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38721-Z
�+yjfHit, Town of Southold P.O. Box 1179 ' 53095 Main Rd Southold, New York 11971 631-765-1981 CERTIFICATE OF OCCUPANCY No: 37429 Date: THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 3655 Camp Mineola Rd, Mattituck, 2/10/2015 2/10/2015 SCTM #: 473889 Sec/Block/Lot: 123.-5-35 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/7/2014 pursuant to which Building Permit No. 38721 dated 3/18/2014 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: non -substantial storm repairs to an existing one family dwelling as applied for The certificate is issued to Mazur Jr, John & Mazur. Alice (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 38721 11/12/2014 (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 38721 Permission is hereby granted to: Mazur Jr, John & Mazur, Alice 12 Trescott Path Fort Salonqa, NY 11768 Date: 3/18/2014 To: Storm damage repairs (non -substantial) as applied for with flood permit. At premises located at: 3655 Camp Mineola Rd, Mattituck SCTM # 473889 Sec/Block/Lot # 123.-5-35 Pursuant to application dated To expire on 9/17/2015. Fees: 3/7/2014 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION Flood Permit CO - ALTERATION TO DWELLING Total: Building Inspector $200.00 $100.00 $50.00 $350.00 TOWN OF SOUTHOLD BUILDING DEPARTMENT 1400 TOWN CLERK'S OFFICE SOUTHOLD, NY ....?.••YL`1ri Y.s 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 #: 38721 Permission is hereby granted to: Mazur Jr, John & Mazur, Alice 12 Trescott Path Fort Salonqa, NY 11768 Date: 3/18/2014 To: Storm damage repairs (non -substantial) as applied for with flood permit. At premises located at: 3655 Camp Mineola Rd, Mattituck SCTM # 473889 Sec/Block/Lot # 123.-5-35 Pursuant to application dated To expire on 9/17/2015. Fees: 3/7/2014 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION Flood Permit CO - ALTERATION TO DWELLING Total: Building Inspector $200.00 $100.00 $50.00 $350.00 2_� �_ 1� � 9 �, 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. Z / Q New Construction: Location of Property: Old or Pre-existing Building: � (check one) 1-Vot-L House No. __ Owner or Owners of Property: 6 �'�k Street ,4,- Q L t ce— tiVka 2 u tit Suffolk County Tax Map No 1000, Section 2 3 Block J Subdivision P m r h e..0 !_ 6,_ Filed Map. Permit No. Z 1 Date of Permit. Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: )eD ..i -60LX- Hamlet Lot 3 Lot: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 pF SO(/�yo� COUNT, Telephone (631) 765-1802 Fax (631) 765-9502 roger. riche rt(ab-town.southoId. ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mazur Address: 3655 Camp Mineola Rd City: Mattituck St: NY Zip: 11952 Building Permit #: 38721 Section: 123 Block: 5 Lot: 35 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Harborview Electric Inc License No: 31745 -me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 200a Heat oil Duplec Recpt 33 Ceiling Fixtures 4 HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 1 Smoke Detectors 4 Main Panel 200a A/C Condenser 1 Single Recpt Recessed Fixtures 25 CO Detectors 3 Sub Panel 200a A/C Blower 1 Range Recpt 1-40E Fluorescent Fixture Pumps Transformer Appliances1-dw Dryer Recpt 1-30 Emergency Fixtures Time Clocks Disconnect 200a Switches 25 Twist Lock Exit Fixtures 11 TVSS Omer Equipment: 5 -ARC fault circuit breakers Notes: Inspector Signature: Date: Nov 12 2014 81 -Cert Electrical Compliance Form.xls CERTIFICATION Date: S s Building Permit No. 3 $1 Z t Owner: 11/1 f— 'T��L U*kaZ,O (Please print) J(6q-ilr Plumber: �a� G ► 5 YY16 �l C OtC . ) h C (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of 20 h Notary Public4:F��ounty CONNIE D. BUNCH Notary Public, Stele of New York No. 01W61MW (aWMMW In SuffolkCountY�, I Gwnm"W Exp f" APro 14, s 0 (61 co -1017 TOWN OF SOUTHOLD BUILDING DEPT. 76S-1802 INSPECTION FOUNDATION I ST ROUGH PLUMBING FOUNDATION 2ND INSULATION FRAMING/ STRAPPING FINAL FIREPLACE& CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRWTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: DATE- -INSPECTOR79� -38'i%/� OF SOUj�,o�" t✓ h ,p TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1 ST ] FOUNDATION 2ND ] FRAMING/ STRAPPING ] FIREPLACE A CHIMNEY ] RRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) ] CODE VIOLATION REMARKS: [ ]ROUGH PLUMBING [ ]INSULATION [ ]FINAL I I FIRE PoSAF srEcrwN � Fln¢ am aerEnuma+ ULKI DATE INSPECTOR OF SOUjyO� cour l TOWN OF SOUTNOLD BUILDING pEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] UGH PLUMBING [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULK NO=:z REMARKS: DATE l� � INSPECTOR / j/ f4f s 0 v Coum, 1�0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION IST FOUNDATION 2ND FRAMING/ STRAPPING FIREPLACE & CHIMNEY FIRE RESISTANT CONSTRUCTION ELECTRICAL (ROUGH) CODE VIOLATION REMARKS: ROUGH PLUMBING INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION ELECTRICAL (FINAL) CAULKING DATE. -INSPECTOR pF S0(/j�o� I� ✓ ! CO (�p TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ) FRAMING/ STRAPPING [ ] FIREPLACE A CHIMNEY [ ) FIRE RESISTANT CONSTRUCTION ( ] ELECTRICAL (ROUGH) [ ] CODE VIOLATI N REMARKS: [ ] ROUGH PLUMBING [ ] INS ION [ INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) [ ] CAULKING DATE � INSPECTOR - f3F SOplyo � o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ [ ] FOUNDATION 2ND [ [ ] FRAMING/ STRAPPING [ [ ] FIREPLACE A CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ [ ] CODE VIOLATION [ ROUGH P BING ] INS,M ] FIRE UFM INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) ] CAULKING DATE � ` LIr INSPECTOR 3,s 7Ue---- TOWN ho�,rpF SOUl�o6 N die OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT ON [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE &CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE � INSPECTOR '�, CONMEMS �4 f ROUGH FRAMNQ & MW, kWA 1 ! STATE ENERGY • 1 1 r • �rj-/ W. , 0 TOWN OF SOUTHOLD UILDING DEPARTMENT OWN HALL OUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 20 Approved , 20 Disapproved a/c Expiration , 201 r »I NU I rl r►[� ING 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 Contact: Mall to: Bruce A. Anderson - Suffolk Env. Cons. Inc. P. O. Box 2003, Bridgehampton, NY 11932 Phone: 631-537-5160 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date February 27 2014 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary (Signature of applicant or name, if a corporation) P.O Box 2003, Bridgehampton, NY, 11932 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Applicant is acting as Agent for the Owner. Name of owner of premises John Mazur (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. Joseph H. Kollen, Jr. (631) 765-1747 Plumbers License No. _ Electricians License No._ Other Trade's License No. 1. Location of land on which proposed work will be done: 3655 Camp Mineola Road House Number Street County Tax Map No. 1000 Section 123 Subdivision (Name) Block 5 Filed Map No. Mattituck Hamlet Lot 35 Lot 2 3 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and Occupancy Single Family Residential b. Intended use and Occupancy Single Family Residential Nature of work (check which applicable): New Building Addition Alteration_ Repair Removal Demolition Other Work Repair Storm Damage (Description) 4. Estimated Cost $40,000 5. If dwelling, number of dwelling units If garage, number of cars N/A Fee (To be paid on filing this application) Number of dwelling units on each floor 1 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N/A 7. Dimensions of existing structures, if any: Front 30.3 Rear 30.3 Depth 48.3 Height20' Number of Stories 11/2 Dimensions of same structure with alterations or additions: Front Rear Depth Heightsame Number of Stories 8. Dimensions of entire new construction: Front same Rear Depth Height Number of Stories 9. Size of lot: Front 62 Rear 5978 Depth 199.40 10. Date of Purchase 1991 Name of Former Owner Mike Corwin 11. Zone or use district in which premises are situated R - 40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re -graded? YES NO X Will excess fill be removed from premises? YES NO X 14. Names of Owner of premises John Mazur Name of Architect Joseph Fischetti, P. E. Address POB 616, Southold, NY 11971 Phone No 631-765-2954 Name of Contractor Joseph Kollen Address 1205 Tuthill Road Ext., Southold, NY 11971 phone No. 631-765-1747 Address 94K Jefryn Blvd, Deer Park, NY 11729 phone No. 631-242-4554 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES X 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. STATE OF NEW YORK) SS: COUNTY OF SUFFOLK ) Bruce A. Anderson being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Agent - Suffolk Environmental Consulting, Inc. (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are 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 t�before me this Z% d of;jEAU41! j 20( %� tary Public Matthew D. Ivans Notary Publi, of Nc.w York No. 0 l 50538.59 Qualified in Suffolk County Commission Expires January 22, 20 17 Scott A. Russell SUPERVISOR SOUTHOLD TOWN HALL - P. O. Box 1179 Telephone #: (631) - 765 -1560 MICHAEL. COLLINS @TO WN.S OUTHOLD.NY.US °sUF't James A. Richter, R.A. Michael M. Collins' P.E. � p Q 53095 Main Road - SOUTHOLD, NEW YORK 11971 Fax #: (631) - 765 - 9015 JAMIE.RICHTER@TOWN.SOUTHOLD.NY.US Office of the Engineer Town of Southold STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET ( TO BE COMPLETED BY THE APPLICANT) PLEASE NOTE: All Contact & Project Information Requested by this FORM is Nessary for a Complete Application. APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) PROPERTY OWNER: (If �Different from Applicant) NAME: �iwcE� M �Mbgypv NAME: /ANN ADDRESS: 40/9/I '( 6004oMWAI1 C *.*)S./AV- ADDRESS: 9y/tC f Rya 8� va 09M ScoAl Y //721 /A�eNlts�l►��l�N ti+y //s,3Z Telephone Number: 451 s'5%-S%6y Telephone Number: 6,t/ ZyZ-y�3�y Completed Applications can be picked up at the Engineering Department after being notified by the Department, or; it can be Mailed to the Applicant with the submission of a Self Addressed 8.5" x 11" Envelope & Appropriate Postage. DATE: Property Address / Location of Construction Work: 364M 4 ft? AW MAOCA AMD S C T M #: 1000 /Z3 S .xr District Section Block Lot A* me Required Documents for Stormwater Review: Copy of Complete Building Permit Application. Stormwater Management Control Plan. (2 Sets) Note: SMCP's are required whenever Grading or Excavations exceed 5,000 S.F, when New Impervious Surfaces are created, and/or when existing Roof Systems, Driveways, Patios or other Impervious Surfaces are Re -Surfaced. De Minimis Projects will NOT be Subject to the Submission of a SMCP During the Stormwater Review! Note: These Projects would be Limited to Interior Renovations, Replacement of exterior Doors & Windows, Deck Construction with Loose Fit Decking, Installation and/or Modification of Mechanical Systems or other similar Work. A Complete Description of the Scope of Work Proposed under the Building Permit Application. A Completed Storm er Review ist. If No or NA are Indicated, Justification is Required. ** FOR NG DEPARTMENT USE ONLY **** eviewed By: Date: Ap roved: ❑ Ad iti al information Required: sUFFQ� $ CHAPTER 236 STORMWATER MANAGEMENT CONTROL PLAN CHECK LIST DATE: APPLICANT: (Property Owner, Desi n Professional, Agent, Contractor, Other) NAME: ��+tyti�Joiv J�i��K EA#0Wj WJjWAWW IANC. /�. S C T M #: 1000 /Z; ' 3s Telephone Number: 63/-537—.5/ io District Section Block Lot S M C P - Plan Requirements: The applicant must provide a Complete Explanation and/or validation of all Information Required by this Checklist if it has not been provided! 1. A Site Plan drawn to scale Not Less that G0' to the inch MUST show all of the following items: YE NO If You answered No or NA to any Item, Please Provide Justification Here! NA If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries b. Total Site Acreage. ie� c. Existing - Natural & Man Made Features within 500 L.F. of the Site Boundary as required by §236-1702). GN cs "Iv y As `` 10W e 6 K AJoLV6 d. Test Hole Data Indicating Soil Characteristics & Depth to Ground Water. //V / TLS e. Limits of Clearing & Area of Proposed Land Disturbance. - O 2m_�&M 4_*ZA4M t-OV-041WME f. Existing & Proposed Contours of the Site (Minimum 2• Intervals) 1°' (jig Ar //6L„~ A s -811A r g. Location of all existing & proposed structures, roads, driveways, sidewalks, drainage improvements & utilities. -s " va h. Spot Grades & Finish Floor Elevations for all existing & proposed structures. I. Location of proposed Swimming Pool and discharge ring. j. Location of proposed Soil Stockpile Area(s). k. Location of proposed Construction Entrance/Staging Area(s). I. Location of proposed concrete washout area(s). _E= -ir- W__ � M. Location of all proposed erosion & sediment control measures. 2. Stormwater Management Control Plan must include Calculations showing that the stormwater improvements are sized to capture, store, and infiltrate on-site the run-off from all impervious surfaces generated by a two (2") inch rainfall / storm event. 3. Details & Sectional Drawings for Stormwater practices are required for approval. Items requiring details shall include but not be limited to: a. Erosion & Sediment Controls. b. Construction Entrance & Site Access. c. Inlet Drainage Structures (e.g. catch basins, trench drains, etc.) d. Leaching Structures (e.g. infiltration basins, swales, etc.) 77 hUKNI " SW(_V l:hecK List - 1 UJ JAN ZU14 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 roger.richertCa'o`wn so t�lo9A.nv us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name:,q E Name: License No.: 3 I y Address: i 1 1eAc -e Qq 1(7A Phone No.: Co 7 1) JOBSITE INFORMATION: (*Indicates required information) *Name: Yh ,4—' 4 u *Address: '3(1015 &13a -a- ✓h I Q l .4, I -CA 1T7 ATT,-ft.,C_'f c'k *Cross Street: &1_1 GK- *Phone No.: - Permit No.. Tax -Map District: 1000 Section: _ Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) �t PCS Le cv Li-te c C_ r' (Please Circle All That Apply) *Is job ready for inspection: NO Rau h i Final *Do. you need a Temp Certificate: ! NO 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 82=Request for Inspection Form C_ APPLICATION a PACE I of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION 'Phis form is to be filled out in duplicate. SECTION i GENERAL PROVISIONS (APPLICANT to read and sign): i. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re -issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. S. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S Sff,*ATURE$8 - )Jk DATES/�/f 4— E ON 2: PROPOSED DLOPMENT be com i ted v APPLI NAME AD D R ESS TELEPHONE APPLICANTst``-. l"" . IL0931- � ctt �hr icy 6 9001 , BUILDER I -LoS ''1'� '�� I�O�..l� q%t a—.—. _ _ �.. I t c't'1 l le ENGINEER Tvst'►t �,Sc�tt�t sa..t�tw.t0 N lei 1 14 2RSN PROJECT LOCATION: To avoid delay in processing the application, please provide enoueb information to easily identify the project location. Provide the street address, tot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. FDP(93 ) G tJf+�P tl�t NtlO Lw N�"ra J w+-� � e APPLIGATIOF< PAGE 2 OF,' --- DESCRIPTION OF WORK (Cbecl all applicable boxes): A. STRUCTURAL_ DEVELOPMENT ACTIVITY STRUCTURE TYPE O New Structure W'Residen6al (1-4 Family) O Addition O Residential (More than 4 Family) O Alteration O Non-residential (Floodproofng? O Yes) O Relocation O Combined Use (Residential & Commercial) O Demolition O Manufactured (Mobile) Home (in Manu - 0 Replacement factured Home Park? O Yes) ESTIMATED COST OF PROJECT S `t13 'coo • O a B. OTHER DEVELOPMENT ACTIVITIES: O Fill O Mining O Drilling O Grading O Excavation (Except for Structural Development Checked Above) O Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage improvements .(including Culvert Work) O Road, Street or b"Aage Construction O Subdivision (New or Expansion) O Individual Witer or S.eyfr System O Other (Please Specify) S%•,P. yr,_Ls.AAA After completing SECTION 2, APPLICANX should submit form to Local Administrator for review. SECTION 3: FLOODPLAW DETERMINATI N o e corn Ictcd by iACAL ADMIN? RAT R The proposed development is located on FIRM Panel No. Dated The Proposed Development: O Is NOT located in a Special Flood Hazard Arca (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). O Is located in a Special Flood Hazard Arca. FIRM zone designation is 1110 -Year flood elevation at the site is: Ft. NGVD (MSL) O Unavailable O The proposed development is located in a floodway. FBFM Panel No. Dated - 0 Scc Scction 4 for additional instructions. SIGNED DATE APPLICATION a. _ PAGE 3 OF a SECTION 4- AQQ1T1NAL INFORMATION REQUIRED To he completed by LOCAL ADMINISTRATOR The applicant must submit (tic documents checked below before the application can be processed: O A site plan showing the location of all e:dsdag structures, water bodies, adjacent roads, lot dimensions and proposed development. O Dcvclopment plans, drawn to scale, and specifications, including where applicable: details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the first floor, details of floodprooftng of utilities located below the first floor and details of enclosures below the first floor. O Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100 -year flood elevations if they are not otherwise available). O Plans showing the extent of watercourse relocation and/or landform alterations. © Top of new fill elevation Ft. NGVD (MSL). O Floodproofmg protection level (non-residential only) Ft: NGVD (MSL). For ❑oodpr �:. L . oofed structures, applicant must attach certification from registered engineer or architect. ❑ Certificat�t n from a registered engineer that the proposed activity in a regulatory flood -ay will not result in any increase in the height of the 100 -year flood. A copy of all data and calculations supportins this finding must also be submitted. ❑ Other: SECTIO5 PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR N) I have determined that the proposed activity. A. O Is _ B. O Is not in conformance with provisions of Local Law # . 1.9 The permit is issued subject to the conditions attached to and made part of this permit. SIGNED ,DATE If BOX A is checked. the Local Administrator may issue a Development Permit upon payment of designated fee. if BQX 8 is checked. the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. APPElaLS Appealed to Board of Appeals? O Ycs Hearing date: Appeals Board Decision --- Approved? Coodilio O No ❑ Yes O No APPLICATION a _ PAGE 4 OF 4 SECTION ION 6: AS -BUILT ELEVATIONS fTo be submitted by APPLICANT' before Certificate of Comnliancc is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a Licensed land surveyor (or attach a certification to this application). Complete I or 2 below. 1. Actual (As -Built) Elevation of the top of the lowest floor, including basement fin Coastal High Hazard to , bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As -Built) Elevation of floodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPP-CTIONS: DATE BY DEFICIENCIES? O YES ONO DATE BY DEFICIENCIES? O YES O NO DATE BY DEFICIENCIES? O YES ❑ NO SECTION 8 CERTIFICATE OF C„QMPLIANCE(To be eomnIc, cd by LOCAjADMINISTRATORl . Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (O" ER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: OWNERS NAME AND ADDRESS: PERMIT NO. PERMIT DATE CHECK ONE: O NEW BUILDING Cl EXISTING BUILDING O VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HE, CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19AS MODIFIED BY VARIANCE # , DATED SIGNED• DATED: C/C(93) 02/2712014 11:08 6313921223 JOHN J MAZUR INC PAGE 01/01 OWNERS ENDORSEMENT (TO BE SIGNED IF APPLICANT IS NOT OWNER) STATES OF NEW YORK ) COUNTY OF NEW YORK) ss: John Mazur being duly sworn, deposes and says; they reside at: 3655 Camp Mineola Road, Mattituck, NY. 11952 In the County of Suffolk and the state of New York, and are the (owners in fee) (officer/agent of the Corporation which is owner in fee) of the premises described in the foregoing application and that T have authorized. Suffolk Environmental Consulting. Inc. to mAe the foregoing application as described herein. Signature — - LOFWWMWPCXA If CorporAtion, name of corporation and Officet NGfNY PWW- SWO of Naw York QWMd In fyavau Cc" N4.011.�16149413 M!►� orna�ao„T Officer's Title Before me, this day of ;a��uybI�c Joseph Kallen Enterprises, Inc. i..ft't Ill r'sf l"" f tJJ!!R"r! 1205 Tuthill Road Ext. Southold, NY 11971 631.765.1747 ph 631.765.5003 fx s km ktuoptrmline. ne t jkcAlen5,`n gmail.com Mr. John Mazur Januar" 2K. 101.1 94K Fast Jefr%n Bled. Deer Park, NY 11 72,L) 71144120 jj.nttvurrx johnjmazur.c4�nt Job Site: 3055 Camp Mineola Rtwad \1atIitttck, 11 11952 i)emaliti43n: Remove first tloor completc duc to ►.atcr damage from coasml :storm. l his includes all trims, wallNyard, Paneling. insulation. interior doors. fl(Wring. bathrcKant, kitchen cabinets aatd mechanicals. Dispose of all debri* using; duntpsters lilaeed on site. Clean 1 � p: I irst floor and crawl space Nill be clearted and sanitized. All seater scwkcd areas �c111 be dried and addressed :Ls necessan . Electric: Existing eltorical panel and breakers till he tested. All submerged %% Ming. receptacles and switches will be replaced with ne%%_ This includes all exterity and interior wiring in waall% ;and crtwisfx e. HVAC Duct. I.Aisting duct work till to replaced as ncces ar} (XIM°o NN duct) due it) mold and moisture. ]'tie existing air handler %sill remain. Heating System: The existing Ixiiler will be renxrved and dis{x)ied of in dumpster ext site. A nc%% tour 14► section (model M11114) Pecrlcss tu,iler %0l NC supplied and installed with tour (41 Tones. A new 40 gallon indirect Super Stor fmodel SSUAO) %w ill t►e connected 14) the tic%\ txailer to provide hitt water. This includes all piping and controls to complete imtaallati411. All first flexor haschoard heat "ill he replaced using Slant Fin ;[►. All /ones kill hr tilled with non tnvic anti -freeze including a ix kllocc pre%eitter. Insulation, Shi truck & slmcklc All exterior walls to he re -insulated using R-15. '1 lie first tltwor will he insul;awd using~ R-10 insulation %%ith vapor harrier. All walls and ceilings v% ill tae sheetrockcd usttag ":" shccirock_ 13athr«+wn %valis will her %hectrocked using; >" mold and moisture resistant shcetro ck. All new sheetrock %%ill toe taped and spacklcd three. I3! coals, rends liu Paint, Existing bailer r%oorn will be sliectrtxked using; 5'8" tire code shecirock. 'l apc and pnc:ldc 4mw f. l ► coal. Flooring;: All flooring: on tirst floor %will be replaced using 1" x 4" white soak tlntoring!. Sand new floor and apph one 1 I ) coat stain and three f?! etaats "tratlic" ptol%urethane. kitchen & Bathroom Cabinets: Supply and in<tall nc%v kitchen cahinrts in kitchen and bathrtvin. '%le%% cabinets will tv installed in s;amr I<c atiron ati existing. Door -.t% le and species will match exiqinv as close as ptossible. Cabinets tier kitchen and hathroorn are included as an :allowance of S15.000,0Q This includes all muisiti(?nal carlvntn and mcrldinis it, complete kitchen. Kitchen: All new kitchen appliances arc included as an allowarxc of S5(t)O and %%ill be replaced, installed and hix►ked tap with comparable appliances to match existing. All plumhing Fixture~ will be supplied and re -installed and replaced if nece%%.ir%. ('counter tops. :arc included as an allmNance o1 S1411,100) for latxor and materials. Trim: All removed trim ►%ill be replaced using clear "slainablc" molding oto match existing. This includcs .all pre - hone down -N, %%indo%% easing ,ane[ hast moldings. All details will na;atcla rxistim. . Bathrt►r►m: the hathrax►m Ilxor will be replaced %%ith nc%% the and grout. I Ile, grout and marhlc finishing materials are included as an allowance (4120 W.00, l.atx>r is included in this proposal. All tixttrrt:s will tot rr*et_ tested and repaired or replactYl if nrecsa:ary. Porch"-. The rear ptoreh and front cnirti tkavrs %%ill be replaced and rr-trinani-M. Dcxor st%les antii hardware will match existing. the porch chows %%ill Fn repaired as necessary and %%ill he st:ainud and re -Finished to match exi ting as c1t>sc as Ixossihle. All entr% steps and rifling t%► N. in-p,PC IL'd and repaired as necCgar}. Painting: Painting on the first floor includes stair%%ell to second floor — .tpplx coni t l t coat primer and two 12) top coats using [krijamin NIcx►rc "Regal" paint. All trim %%ill t>< stained one I 1 t coat ;and t%%o t_') mats Ii,ol%urethane will be applied, Sub -Total: S 77.500-00 _Wo►rcrm vc Kitchen K Bathrcxom cabinets: S 15.10).00 Dile, grout and marble finishing pieces: S IIX,10_00 Kitchen appliances: S S,tNlt).UO Counter tblos. S �.IM.NI.tN'1 TOTAL. MATERIALS & LABOR: S1103.Slf+Il.1N1 PAYMFNT `+C HVDt L.E.: 1'1, upon lignin : S3.4,i Zmo I '3 upon hall imiriplrtion: S 34..%t.M.►At1 1'3 upon finish: S34.5fM1.GG ADDITIONAL COMMENTS: In the cvcnt that during the ahovc descrihcd operations, any condition is iiiund to exist %%hich must he remedied heli+re or rations can continue, an additional charge to affmt a remcd% ma% he charged, separate firom that yui►ted in this prcq►c►sal_ Said charge +gill he negotiated by Joseph Kollen Imterpriws Inc._ and approved by the hlwnrowner in witing txfore operation will continue. Joseph Kollen Enterprises Inc. i,, Ill learn the job in a broom -cleaned condition. Joseph Kallen Enterprises Inc. %%tll mit he held responsible for any resix►nsihlc wear and tear or damages to the N-micowner's pre lvrt% duo to normal %perking conditions. (II.: sa%%dust. %%o tid chips, footmarks. et#.� 1 All inalerials and labor are vuwanteed to tk as previously specified and operations %%ill t►c completed In a substantial and %rorkmanlike manner in accordance %%ith the specifications outlined in this proposal. This price as spwcitied is ruarantccd for thirty da}s tram date of -this prorx)) sal. Operations %%ill conunence ern or about 2014 and %rill tx completed on or aix►ut .201-1, Any modilicution% or deviation% from ah)%e specifications invol%inv, ,ulditional charge; N% Ill he evectitcd only upxn %%ritten orlon, and will have an extra cost, irnmediatet% pa,.ahle in 1.1111, orcr and iN)\c the cost outlined in this proposal. Cwaomer kr ill he respl►nsihle for all legal costs to collect on unpaid invoices. All agn:entents are contingent upon strikes. accidents and.or delays beyond our control. Dire. tornado anit other insurance are to he curried h% the homeowner on the uhove Work. t'uhlic hahility and workman's ccbnpcns.aticn ins.urince are to the rrspt,nslhlltq of Joseph Kellen Fmerprlsrs Itiv. Resrvc•ttull% Isuhmitted. o i 11, Kellen Jr. i JpJ1 Kallen I.nierprises Inc. INLAND HOMES, INC. CUSTOM HOME BUILDERS Building Inspector Southold Building Dept. Main rd. Southold,N.Y.,11971 Ref;Sandy Storm Repairs,3655 Camp Mineola rd.,Mattituck,N.Y.,11952 BP#38721 BOX 117 315 WESTPHALIA ROAD MATTITUCK, N.Y. 11952 631 - 298-9696 Fax 631 - 298-9697 2/3/14 Because of window damages to the above referenced home.The windows on the first floor sun porch will have to be changed.(southside)We will be removing twelve Pella windows and Replacing with twelve Andersen windows as described below. 12 -Andersen TW 3056,400 series High performance low E glass,Equa1 sash,White exterior,Clear Pine interior, Ratedas follows; Zone -North central U factor -0.30 Shgc-0.31 Energy star qualified -Yes Existing framing will remain intact,Existing headers will remain intact Patching in cedar shingle siding 40 To 1 rig* Inland Homes Inc. I j ilu JUN "5 2014 06104/2014 13:06 JUNE 4, 2024 6312424093 BUILDING DEPARTMENT SOUTHOLD, NEW YORK JOHN MAZUR INC REF: PERMIT # 38721 - SELECTION OF CONTRACTOR_FOR JOB PLEASE BE ADVISED THAT THE OWNERS OF THE HOME AT 3655 CAMP MINEOLA ROAD, MATTITLICK, NY HAVE CHOSEN INLAND HOMES, INC. TO COMPLETE THE WORK THAT WAS ORIGINALLY IN PROPOSAL FROM JOSEPH KOLLEN ENTERPRISES, INC. SINCERELY, JOHN . MAZUR J , D ALICE MAZUR PAGE 01 _�/,/ �cdieX, X6,, SECB PROFESSIONAL ENGINEER 1725 HOBART ROAD /PO Box 616 SOUTHOLD, NEW YORK 11971 TEL: 631.765.2954 • FAX:631.614.3516 - e-mail: joseph@fischetti.com Date: 3 February 2014 Reference: Storm Repairs 3655 Camp Mineola Building Inspector Southold Building Department Main Road Southold, NY 11971 Dear Sir, Because of damages to the above referenced home during the hurricane Sandy event we are requesting a Building Permit for Storm Repairs. Following FEMA guidelines I have obtained an appraisal for the structure as prior to the hurricane damage. Richard Abetelli completed the appraisal dated January 24, 2014. That appraisal was for $300,810.00 A copy of that appraisal is attached. Joseph Kollen Enterprises, Inc. completed a detailed proposal for the storm damage repairs. The proposal follows FEMA guidelines for storm damage repairs except that Kollen included kitchen appliances. Only built-in appliances should be part of the storm repair cost. The proposal contained $5000.00 allowance for appliances which should be deducted from the total proposal. The repair proposal from Kollen was for $103,500.00. Deduct the $5,000.00 for the appliances brings the total storm repair cost to: $98,500.00 The percentage calculation of the repair cost to the appraised value is: $98,500/$300,810 = 32.7%: this is less than the 50% of the appraised value, which would trigger the structure to be brought to FEMA compliance. If you have any questions on this matter please contact me. Mazar FEMA letter w To—do- BOARD CERTIFIED IN STRUCTURAL ENGINEERING Summary Appraisal Report Richard W. Abatelli UnifOrm Residential Annraical Rpnnrt File No.1ANF4102000 Pa a #2 Private Appraisal nen r�ivrwwcwvw Tbb u ase of this summary appraisal report Is to provide the lender/client with an accurate and adequately supported, opinion of the market value of the subject property. fro a Address 3655 CaMID lilneola Road C MINVItuck Borrower John Mazur Owns? of Slate N.Y. rl Ode Aublio Reooid Mazur vounty 5UrrO1K Le ai Descri tion 1000-123.00-05.00-35.000 Assessor's Parcel # also known as 75 Kraus Road Mattituck NY 11952 Tax Year 2012 incl Equalization rate R.E. Taxes $ 8,666.86 Neighborhood Name Mattituck RAnn Reference Ha 25 K37 Census Tract Occupant X Owner ❑ Tenant ❑ Vacant Special Assessments $ ❑ PUD HOA $ Pro a Rights Appraised Fee Simple El per ear F1 per month ❑Leasehold ®Other describe AssignmentType ❑ Purchase Transaction ❑ Refinance Transaction ® Other describe Estimate of market value excluding land value as of 12/20/2013. Lender/Client for. Joseph FischettilPE Address 1725 Hobart Road Southold NY 11971 Is the sub ect property currently offered for sale or has it been offered for sale in the twelve months prior to the effective date of this appraisal? ❑ Yes N No Report data sources used, offerin price(s), and date(s). n/a I LJ did ❑ did not analyze the contract for sale for the subject purchase transaction. Explain the results of the analysis of the contract for sale or why the analysis was not performed. n/a : Contract Price $ n/a Date of Contract n1a Is the property seller the owner of public record? ❑ Yes ❑ No Data Source(s) Is there any financial assistance (loan charges, sale concessions, gift or downpayment assistance, etc.) to be paid by any party on behalf of the borrower? ❑ Yes �. 1 No If Yes, report the total dollar amount and describe the items to be paid. n/a Note: Race and the rade) composition of the neighborhood aro not sippralsel fecton. Location ❑ Urban ® Suburban ❑ Rural Proa Values ❑ Increasing ® Stable ❑ Declining PRICE AGE One -Unit 91% Bufft-U ❑ Over 75% ® 25-75% ❑ Under 25% Demand/Su I ❑ Shortage ® In Balance Over Supply $ 000 2-4 Unit 3% Growth ❑ Rapid Stable ❑ Slow MarketingTime Under 3 mths ® 3-6 mths ❑ Over 6 mths 195 Low 1 Multi-Family1 % Nei hborhood Boundaries See attached addenda. 2350 High 99+ Commercial 4 % 382 Pred. 39 Other 1 % Neighborhood Descri tion See attached addenda. Market Conditions (including support for the above conclusions See attached addenda. Dimensions 62'x210'x60'x214 Area 0.23Acres Shape Rectangular View Ba Specific Zoning Classification R40 Zoning Description Low density, minimum 40 000sf site 150' width 175' depth Zoning_ Compliance Z Legal Legal Nonconforming Grandfathered Use ❑ No Zoning Illegal describe Is the highest and best use of subject property as improved or as proposed per plans andspecifications) the present use? ® Yes ❑ No If No, describe Utilities Public Other (describe) Public Other (describe) Off-site improvements - Type Public Private Electricity ® ❑ 250V Water M ❑ Street Macadam x Ll Gas ❑ ❑ None Sanitary Sewer ❑ [9 Septic System Alley None ❑ L_] FEMA Special Flood Hazard Area ® Yes ❑ No FEMA Flood Zone AE FEMA Map # 36103CO482G FEMA Map Date 01/08/2014 Are the utilities and off-site Improvements typical for the market area? ® Yes ❑ No If No, describe Are there an adverse site conditions or external factors easements, encroachments, environmental conditions, land uses, etc.)? El Yes ®No ti Yes, describe Units One ❑One with AccessoryUnit EJ Concrete Slab ®Crawl Space Foundation Walls Concrete BIWAv Floors Vin I C t Wood/A # of Stories 1.66 Full Basement ❑Partial Basement Exterior Walls Frame-Wood/AvgWalls Drywall, wood/Av Type �i Det. ❑Att. ❑ S-Det/End Unit Basement Area s .ft. Roof Surface Asp. ShinTrim/Finish Wood/Average Existing ❑ Proposed Under Const. Basement Finish n/a % Gutters & Downspouts Copper/Average Bath Floor Tile/Average Desi n S e Ca Cod ❑ Outside E /Exit ❑ Sum Pum Window T Double Hun Av Bath Wainscot n/a Year Built 1930s; Evidence of ❑ Infestation Storm Sash/Insulated Yes-Yes/Average Car Storage X None 1Effective Age(Yrs) 9 Dam ness F1 Settlement Screens Yes/Good Driveway # of Cars 3 Attic None Heating FWA IM HWBB Radiant Amenities Woodstove s # Driveway Surface Stone ❑ Drop Stair Stairs ❑ Other I Fuel oil Flrelaces # 1 Fence Stairs+vAk El Garage # of Cars ❑ Floor X Scuttle Cooling Central Air Conditioning Patio/Deck Stone Porch Enclosed ❑ Carport # of Cars Finished Heated Individual Other 1LJ Pool Z Other Bulkhead LJ Att. 0 Det. Built-in Appliances ® Refrigerator Z Range/Oven Z Dishwasher Disposal Z Microwave Z Washer/Dryer El Other describe Finished area above grade contains: 8 Rooms 4 Bedrooms 2.5 Baths 2,187 Square Feet of Gross Living Area Above Grade Additional features (special energy efficient items, etc.. Central air conditionin • hot water heater 60' bulkhead; wood walkwaY with stairs to beach-, stone patio; attached shed. Describe the condition of the property Oncludingneeded repairs, deterioration, renovations, remodeling, etc.. Physical depreciation is both 'curable" and "Incurable". It is the appraisers opinion that subjects effective age, based on his observation of the improvements updated interior is equal to 9 ears. His estimate for remaining economic life is 60 years or its physical depreciation is equal to 15 %. Functional depreciation is equal to 2% since one of the bedrooms does not have a closet although its size is large and a closet or piece of fumiture used as a closet could easily be constructed. There is no Extemal depreciation. Are there any physical deficiencies or adverse conditions that affect the livability, soundness, or structural integrity of the property? ❑ Yes X No If Yes, describe Does the property generallyconform to the neighborhood functional utility, style, condition, use; construction, etc.)? ® Yes ❑ No If No, describe Freddie Mac Form 70 March 2005 Page 1 of 6 Form 1004 — "TOTAL for Windows' appraisal software by a la mode, Inc. —1-800-ALAMODE Fannie Mae Form mu4 wimull cvvv inere are comparable properties c there are com cable sales in the FEATURE SUBJE( Address 3655 Camp Mineola Road Mattituck N.Y. 11952 Proxim!N to Subject Sale Price E$t Sale Price/Gross Liv Arm Sales or Financing Concessions Date of SaleMme Site View Desi n S Quality of File No. 1ANF410200 Pa a #3 Private Appraisal Uniform Residential Appraisal Report File# 1ANF41020004 My offered for sale in the subject neighborhood ranollnu in Pdoo from $ —to ect neighborhood within the past twelve months ran in in sale pdce from $ 10$ COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 +(-) $ Adjustment j DESCRIPTION F+ Above Grade Total Room Count 8 Bdrms. Baths Total Bdnns. Baths Total JBdrms.J Baths Total Bdrms.1 Baths 4 1 2.5 Gross Living Area 2,187 s .ft. s .ft. s .ft. s .ft. Basement & Finished Rooms Below Grade n/a Functional Utility Heating/Cooling Energy Efficient items : Garage/Carport ' Porch/Patio/Deck " • Net Adjustment(Total) ❑ + ❑ - $❑ + ❑ - $ ❑ + ❑ $ Adjusted Sale Price Net Adj. % Net Adj. % JNet Adj. % - Of Com arables Gross Adj. % $ Gross Ad . %.$ 1 Gross Adj. % $ I did did not research the sale or transfer history of the subject property and comparable sales. ti not, explain My research ❑ did ❑ did not reveal any prior sales or transfers of the subject property for the three years prior to the effective date of this appraisal. Data Source(s) My research ❑ did ❑ did not reveal any prior sales or transfers of the comparable sales for the year prior to the date of sale of the comparable sale. Data Source(s) Report the results of the research and analysis of the prior sale or transfer history of the subject property and com arable sales (report additional prior sales on page 3). ITEM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLE SALE #3 Date of Prior Sale/Transfer Price of Prior Sale/Transfer Data Source(s) Effective Date of Data Source(s) Analysis of prior sale or transfer history of the subject property and comparable sales Summary of Sales Comparison Approach Indicated Value by Sales Comparison Approach $ Indicated Value by: Sales Comparison Approach; Cost Approach of develo �` ' ,_� < = Income Approach (If developed) $ n/a • This appraisal is made ® "as Is", ❑ subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been completed, ❑ subject to the following repairs or alterations on the basis of a hypothetical condition that the repairs or alterations have been completed, or ❑ subject to the • following required inspection based on the extraordinary assumption that the condition or deficiency does not require alteration or repair: " Based on a complete visual Inspection of the interior and exterior areas of the subject ropy, defined scope of work, statement of assumptions and limitingconditions, and appraiser's certification, my (our) opinion of the market value, as defined, of %re real property that Is the subject of this report Is 300,810 as of December 28 2013 which Is the date of Inspection and the effective date of thio appraisal. Freddie Mac Form 70 March 2005 Page 2 of 6 Fannie Mae Form 1 uu4 Marcn zuuo Form 1004 — "TOTAL for Windows" appraisal software by a la mode, Inc. —1-800-ALAMODE Uniform Residential Aooraisal Report File No.1ANF410200 Pa a #4 Private Appraisal Fna# 1ANFAiMnnnA See attached addenda for SCOPE OF WORK. COST APPROACH Cost Approach toValue : The base cost method estimates replacement cost for our report, i.e. the cost to build a similar structure using currently accepted materials and construction methods. Cost factors are developed from actual market data. Besides direct costs such as labor, materials and contractors profit & overhead cost factors Include indirect costs necessary for a finished Product, for instanceplans and specifications, building permits, advertisina, sales commissions insurance and construction financing. The appraisers estimate of replacement cost for the subjects improvement is a three step process: 1 Identification - Class of construction and exterior wall material must be determined by the appraiser. The living area of the residence is that area which is suitable and normally designed for full time living. Living area is calculated from the exterior dimensions without the need to adjust for exterior wall thickness. Only the floor area with a ceiling height of 6' or more in our subject was considered. Base cost tables used "RSMeans Residential Cost Data"show the base cost per square foot without a basement with one full bath one half -bath forced hot air heat and air • conditioninci and one full kitchen for subjects class of construction. Adjustments for various items are added as shown in this report. (2)Listing dimensions - Only the dimensions used to calculate the horizontal area of the building and additions were used. •(3)Calculations- 3 Calculations - This This portion of the process is a two-steD activity: a Thea raiser selects the appropriate costs from the Cost Data tables. b Com utations. ide ade uate information for the lender/client to re licate the below cost fi ures and calculations. ort for the o inion of site value summ of com arable land sales or other methods for estimatin site value n/a I IMATED ❑ REPRODUCTION OR ® REPLACEMENT COST NEW OPINION OF SITE VALUE..................................................................... _$ rce of cost data RSMeans Residential Cost Data: 2013 DWELLING 2187 S .Ft. @ $ 144.18 ........... _$ 315 322 l' ratio from cost service AAA Effective date of cost data 042013 Crawl S ace S .Ft. @ $ 0.00 ..........._ _$ ments on Cost Approach(gross living area calculations, depreciation, etc. 92 ..... - _$ 47,099 See attached addenda. Garage/Carport: 0 S .Ft. @ $ 0.00 ............. _$ • Total Estimate of Cost -New .... .._ .. _$ 362,421 Less Physical I Functional Extemal Depreciation 54,3631 7,2481 =$ 61,611) Depreciated Cost of Improvements ....._.._.__....___...._..:.......__...._ _$ 300,810 "As -is" Value of Site Improvements ..._.........__........._.__........ ... _$ Estimated Remainin Economic Lif HUD and VA on 51 Years I INDICATED VALUE BY COST APPROACH . _...._....................... .......... _$ 300 810 • Estimated Monthly Market Rent $ n/a X Gross Rent Multi tier n/a = $ n/a Indicated Value by Income Approach Summary of Income Approach(Including support for market rent and GRM This Approach was not utilized for the purposes of this report. Is the developer/builder in control of the Homeowners' Association (HOA)? ❑ Yes ❑ No Unit e s ❑ Detached ❑ Attached Provide the following information for PUDs ONLY if the developer/builder is in control of the HOA and the sublect property is an attached dwelling unit. Legal Name of Project Total number of phases Total number of units Total number of units sold • Total number of units rented Total number of units for sale Data source(s) - Was the project created by the conversion of existing building(s) into a PUD? ❑ Yes ❑ No If Yes, date of conversion. Does the project contain any multi-dwellingunits? ❑ Yes ❑ No Data Source Are the units, common elements, and recreation facilities complete? ❑ Yes ❑ No If No, describe the status of completion. Are the common elements leased to or by the Homeowners' Association? ❑ Yes ❑ No If Yes, describe the rental terms and options. Describe common elements and recreational facilities. Freddie Mac Form 70 March 2005 Page 3 of 6 Form 1004 —"TOTAL for Windows" appraisal software by a la mode, Inc. —1-800-ALAMODE Fantle Mae Form I 664 wadi cu cu�a Fle No.1ANF410200 Pae #5 Private Appraisal Uniform Residential Appraisal Report File# 1ANF41020004 This report form is designed to report an appraisal of a one -unit property or a one -unit property with an accessory unit; Including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a manufactured home or a unit in a condominium or cooperative project. This appraisal report is subject to the following scope of work, intended use, intended user, definition of market value, statement of assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended use, intended user, definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's continuing education or membership in an appraisal organization, are permitted. SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the reporting requirements of this appraisal report form, including the following definition of market value, statement of assumptions and limiting conditions, and certifications. The appraiser must, at a minimum: (1) perform a complete visual inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis, opinions, and conclusions in this appraisal report. INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the subject of this appraisal for a mortgage finance transaction. INTENDED USER: The intended user of this appraisal report is the lender/client. DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he or she considers his or her own best interest; (3) a reasonable time is allowed for exposure in the open market; (4) payment is made in terms of cash in U. S. dollars or in terms of financial arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions* granted by anyone associated with the sale. *Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgment. STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification In this report is subject to the following assumptions and limiting conditions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it, except for information that he or she became aware of during the research involved in performing this appraisal. The appraiser assumes that the title is good and marketable and will not render any opinions about the title. 2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements. The sketch Is included only to assist the reader in visualizing the property and understanding the appraiser's determination of its size. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in this appraisal report whether any portion of the subject site Is located in an Identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. 4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand, or as otherwise required by law. 5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of during the research involved in performing the appraisal. Unless otherwise stated in this appraisal report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, this appraisal report must not be considered as an environmental assessment of the property. 6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will be performed in a professional manner. Freddie Mac Form 70 March 2005 Page 4 of 6 Fannie Mae Form 1004 March 2005 Form 1004 — "TOTAL for Windows' appraisal software by a la mode, Inc. —1-800-ALAMODE Private Appraisal Uniform Residential Appraisal Report File# 1ANF41020004 APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that,. 1. 1 have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in this appraisal report. 2. 1 performed a complete visual inspection of the interior and exterior areas of the subject property. I reported the condition of the improvements in factual, specific terms. I identified and reported the physical deficiencies that could affect the livability, soundness, or structural integrity of the property. 3. 1 performed this appraisal in accordance with the requirements of the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 4. 1 developed my opinion of the market value of the real property that is the subject of this report based on the sales comparison approach to value. I have adequate comparable market data to develop a reliable sales comparison approach for this appraisal assignment. I further certify that I considered the cost and income approaches to value but did not develop them, unless otherwise indicated in this report. 5. 1 researched, verified, analyzed, and reported on any current agreement for sale for the subject property, any offering for sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report. 6. 1 researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the date of sale of the comparable sale, unless otherwise indicated in this report. 7. 1 selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property. 8. 1 have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home that has been built or will be built on the land. 9. 1 have reported adjustments to the comparable sales that reflect the market's reaction to the differences. between the subject property and the comparable sales. 10. 1 verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in the sale or financing of the subject property. 11. 1 have knowledge and experience in appraising this type of property in this market area. 12. 1 am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing 'services, tax assessment records, public land records and other such data sources for the area In which the property is located. 13. 1 obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from reliable sources that I believe to be true and correct. 14. 1 have taken Into consideration the factors that have an impact on value with respect to the subject neighborhood, subject property, and the proximity of the subject property to adverse influences In the development of my opinion of market value. I have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the subject property or that I became aware of during the research involved in performing this appraisal. I have considered these adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and marketability of the subject property. 15. 1 have not knowingly withheld any significant information from this appraisal report and, to the best of my knowledge, all statements and information in this appraisal report are true and correct. 16. 1 stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the assumptions and limiting conditions in this appraisal report. 17. 1 have no present or prospective Interest in the property that is the subject of this report, and I have no present or prospective personal interest or blas with respect to the participants in the transaction. I did not base, either partially or completely, my analysis and/or opinion of market value in this appraisal report on the race, color, religion, sex, age, marital status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law. 18. My employment and/or compensation for performing this appraisal or any future or anticipated appraisals was not conditioned on any agreement or understanding, written or otherwise, that I would report (or present analysis supporting) a predetermined specific value, a predetermined minimum value, a range or direction in value, a value that favors the cause of any party, or the attainment of a specific result or occurrence of a specific subsequent event (such as approval of a pending mortgage loan application). 19. 1 personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. If I relied on significant real property appraisal assistance from any individual or individuals in the performance of this appraisal or the preparation of .this appraisal report, I have named such individuals) and disclosed the specific tasks performed in this appraisal report. I certify that any Individual so named Is qualified to perform the tasks. I have not authorized anyone to make a change to any item in this appraisal report; therefore, any change made to this appraisal is unauthorized and I will take no responsibility for it. 20. 1 identified the lender/client in this appraisal report who Is the individual, organization, or agent for the organization that ordered and will receive this appraisal report. Freddie Mac Form 70 March 2005 Page 5 of 6 Fannie Mae Form 1004 March 2005 Form 1004 —'TOTAL for Windows" appraisal software by a la mode, Inc. —1-800-ALAMODE Mile No. 1ANF410200 Pae #7 Private Appraisal Uniform Residential Appraisal Report File# 1ANF41020004 21. The tender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request M the borrOWer; the mortgagee or Its successors and assigns; mortgage insurers; government sponsored enterprises; otner secondary market participants; data collection or reporting services; professional appraisal organizations; any department, agency, or instrumentality of the United States; and any state, the District of Columbia, or other jurisdictions; without having to obtain the appraiser's or supervisory appraiser's (if applicable) consent. Such consent must be obtained before this appraisal report may be disclosed or distributed to any other party (including, but not limited to, the public through advertising, public relations, news, sales, or other media). 22. 1 am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws and regulations. Further, I am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government sponsored enterprises, and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that involves any one or more of these parties. 24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings); or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any intentional or negligent misrepresentations) contained In this appraisal report may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that: 1. 1 directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 2. 1 accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 3. The appraiser identified in this appraisal report Is either a sub -contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisal under the applicable state law. 4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. APPRAISER Ri"chard W. Signature lC� Name Richard . Abatelli Company Name Abatelli Appraisal Service Company Address 33150 Main Road P.O.Box 472, Cutchogue, NY 11935 Telephone Number 631.734.6000 Email Address richardabatell!Oamail.com Date of Signature and Report January 24 2014 Effective Date of Appraisal December 28 2013 State Certification # 45000022032 or State License # or Other (describe) State # State New York Expiration Date of Certification or License 11/21/2014 ADDRESS OF PROPERTY APPRAISED 3655 Camp Mineola Road Mattituck N.Y. 11952 APPRAISED VALUE OF SUBJECT PROPERTY $+fw_, ; 27 LENDER/CLIENT Name Company Name for: Joseph Fischetti PE Company Address 1725 Hobart Road Southold, NY 11971_ Email Address SUPERVISORY APPRAISER (ONLY IF REQUIRED) Signature Name Company Name Company Address Telephone Number Email Address Date of Signature State Certification # or State License # State Expiration Date of Certification or License SUBJECT PROPERTY ❑ Did not inspect subject property ❑ Did inspect exterior of subject property from street Date of Inspection ❑ Did inspect interior and exterior of subject property Date of Inspection COMPARABLE SALES ❑ Did not inspect exterior of comparable sales from street ❑ Did inspect exterior of comparable sales from street Date of Inspection Freddie Mac Form 70 March 2005 Page 6 of 6 Fannie Mae Form 1004 March 2005 Form 1004 — "TOTAL for Windows" appraisal software by a la mode, inc. —1-800-ALAMODE File No.1ANF4102000 Pae #8 Subject Photo Page Subject Front 3655 Camp Mineola Road Sales Price n/a Gross Living Area 2,187 Total Rooms 8 Total Bedrooms 4 Total Bathrooms 2.5 Location View Bay Site 0.23Acres Quality Age 83 Form PIC3x5.SR —"TOTAL for Windows" appraisal software by a la mode, inc. —1-800-ALAMODE Subject Rear Subject Side Mazur 3655 Camo Mineola Road for: Joseph Fischetti. PE BUILDING AREA ADDENDUM IFile No. IANF41020004 Pae #s 11952 Gross Living Area (GLA) 2,187 s.f. Type of Area Gross Building Area (GBA) 2,279 s.f. Areas Measurements Square Footage Factor Area Basement Bsmnt 0 s.f. _0% of GBA Level 1 Three 1,395 s.f. 61% of GBA Level 2 1,200.00 792 s.f. 35% of GBA Level 0 s.f. 0% of GBA Garage X 0 s.f. 0% of GBA Other ❑ 92 s.f. 4% of GBA 11952 Form CLC2 —"TOTAL for Windows" appraisal software by a la mode, inc. —1-800-ALAMODE Area Dimensions Type of Area Level Measurements Factor Area Living Bsmnt Garage Other One Two Three 40.00 X 30.00 X 1.00 = 1,200.00 X ❑ ❑ ❑ x ❑ [] 9.00 X 8.00 X 1.00 = 72.00 ® ❑ ❑ ❑ x ❑ C_] 12.00 X 8.00 X 1.00 = 96.00 ® ❑ ❑ ❑ x ❑ ❑ 12.00 X 3.00 X 0.75 = 27.00 ® ❑ ❑ ❑ x ❑ ❑ 8.00 X 9.00 X 1.00 = 72.00 ❑ ❑ ❑ ® ❑ ❑ ❑ 30.00 X 40.00 X 0.66 = 792.00 ® ❑ ❑ ❑ ❑ x Ell 5.00 X 4.00 X 1.00 = 20.00 ❑ ❑ ❑ ® ❑ ❑ ❑ X X = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ Ij x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ ❑ x x = ❑ ❑ ❑ ❑ ❑ ❑ Cl Form CLC2 —"TOTAL for Windows" appraisal software by a la mode, inc. —1-800-ALAMODE File No. 1ANF41020004 Pae #10 Subject Interior Photo Page Subject Sunroom 3655 Camp Mineola Road Sales Price n/a Gross Living Area 2,187 Total Rooms 8 Total Bedrooms 4 Total Bathrooms 2.5 Location View Bay Site 0.23Acres Quality Age 83 Subject Kitchen Subject Bathroom Form PIC3x5.S1— "TOTAL for Windows" appraisal software by a la mode, inc. —1-800-ALAMODE File No. 1 ANF41020004Pae #11 Subject Interior Photo Page Subject Living Room 3655 Camp Mineola Road Sales Price n/a Gross Living Area 2,187 Total Rooms 8 Total Bedrooms 4 Total Bathrooms 2.5 Location View Bay Site 0.23Acres Quality Age 83 Subject Bathroom Subject Bedroom Form PIC3x5.Sl — "TOTAL for Windows" appraisal software by a la mode, inc. —1-800-ALAMODE Subject Interior Photo Page Road File No. 1ANF4102000 Pae #12 Subject Dining Room 3655 Camp Mineola Road Sales Price n/a Gross Living Area 2,187 Total Rooms 8 Total Bedrooms 4 Total Bathrooms 2.5 Location View Bay Site 0.23Acres Quality Age 83 Subject 1/2 bath Subject Dressing Area Form PIC3x5.Sl — "TOTAL for Windows" appraisal software by a la mode, inc. —1-800-ALAMODE Subject Interior Photo Page John 1 3655 File No. 1ANF410200041Pae #13 Subject Bedroom 3655 Camp Mineola Road Sales Price n/a Gross Living Area 2,187 Total Rooms 8 Total Bedrooms 4 Total Bathrooms 2.5 Location View Bay Site 0.23Acres Quality Age 83 Subject Covered Porch Subject Crawl Space Form PIC3x5.Sl — "TOTAL for Windows" appraisal software by a la mode, inc. —1-800-ALAMODE File No. 1ANF4102000 Pae #14 Comparable Photo Page Borrower Client John Mazur ProDertv Address 3655 Camp Mineola Road Wity Mattituck County Suffolk State N.Y. ZiD Code 11952 Lender for: Joseph Fischetti PE Comparable 1 Prox. to Subject Sale Price Gross Living Area Total Rooms Total Bedrooms Total Bathrooms Location View Site Quality Age Comparable 2 Prox. to Subject Sale Price Gross Living Area Total Rooms Total Bedrooms Total Bathrooms Location View Site Quality Age Comparable 3 Prox. to Subject Sale Price Gross Living Area Total Rooms Total Bedrooms Total Bathrooms Location View Site Quality Age Form PIC3x5.CR — "TOTAL for Windows" appraisal software by a la mode, inc. —1-800-ALAMODE File No. 1 ANF41020004Pae #15 Supplemental Addendum RAW 1ANF41020004 Suffolk • URAR : Neighborhood - Boundaries Bounded to the west by the Southold -Riverhead town line; to the north by Peconic Bay Boulevard, the Main Road and New Suffolk Avenue; to the west by the hamlet of Peconic; to the south by Peconic Bay. The neighborhood is also the Mattituck-Cutchogue School District. • URAR : Nelahborhood - Description Low density residential neighborhood with primarily single family detached dwellings, some of which are used only seasonally. Proximity of local shopping, public schools, employment centers and adequacy of public transportation has no affect on value. Recreational facilities are above average. Proximity to such typically, has a positive affect on value. • URAR : Neiahborhood - Market Conditions Neighborhood values seem to be increasing slightly from last year. Supply and demand appear in balance. MLS and other sources indicate a normal marketing time of 3-6 months. The increase in prices overall for the major metropolitan area are approximately +3.2%. This increase or decrease varies locally with zip code. Much more accurate information for 2013 should be appearing soon. For the purposes of this appraisal, the appraiser will indicate stable overall prices from 2012. However, the median and average values have shown a decline in value from most information available as of 12/31/2013. • URAR : Cost Approach Comments Subject dwelling is a craftsman style home, 1.66 story featuring custom workmanship. The single family wood frame home featured a cedar shingle exterior with an asphalt shingle roof and crawl space foundation. The interior offers drywall and wood finish and wood with some carpeting, vinyl and tile floors. Central air conditioning and oil hot water heating allow for year-round use. Cost per square foot of living area is equal to $97.90 multiplied by the Location Multiplier(1.21) for its regional cost or $144.18. In addition the home features an upgrade in its kitchen cabinets($1500), granite countertops(included), additional full bath($10272), brick fireplace ($7502), separate baseboard heating from central air conditioning($8268), and average appliances(refrigerator, electric range with hood, dishwasher, microwave oven, and dryer, elecric water heater($9101). Other improvements include the attached utility shed and enclosed porch, 92sf($10,456). Thus, an additional $47,099 is added to the Dwelling cost per square foot as shown in the Cost Approach.. Site improvements such as the 60' bulkhead, wood walkway with stairs, stone patio and stone driveway were not considered for this report. • URAR : Additional Comments Scope of Work: It is the appraisers responsibility to estimate market value of the improvement only. Value, for the purposes of this report is prior to flood damage. Estimating value was based on replacement cost less depreciation. Site value was not considered. It was the opinion of the appraiser that adequate comparable sales were not available. Estimating the dwelling's value by abstraction, i.e., removing the site value, is an application the appraiser uses in the appraisal of properties when vacant lot sales are either not available or not representative of the subject. But, as previously stated, the bayfront comparable sales within six months were not representative of subjects site and would, in the appraisers opinion, offer inaccurate market value. The intended user of this report is John and Alice Mazur. The intended use is to evaluate the replacement cost of their home for financial purposes. No additional intended users are identified by the appraiser. The appraiser has no current or prospective interest in the subject property or the parties involved; and no services were performed by the appraiser within the 3 year period immediately preceding the acceptance of this assignment, as an appraiser or in any other capacity. The appraiser has complied with the home valuation code of conduct in all aspects of the appraisal process. The extent of the appraisers investigation included reviewing the legal description of the subject property and conducting an interior and exterior observation of the property improvements. Form TADD —"TOTAL for Windows" appraisal software by a la mode, Inc. —1-800-ALAMODE S.C.T.M. NO. DISTRICT: 1000 SECTION: 123 BLOCK: 5 LOT(S):35 LIL# 1 eo" 0 ppVE►'IENt .o R1 r, �PN�t ,5 0 EL 5.5 N7 �000 00 � 0"� CURB sPRO EL 5.5 O O O 06 rn 0 N w N: O Z. ZONiOU� YLLj F►R � - � LLJO co OUTDOOR SHOWER, 2 STY. I FRM. Ln DWELLING #3705 WOOD PORCH 8.3' EL 7.0 8.0 WOOD WOOD / FIRM ZONE BOUNDARY STEPS 4'x4' MHW — ADD FIRM ZONE BOUNDARIES 07-17-13 ADD L.P. LOC. AS PER OWNER 01-28-13 CRUSHED SCONE OR�WpY EL 5.7 62,00 ZONE AE (EL 6) MON. GUY WIRE EL 6.0 A A H m z 0 MI 0 z 0 a 0 3W LL Z O:z. 25.0' EXISTING LEACHING- _ �- - 4 DEEP x 8'DIA. ZONE AO (DEPTH 1) a EL 6.5 EL 6.3 SLATE PATIO 19.1' 10.6' 30.3' COVERED bo PORCH Cp 00 v+ Cp 1 112 STY. 4.0' O DWELLING #365FFL EL58.0 30.3' -14.9' _ EL 6.9 EL 7.1 n N BULKHEAD EL 7.2 WOOD CD O -00� OO�O ' r t� LL 6.0' 0 C5DSTONE WOOD CATWALK o z 0 TIE LINE ALONG HIGH WATER LINE 111 — 0 MHW EL 2.6 N85003'1 2 "E 59.78' o ZONE VE (EL 8) z Ln PECONIC BA � THE WATER SUPPEA WELLS, DRYWELLS AND CESSPOOL LOCA77ONS SHOWN RE FROM FIELD OBSERVATIONS FIRM PANEL 482 AND OR DATA OBTAINED FROM OTHERS. AREA: 11,443.47 S.F. or 0.26 ACRES f ELEVATION DATUM. --NCVD 1929 --------------- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED MAP OF: FILED: SITUATED AT: MATTITUCK TOWN OF: SOUTHOLD SUFFOLK COUNTY, NEW YORK FILE # 12-136 SCALE: 1 =20 DATE: NOV. 22, 2012 N.Y.S. L/SC. N0. 050882 CERTIFIED TO: JOHN J. MAZUR JR; ALICE H. MAZUR: KENNETH M WOYCHUK LAND SURVEYING, PLLC Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 PHONE (631)298-1588 FAX (631) 298-1588 maintaining the records of Robert J. Hennessy do Kenneth M. lloychuk APROVED AS N�OTI, _:D�� DATE: 3 1 li'4 B. P. # FEEBY: NOTIFY BUILDiiN D ME NT AT 765-1802 8 AM TO 4 PPS FOR THE FOLLOWING INSPECT;ONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE - - - - ,,MING & PLUMBING C�__Ji_ `d.' TH ALL CODES OF NEVA,` JRK STATE & TOWN CODES AS RECUIRED �� rn IRITInNc nc SUZ n Tow► ZBA SG�;i PLANN ARD USTEES OCCUPANCY OR 'USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 1ST. FLOOR PLAN. SCALE: 1/8" = 1'-0' F t, 0 AO Fia C �.7' STRUCTION MUST E FOR C.O. TION SHALL MEET THE OF THE CODES OF NEW 40T RESPONSIBLE FOR NSTRUCTION ERRORS. STORM DAMAGE REPAIRS -Remove all wallboard and insulation. -Install new wallboard and insulation. -Tape and paint. -Remove carpeting and vinyl flooring. -Dry floor, replace warped flooring. -Replace cabinets in the kitchen and bathroom. -Replace built-in appliances. -Replace hollow -core interior doors. -Replace furnace and water heater.. -Clean and disinfect ductwork. -Clean and test plumbing. . -Replace outlets and switches, clean and test wiring O O gZ O jz Via~ ;Q U� LO LO cc M �►J w w z Z;;zM W XON �Z°=° 0 III U., U_ O � a ds 1 2/1/2014 1 SHEET NO: