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Home My WebLink About36149-Z `yUFFOt,~`?., Town of Southold Annex 8/5/2013 ion P.O. Box 1179 ~ 54375 Main Road ~ tT;` Southold, New York 11971 .1~! * CERTIFICATE OF OCCUPANCY No: 36433 Date: 8/5/2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 435 OAK ST CUTCHOGUE, SCTM 473889 Sec/Block/Lot: 136.-1-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 1 /20/2011 pursuant to which Building Permit No. 36149 dated 1 /24/2011 - 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: additions and alterations, including convertine seasonal dwelling to year round and outdoor shower stall to an existing one family dwelling as apnlied for per ZBA #6328 dated 11 /12/09 The certificate is issued to Kevin & Betty Ann Morris (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-09-0041 6/12/13 ELECTRICAL CERTIFICATE NO. 36149 3/5/13 PLUMBERS CERTIFICATION DATED 1/15/13 myth Plumbing Inc - A rizefl Si ature - 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. 36149 Z Date JANUARY 24, 2011 Permission is hereby granted to: B & K MORRIS 435 OAK ST CUTCHOGUE,NY 11935 for ADDITIONS & ALTERATIONS & CONVERSION OF AN EXISTING SEASONAL SFD PER ZBA DECISION #6328 AS APPLIED FOR at premises located at 435 OAK ST CUTCHOGUE County Tax Map No. 473889 Section 136 Block 0001 Lot No. 027 pursuant to application dated JANUARY 20, 2011 and approved by the Building Inspector to expire on JULY 25, 2012. Fee $ 506.80 Authorized Signature COPY Rev. 5/8/02 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 uew building or uew use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual nature} or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fam). 3. Approval of electrical installation from Boazd of Fire Underwriters. 4. Sw.om statement from plumber certifying that the solder used in system contains less than 2110 of 1 % lead. . 5. Commercial building, industrial building, muItipte residences and similar buildings and installations, a certificate of Code Compliance'from azchitect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-rnnforming uses, or buildings and "pre-existing" lend uses: I . Accueate survey of property showing all property tines, 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Suilding - $100.00 3. Copy of Certificate of Occupancy - $25 4. Updated Certificate of Occupancy - $50.00 5. Temporarq Certificate of Occupancy -Residential $15.00, Commercia{ $15.00 I / Date. 2 New Construction: v 22 Old or~~^P~`re-existing Building: (check one) Location of Property: ~'t:J~ V ~-k ~fi GiA'TC t{--('~~~~ House No. Street Hamlet Owner or Owners of Property: ~ / ~ ~V~~~ ~j Suffolk County Tax Map No 1000, Section r ~ tO Block ~ Lot Subdivision Filed Map. Lot: Permit No. ~ (0I Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: --ih~ (check one) Fee Submitted: $ ~~a ~ p ~ t ure grim :"+x''r. tisr`~~gOFFO1K Town Hall Annex ~ ~O~ CGGy";, Telephone (631) 765-1802 54375 Main Road ~5~ z ~9 Fax (631) 765-9502 P.O. Box 1179 o • Southold, NY 11971-0959 ''~'y~j~! * ,~y0~:'~' rooer.richertCa town.southold.nv.us ._«,r~. BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: B&K Morris Address: 435 Oak Street City: Cutchogue St: NY Zip: 11935 Building Permit#: 36149 Section: 136 Block: 1 Lot: 27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: MA Staub Elec Inc License No: 3865-e SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat gas Duplec Recpl 23 Ceiling Fixtures 6 HID Fixtures Service 3 ph Hot W ater GFCI Recpt 5 Wall Fixtures 3 Smoke Detectors 3 Main Panel A/C Condenser 1 Single Recpt 1 Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches i6 Twist Lock Exit Fixtures TVSS otner Eguipment: 1-paddle fan, 1-exhaust fan, 3-ARC fault circuit breakers Noes: Inspector Signature: ~-a Date: March 5 2013 Electrical Certificate.zls r Ill _ MA,R - I L- 1-----_-. CERTIFICATION Date: / /S / Building Permit No. ~J ~ ^C Owner: (Please print) j~ ' Plumber. .~hr~ / ~/h~ ,U~Ce//ri' /~i~/~/" (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. c~ (Plumbers Signature) Sworn to before me this ~ S day of~' i,' 20~ ~'~--~,~~~e Notary Public, ,SS~J County shear v. ROORIOUQ Nobry Ridia State a New Yak Oumifletl M Nassau Counly No. O1R0(i241.321 kN CanMNesbn E~NM Atq. 29.2015 ~ ~~,OF SDUT,yo~ ~ ~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECTION [ • FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND ( ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ J FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT COIISTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL ~ROUGN) [ ]ELECTRICAL (FINAL) REMARKS: Z- 0~~-- r o~-u,2~~~ pus DATE l NSPECTOR ' 3 ( ~ ~o~~,oF souryo6 lP f ®~F TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ] FO ATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ] FMIAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION r [ ]ELECTRICAL (ROUGH) [ ].ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR 3 ~ ~ ~o~'~,OF SOUt~~o f ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] UNDATION 2ND [ ]INSULATION MIND /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ DATE ® INSPECTO II ~o~.~,OF SO~T~6 `i'~ * (p ( ~~~n,~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: l~u~ ~ - Gf~ DATE ~ ~ v ~ ~ INSPECTOR #~®'F TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROU,G~H/) [ ]ELECTRICAL (FINAL) REMARKS: d ~ ~.t,T~ - DATE if ~y INSPECTOR 7 / ~ ~ ~ ~o~.~,OF 80UT,y06 F/8_ ~ ~ TOWN OF SOU O-BUILDING DEPT. 7fi5-i8Q~_ . IN N [ ]FOUNDATION 1ST [y~-i~OUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL? REMARKS: tLF1~ ~ 1 DATE ~ ~ INSPECTOR - ~ lL/ t~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPEC N [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGN) [ ]ELECTRICAL (FINAL) REMARKS: DATE ~ ` ~ INSPECTOR ~ ~ ~~,OF SOf/Ty0 f f TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIR ETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ IRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ DATE ~ INSPECTOR I ho~~,OF SO(/lyo6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE ~ ~ a3 ~ ~O~ INSPECTOR F7l ~ ~ ~ ~o~~,OF 80l/1y~6 ~ • yam; TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] 1 CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) ~C_ ~ REMARKS: :SZ~. ~ DATE ~ ~ INSPECTOR ti~~~OF SO//Tyo~ ®~c r,~~ M~ TOWN OF SOUTNOLD 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 [ ]ELECTRICAL (ROUGH) [~J ELECTRICAL (FINAL) REMARKS: ~~~n~ - ~r~ DATE ~ ~ 3 INSPECTOR FIB:LD IN QN REPORT DATE COMIl4ENTS . ~J b t FOUNDATION (IST) x C FOUNDATION (2ND) ~ z /v ~ o (T~ ~ ROUGH FRANInVG & Q H PLUIVIBIlVG ~-~c: . A r~ m ~ ,gip ~ ~ ~r~ INSULATION PER N. Y. ~ y STATE ENERGY CODE 0 m FINAL ADDITIONAL COMMENTS -~j -ec er 2e~ giN laf 1 G.c~ ,~t.~ a~ Z-~V p o ~ ~ A z ~ a ~ ~ ~z°~ ~ W `„S ~ ry ~ r. TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CNEiCKI,ISI BUILDING DEPARTMENT Do you have or need the following, before aRplying9 TOWN HALL Board of Heal Ra*tcws,.-__,__ SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board~pproval ? _ FAX: (631) 765-9502 Survey r/ SoutholdTown.NorthFork.net PERMIT NO. 3 Check_____ - Septic Form Trustees HoT Flood Permit Usamined _ I /rb , 20~L Storrn-Water Assessment Form / Contact: ~-ny,ywy 4~?p {4~ya/yJoL¢r5 Appmved_ I I~-D, 20 / I Mail [o: /38 `slrupyiESa/ D¢IJE' / Disapproved a/c I~G! (~/rI~)t~ //050 _ Phone: (S/G) 7L_7 -036 Ispiration_ 20~ (5~m~ ~ ~-7 5 ~ ~I.tYi/LN p1J(~r1C llC J ~ ~ Building Inspector ~g /~y~n~~ ~e~a: rl'"'J~ I D APPLICATION FOR BUILDING PERMIT ~ ~ 20 Date stoG. DEPT. INSTRUCTIONS TOWN OF SOUTHOLD a. is app tca to 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 [he 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. I'. 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 Huilrling Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, far 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 authorised inspectors on premises and in building for necessary inspections. (Signatur f applicant or name, if a corporation) (Mailing address of applicant) z~a'3s State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Gti.~.~.~'L_ Name of owner of premises ~x-iri{ f}•(n! ~D ~cst~rl /uG~l S (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. [ lectricians License No. Other'll•ade's License No. I. Location of land on `~hich proposed work will be done: y35 o,NC Srr_~z'~ Lu1~'No6yb~ I louse Number Street Hamlet County Tax Map No. 1000 Section /36. bo Block O I, oo Lot OZ 7. ~o _ Subdivision Eubeu~ {~?Fr6H'~i Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy frfr`ic' ~/aN/r.~~~/G'c b. Intended use and occupancy S~1GLC f~ie~ ,Q~r/~7~(G~ 3. Nature of work (check which applicable): New Building Addition ? Alteration Repair__ Removal Demolition- Other Work (Description) 4. Estimated Cost _~D~OCU,OO Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units I Number of dwelling units on each floor I If garage, number of cars N!R 6. If business, commercial or mixed occupancy. specify nature and extent of each type of use. >?(q n ~ ~ 7. Dimensions of existing structures, if any: Front ~'Z Rear 2y- Z Depth B3' 6 Height !8~ 1 '/z" Number of Stories I Dimensions of same structure with alterations or additions: Front 2y`-Z" Rear 2'f=z Depth 33'-G" Height /e-1'(z" Number of Stories t 8. Dimensions of entire new construction: Front 2~f 2'~ Rear ZY-Z Depth Zeta Height /a, Number of Stories ~ 9. Size of lot: Front J~O` Rear_ 5a ` De'p/th " ~1Z5 r 10. Date of Purchase 1°~~8~68 Name of Formepr Owner N~Nf7 11. Zone or use district i:1 which premises are situated ,G~i-zt~/-fT19~L ~ ~d Y~~r9./C~ ~Pr3'~o`/rD 12. Does proposed construction violate any zoning law, ordinance or regulation? YES X NO rt (O`~ 13. Will lot be re-graded'? YES NO~WiII excess fill be removed from premises? YES NO 14. Names of Owner of premises /NaIC2t 5 Address /?6 %u~r-+OJ/~+~?~~~~ Phone No. !f/~) TG7' 0.96 Name of Architect 1~<'1~ NAErZ. APC/hT~Address rrr n.f ~ Phone No (i3/~ 263- 8$ 7r Name of Conn-actcc~,~{.~iMy~'f~G-'i1~?'~ ~~Address d2~G 370~~ Phone No. lSlil 3SG- Soya /s yi.~irs~ i-. j 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 1~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES_ ~ NO * IF YES, D.E.C.. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO * IF YES, PROVIDE A COPY. STATE OF NF.W YORK) SS: COUNTY OF~~o~ ffH/-~ ~O,QQIIj 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,r,,,d is duly authorized to pe form 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 se; forth in the application filed therewith. Swor-n~ ~t~o ~b~efore me this day of ~~L _ 20 /d Notar~~Public JOHNJCARAVF1.lA ignat eofApplicant York ~II~IYiNonEtgfltec.kxfe~i p11 Page 2-November 12, 2009 ZBA # 6328 -Kevin and Betty Ann Morris, Applicants Property Location: 435 Oak Street, Cutchogue CTM# 1000-136-01-27 AREA VARIANCE RELIEF REQUESTED: The applicant requests a variance to maintain a side yard setback of 2.9 feet to a proposed one story addition to the preexisting dwelling as shown on the survey prepared by Barrett, Bonacci and Van Weele dated September 24, 2008. ADDITIONAL INFORMATION: The existing garage is to be removed under Building Permit #34388. A new sanitary system is proposed. 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 proposed addition is in the rear yard and the style is in kind of that which exists in this neighborhood. 2. Town Law 5267-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 because the dwelling has preexisting nonconforming side yard setbacks, which will require an Area Variance for a proposed addition. 3. Town Law §267-b(3)(b)(3). The variance requested herein is not substantial. The proposed addition will maintain the same preexisting nonconforming side yard setback as the preexisting dwelling. 4. Town Law 6267-bj3)(b)(5). The difficulty has not been self-created because the dwelling was constructed and exists in its preexisting nonconforming location. 5. Town Law 5267-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. Town Law 5267-b. Grant of the relief requested is the minimum action necessary and adequate to enakile the applicant to enjoy the benefit of additional living space to their dwelling, 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 Schneider, seconded by Chairman Goehringer, and duly carried, to G12ANT the variance as applied for and shown on the September 24, 2008, revised 9/30/09 Pldf Plan prepared by Barrett, Bonacci and Van Weele, P.C.and Architectural . . Page 3-November 12, 2009 ZBA # 6328 -Kevin and Betty Ann Morris, Applicants Property Location: 435 Oak Street, Cutchogue CTM# 1000-136-01-27 Drawings Sheets CS-1, A-1, A-2 and A-3 dated 3-11-09 inclusively, prepared by Bruce Nagel, Architect. 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 Goehri (Chair n), Simon, Weisman, and Schneider. Member Horning was absent. Thi esolution uly~te 4-0). GE P. GO RINGER, MAN oved for Filing 11/ 7 /2009 ~o~~,aF so~lyolo Town Hall Annex ~ ~ Telephone (631) 765-1802 54375 Main Road H ~ ax (631) 761-~5~2, P.O. Box 1179 G ~ roc~er.richert~ownsou O .f1V US Southold, NY 11971-0959 ~ BUILDING DEPAR'I'MENI' TOWN OF SOUTHOLD APPLICATION FOR ELECTRIGAL INSPECTION REQUESTED BY: Date: ~~/Z Company Name: Skq ` Name: s~ e.. License No.: E Address: ~ ~ c t Phone No.: 6 3 ~ - 2 0 JOBSITE INFORMATION: (*Indicates required information) *Name: $ } ~ ~ctf~5 *Address: '°l3S OA~C {.f~c,-~ ~ C.K~ ~ocu~ *Cross Street: al~r« .5 7 *Phone No.: Permit No.: 6l `l cl Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print 'Clearly) E,~~uS:o~. V.~ `r' wo V~h o~L ~(l.0 u. i e. (L.~,J (f L 2, kGt(~} ~u ? ~ r` t~-` G'Gf J i t t (Please Circle All That Apply) *is job ready for inspection: NO ough In Final *Do you need a Temp Certificate: YES Temp Information (If needed) "Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other "New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 1, ~`l/d i ~~I 5~ 82-Request for Inspection Form to I la .o~~~ Town of Southold Erosion, Sedimentation 8r Storm-Water Run-off ASSESSMENT FORM ~ rlxorearv LocATION: s.c.r.N. n: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A C C 13 Yj ,00 ,x ~ 8TORM•WATER, RADM6, DRAINAGE AN EROSION CONTROL PLAN District Section Block Lot CE TIFIED BY A DESIGN PRO ESSIONA IN T STATE O N~ EW YORK. Item Number: (NOTE: A Check Mark for each Question is Required for a Complete Appliration) Yes No Wfll this Project Retain All Storm-Water Run-OH Generated by a Two (2") Inch Rainfall on Site? ~ a (This Item will include all run-off created by site Gearing and/or constructlon acbNties as well as all Site - Improverrrenls and the permanent rxeation of impervious surfaces.) 2 Dces dre Site Plan and/or Survey Show All Proposed Drainage Structures Indicatlrrg Size & Locatlon7 V ? This Item shall Include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowf - 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Nature) Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? I- 4 WIII this Application Require Land Disturbing Activities Encompassing an Area In Excess of ? V Five Thousand (5,000) Square Feet of Ground Suface? - 5 Is there a Natural Water Course Running through the Site? ? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? - s Wifl there be Site preparation on Existing Grade Slopes which Exceed Fifteen (t5) feet of Vertical Rise to ? One Hundred (100') of Horizontal Distance? - 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off ? V into andlor 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 ? arty Item Within the Town Right-of-Way or Road Shoulder Area? - (This Item will NOT Include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? ? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm Water, Grading, Drainage $ Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit) EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Pro)ect? ~ / - Note: If You Answered Yas to this Question, aStorm-Water, Grading, Drelnage $ Erosion Control Plan Is NOT Required) _ _ STATE OF NEW YORK, COUNTY OF Su~.4:~. k SS ~e~ Q h K M C v'r . bein duly sworn, de Y PP That I . ..............X..................................... g poses and sa s that he(she is the a ficant for Pemvt, (Name of Indlvi0ual signing Document) CONIVIE G. BUNCH And that heJshe is the ' r Notary Public State of New York k:. ...No,d}~k16185050................... (Owner, Contractor, Agent, Corporele Orflcer, eta) CDmm sSiDn E%plrp~CffApIkIC' ~ntuf Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said w r 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 herewith. Sworn to before me dais; C r day of11..............P....'.. , 20.1. ~ ,.~--f Notary Public : (Signature of Appliwnq FORM - 08!07 ~o~~pF SOUTyolo Town Hall Annex y ~ Telephone (631) 76S-IR02 5437.5 Main Road ~ Fax (631) 765-950? N.O. Box 1179 Southold, NY 11971-0959 ~ ~ ~~'~~OUNi`1,~~ BUILDING DEPARTMENT TOWN OF SOUTHOLD January 28, 2013 Kevin Morris 138 Soundview Dr Port Washington, NY 11050 Re: 435 Oak St, Cutchogue TO WHOM IT MAY CONCERN: The Follo g Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: t ~lication for Certificate of Occupancy. (Enclosed) ~ r Electrical Underwriters Certificate. (contact your electrician) ~ A fee of $50.00. Final Health Department Approval. ~~Plumbers Solder Certificate. (All permits involving plumbing aver anlsa) Trustees Certificate of Compliance. (Town trustees # ~s5-tasz) Final Planning Board Approval. (Planning # ~s5-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT : 36149 -Addition/Alterations Town Hall Annex ,yam ~ Telephone (631) 765-1802 54375 Main Road ~ Fax (631) 765-9502 P.O. Box 1179 Southold. NY 1 1 97 1-0959 ~ ~~y~uMV,N~'. BUILDING DEPARTMENT TOWN OF SOUTHOLD March 8, 2013 Kevin Morris 138 Soundview Drive Port Washington, NY 11050 RE: 435 Oak Street, Cutchogue TO WHOM IT MAY CONCERN: Put all notes in here The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. X Final Health Department Approval. PlUmberS SOlder CertlflCate. (All permits involving plumbing after 4!1/84) Trustees Certificate of Compliance. (Town Trustees # ~6s-tasz) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. BUILDING PERMIT :36149 Addition ~ TOWN OF SOUTHOLD P~OPERTY RECORD CARD ~ Ooo - l3~ - /-Z7 /`~'l' OWNER d STREET VILLAGE,,( / DISTR~17CT SUB. LOT ~ Z - 3 VC'rl ~O Yn S 9' - t~'~i~ ~aF. / l~ C ~ f' /C i7 E v ~ ~ O ` ~~i 'Pii ~ ~i ~1 FORME OWNER N E ACREAGE /~u 7 S W TYPE OF BUILDING .~a r3 ERr VENN ~ v• RES. iG d SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TO~ITAL DATE REMARKS rr J 2 a ~V QQ Q ~/3/7~ ~f~Mi.~~ ~7~ `/G/?N To %Q, nENN> ~~~P. 1 n/O. / o ~ ~ ~ a s ~ ~ ,BP# ~Y 8 ara D l5 D ~I D c ' - ~ ~ ~ ~C` AGE BUILDING CONDITION NEW NORl~AAL BELOW ABOVE Farm Acre Value Per Acre Value FRONTAGE-SPd-R6~~ (J 00_ '-"u Tillable 1 BULKHEAD Tillable 2 DOCK Tillable. 3 Woodland , Swampland Brushland House PIoY~ °p`` Tota I ~ ~ ' r~ ~ ~ .i.. _ I ~ ~~.IGUW r h i i l 7 i ~ d" ~ ~ ~ . ' i ~ a ~ ~ 'i i ~ ~ ~ i M. Bld ~ ~ ~ a o Foundation t~ ~ Bath / 9• _ Extension ~ i 5 I a a ; Basement Floors j L L Extension Ext. Walls Cdu~ Interior Finish ~`'u'V Yccl i .Extension Fire Place Heot ~p b p,yd' 01 U ~ 7 = / ~ p ~ p p Porch Roof Type Porch Rocros 1st Floor patio Rooms 2nd Floor Breezeway f Garoge ~C6 X I Yi = 7S ~ ~3 Driveway Dormer O. B. /~3 $RUCE NAGEL ARCHITECT P.C. ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ~I9; :,Ivei Sur-el 1-.~uthamplun,NcwYoik i19~i8 G it Jti3 f38S5 '.e 631 :'L'3 f's:2 t??s is w brucenageLcom L ~~7 ~ D November 2, 2010 D Town of Southold ~ ~ Building Department 54375 Route 25 _ ~ '~~`-,'3~~~i~ P.O. Box 1179 .-u'~~,~ 10,;.,,'l•, Southold, NY 11971 Attn: Pat Conklin, Plans Examiner Re: 435 Oak Street, Cutchogue NY 11935 136-1-27 Ms. Conklin- Please accept the below as an addendum to the above application: All areas of the existing and proposed addition shall be serviced with gutters and leaders into sandy soil. The homeowners intend to utilize swans as buffer(s) to neighboring properties to provide for containment of all its rainwater runoff. No leader drainage will be directed to the neighboring property in close proximity to this work. " Sincerely. . ~ I ,r' \ ' ~'_~1~~~_ ~ ~?~i Bruce D. Nagel ~ ~ QF' i~~~= f y"~'+ ~a ~1~Ei ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ pIAS~- ~ :~M ~ 4 .u„ QX Subject: Building Permit for 435 Oak Street Cutchogue Date: 1/20/2011 To: Patricia Conklin Phone Number: Fax Number: 631-765-9502 From: Kevin Morris Phone Number: 917-363-0866 Fox Number: Comments I am sending the Suffolk County Department of Heplth Services Permit for Approval of construction for a single family residence. This should complete the building permit ppplicatian Cali me if there are any questions , Iti Thank you 1 ~~lt~~~ C°~''~1 ~~~~o~~ JAN 7 n ?Oll D e~or. DEPT. TDNlN OF SOUiHOLD 02!07!2009 22:54 6317541431 SMYTHCH PAGE 02/02 Smyth custom ~ui.l.delrs LTD. 629 6+'h 5txeet Basfi Northport, N.Y.,11731 Phan~e (526) 356-504:5 Fax (631) 754-1431 July 23, 2022 smythcustomt7uilders@grz~ail. com 'x'O: Town of Southold RB: permit #36749 To Whom it Allay Concern, My name is Jolun Smyth, fzom Smyth Custom Builders. 1 spoke with someone in the building depar. hnent today about requesting an extension for the permit at 435 Oak Street in Cutchogue- they informed me that t needed to send you a request fora 6 month extension. 1 wovlri like to request a 6 month extension. on permit numbez 3619.9 for ,4..35 Oak Street in Cutchogue_ Please feel free to contact me with any questionsJconcenis. My cell: 526-356-5045. Thank yovl 5incereiy, john. Smyth. Smyth Custom Builders, LTD. ~ ~ Client: 24797 SMYTH ACORDn, CERTIFICATE OF LIABILITY INSURANCE DATE IMMA)DIYYYY) 9/01/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDRIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ilea of such endorsement(s). PRODUCER NAME: _ _ Millennium Alliance Group, LLC PHONE 516 496-8004 F % 51696-7811 AIC No Ext : Alt, No : _ 6851 Jericho Tpke EJA/UL ADDRESS: Suite 215 CUSTOMER ID M: Syosset, NY 11791 INSURER(S) AFFORDING COVERAGE NAIL p INSURED INSURER A : EVefeSt National 10120 Smyth Custom Builders LTD INSURER B 629 6th Street INSURER C East Northport, NY 11731 INSURER D: _ INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R O UBR LILY EFF POLICY E%P LTR TYPE OF INSURANCE POLICY NUMBER MMID M/DD LIMITS GENERAL LIABILITY 6900001447005 1/O1/2011 01101@O7 EAGH OCCURRENCE S1 OOO OOO _ X COMMERCIlLL GENERAL LIABILITY PREMISES Ea ocamenm 550000 ClA1MSMADE ~ OCCUR MED E%P (Any one person) 55,DD6 PERSONALBADV INJURY 51,000,000 GENERAL AGGREGATE S2,000,OOO GEN'L AGGREGATE OMIT APPLIES PER: PRODUCTS-COMPIOP AGG S1,000,OOO X POLICY PRO- LOC 5 AUTOMOBILE LN181LITY COMBINED SINGLE LIMIT 5 I IEa acbtlenp ANY AUTO BODILY INJURY (Par person) 5 ALL OWNED AUTOS ' BODILY INJURY (Per acdtlenQ 5 SCHEDULED AUTOS _ pROPERTV DAMAGE S HIRED AUTOS (Per aKitlenl) NON-OWNED AUTOS S 5 A uA1eRELLA uqe X OCCUR 75F0000001111 1101/2011 011011201 EACH occuRRENCE s1 DDO 000 X FJtCFS3 LIAa CLAIMS-MADE AGGREGATE 51 OOO OOO DEDUCTIBLE S RETENTION 5 S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILRY V / N ANV PROPRIETORNARTNERIE%ECUTIVE? NIA E.L. EACH gCCmENT $ OFFICERIMEMBER EXCLUOEOi IMaeMalory In NH) E.L. DISEASE - EA EMPLOYEE $ II yea, tlesm[re antler DESCRN~TION OF OPERATIONS GeIOw ~ EL. DISEASE-POLICY LIMIT 5 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ALORD 101, Atldllonal R<marMs ScFetlu4, H more space la raRUiratll Re: 435 Oak Street, Cutchogue, NY 11935 CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Buildin De artment THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g P ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Main Rd P O Box 1179 AUTHORIZED REPRESENTATIVE Southold, NY 11971 ®1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD #5166382/M156425 LRL F ~ ~ -i it /~~,~~~New York State Insurance Fund Workers' Compensation & D/sabifiry Benefits Specialists Since 7914 e CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK 11747-3129 Phone: (fi31) 756-0300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^ ^ ^ ^ ^ ^ 753061654 SMYTH CUSTOM BUILDERS LTD 629 6TH STREET EAST NORTHPORT NY 11731 POLICYHOLDER CERTIFICATE HOLDER SMYTH CUSTOM BUILDERS LTD TOWN OF SOUTHOLD-BLDG DEPT 629 6TH STREET 53095 MAIN RD EAST NORTHPORT NY 11731 P O BOX 1179 I SOUTHOLD NY 11971 - J POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE 11469304-8 688482 01/01/2011 T001/01I2012 9/1/2011 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1469304-8 UNTIL 01/01/2012, 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 01/01/2012 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 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 DR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND ° Yi~,~v,~~~ Q~~oi~ DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at hops://www.nysif.comlcerUcertval.asp or by calling (888) 875-5790 VALIDATION NUMBER: 16598195 U-26.3 BUILDING PERMIT EXAMhN~1ER CHECKLIST *Date Submitted: 06/l~*Date Reviewed;.S/o?~06/~ Applicant: p U ,Q?1n 1 t 16YI'IS' Owner: ~j~i%(~ '~~~-~GJ~17/'7 I~Cy'Yly Architect/Engineer: I,(,C,t /t GP Estimated Cost: SCTM# 1000- lJ~~t~J- / - ~ 7 Subdivision: Zone: ~y Conforming? ~ Property Address: ~%~~~Ql~ ~f ~ City: Pre COs? ~S Building Permits (Open/Expired): BP~~Gb Z-~ Info: BP~~~~~Z / C/0 Z~- ~~Inf~ $P -Z / C/0 Z- ,Info: BP -Z / C/0 Z- ,Info: BP -Z / C/0 Z- ,Info: _ Single & Separa/t1e Search Required? Y o Determination: ~1 REQ. Lot Si e: 'l C U U ~ ACT. Lot Size: (n~~ REQ. Lot Cov. ~b ACT. Lot Cov. REQ. Front. ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear REQ. Heig t ACT. Height Project Description: Waterfront? Y or ? If yes, water body: Panel# Flood Zoue:~ Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y or N - If yes, *Bed#: *Date: *Permil#: Town Septic Y or I - If no, certification regm ~ed: Y or N Received: Y or N By: NYS DEC: rac-occvnns Y or N -Date: / Per~rt'~#~` or NS Letter -Notes: Southold Trustees: Y or N -Date: / / Permit or NJ Letter -Notes: Southold ZBA: Y or N -Date: Permit -Notes: Southold Planning: Y or N -Date: Permit _ -Notes: Town Landmark C of A: Y or/N DTE: / / *NYS CODE Compliance (page 2): Y or N Notes: ~~IAI . ~ lr~~_- - U Fee Structure: Calculation: Foundation. SF L ( SF)- ( SF)= SF X $ First Floor: SF + Liitial Fee: $ Second Floor: SF + Additional Fee $ Other: SF 2. ( sF>- ( SF)= SF x $ Total: _ SF + Initial Fee: $ + Additional Fee ( $ TOTAL:$ NER' YORK STATE CODE COMPLIANCE CHECI~L,IST " CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wlnd Speed:. 120MPH_ Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M " Design Temp; I1 Ice Shield Underlay: YES ~ Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/F1RE AREA: TYPE Or CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRiPTIVE PULL FRAMING DESIGN ELEMENTS: Y/N I[EADERS: Y/N WAI,LSTIIDS: Y/N GIRDERS: 1'/N CE1L[NG JOIS'T'S: Y/N FLOOR JOISTS: Y/N ROOT I2AI"IERS: I /N LUhTBER SPECIES AND GRADE: Y/N DESIGN LOnD CALCi1LATIONS: Y/N L1VE: Y/N DL:~D: YM SNO1V: Y/N SL+'[SM[C: Y/N \4'IND: Y/N R'INDOR~ ANI=~ DOOR SCHEDULE: ~MISSLC TLST I?I;QUIREMLNTS: Y/N EGRL'SS 5.7 S. F.: I'/N ~ LIGHT 8%: Y/N ~'7sNT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS Oh EGRESS: Y/N PLUMBING RISER DIAGRAM: YIN LOCATION OP FIRE PROTECTION EQUII'MENT: Y/N TRUSS DESIGN Y/N CER"T`IFICATION Y/N ENERGY CALLS Y/N TOTAL CO~ZPLILNCC7 X/N (RETURN TO PAGE ONE) L.EC'~EI1D SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 7 1 1 1 1 TAX LO 43 I 1 I II I CONCRETE CURB DROP CURB PUBLIC ATER I RESIDENCE I RESIDENCE I RESILDENCE ~ TRESILDENCE I RESILDENCE UC WA PUBLIC WATER UBUC WATER PUBLIC WATER PUBLIC WATER WALL EDGE OF PAVEMENT I I I I I II I 1 I II -off - OVERHEAD WIRES _ g~ 1_ _ _L -o~- S,OCKADE FENCE I FENCE OTHER - o00000o HEDGE *I ~eeF - w - WATER MAIN a R ® WATER METER F t ® WATER VALVE +,e.» +ran r+mo~ e ® WELL r r + • • r 55.43 SPOT ELEVAnON iLN ,SX sr. 1500 Gu. sEPnc TANK o S 0 . E a LP. 8'f LEACHING POOL 523.10' ` ,tea ~ _ _ _ ~ _ 50% EXPANSION NOTES ~aa ~ ~ T ® D,~~ iD ? PROPOSED CLEANWT 1 LOT AREA ~ 8,230 SQUARE FEET Y 9E GONNECTm I ~ : ~ T ~ 2 niE PROPERTY APPEARS AS TATS B2 # 83 ON THE MAP OF EUGENE HEIGHTS 1 I $ ,e.• ,ao ~ +I$ I I FlLED OCT08ER 29. 1928 AS FlL.E NO. 858. x I ~ ~ 'll(' 1 ( 3. ELEVATIONS REFER TO N.G.V. DATUM. 1YL• I ~ ~ a N I 1. THE PROPERTY LIES NITHIN FLOOD ZONE X (AREAS DETERMINED TO BE OUTSIDE / STDRY 500-YEAR FLOOD PLAIN) ACCORDING iD FEMA fLOOD INSURANCE RATE MAP NO. ' pMpyylp 3810300783 C, HANNG AN EFFECTIVE DATE OF MAY 4, 7998. I 1 1 1 `s M lcrn0rrs p' I I I 5. SUBSURFACE d< ENNRONMENTAL CONDITIONS WERE N07 EXAMINED OR CONSIDERED 1 1 ~ ~ w/duaU e' .w w,l I 1 AS PART OF THIS SURVEY. wn " ~ ( u 6. ALL SANITARY STRUCTURES SHALL BE CONSTRUCTED AND INSTALLED IN ~wi ,a~ VI I I I ACCORDANCE WITH THE STANDARDS APPROVED BY THE SCDHS AND OTHER APPLICABLE AGENCIES. i~ v. s I USE (2) 8' DEEP, 8' DIAMETER LEACHING POOLS AND (1) 1,500 GALLON SEPTIC TANK. I ' 1 TAX L07 28 1 TAX LOi 25 1 TAX LOT 24.1 TAX l0T I 1 owM ~ 1 RESIDENCE 1 RESIDENCE I RESIDENCE 7. EXISTING SANITARY SYSTEM TO BE REMOVED IN ACCORDANCE 1WTH SCHDS 31.4 ws. PUBLIC WATER PUBLIC WATER PUBLIC WATER SPEdFlCAnONS. R PUB~C~ I r rwa e, ~ ~w• I 1 .fJ 8. REFFlt TO BUILDING PLANS PREPARED BY BRUCE NAGEL ARCHITECT, P.C. WATER TAX LOT 29 TAX LOT 28 ra ax ~ _ ~ RESIDENCE RESIDENCE ~ r ~ ox , PUBLIC WATER I PUBLIC WATER ly yr-. J 'bw.°mF~ r( 13 I 1 1 ___iae. ~ 1 I 1 O O P ~ TEST HOLE 3 o AM srnH DawExlTS Dw17ID T I ~ 8 LEb P/V Rvn5k11 ~ I ~ 1 A 1 1 PREPARED BY 1 ~ I I 1 MCDONALD GEOSCIENCE MAY 19, 2009 ~ Barrett . ,x GRADE n. taz BOnaccl 8L - ,x, ~ 1' °LAO B~' Van Weele, x I TRESIDENCE 1 <T~ ~ N O7~'~' w s~OAND (SA1) Civil Engineers 175ACanme,ce Dme PUBLIC WATER t Y $11rveyOrs Hauppou0e, M! 11788 1 ~ q, v r631435.t 111 IL_ I d~ TAX L07 20 U Planners f 631.435.1022 --y ~ ww.vbbipc.com RESIDENCE :b FlNE Tp m~IUIM TD% ~I$TRICr 14D0 SECnaN 136 ~a(x 1 {,aT'1] .x SAND (SP) C'~ ~ fi~~,W~dledsAln4 7 , I ~ ~ q ; , rz; ry.. 7.3 ~nwrsr avh:cTty :~:N°"'...~a~ PROPERTY ~ J ~ ~ Imo, U ~ ~ ( UCROUND~ATER PFR NEARBY Wi~mba~iads.,.~ D f1111ATE 15.2' D.. a0 PEACtIm WATER TM41~4'°~P4'r'r`~~ (9 IT~lJM11e I..audYmu6m~dl. v+ab vYl TIWVC WATER W PALE wdoa,o ss~a+b.,. BROWN FlNE TO J,AralbNpwoNu MEDIUM SAND bd ti~,aad"s ~ TDWN OF SOUM0ID SUROIK COUNTY N.Y. rnx Lor 19.3 7T - ~iw(~~,,,1~~,~ PLOT PLAN RLSIDENCE 1 1 N.T.S. SCDIts REFf 7o-oa-oo41 BLDG. uEPT. "°~°`°d'~°'° b~` PREPARED F'OR: TOWN OF SOUiHO(D w..,.~asNarAwawrr eEm ANN 14DRRrs y,rdx,w•wrb.+V nbd 7!e SOUNDNEW DINE .r,?.~edw,yu,.A•I PORT WA9NINGIDN, NY 11030 ebo•'J~dnbu.rud dluq (31f) 7f7-OJ!{ 7 ZOOD NV pc M: D 7 75 PLQi PLAN 3 92010 9:90:57 9 Vdn W P.G .M. MAY 23, 2009 1' : 30' AOW475A ~ 1 ~r 1 3~~~~ Certificatioris indicoted her bn signify thot this plat of the properly depicted hereon wos mode in accordance with the existing Code of Practice for fond Surveyors adopted by the New York SWIe Associotion o4 Professional Lond Surveyors. This cenificofion is only For the lands depicted hereon and is not certification of fide, zoning or freedom of encumbrances. Said certifications shall run only to the persons and/or entities listed hereon and are not transferable fo additional persons, entities or subsequent owners. ~63] 1616 2TQ~~T+16.07 w ~I/ nV ¦ ¦ ¦ri~'1 1 3 15.94 15.55 i FEt 0.4'S 09.9 07 8'50" E NUMENT CJ 00' _ C Q FOUND E}` W 523.70' MOFOUNDN7 y ~ ~ _ i _ p ~F o c ~ yW,/ (Q( ro N e is.t3 ~ Q N LL F Q 16.0 J ' O = N ss ~j 1 _ 19.9' Z ( IQ`j aW _~~J`j ~`Y ~ ' YI t 4~ _E PORCHD __n U F Yl W z Z ~ ~ i W - t s + N x j D3 , ~ m. f N 2.3' 2.0 x W 0 15.7 r.. LL n C Ali r J h 0 IL 1/1 G 'r u~ I~ r W ,r W 1 STORY ~ s; ~ a ~ ~ n a ° 3 ~ DWELLING iv o I 7 a ~ f Z ~ ~ NO. 435 ~ a a o LL l ~ ' 3 W F.F. EL= 1] 9 PROPANE ~ U =r p0 a RIDGE EL= 34.4 TANK Q ~ XX J I Z O Q yy~ ~ i yL C V ~ WW Q1 I y .l '~J~ 1 ~ Q 3 C~j. - 0 W i QN ' N y e Si ~ ~ ts.r' unri r o ~ l n ~ t U ~ C_ L ~ r LOT _ ,s.4 ~ LOT o _ ,r ~ ~ ~ LL _ i 191 N BLDG I 84 ~ 1~ 15.5 ~ C' c 'r V ' FRAME SHOWER STALL ~ rqy t 1.4 O W 't- ~ r, SANITARY LOCATION TE3 A ~ e0 SANITARY BUILDING CORNER (V STRUCTURE O 2 Oa A B +e- ~ i ~ ( ~ 1 S.T. 16' 28.5' N ~ CONC. 13.3 2 L. P. 24' 39' t}-r ` ow 3 L.P. 37.5' 47.5' M ~ t ~ I 13.6 1 O~ I ~ n~ 4! ~ SHED ~ ' 13.2 U Z` l 4.7' 13 1 FE LOT 82 LOT 83 m MONUMENT D.4'S ~ 6 FOUND o.5'w 0.3'N _ PIPE 18.8 WIRE FENCE FE FOUND s4Ew N O7•cJBrcJ~° 1A/ o4w 0.2'N / ~1 D.2•W 1 50.00' I Lor 1 Lor I Lor I LOT ios I los I l07 ~ ias P.. ,..F_.: NOTES L,~, r, 1. ELEVATIONS REFER TO N.GV.D 29. 1 IM: FMAL VIEW: FINAL 2. WATER SERVICE AND SANITARY SHOWN PER CONTRACTOR. S F.F. Tire offsets or dimensions sfrown from shudures to the property lines are for a spxiFic purpose and use, and therefore, are not intended to gu e' Tion ol'FendsSl Mo ntng w4i~s1' ' pools, potion, planting areas, oddilions to buildings and any other construction. Subsurface and environmental conditions were not exa ;g Pori d tryy~~~n ~94'MM~d1i ~ Easemenh, Rightsof-Way of record, if any, are not sflown. Property corner monuments were not placed as a pan of drls survey. (c) 2013 ~VFC" ' B Barrett Tax Map: DISTRICT 1000 SECTION 136 BLOCK 1 LOT 27 BOndCCI & Ma af: EUGENE HEIGHTS Unaullwrized aheralion or addition b p this survey is a violation of $edion Van Weele, PC 72094 New Yok SlnR Education law Civil Engineers 175A Comme¢e Drive ~`~aP lot: 82 & 83 Map Block: SUFVC rs Hauppauge, NY 11788 ~F~ >'O 1637.435. t t t t Filed: 10/29/1928 No.: 856 County: SUFFOLK Planners r 631.435.1022 ~ www.bbvpc.mm Situote: CUTCHOGUE~ TOWN OF $OUTHOLD Revisim BY Date Copies ai this survey map not hear- FINAL ing the land surveyor's embossed ry seol and signature shall not be con S'URVC I sidered to be a True and valid copy SCDHS REF NO. R10-09-0041 Su ed RB Draped PR Checked WJB project No.: A080475B scalp: 1" = 20' Dare: MARCH 28 2013