HomeMy WebLinkAbout39028-Z 7r.{zTown of Southold Annex 7/28/2014
T P.O.Box 1179
:y� 54375 Main Road
'v W�; Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37046 Date: 7/28/2014
THIS CERTIFIES that the building DECK
Location of Property: 980 Southern Cross Rd, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 110.-5-49
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/1/2014 pursuant to which Building Permit No. 39028 dated 7/15/2014
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 A SINGLE FAMILY DWELLING PER ZBA DECISION#6754 AS APPLIED FOR
The certificate is issued to Schumacher,Roy&Schumacher, Eileen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A ized ignature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 39028 Date: 7/15/2014
Permission is hereby granted to:
Schumacher, Roy & Schumacher, Eileen
980 Southern Cross Rd
Cutchogue, NY 11935
To: construct a 21' X 16' deck addition per ZBA#6754 as applied for
At premises located at:
980 Southern Cross Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 110.-5-49
Pursuant to application dated 7/1/2014 and approved by the Building Inspector.
To expire on 1/14/2016.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $334.40
CO -ADDITION TO DWELLING $50.00
Total: $384.40
Building Inspector
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:
1. Final survey of property with accurate location of all buildings,property lines, streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to 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 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 Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00
Date.
New Construction: ✓ Old or Pre-existing Building: (check one)
Location of Property: 7,kQ ,fOIT4i9 r) CO-1 '-r?u a(,,x
House No. Street Hamlet
Owner or Owners of Property: e1411 4t�Qa0 „f�C„UVAk Call ,
Suffolk County Tax Map No 1000, Section J(p Block Lot
Subdivision PeAk e,.te-c�_ Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ✓ (check one)
Fee Submitted: $
Applicant ignature
i
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[' ] F NDATION 1 ST [ ] ROY"_ PLUMBING
[ ] OUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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FIELD INSPEON B- LPORT DATA --co
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TOWN OF SOUTHOLD_ BUILDING PERMIT APPLICATION CHECKLIST
BUILDING+ DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board ofHealth
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-.1802 Planning Board approval ^
FAX: (631) 765-9502 Survey
SoutholdTown,NorthFork,net PERMIT NOS Check
Septic Form
N.Y.S.D.E.C: , .
Trustees
t
Examined ,20 "- aYe i orm
_ Contapt: jy1 i ''3S#y l }$CtM C a
Approved �5,20 Mail ti :
Disapproved al ~
► Phon4-
Expiration a 20_,6f _ nn
BuTMN44%peTtUr
LI ATION FC R(BU LDING PEIR MIT
Q � l TOVIN OF SOUTHOLD
�'i! Date , 20
APR 2 2014
INSTRUCTIONS
a. T is application MUST be comp,etely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, e.Fe 'according to schedule. -
b. Plot pl }pjerftion of to and of buildings on premises,relationship to adjoining premises or public streets or
I# a r ; �Pi,ULU
areas,
c.The work covered by this application may,not be commenced before issuance of Building Permit:
d. Upon approval of thislication,the BuildingInspector will issue a Building Permit to the applicant. Such a permit
shall be keptn the remises 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 lythe work authorized has 12 months after the date of
issuance or has not been completed within 18 months fronvsuch date.If.no zonit g amen,dinents or other regulations affecting the
property have been enacted in the interim,the Building Inspectormay authorize,in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be rewired.
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 Coutlty.New Yorlc�aid 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 regulatio and to admi
authorized inspectors on premises acid in Building for necessary'inspedtibns.
7��
4at4u- a ap icanor name,if a corporation)
q SDG�IJA-!J
a
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
erD U 2AAI
Name of owner of premises-R5°AJ i Laa _.�et+�t why tt
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporateofficer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. "
1. Locution of land on whichro proposed workwill be done: '
Pp e
s AOtbcar 9
House Number 'Street . ' 44amlet
County Tax Map No. 1000 Section Block _ Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and inte ded use and occupancy of proposed construction:
a. Existing use and occupancy
r
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition k-"' Alteration
Repair - "Removal Demolition Other Work
(Description)
4. Estimated Cost_' ?4000. Fee
(To be paid on filing this application)
5. If dwelling, number ofdwellingsunits Number of dwelling units on each floor
if garage, number of cars
.. ...
6. If business, commercial or mixed occupancy, specify'r ature'and ektdnt tsf daieh type of use.
7. Dimensions of existing structures, if any: Front_� 3 Rear ��� Depth , 3
Height_.f Number of Stories
Dimensions of same structure with,afterations or eddifiiens: F'ron't `�"� . Rear
Depth 4 Height Number of Stories f
8. Dimensions of entire new construction: Front Rear ` Depth
Height Number of Stories
9. Size of lot: Front Rear 100..74- Depth 1Ll.
10. Date of Purchase�-ty,t S j 2.Qr Narne 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 NOWiII excess fill;beremoved from,premises?YES NO_�
14. Names,of Owner of premises, �6_ctAg Address ,�=p y_Phone,No. 4 I-_ ZS'
Name of Architect Addres& E Phone No r
Name of Contractor Address f Phone No.
15 a. Is this property withirr i 00 feet of a tidal wetland ora freshwater wetland? *YES NO
* IF YES;SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300"feetof'a tiaaf Wetland")* 'Nb'
* IF ER
YES,D.&C.'PMITS MAY BE I;EQUICREI?.
d:
16. Provide survey;to scale,4ith 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?Y* YES NO_
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OF )
being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, CONNIE D.BUNCH
_
s f I NWary Public,State of New York
(S)He is the t dNo.
01BUC15t}b0
(Contractor,Agent,Corporate Officer,etc.) Oueffm m SHIN County
Cartir lorwEXpiresAprilt4,!
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 tq before,me this
day of 0,0 20 j
No'ary,Public If V S'Inaturf of Applicant
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined ,20 DIQAPPRO Storm-Water'A`ssessment Form
VAL Contact:
Approved ,20 Mail to:
Disapproved a/ /
Phone �J
Expiration ,20
_ L �4 Lf
Bu i pector
LICATION FOR BUILDING PERMIT
f Date 20
U�I 1 APR 2 2014 INSTRUCTIONS
U l�'
a. TLisappllication MUST be1comp etely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets o plans -plat-p-lane. Fe according to schedule.
b. Plot plwvshowirig'ocation of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and watei ways.--._.._..._ .
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 regulatio and to admi
authorized inspectors on premises and in building for necessary inspections.
(SigWaturJ o ap ican or name,if a corporation)
q$D ,2N c=
(Mailing address of applicant)
State whether applicant is owner, lessee, agent,architect,engineer, general contractor, electrician, plumber or builder
Name of owner of premisespay AJ 4` itM Sct,Frtvvl�Ktt
(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 License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section /10 Block 5- Lot q
Subdivision Filed Map No. q--7 Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy kis-C./AakC ''E
b. Intended use and occupancy �La = F-C& octrwD,Q_,. �-
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front S2, 3 Rear X52, Depth 26 , 3
Height /�' ' Number of Stories
Dimensions of same structure with alterations or additions: Front s2, 3 Rear
Depth 42, 3 Height l SNumber of Stories /
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front I ZI 3,Ls _Rear 100,74: Depth i OD, /8
10. Date of Purchase uyLL? 7gQ/D Name of Former Owner�Ar� j
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 NOjj�_Will excess fill be removed from premises?YES NO_�
14. Names of Owner of premisesddress Y Phone No. 463/-
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-X
* 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_,K
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, CONNIE D.BUNCH
" Notary Public,State of New York
(S)He is the No.01BU6185050
our
(Contractor,Agent,Corporate Officer,etc.) QUAM in COmmission Expires ApriR t4,2-0//
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 tq before me this
= day of `i 20 ,1
Notary Public S4naitud of Applicant
FORM NO. 3 (076
RECEIV
TOWN OF SOUTHOLD
BUILDING DEPARTMENT APR 2 4 20
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL BOARD OF APPEALS
DATE: April 10, 2014
TO: Roy&Eileen Schumacher
980 Southern Cross Road
Cutchogue,NY 11935
Please take notice that your application dated April 2, 2014
For permit to construct a deck addition at
Location of property: 980 Southern Cross Road, Cutchogue
County Tax Map No. 1000—Section 110 Block 5 Lot 49
Is returned herewith and disapproved on the following grounds:
The proposed construction on this non-conforming 13,504 square foot parcel in the Residential R40 District is
not permitted pursuant to Article XXIII Section 280-124 which states that lots measuring less than 20,000
square feet in total size require a minimum rear yard setback of 35 feet
Following the proposed construction the dwelling will have a rear yard setback of 22 feet
u rued S' nature
Cc: File, ZBA
BOARD MEMBERS Southold Town Hall
Leslie Kanes Weisman,Chairperson �QF $0!/ly 53095 Main Road•P.O.Box 1179
IP
� alp Southold,NY 11971-0959
Eric Dantes o Office Location:
Gerard P.GoehringerCATown Annex/First Floor,Capital One Bank
George Horning G,�► • COQ 54375 Main Road(at Youngs Avenue)
Kenneth Schneider OliyC�Un l Southold,NY 11971
------ http://southoldtown.northfork.net
� ZONING BOARD OF APPEALS
r TOWN OF SOUTHOLD
30 2014 Tel.(631)765-1809•Fax(631)765-9064
`FINDINGS,DELIBERATIONS AND DETERMINATION
MEETING OF JUNE 19,2014
ZBA FILE: 6754
NAME OF APPLICANT: Roy and Eileen Schumacher
PROPERTY LOCATION: 980 Southern Cross Road,Cutchogue SCTM# 1000-110-05-49
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this
application and determines that this review falls under the Type II category of the State's List of Actions, without
further steps under SEQRA.
LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the
Minor Actions exempt list and is not subject to review under Chapter 268.
PROPERTY FACTS/DESCRIPTION: Subject property is located in the R40 zone district and is non-conforming
containing 13, 504 sq. ft. It is improved with a one story frame dwelling. It has 123.28 feet of frontage on
Southern Cross Road, 100.90 feet of frontage on Holden Avenue, 130.74 feet along the northern property line and
100.18 feet along the eastern property line as shown on the survey dated February 6, 2001 last revised 4/23/14.
(BASIS OF APPLICATION: Request for Variance from Article XXIII Section 280-124 and the Building
Inspector's April 10, 2014 Notice of Disapproval based on an application for building permit to construct a deck
addition to existing single family dwelling, at; 1) less than the code required rear yard setback of 35 feet.
RELIEF REQUESTED: The applicant requests a variance to construct a 21 foot by 16 foot attached deck having a
22 foot rear yard setback where the code requires a 35 foot minimum rear yard setback, as shown on the
Survey/Site Plan prepared by Barrett, Bonacci & Van Weele, P.C. dated February 6, 2001, last revised 4/23/14 to
"add proposed deck only" and the two untitled pages of construction drawings of the proposed deck.
ADDITIONAL INFORMATION: The parcel is a corner lot with two front yards.
FINDINGS OF FACT/REASONS FOR BOARD ACTION:
The Zoning Board of Appeals held a public hearing on this application on June 5, 2014, at which time written and
oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and
surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant
and makes the following findings:
1. Town Law 4267-b(3)(b)(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 deck replaces a 21 foot by 12 foot at grade
Page 2 of 3—June 19,2014
ZBA#6754—Schumacher
SCTM#1000-110-5-49
block patio. Attached rear yard decks are a common addition to residential dwellings and the proposed deck will
not produce an undesirable change to the neighborhood because it is screened by mature vegetation along the rear
property line. Additionally, the attached deck is proposed with a code conforming setback from Holden Avenue
and the neighbor on the other side of Holden has a very wooded front yard which will provide visual privacy.
2. Town Law 4267-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. The dwelling is set back 38 feet from the subject rear yard
and any proposed deck in this rear yard will consequently require a rear yard setback variance.
3. Town Law &267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing 37%relief
from the code. However,the subject adjoining property line that creates the rear yard to the subject parcel is a side
yard to the adjoining property most affected and if considered as such would mitigate the substantiality of the
requested variance.
4. Town Law 4267-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. The
applicant must comply with Chapter 236 of the Town's Storm Water Management Code.
5. Town Law 4267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the
Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the
limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase.
6. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of constructing a deck in a rear yard having a 22 foot rear yard setback, 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 267-13, motion was offered by Member Schneider, seconded by Member Dantes, and duly
carried,to
GRANT the variance as applied for, and shown on the Survey/Site Plan prepared by Barrett, Bonacci & Van
Weele, P.C., dated February 6, 2001, last revised 4/23/14 to "add proposed deck only" and the two untitled pages
of construction drawings of the proposed deck.
CONDITIONS:
1. The deck shall remain open to the sky.
That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued.
Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays
and/or a possible denial by the Building Department of a building permit, and may require a new application and
public hearing before the Zoning Board of Appeals.
Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey
cited above, such as alterations, extensions, or demolitions, 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.
Page 3 of 3—June 19,2014
ZBA#6754—Schumacher
SCTM#1000-110-5-49
Vote of the Board: Ayes: Members Weisman (Chairperson), Schneider, Horning, Goehringer, Dantes. This Resolution was
duly adopted(5-0).
Leslie Kane4 Weisman air erson
Approved for filing 6/, /2014
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Scott A. Russell 10SUFff S'7C'(O IR LIMMA IER_
SUPERVISORI��l[A\lam A\ G N < IEI� IE1�`7C'
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SOUTHOLD TOWN HALL-P.O.Box 11791
53095 Main Road-SOUTHOLD,NEWYORK 11971 -f& Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT-WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
---- --------- -----------
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING. ;
Yes NO (CHECK ALL THAT APPLY)
❑
A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
El B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
f Q E�`C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑El"'D. Site preparation within 100 feet of wetlands, beach, bluff.or coastal
erosion hazard area.
El Ef E. Sitere aration within the .one-hundred-year floodplain as depicted
P P r
on FIRM Map of any watercourse.
± . Installation of new or resurfaced impervious surfaces of 1,000 square .
. ❑� P
feet or more, unless prior approval of a Stormwater Management
I Control Plan was received by the Town and the proposal includes j
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Cbeck List Form to the Building Department with your Building Permit Application.
- - ----- -=---------
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. 1000 Date
District
NAME: U<a C
Section Block Lot
FOR BUILDING DEPARTWISE ONLi`7`
Contact Information: (I ( 7 r I y7
ndghn Nvm0e)
Reviewed By:
- - — — — — — — — — — — — — — — — — Date-
Propel
ate
Property Address / Location of Construction Work: — — — — — — — — — — — — —_q�d Approved for processing Building Permit_
SO`"1o„�" � pfj� t►' Stormwater Management Control Plan Not Required.
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM A SMCP-TOS MAY 2014
Certifications indicated hereon signify that this plat of the hereon described property is a true and correct representation of a recent
survey made and plotted under my direction in accordance with the existing Code of Practice for Land Surveyors by the New York State
Association of Professional Land Surveyors. Said certifications shall run only to the person for whom the survey is prepared and on their
behalf to the title company, governmental agency and lending institution listed hereon. This certification is only for the lands described
hereon, it's not a certification of title, zoning or freedom from encumberances. Certifications are not transferable to additional institutions
or subsequent owners.
24T 25
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The offsets or dimensions shown from the structures to the property lines are for a specific purpose and use and therefore are not intended
to guide in the erection of fences, retaining walls, pools, patios, planting areas, additions to buildings and any other construction. Subsurface
Conditions not shown. Easements. Rights—of—Way of Record. if any, not Shown. Property comer monuments were not placed os a part of thls sunny 0200,
B_B•V•,P.C.
UNAL Barrett, Bonacci & Van Weele, P.C. ADDIII TERA ..Y I OR
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CIVIL ENGINEERS/SURVEYORS/PLANNERS VIOL 1 7209 OF
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175A Commerce Drive,Hauppauge,NY 11788
TEL 631/435-1111 FAX 631/435-1022 #,r r•,
www.bbvpc.com i.
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SITUATED: CUTCHOGUE TOWN OF SOUTHOLD COPIES OF THIS SURVEY MAP NOT
TITLE NO.: BEARING THE LAND SURVEYOR'S
EM603SED SEAL AND SIGNATURE
SHALL NOT BE CONSIDERED TO
BE A TRL)E AND VALID COPY.
ROY SCHUMACHER JOB NO.: A010099A
ADD PROPOSED DECK ONLY
04/23/14 (MAR) DATE_: FEBRUARY 6.2001
DR.GC CH. SCALE: 1" we 20' DIST. 1000 SEC. 110 BILK 5 LOT 49
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CUTCHOGUE, NEW YORK 11935
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