, the Board finds and determines: (a) that the circumstances of this application are uniquely related to the premises and its established nonconformities; (b) that there is no other method for appellants to pursue; and placing the proposed accessory structure in any other location on the premises will require other variance relief; (c) that the area chosen for the accessory structure is not unreasonably located; (d) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; {e) that in carefully considering the record and all the above factors, the interests of justice will be served by granting the variance, as applied conditionally noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Grigonis, it was Page 3 - Appl. Mo. 3902 Matter of HENRY HUNSTEIN Decision rendered February 15, 1990 RESOLVED, to GRANT a Variance in the matter of the application of HENRY HUNSTEIN as applied under Appeal No. 3902, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the 16 by 20 ft. i story accessory structure not exceed 12 ft. in height. 2. That the accessory structure be 60+- ft. from the Pine Neck Road property line and 60+- ft. away from existing two story family dwelling excluding deck. 3. That the accessory structure only be used for storage purposes and only to have electricity. df GERARD P. GOEHRIGNER, CHAIRMkN 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 / (~) "~) / ~ 2-(~. ~_~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN DistrictSc~ctlon Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Ye__~s No 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-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 activities as well as all Site Improvements and the permanent creation of impervious sun'aces.) Does the Site Plan and/or Survey Show A I Proposed Dra nage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more han 200 Cub c Yards of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 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? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? 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 right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any em W th n the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons,) Will this Project Require Site Preparation within the One Hundred (100) Year F oodplain 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 Permifl EXEMPTION: yes N_~o 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 Requiredl STA.TE OF NEW YOBK, COUNTY OF ........................................... SS (Name of individual signing Docu~nt) ~NNIE D. (Omar, Contrac(or, Agent, Co.orate Officer, etc.) ~al~ in ~k ~ _ ~ , ~m~ ~ ~ir~ April 14, 20/~ Ommr and/or representative ot thc Owner of O~r s, m~d is dub, aud~ofized to p~dorm or haec pc~onn~d d~e s;u~ work ~md make m~d 6]~ dfis applicadoa; d~at ~ statements contained m this application arc true to flze best o[ his ~owlcdgc and belief; fl~at fl~e work will be performed in fl~e manner set ford~ in dze application tiled hero.th. Sworn to betbrc thc this; ......... .~....0...:...~... ..................... day of ....!....~.....~. ............................ 2.0~..o~ Not~IFy Public: ...... 5.~ ......... i~....'..~....~...Q..(.,/~ ........................ FORM - 06/07 SURVEY LOT 02Fo MAP TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. PINE NECK ROAD tODD - 7o -'75 - 20.20 PARA DISE B Y THE BAY FILED NOVEMBER 4, 1976 FILE NO. 6463 A T SOUTHOLD Scale 1" = 40' Oct. 26, 1987 Nov. 21, 1988(cert.) Jan. 23, 1989(foundation) May 18, 1989(final) B.O~H.# 88-S0'137 CERTIFIED TO: COMMONWEAL TH LAND TITI ~ INSURANCE ~:OMPANY NORTH FORK BANK & TRUST CERTIFIED TO: COMMONWEALTH LAND TITLE INSURANCE COMPANY 4REA = ~lT,559s~.ff. VACANT ) or hO92ocres NORTH FORK BANK & TRUST revlsloe IO'$-gB(sfk. fed) ~ revlsiee 9-E1~88l$1~,) & ENGIN£ER.~ P,C, (5162 7'65 - 5020 P.O. BOX 909 .... ,.. ,.,. *-.'. / MAIN ROAD 5'OUTHOLD~N. Y. 11971 ' ~7._- 867 Front Elevation (East) (~ Detad of overhand to be removed Scale: ~.l' = l l-OII Front 5ectlon (East) New Front Covered Porch Scale: ~'l = l l-O:l Front Elevation (Past) New Front Porch 5oale:/4l: = l l-OII I 51de Elevation (North) Detail of overhand to 5cale:~" = J 1-01] 51de Section (Nortih) New Front Covered Porch I-OIl II Section Detail Front Porch Column $ Rave Connection Scale: I ~" = I I-OIl Be removed '41¥18 ~WOA ~aN 40 8a000 alii dO ~' LN~i,'~3HIno~4 3H1 i~3~ ] u ' ' i~NOO'l'lV =10 NOI.L¥OiJ!~I:i30 AONVanOOOJO 31VOIJIIB3OI~OHllA ]NJAVINN $138~ UOAONVdno00 Plan View - Structural Scale: ~l' = l l--OIl Z qO DATE REVISIONS Front Porch Addition A-1