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4608
e�sf�ry a�, Sao �E,iAe a► APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Homing ./ h�o��SpFFO(,�CO� o ti x BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION REGULAR MEETING OF OCTOBER 15, 1998 Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 ZBA Fax (516) 765-9064 Telephone (516) 765-1809 Appl. No. 4608 — BERYL E. CAFFREY PARCEL 1000-106-10-24.1 STREET & LOCALITY: 520 Cedar Drive, Mattituck DATE OF PUBLIC HEARING: October 15, 1998 FINDINGS OF FACT PROPERTY FACTS/ DESCRIPTION: The subject property fronts along the west side of Cedar Drive and the north side of Millers Right -of -Way, Mattituck, with a total area of 43,560+- sq. ft. The property is improved with a one-story frame dwelling. The accessory garage shown on the survey submitted with this application is planned to be removed (if it has not already been removed by the date of this action.) BASIS OF APPLICATION: Building Inspector's August 12, 1998 Notice of Disapproval under Article IIIA, Section 100-30A.4 for the proposed location of a new accessory garage and accessory storage shed in a front yard area. AREA VARIANCE RELIEF REOUESTED: Applicant is requesting a variance to locate two accessory buildings which are: (a) 24 ft. by 24 ft. and (b) 8ft. by 10 ft. The setbacks are to be at least 20 feet from the side property line at its closest point and at least 100 feet from the front property line along Millers Right -of -Way to meet code. REASONS FOR BOARD ACTION, DESCRIBED BELOW: (1) The granting of the area variance will not produce an undesirable change in the character of neighborhood or a detriment to nearby properties because the garage and shed will be built well within the setback limits of the code requirement for a principle structure. W Page 2 — October 15, 1998 Southold Town Board of Appeals Re: Caffrey 1000-106-10-24.1 (2) The benefit sought by the applicant cannot be achieved by some method, feasible for applicant to pursue, other than an area variance because the applicant has two front yards according to Southold Town law. (3) The requested area variance is not substantial in that the applicant has a lot in excess of 40,000 sq. ft. and is removing a shed that is built over the property line and a garage with a non -conforming setback from the side yard. (4) There is no evidence that the grant of the variance will have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district. (5) The alleged difficulty has not been self-created. In considering this application, the Board deems this action to be the minimum necessary and adequate to preserve and protect the character of the neighborhood, and the health, safety, welfare of the community. RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Chairman Goehringer, it was RESOLVED, to GRANT the variance, as applied for. VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO, TORTORA, COLLINS, HORNING. This Resolution was duly adopted (5-0). .........................................r... 7a ......... .... f........ GERARD P. GOEHRIP CHAIRMAN 10/15/98 Approved for Filing KEC:EIVED AND FILED BY THE SOUTHOLD TGYVv7N Ci.iia DATE /o//1159 HOUR 10:3Q/4p Town Clerk, Town of Southold C FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE:B/12/98............ To .. William Kelly (Agent)Beryl Caffrey ...................................•.. 22355 Cox Lane ........................................ Cutchogue, NY 11935 PLEASE TAKE NOTICE that your application dated June.? ...... ....... 19,9£ for permit to construct accy garage S accy storage shed in the front yard area .......................................................... Location of Property 520 Cedar Drive Mattituck ....... ................................................... House No. Street Hamlet County Tax Map No. 1000 - Section 106 BLOCK ��....._._. LOT24:!.......... Subdivision ............................... Filed Map No. .........Lot No. ....... is returned herewith and disapproved on the following grounds 1,lndgr__4rtic1e IIIA Section 100-30A.4 of the R40 Zone accessory structures and buildings must be ...---••-----•--•--••......_ ........................ located in the required rear yard. ..••••...........................................•••••--••-•--•.....•-•••....•----• Note- Property.owner said she plans to remove the existing garage and then construct new accessory structures. -----••....................•-------........----•-------..................••........ .................................................... ............................. BUILDING INSPECTOR RV 1/80 LEGAL NOTICE SOUTHOLD TOWN BOARD OF APPEALS THURSDAY OCTOBER 15, 1998 NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and the Code of the Town of Southold, the following application will be held for public hearing by the SOUTHOLD TOWN BOARD OF APPEALS, at the Southold Town Hall, 53095 Main Road, Southold, New York 11971, on THURSDAY, OCTOBER 15, 1998 at the time noted below (or as soon thereafter as possible): 6:50 p.m. Appy. No. 4608 — BERYL E. CAFFREY. Variance is requested under Article III -A, Section 100-33C (100-30A.4) (Zoning) to locate a proposed new garage and tool shed in an area other than the required rear yard (ref: August 12, 1998 Disapproval of Building Permit Appli- cation). Location of Property: 520 Cedar Drive, Mattituck, NY; Parcel 1000-106-10-24.1. Zone District: R-40 Residential. The Board of Appeals will at said time and place hear any and all persons or representatives desiring to be heard in the above application or desiring to submit written statements before the hearing is concluded. Each hearing will not start earlier than designated. Files are available for review during regular Town Hall business hours (8-4 p.m.). If you have questions, please do not hesitate to call 765-1809. Dated: September 29, 1998. BY ORDER OF THE SOUTHOLD TOWN BOARD OF APPEALS GERARD P. GOEHRINGER, Chairman By: Linda Kowalski YR)e I iqNczr a2, Rez,,dP,5so.ey NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD TOWN BOARD Oi= APPEALS at the Town Hal'I, 53095 Main Road, Southold, New York, concern lig this property. OWNER(S) OF RECORD: J)r. 61e \/, CRF��C'E y DATE OF PUBLIC HEARING If you have an interest in this project, you are invited to view the Town file(s): which are available for inspection prior to the'day of the hearing. duriog normal 0ARD OF APPEALS • TOWN OF SOUTHOLD • (516) 765-1809 is L ROARD OF HEALTH ......... FORM NO. 1 SETS OF PLANS .......... 1101 u E - TOWN OF SOUTHOLD �;u Y ................... 90G 'DEPT. BUILDING D I EPARTMENT CIIrCK .................... 1`QWN SFSQqT"OL0 TOWN HALL SEPTIC FORM .............. SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOITIFY: CALL Examined ................. 19... MAIL TO: 7-�(4 - L1660 .............. Approved .... 19 No ............. X353 La L Disapproved a/c ...... ...... ............................. ..................... ....................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ............ INSTRUCTIONS 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, herein described. ;� n erem The applicant agrees to comply with all applicable laws, ordinances, build* d housing de regulations, and to admit authorized inspectors on premises and in building for necessary inspecti I Ic gMurc 7ofar��ht, or name, i;,ff corpora IFZ—Gl` " C�L4 .sofa.. I I (Mailing address of applicant) 16:se3 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 4P.......................................................................... 7�-Egq I I ............................................. Name of owner of premises ............ 7.. 4:f. �., MPIEW (as on the tax roll or latest deed) If applicant is a corporati n, signature of duly authorized officer. ............... ..................... (Name and title of corporate officer) Builder's License NoA-,-?-z5-.7.�. -.6T ......... Plumber's License No. ........ ............. . Electrician's License No. ............. 4 Other Trade's License No. .A11A .............. 1. Location of land on which proposed work will be done . ................................................. . ................... . . .................................... 4W House Number Street Hamlet County Tax Map No. 1000 Secyor . . Y64 ........... Block ...... ZO ' . Lot ... Zqt J Subdivision ......... ............... Filed Map No. ... A ..... Lot.. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: use and occupancy . 4-1 a. Existina. 7 ....................................... b. Intended use and occupancy ... Am?V4-, ........................................ — r 3: Nature of work (check which app ,:able): New Building ....... I Addit,n ........: `Alterii ion ....... Removal .............. Demolition Repair ....... ....OtilerWark..:............ w (Description)" 4. Estimated Cost . Fee ................ . F ............................ j (to be paid on filing this application) 5. If dwelling, number of dwelling uni s ,1. 11 A........ Number of dwellingunits on each floor ..... . If garage, number of cars .. 7; , " `' ' ' ' ' 6. If business, commercial or mixed occupancy, specify nature and extent of each t pe of use . *A 7. Dimensions of existing structures, if any: Front ...�........ Rear , Height .... `L.`....... Number of Stories ...4`�d1� Depth ........ . Dimensions o me structure with alteration5 oradditions: Front�j........ Rear . Depth ... Height . .. Number of Stories ...... ............. 8. Dimensions o entire new construction: Front ..... Rear ..::1:::::::: Depth Zy........... Height .. A6.`.. b ' :... Numbe f Stories ...... . ............� .. .......... 9. Size of lot: Front ... .. . Rear ... . 0 .: Depth.. . � ):........... 10. Date of Purchase .... . 1 ' IS 0, . .. . Name of Former Owner .gip . j,. ,CP4 11. Zone or use district in which premises are situated .. �. ���-y 12. Does proposed constructions violate any zoning law, ordinance or regulation: . J(0- 13. Will lot be regraded [[��EWille' ' • ���,� • .. xc s fill be remoy�¢ from premises: Yes N 14. Name of Owner of premises + �+��, ,Address 7A1�j� CX , , phone No. +�1� Name of Architect .. Address ....'•*.. ... Phone No. Name of Contractor M . . , • , .. Address phone No. IM: 46�6* 15. Is this property within 300 feet of a tidal wetland? *Yes.... ... No. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back.dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether, interior or corner lot. F t � , , 2 STATE OF'NEW YORK�� S.S �� �• COUNTY OF .. . J. . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the... .......................... (Contract, ag orporate officer, etc.) of said owner or owners, and is duly authorized to perform have perfprmed 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 thatthe work will be performed in the manner set forth in the application filed therewith.' Sworn to before me this .......... .��~ ......day of_ Notary Public„- �f! . . . � ounty ......! .. .... HELENE O. BORNE Noi. y Public, State o; NewYork .............. Na 49513G4 (Signature of applicant) Qualified in Suffolk County 9�r7_ Commission expires May 22,18 _ / C7 aDa ALM 1.3 MOB, itima (OM TOWN OF SOUT11OLD, NEW YORK APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAL HO. DATE.............................. 'I'O'rl IE ZONING BOARD OF APPEALS TOWN OF SOUTHOLD N Y ...Of .. ©...A.K ..y ................................................ Name of Appellant Street arid Number ......� .�.3:.........HEREBY APPEAL TO Municipality State THE ZONING BOARD OF APPEALS FROM THE DECISION OF TI(E BUfl-DING INSPECTOR ON APPLICATION FOR PERMIT NO. ........... DATED ...................................................... WHEREBY Ti IE BUILDING INSPECTOR DENIED TO .............................. blame of Applicant for permit of Sheet and Number Munici p a lity State ( ) PERMIT TO USE ( ) PERMIT FOR OCCUPANCY 1. LOCATION OF THE PROPERTY�11�l�rrSCb� ..... •.................. Street /Ilamlet % U..se District ... on Z..ontr,..g Mop... District 1000 Section lobBlockic Lot"- ) .._....... .........».»......._.�.........._................ furretrt Otrner �—el t_ - Mop No Lot No. Prior Owner "w• � 2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub- section and Paragraph of the Zoning Ordinance by number. Do notgmote the Ordinance.) Article itt Section i 3Q-3�S—`I /60:i3 L 3. // iYPE OF APPEAL Appeal is made herewith for (please check appropriate box) (a!) A VARIANCE to the Zoning Ordinance or Zoning Map ( ) A VARIANCE due to lack of access (State of New York Town Law Chap. 62 Cons, Lows Art. 16 Sec. 280A Subsection 3 4. PREVIOUS APPEAL A previous appeal (has) (has not) been made with respect to this decision of the Building Inspector or with respect to this proper y. Such appeal was ( ) request for a special permit ( ) request for a variance and was mode in Appeal No.................................Doted............................. t........................................ REASON FOR APPEAL ( A Variance to Section 280A Subsection. 3 ( ) A Variance to the Zoning Ordinance ( ) is requested for the reason that i wa p iPwvvb raft W C14C� t�Ct4 fLy €�- sJ�w✓ goo+- �ih�. Foran Z111 (Continue on other side) /ll•0a � /b/ - /6 -��lJ ,l V"Y'Wr'r �rw .11'�I'V � M"1'�LLiU'-,1''fKV�'`ICwC � Y KrC.Ci�My �p;�� ,- ,,/�% s,��` OWNER STREET VILLAGE 'DIST. LOT 170. 30 1 d F {2 /3 iV 01 ✓ �� Dt'VtLvFFMrro� actor pcI FORM R OWNER md5orczyk N E ACR. 0.999 (2604`, 61/ SyAvl Y _ i)Kw/ / 0NL6N S W TYPE OF BUILDING ZES. a' 0 SEAS, VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ^ 400 /Soo 7 oo7o' 7% L P72 % /iAbl� SC'�Ir "S%, t 4�oNlofi / -yam o , 0/�FFkEy f !2 4 Z(-+&7 41 Y- -- _ 8-5, _ a AGE BUILDING CONDITION NEW NORMAL BELOW ' ABOVE - FARM Acre Value Per Acre .� Value billable 1 Pillable 2 _ "illable 3 - Voodland wompland FRONTAGE ON WATER eIi rushland FRONTAGE ON ROAD �T louse Plot DEPTH 1v`~0 ' BULKHEAD otal . ter` DOCK r� Sm � � ♦ t .._............_.....-.............,.. .x....+....r .. ....».-........_.>...-..�.....__.�_�..........-;..e—.-_.-...._.-._.-..-- _..,...,..-.......n...awrwe.rv..e+nwwem...wme........,...,.,....,.....-.....«, SSSS■■ ■■ SSSS ■■■■■■■■■■■■ ., 4 .. • SSSS■■■ M■ ■■■■■■■■■■■■■■■■� SSSS■■ ■■ ■■■■■■■■■SOME■■■ ■■■■■■� ■■ SSSS■■■ME■■■■■■■ ■SSSS■ ■■ NEONmom mom _ _ ■E■MSE ■■ E■■■■■■■EE■■■■■E w "-u ■■■■■EM°S M■■EIL;:EM EE■■■■■EEE■EMM■ ■■ ISE■EM■■M■MEMO■■I # ■■■■Pimp on ■w�■■■E■■■■■■E■■■ T p ■■OE_16 mom III■■ S61i■■■■SESM■EEEE ��_ ■■Mf ■■■E®EiF�EE MEN ME 7!■■■■O■■M■M■ME■E �EMEE■■E■■■■■MEM MEMM■Mr ■E■ ■MEM ■DEME■E■■■■■■■■■■■■� EE ■■EEE■■■E■■EOM■■ •®® :asement Floors _® Walls Interior, Finish •• f Sm x4en:;rF ra. r..... . .... ..........-.> �.:..aF�us... c v....., ... ......-..... .. .._............_.....-.............,.. .x....+....r .. ....».-........_.>...-..�.....__.�_�..........-;..e—.-_.-...._.-._.-..-- _..,...,..-.......n...awrwe.rv..e+nwwem...wme........,...,.,....,.....-.....«, Sm m r TOWN OF SOUTHO PROPERTY RECORD CARD "�1,3I OWNER STREET VILLAGE DIST. SUB. LOT DQ _ FORMER OWNER tV_ E / �AV6 ACR. 0"C'Ia Sun,/ /�� i' c;DW HHD 0?V 6,Y S J '". TYPE OF BUILDING RES. / SEAS. VL. FARM COMM. CB. ICS, t, Value LAND IMP. TOTAL DATE REMARKS 46 o — /Z 31176 Fit ti,LY SiL�T ,9;q9 Ae, Zs%, 4-, C-�yG ont 10 ,70, CAH - Y Ls� n V 0 1360 0 L g ,��1%!.% ii !r „ �29 Hc,: Zs —j. F, CONS - o P! 70 6 7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total I DOCK igiarssisg ' f i _ app 08"� jib O ' -t e` cR- a � i e u� Dc ZZ $c, O , \ X00 P\\ tl O. 20o °b r, k, w P Q ti F / o °t00 LT a f O Qo. 1 DRIVER AY ` p''10 l/ C�ti d WRE k WOOD FENCE d N84' 34 0 121.02 MILLERS RIGHT OF WAY orrrcc or JNING BOARD OFAI _ :� ,S 53095 Main Road Southold, NY 11971 (516) 765-1809 fax 765-9064 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ September 2�,I998 Re: Application Notice Requirements Hearing Date: Thursday, October 15, 1998 Dear�/� For your review and transmittals, please find enclosed a copy of the Legal Notice regarding your application. Our department will publish the Notice in next weekfs issue of the L.I. Traveler newspaper. Pursuant to the provisions of Chapter 58 of the Southold Town Code, notice of your application and hearing must now be sent, by certified mail, return receipt requested, to the all surrounding property owners together with a copy of a map or sketch describing the location and/or use of the property or new construction. Please send the notices by 1015 (earlier.preferred). Owners of vacant property and other properties, surrounding your project, along all sides and abutting the boundaries of the subject lot are those as listed on the assessment rolls. A copy of Chapter 58 is enclosed for your reference. Please also post the enclosed sign on your property at�ten (10) feet, or closer, to the front property line, facing the street by 10/7, The sign must remain for a period of. not less than seven (7) days) . Once the sign is placed, please.complete and return the Affidavit of Posting to us. If another sign is needed, please let us know. When the Certified Mailings have been sent, please furnish your Affidavit of Mailing to us as soon as possible, together with white certified mail receipts postmarked by the post office. Once the green/signature cards are returned to you by the post office, please file them with us. These will all be made a part of your permanent file as proof of service under Chapter 58. In the event there is any signature card that was not returned to you, please confirm the same at the public hearing for an update and record purposes. Thank you. Very truly yours, Enclosures Office of the ZBA &WILeant.In. doe ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR, OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A. Neville DATED: August 13, 1998 RE: Zoning Appeal No. 4608 - Beryl E. Caffrey Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Transmitted herewith is Zoning Appeal No. 4608 - Beryl E. Caffrey - Zoning Board of Appeals application. Also included is Notice of Disapproval with Building Application attached, copy of survey, copy of tax map, Applicant Transactional Disclosure Form, copy of plans and Z.B.A. Questionnaire. REASONS FOR AREA VARIANCE ONLY (to be completed by applicant): Do -not use these standards for "use variance" or "special exception." (Also attach sheets if necessary, with signatures.) 1.- An undesirable change will NOT be produced in the character of the neighborhood or a detriment to nearby properties, if granted BECAUSE: i 3�� f -ft eV,, PO .A -b ; dwD 2t V'V,NVJ L OD Pte,, -r, 2. The benefit sought by the applicant CANNOT be achieved by some method, feasible for the applicant to pursue, other than an -area variance BECAUSE: (Vo 0 TAP_ Pig,>s ��v�, �.� �ST-S, 3. The amount of relief requested isnot-substantial BECAUSE it �T WAvg, No`,( (_s p pp -C -C - A r— . vudv�_9 II &,� AFA-(?- 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district, BECAUSE 4 VI -f l 5. Has the alleged difficulty been self-created? ( } Yes.. (.) No. 6. This is the minimum that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood.and the health, safety and welfare of the community. STATE OF NEW YORK) COUNTY OF SUFFOLK) (A0plid6nt) - I" Agent must attach written consent from owner. Sworn to before me this /L� day of Au 6,?UST, 19 6 P . LINDA F. KOWALSKI Ralary Public; State of Newyork No. 624524771 Qualified in Suffolk County 4g 06inmission Expires Now_,.. zxtl.c/form. var/temp 0)71rc 'Off' BOARD OF APPEALS (516) 765-1809 ZBA tel. Southold Town Ha// 765-9064 fax 5.3095 Main Road Southold,, NY 11971 October 19, 1998 Dr. Beryl E. Caffrey P.O. Box 13 Mattituck, NY 11952 Re: Appl. No. 4608 — Beryl Caffrey Dear Dr. Caffrey: Enclosed please find a copy of the Appeals Board's determination rendered at our October 15, 1998 Meeting. Just as a reminder, before construction activities may be commenced for structural changes, issuance of a building permit will be required. We furnished Bill Kelly (Morton Building Contractor) a copy at the October 15th when the decision was signed and subsequently to the Building Department. Please feel free to call if you have any questions. Wishing you the best in your new home. Very truly yours, Linda Kowalski Encl. Copies of Decision to: Building Department Mr. William Kelly (Contractor) APPLICANT TRANSACTIONAL DISCLOSURE' PORH The Town of Southold's Code of -Ethics -prohibits conflicts interest on the part of town officers and employees. The purpose of this form is to provide information which can. alert the town of possible conflicts of interest and allow it -to take whatever action is necessary to avoid same. YOUR NAME: �M L L , efyepeoi (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, succi as a company. If so, indicate the other person's or company's name..) . NATURE OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of zone Approval -of plat Exemption from plat or official map Other (If "Other," name the activity.). — Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a,partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares.. / YES NO 1\ If you answered "YES,",complete the balance of this form and date and sign where indicated. Name of person employed by the.Town of Southold Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe'in the space provided. The town officer or employee or his or her spouse, sibling,. parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the lega7i or beneficial owner of any interest in a noncorporate entity (w}ien the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual.applicant. DESCRIPTION OF RELATIONSf1IP Submitted his day f o 199 _6 Signature 1, Print name QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A. APPLICATION A. Please disclose the names of Ithe owner(s) and any other individuals (and entities) having a financial interest in the subject premises and a description of their interests: ( parate sheet may be attached.) B. Is the subject premises listed on the,real estate market for - sa a or being shown to prospective buyers? { } Yes { } No. (Sf Yes, 12,1Pas attach copy of "condition -s" of sale.) C. Are thenany proposals tm change nr alter land contours? { } Yes { Z No D. 1. Are there any areas which contain wetland grasses? -PLO 2. Are the wetland areas shown on the map submitted with this application? 3. Is the property bulkheaded between the wetlands area and the upland building area? 4. If your property contains wetlands or pond areas, have you contacted the Office of the Town Trustees for its determination of jurisdiction? E. Is there a depression or sloping elevation near the area of Proposed construction at or below five feet above mean sea level? 04 (If not applicable, state "N.A.") F. Are there any patios, concrete barriers, bulkheads or fences which exist and are not shown on the survey map that you are submitting? No If none exist, please state "none." G. Do you have any construction taking place at this time concerning your premises? 65 If yes, please submit a copy of your building permit and map as approved by the Building Department. If none, please state. H. Do you or any co-owner also own other land close to this parcel? -0 - If yes, please explain where or submit copies of deeds. I. Please list present use or operations conducted at this parcel CW63b)6, s 14-,,, L_ and Proposed use g qvlE L&W4 gJ[1//qV Au not zed S' nature and Date 3/87, 10/901k .NYSRPS ASSESSMENT INQUIRY DATE : 10/30/98 473889 SOUTHOLD SCHOOL MATTITUCK SCHOOL ROLL'S'EC TAXABLE PRCLS 210 1 FAMILY RES TOTAL RES SITE 106.-10-23 TOTAL COM SITE 800 CEDAR DR ACCT NO 14 OWNER & MAILING INFO===j=MISC j======== ====== ASSESSMENT--DATA RABKEVICH JOHN A & IRS -SS I **CURRENT** RES PERCENT KATHERINE -P 1 1 BLAND 900 **TAXABLE** 113 BREAKWATER ROAD I BANK ITOTAL 3,900 COUNTY 3,900 PO BOX 420 **PRIOR** TOWN 3,900 MATTITUCK NY 11952 1 BLAND 900 SCHOOL 3,900 1 ITOTAL 3,900 ==DIMENSIONSSALES INFORMATION ACRES .54 IBOOK 11695 SALE DATE 09/15/94 SALE PRICE 119,000 PAGE 276 PR OWNER SMITH ANNA M =======TOTAL EXEMPTIONS 0TOTAL SPECIAL DISTRICTS 4 CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE IFDO30 IPK071 IWWO20 ISW011 F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC 75.10- 03-017 F6=G0 TO INVENTORY F9=G0 TO XREF F10=G0 TO MENU JA,21 4t", l MORTON BUILDINGS GENERAL SBECIEDCATIONS LAMINATED COLUMNS — NO. 1 OR BETTER SOUTHERN YELLOW PINE NAIL LAMINATED 3 MEMBER S4S COLUMNS USED IN MORTON BUILDIPIGS ARE PRESSURE_ TREATED BELOW GRADE TO A RETENTION OF .8 POUNDS PER CUBIC FOOT WITH CHPOMATED COPPER ARSENATE TYPE III, OXIDE TYPE, AS LISTED IN FEDERAL SPECIFICATION T7—W-571J. THE TREATED PORTION OF THE COLUMN EMBEDDED IN GROUND SHALL BE LAMINATED WITH STAINLESS STEEL NAILS. FOOTINGS AND ANCHORAGE — COLUMN HOLES ARE DUG 4 FEET DEEP MIN. DEPTH BELOW GRADE AND READY—MIX CONCRETE PADS OR DRY CONCRETE MIX PADS ARE POURED IN PLACE (NOTE PLANS FOR SIZE & TYPE). TWO GALVANIZED STEEL BASE ANCHORS ARE PLACED 1" FROM BOTTOM OF COLUMN OR 1/2" GALVANIZED STEEL ROD PLACED 2 1/2" FROM BOTTOM OF COLUMN. ( SEE SECTION ) ADDITIONAL CONCRETE IS MIX POURED AROUND BASE OF COLUMN THEN BACKFILLED WITH SOIL AND COMPACTED AT 8" INTERVALS. SPLASHBOARDS — SPLASHBOARDS ARE NO. 2 OR BETTER SOUTHERN YELLOW PINE 2"x8" S2S AND CENTER MATCHED, PRESSURE TREATED TO NET RETENTION OF .6 POUNDS PER CUBIC FOOT WITH CHROMATED COPPER ARSENATE TYPE III, OXIDE TYPE, IN ACCORDANCE WITH AMERICAN WOOD PRESERVERS' ASSOCIATION SPECIFICATION C2. ONE ROW IS FURNISHED FOR BUILDING ON A LEVEL SITE. FRAMING LUMBER —SIDE NAILERS ARE 2"x4" S4S OR 2"x6" SPF NO.2 OR BETTER SPACED APPROXIMATELY 30" O.C. WITH ALL JOINTS STAGGERED AT ATTACHMENT TO COLUMNS, ROOF PURLINS ARE 2"x4" S4S NO. 2 OR BETTER ON EDGE SPACED APPROXIMATELY 24" O.C. ALL OTHER FRAMING LUMBER IS NO. 2 OR BETTER. ( SEE SECTION ) ROOF TRUSSES — FACTORY ASSEMBLED WITH 18 OR 20 GAUGE GALVANIZED STEEL TRUSS PLATES AS REQUIRED AND KILN DRIED LUMBER AS SPECIFIED. IN—PLANT QUALITY CONTROL INSPECTION IS CONDUCTED UNDER THE AUSPICES OF THE TPI INSPECTION BUREAU. TRUSSES ARE DESIGNED IN ACCORDANCE WITH CURRENT STANDARDS AND SPECIFICATIONS FOR THE STATED LOADING. SIDING PANELS (KYNAR 500/HYLAR 5000) —0.019" MIN., G90 GALVANIZED OR AZ55 GALVALUME, WITH AN ADDITIONAL BAKED—ON KYNAR 500/HYLAR 5000 FINISH. PAINT IS NOM. 1 MIL THICK ON EXTERIOR ROOFING PANELS (KYNAR 500/HYLAR 5000) —0.019" MIN., G90 GALVANIZED OR AZ55 GALVALUME, WITH AN ADDITIONAL BAKED—ON KYNAR 500/HYLAR 5000 FINISH. PAINT IS NOM. 1 MIL THICK ON EXTERIOR. TRIM —DIE—FORMED TRIM OF 0.019" MIN., G90 GALVANIZED OR AZ55 GALVALUME STEEL ON GABLES, RIDGES, CORNERS, BASE, WINDOWS, AND DOORS WITH SAME FINISH AS ROOFING OR SIDING PANELS. GUTTERS — 5" K—STYLE, .030 HIGH TENSILE ALUMINUM GUTTER, KYNAR 500/HYLAR 5000 FINISH TO MATCH TRIM, ON BOTH SIDES OF THE BUILDING. ADDITIONAL NOTES 1.) ALL PLOT PLANS AND RELATED DETAILS SHALL BE PROVIDED BY OWNER UNLESS INCORPORATED AS PART OF THESE DRAWINGS. 2.) ALL INTERIOR PARTITIONS AND ROOM FINISHES IF NOT INCLUDED WITH THESE DRAWINGS SHALL BE PROVIDED BY OWNER. STANDARD FINISHES SHALL HAVE LESS THAN 200 FLAME SPREAD RATING AS REQUIRED BY ASTM E84 FOR ORDINARY CONDITIONS AND 25 OR LESS FOR EXITS, PASSAGEWAYS, AND CORRIDORS. 3.) FLOOR COVERINGS JUDGED TO REPRESENT AN UNUSUAL HAZARD SHALL MEET THE SAME TESTING PROCEDURES AS REQUIRED FOR WALL AND CEILING FINISHES. 4.) MORTON BUILDINGS GENERAL SPECIFICATIONS APPLY UNLESS INDICATED DIFFERENTLY ON SPECIFIC JOB DRAWINGS OR SUPPLEMENTAL INFORMATION. 5.) KYNAR 500 IS A REGISTERED TRADEMARK OF ELF A70CHEM NORTH AMERICA, HYLAR 5000 IS A TRADEMARK OF AUSIMONT, USA. CS2x4KK 2-96 TYPICAL LUMBER SPECIFICATIONS — 1991 NDS SIZE DESCRIPTION BENDING VALUE Fb 2"x4" NO.1 &2 SPF 1313 PSI 2"x4" 2100f MSR SPF 2100 PSI 2"x6" NO.1 &2 SPF 1138 PSI 2"x6" N0. 1 SYP 1650 PSI 2"x8" N 0. 1 SYP 1500 PSI 2"x10" N 0. 1 SYP 1300 PSI 2"x12" NO. 1 SYP 1250 PSI ALL 1950f MSR SYP 1950 PSI 1 1 2"x16" LAMINATED VENEER LUMBER 2800 PSI 3 1 2"x15" GLU—LAM 1650 PSI 51 4°x16 1/2' GLU—LAM 2400 PSI 51 4"x19 1/2' GLU—LAM 2400 PSI NOTE: HIGHER GRADE MATERIAL REQUIRED AS NOTED ON PLANS. SHEET INDEX SHEET DESCRIPTION 1 OF 3 SPECIFICATIONS & SHEET INDEX 2 OF 3 COLUMN PLAN & ELEVATIONS 3 OF 3 SECTIONS, DETAIL & TRUSS DRAWING I HEREBY CERTIFY THAT THE STRUCTURAL DESIGN FOR THIS BUILDING WAS PREPARED E OR UNDER MY DIRECT SUPERVISION AND T I A DULY GIS ERED PROFESSIONAL ENGINEER. olclQ RONALD L. SUTTON, P.E. MICHAEL L. MCCORMICK P.E. S ,� .� I DATE: Ll -4 -41 REG. # :— OFFICE: s �� CUTCHOGtJE, NY_ JOB NO. 128-0512__� M qm >-I z X E- r. F E- !4 ni • ,n O cfl N o w m 0:0 2 i; ) z w z �„m' _ 10 L1J ■ v a ■ s m. =Ls.J 1 i�� s - (■ '� I... 4' I= �� r DRAWN BY: MBH _ DATE: 10-28--97 CHECKED BY: MIRE M. DATE: REVISED DATE: REVISED DATE: REVISED DATE: REVISED DATE: SHEET NO. 1 OF 3 _� "INGLES 5" O.G. GUTTERS E: L- E: -F � CD � SHINGLES 5" O.G. GUTTERS 11 = Mrl��W F ES VENTED) F=l r-,4 11M P- � � -7 4,146 & 150 VINYL SIDING E: � E: N"V/ '19LLI --F � c� lull 1 12 7- 4,146 & 150 VINYL SIDING E: L- E: \\/ � -F � CD COLUMN PLAN LECEND 13 - 3-2x6 LAMINATED COLUMN LOCATION 18'x7' OVERHEAD DOOR W/OPERATOR & REMOTE 3068 9 -LITE T-300 WALK DOOR rOFFICE: CUTCHOGUE, NY JOB NO. 128-0512 �-DRAWN BY: MBH DATE: 10-28-97 CHECKED BY:l DATE: REVISED DATE: REVISED DATE: REVISED DATE: ,REVISED DATE: rSCALE: --*"N SHEET NO. 2 OF 3 to CL: er (o 04 (n 0 C> m C.D z c.r.4) ui Z 0 m: LAJ C.D z mmn t LAJ C...*) L-L.j L.Lj _q< �-DRAWN BY: MBH DATE: 10-28-97 CHECKED BY:l DATE: REVISED DATE: REVISED DATE: REVISED DATE: ,REVISED DATE: rSCALE: --*"N SHEET NO. 2 OF 3 SHING' 1/2" CDX PLYWOOD & — (1) LAYER ROOFING FELT 2x4 PURLINS ® 16" O.C. (NO 2 SPF) 2x4 BEV. PURLIN T#150 DRIP EDGE — 2x6 BEV. FASCIA 5" O.G. GUTTERS , T#144 & 146 FASCIA TRIM SOFFI T HI—RIB/SOFFIT CAP 2x6 OVERHANG NAILER 9'_0" GRADE TO HEEL 4' S.C. TRUSS (2) 1/2"x5 1/2" M. BOLTS & (4) 20d R.S. NAILS 2x4 VERTICAL BLOCKS ® 24" O.C. 3-2x6 LAMINATED COLUMN 2x4 NAILERS ® 32" O.C. 2100f MSR SPF VINYL LAP SIDING 7/16" OSB & BUILDING WRAP (1) ROW 2x8 TREATED SPLASHBOARD 4" CONCRETE FLOOR FINISH GRADE 30 PSF __--4" MINIMUM COMPACTED GRANULAR BASE CONCRETE FLOOR CEILING LOAD — PSF (BY OWNER) 37 PSF REVISED DATE: REVISED DATE: REVISED DATE: CONCRETE FLOOR NOTES 1,) 3500 PSI, 5 1/2 BAG MIX CONCRETE. ° REINFORCING: O 4'-0' 3.) SLOPEGRADE AWAY FROM THE BUILDING ® 2% MINIMUM FOR A DISTANCE OF 5'. 4.) 6 MIL POLYETHEYLENE VAPOR RETARDER PLACED 2" BELOW THE BOTTOM OF THE CONCRETE FLOOR. 46M BASE ANCHORS 6" THICK READI—MIX PAD OR °. (2)50# BAGS OF SACKRETE. PLACE a° (1)50# BAG OF SACKRETE AROUND COLUMNS WHEN SETTING. NOTE: CORNER AND ENDWALL COLUMNS WILL HAVE 15" DIA. HOLES W/4" THICK READI— MIX PADS OR (1)50# BAG OF SACKRETE. PLACE (1)50# BAG OF SACKRETE AROUND COLUMNS WHEN SETTING. 80 M.P.H. WIND LOAC SCALE: 1/2" = 1'-0" SECTIONA TRUSS SPACING 7'-6" O.C. LIVE LOAD 30 PSF DEAD LOAD 7 PSF CEILING LOAD — PSF TOTAL LOAD 37 PSF TRUSS DESIGN SPECIFICATION: Truss has been designed by computer using the Purdue Plane Structure Analyzer IAW current standards and specifications of recognized engineering principles. 7,c Output data will be provided upon request. LUMBER SPECIFICATION (1991 NDS for Wood Construction): Lower Chord -- No. 1 K.D. — 19 Southern Pine Top Chord --- No. 1 K.D. — 19 Southern Pine Web Members -- No. 1 K.D. — 19 Southern Pine CAM] TRUSS PLATE SPECIFICATION (ICBO Evaluation Report No. 2929).- ASTM 929):ASTM A-446, Grade A 20 Ga. and 18 Go. where noted, galvanized steel Morton truss plates identified by a hexagon stamped every 1-1/4" along the center of the plate. RAFTER LENGTH 13'3-5/16" Webs are 2x4's 2x6 NAILER 2x6 BLOCK 2x2 BLOCK T# 151 T# 154 2x3 JAMB (BEYOND) (3) 2x6 JAMB COLUMN (BEYOND) 2x6 BLOCK (BEYOND) O.H.D. HEADER SCALE: 1 " = V-0" OVERHEAD DOOR 1/2" LIP 2"x3" JAMB JAMB COLUMN (BEYOND) 1/4 SLOPE PER FT. 2x6 UPRIGHT 2x8 HEADER 2x10 HEADER 0-H.D. ALUMASEAL T# 152 SECTION B -B CONCRETE APPROACH (SLOPE 0 2%) r 6x6 -10x10 WWM a ---d d ° a ° ° a ... . °°� 4" ...................... EXPANSION JOINT 6" BASE OF FIRMLY COMPACTED COARSE SAND, GRAVEL OR ... CRUSHED ROCK. s' ;RADE SLOPE GRADE AWAY FROM APPROACH ® 2% MINIMUM FOR A DISTANCE OF 5'-0" #4 REBAR CONT. AROUND PERIMETER CONCRETE APPROACH DETAIL. NO SCALE 2 4 i � C:� r _T- FR L..J �J SCALE: 1/2" = 1'-0" Ga. /2" OFFICE: CUTCHOGUE, NY JOB NO. 128-0512 _j RAWN SY: MB11 7) DATE: 10-28-97 CHECKED BY: DATE: REVISED DATE: REVISED DATE: REVISED DATE: REVISED DATE: SCALE: AS NOTED SHEET NO. 3 of 3