HomeMy WebLinkAbout40016-Z 's�af�nt�- TOWN OF SOUTHOLD.
40 . BUILDING DEPARTMENT
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TOWN CLERK'S OFFICE
'44'c 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#: 40016 Date: 8/18/2015
Permission is hereby granted to:
King, Mark
200 E Mill Rd
Mattituck, NY 11952
To: partially demolish an existing single family dwelling as applied for.
At premises located at:
200 Mill Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-4-5
Pursuant to application dated 8/11/2015 and approved by the Building Inspector.
To expire on 2/16/2017.
Fees:
DEMOLITION $133.00
• al: $133.00
Building Inspector
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
j/6
SoutholdTown.NorthFork.net PERMIT NO. 4/.14, Check
Septic Form
N.Y.S.D.E.C.
Trustees
D v-' II "' P 1I C.O.Application
Flood Permit
Examined ,20( ; i I Single&Separate
u AUG 1 1 2015 �- Storm-Water Assessment Form
Gary Steinfeld
/ !'. Contact:T West Creek Builders
Approved ,20 1 IU.• r n_,,,1nir�
Mail to:
Disapproved a/c PO Box 256, New Suffolk, 11956
/ ^� Phone: 631-334-9205
Expiration 2 i ,20 "� Q2.__ _:____
Building Inspector
fop MO NS'°C)1/4® APPLICATION FOR BUILDING PERMIT
DATE
8' �� �/ B.F # �� Date August 5 , 2015
3 . S'' INSTRUCTIONS
FL-E: ��HTFOR THE
gU1DIlvG �'`�
i\1°-1.4,,,is rifiliaagtio 7ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets a' -1 . llgrl3' `ea COMB) . Fee according to schedule.
1 •Jp }pal£iNhCO �pation of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, hnl a ak, G7, FLUI+Sl1\IG
2 �'l }Avor o'( red by this application may not be commenced before issuance of Building Permit.
3 11A4 14 gilAts f Y1islali ' ation,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be4 kptf n•tlf rtrh
mr s ayllilable ffor.npection throughout the work.
e.ENoClfi illifil jl hg=p eu e ori d in whole or in part for any purpose what so ever until the Building Inspector
issues agrC� ii✓ Focdtupacg;DES OF-.1v"0/1 L
. the work authorized has not commenced within 12 months after the date of
��� T� r 1'�}e�.itFstfi�l�'l- • . �.
issuance Gilias cit b-deBiN{r lett nifhin 18 months from such date. If no zoning amendments or other regulations affecting the
property th glenacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Regulations,for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
360 Greton Rd, Mattituck, NY 11952
t(:). 6. 10.31 (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Owner
Name of owner of premises Mark King
(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:
200 East Mill Road Mattituck
House Number Street Hamlet
County Tax Map No. 1000 Section 106 Block 4 Lot 5
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Single Family Residential
b. Intended use and occupancy Single Family Residential
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition X Other Work
(Description)
4. Estimated Cost 10,000 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units 1 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 30.5' Rear 30.5' Depth 22.4'
Height 15' Number of Stories 1
Dimensions of same structure with alterations or additions: Front 30.5' Rear 30.5'
Depth 30'8 Height 28.7' Number of Stories 2
8. Dimensions of entire new construction: Front _Rear Depth
Height Number of Stories
9. Size of lot: Front 161.43' Rear 80.82' Depth 213.52'
10. Date of Purchase 12/17/2003 Name of Former Owner Charles King
11. Zone or use district in which premises are situated M I I
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 X NO
14.Names of Owner of premises Mark King Address 360 Greton Rd, Mattitickphone No. 631-298-4199
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 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.
18. Are there any covenants and restrictions with respect to this property? * YES NO X
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
Mark D King being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Owner
(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 to before me this
day of O u c?us.l 20/5-
G
Notary Public Sign ure WApplicant
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BOARD OF SOUTHOLD TOWN TRUSTEES � '
sk,,,--"- SOUTHOLD, NEW YORK ! -- .
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PERMIT NO. 8585(-:,
DATE: APRIL 22, 2015 r
No; ISSUED TO: MARK KING ;,•;•
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c ,- PROPERTY ADDRESS: 200 EAST MILL ROAD, MATTITUCK\___
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��' SCTM# 106-4-5 0 b
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AUTHORIZATION '_`
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in y a;1
accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 22,2015,and in i ,y ..
consideration of application fee in the sum of$250.00 paid by West Creek Builders, LLC and subject to the 1 '*( I
Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and ,,' ;0;.,....,:\A:
.i5,'
it the following: ..
_ Wetland Permit for the partial demolition and reconstruction of existing
- 30.5'x22.4' dwelling including removal of southern`portion of structure (5.2'x22.2');
. -(( expansion of footprint to 28'x32' with additions on north and east elevations; addition ''
Fr of a second story; and construction of a 12'x29' deck on west elevation; and 4'x6' '
covered entry porch on east elevation; with the condition to install gutters to leaders to ---•
(---- - drywells in accordance with Chapter 236 of the Town Code-Stormwater Management;
" ' and as depicted on the site plan prepared by West Creek Builders, LLC, last dated
6- October 30, 2014 and stamped approved on April 22, 2015. , ,;
IN,WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, i ��',_
.. '((
VII and these presents to be subscribed by a majority of the said Board as of this date " -' l
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NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04373
PERMIT
Under the Environmental Conservation Law (ECL)
Permittee and Facility Information
Permit Issued To: Facility:
MARK D KING KING PROPERTY
PO BOX 1039 200 E MILL RDISCTM 1000-106-4-5
MATTITUCK,NY 11952-1039 MATTITUCK, NY 11956
Facility Application Contact:
WEST CREEK BUILDERS LLC
PO BOX 256
NEW SUFFOLK,NY 11956
(631) 334-9205
Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: MATTITUCK
Facility Principal Reference Point: NYTM-E: NYTM-N:
Latitude: Longitude:
Authorized Activity: Remove a portion of an existing single family dwelling, construct an addition;
second story addition, decking and porch all as shown on the attached plans prepared by West Creek
Builders LLC, last revised 4/29/15, stamped "NYSDEC Approved" on 6/23/15.
Permit Authorizations
Tidal Wetlands - Under Article 25
Permit ID 1-4738-04373/00001
New Permit Effective Date: 6/24/2015 Expiration Date: 6/23/2020
NYSDEC Approval
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict
compliance with the ECL, all applicable regulations, and all conditions included as part of this
permit.
Permit Administrator: ROGER EVANS, Regional Permit Administrator . -
Address: NYSDEC REGION I HEADQUARTERS
SUNY.@ STONY BROOKI50 CIRCLE RD
STONY BROOK NY 11790 -3409
Authorized Signature: (! Date 6 l 23 / l s^
Page 1 of 6
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OWNER STREET Z.trD ---;;-=- ' VILLAGE DIST. SUB. LOT
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RES ./ v vi SEAS. VL. FARM / COMM. CB. MISC. Mkt. Value (/ . ,
LAND IMP. TOTAL DATE REMARKS ,
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FARM Acre Value Per Value f !! J
Acre
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Brushland FRONTAGE ON ROAD /6/ o o7 rt°P ,7, , 1,
House Plot • DEPTH
BULKHEAD
Total DOCK
S U RVEY OF PROPERTY MILL ROAD N
SITUATE: MATTITUCK 55°052O11E
TOWN : SOUTHOLD
25.35' � ;ii
SUFFOLK COUNTY, N .Y. z o - - E
SURVEYED I 0-15-20 I 3 I
REVISED 3-26-2O 15 — o i —
SUFFOLK COUNTY TAX # 03
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FEMA FLOOD ZONE AE (EL 8) 0
LAND NOW OR FORMERLY OF:
F.I.R.M. PANEL 143 OF 1026 \s DIANE COTUGNO
MAP NUMBER 36103C011431-1
NOTES "Unauthorized alteration or addition to a survey '.�`3• ` G. E/-146-'-e9:7-
map .
beanng a licensed land surveyor's seal is a �1
MONUMENT FOUND violation of section 7209, sub—division 2, of the 4 1.,„,.".,
J O I-I N C . E H LE RS LAND S U RV EYO R New York::;::: :
LawELEVATION REFERENCE N.A.V.D. 1988 ysar eymakwih an original veyor's �' =- ppI#,
stamped seal shall be considered to be valid true * ; l({ 1
Area = 22,972 Sci. Ft. 1 ;,1910- Aql icz-,`'
Area = 0.527 Acres "Certifications indicated hereon signify that this (__ - oy,aa 0 1,
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 surve'Code of Practice for Lond Surveys adopted + ,r��1"
GRAPHIC SCALE I 30' by the New York State Association of Professional ``•yS r702�2 ��
369-8288 Fax 365-8287 Land Surveyors or o certifications shall ran only Fo
RIVERhEAD, N.Y. I190 I a the person far whom the survey =prepared, 'gip LAND rt
dn �� I and on his behalf to the title company,governmen— ..�yyle,�/1
Ionglslandlandsurveyor.com of agency and Iending institution listed hereon,and
1 to the assignees of the lending institution Certlfica-
13-196 floss ore not transferable to additional institutions
I
SUFFOLK COUNTY TAX MAP #1000-106-4-5 PROPOSED SITE PLAN � 25' R.O.1^�• 1
I
ADDRESS: 200 EAST MILL ROAD, MATTITUCK, NY 11952 SCALE: 1" = 20' - 1 ROADWAY 1 --
OWNER: MARK KING % 1 \ '0 :.i. ,';__'_;- .F"` :.fit .[
j EXISTINGFRAME HOUSE1 = - ,\ ,._
r. ,, N,} y , ,�-,-.1.1;;;;;',
:
SITE AREA: 22 972 SF I '} " l®::.,yr,., ;.<
'at:'• EXISTING STRUCTURE TO BE REMO IP 1 \o {, w. "r ;• i" +° gib - :::::_:.;;;I:,::!,, :,„_.
^,z= `jBUILDINGS: 1902.9 SF = 8.28% EXISTING \a \ , ` = •;1•,,!1,:;;,-,-,;.,:-,,--,:.,_::-!_:::..:_i:;:,:,:;:::--_,
ted''>� rP2450.4 SF = 10.673% PROPOSED FOOTPRINT OF EXPANDED -UCTUREi Y ▪ %Q ,
_;41 ''. SITE], " =f'"•
ZONING: MII ='- - - - __ -_ -,.-4
FLOOD ZONE: AE (EL8) • ,.z w --, - • :Y, ->,;.-_,
_::,,,::: :.:;.(ii,::,':..[::,
TIDAL WETLAND ADJACENT AREA Z13� �O" 1 I r :•-•:'-- ''';','CICL ,:' : ; `
TOTAL AREA: 22,972 SF 3b� a l 5' -1,='' - • 5'
N� R
EXISTING COVERAGE BY IMPERVIOUS STRUCTURES: e • v 1 O� �p I - =. - ,•_ _ -
2505.27 SF = 10.91% 1 - - _ _ Lr..
I
PROPOSED COVERAGE BY IMPERVIOUS STRUCTURES: 1
2,928.28 SF = 12.75% I
I
,,):211 WEST CREEK
W
'yS1NGIT\ w 1- � 0. I --1 DESIGN I BUILD I REMODEL
w.Ge I w18 r
Mp P t I 25 q' {'tl DRAWINGS:
eo�'� PHO 1 I 111 West Creek Builders,LLc
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PO Box 256
\I \,,,,____ °�28' CONCRETE I o ` o New Suffolk, NY 11956
lli 1 1 v13 I A T 631.734.8416
14 A FEMA FLOOD ZONE AE(EL8) — r 1 I p
9aG� �qa �5�`�( w 1E2 8'PING FIRST
DFLR ELEVATION 11. ' �. p{z10POSED GOVERE 15' REVISIONS/ISSUE:
5S0 . i ENTRY PORCH 1
I 04.29.15
��'1,R{Wo • 2 E�DG �/ I I MEAN HIGH YVATER(MHkM)
ok-v6 PROPOSED 17 X 29'DECK IU / k— 25' MARCH 20, 2015 12:10pm
l 1 f l WEST GREEK BUILDERS, LLC
Q 0 2,r NEW • ,=• '' IS -nBCJILDING FOOTPWNT
DECK .• (•dd to Existing Foundation) _) 1 I GARYrTEIl1
AAAsidence
+ ♦' �� . 7� L 5B/L 5 /L 1
F
200 East Mill Road
C `"-7 0 16 si in 1 P oro • Mattituck, NY
pHA 45' \ 1 -- -
s
0, 551 NSb°YV \ >V N89°1^1
90' DRAWING:
Sic Y`� \ 1 1 I Proposed Site Plan
\ \
NEIN BUILDING FOOTPRINT PORTION OF STRUCTURE 1
82'SOUTH TO ROCK WALL —To BE REMOVED TO MEET I • 1
HIGH 1�VA SETBACK REQUIREMENTS 1
TER MARK
OrN) PROJECT NORTH 1 I 1
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