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Home My WebLink About28251-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28587 Date: 07/11/02 THIS CERTIFIES that the building ADDITION Location of Property: 1555 BAYVIEW AVE GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 5 Lot 11.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 2002 pursuant to which Building Permit No. 28251-Z dated APRIL 8, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALAN ELIOT GOODMAN & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A th ized ignature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28251 Z Date APRIL 8 , 2002 Permission is hereby granted to: ALAN GOODMAN & ANO 277 WATER ST NEW YORK,NY 10038 for . CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR FLOOD PMT INCLUDED at premises located at 1555 BAYVIEW AVE GREENPORT County Tax Map No. 473889 Section 052 Block 0005 Lot No. 011 . 001 pursuant to application dated APRIL 3 , 2002 and approved by the Building Inspector. Fee $ 250 . 00 i—Icl•�mt-^c '� ZZI 4 C�nM1 Authorized Signature COPY Rev. 2/19/98 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 a consent to inspect signed by the applicant. ertificate of Occupancy., is denied,the Building Inspector shall state the reasons therefor in writing to the ap6nt ._.. C. Fees JUL — 5 2002 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alt tioQns to dwelling$25.0 , Swimming pool$25.00,Accessory building$25.00,Additions to accessory buildin $254961 *1 1 O. 0. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. 7l/ New Construction: Old or Pre-existing Building: (check one) Location of Property: b9 oC House No. //�� Street Hamlet Owner or Owners of Property:A/Au Qbrxl ) Y3 ,) Suffolk County Tax Map No 1000, Section 6— Q Block 00s- Lot 0/4 W1 Subdivision M 'ek- � Filed Map. J/ -3,?) Lot: J-3 — Permit No. a s/-2—Date of Permit. /'A7� Applicant: 1/��2OI✓�nd C f �f�JT}�� Health Dept. Approval: II Underwriters Approval: ,11/AI N r Planning Board Approval: Va- / Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C C� U Applicant Signature New York State Department of Environmental Conservation . Division of Environmental Permits, Region One Am Building 40-SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 • FAX: (631) 444-0360 Website: www.dec.state.ny.us Erin M.Crotty Commissioner LETTER OF NON JURISDICTION-TIDAL WETLANDS Alan Goodman February 27, 2002 1555 Bayview Ave Greenport, NY 11944 Re: Application #1-4738-02995/00001 Goodman Property, 1555 Bayview Avenue, Greeport Dear Mr. Goodman: Based on the information you have submitted, this Department has determined that: All the property landward of the pre-existing (prior to 8/20/77) stone seawall more than 100' feet in length is beyond the jurisdiction of Article 25 (Tidal Wetlands Act). Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no permit is required. Please beiadvised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies.. Very truly yours, MarCrrara Permit Administrator cc: Environmental East, Inc. - BMHP file TOWN OF. SOUTHOLD PROPERTY RECORD CARD OWNER STREETC �" J J VILLAGE DISTRICT SUB. LOT53..�a 16 FORMER OWNER \ ' _ N E ACREAGE S- S W TYPE OF BUILDING S`AS• VL. FARM COMM. IND. CB. misc. �. LAND IMP. TOTAL DATE REMARKS,.,-/-/O 1"� v4 ��1 /+r,�, y,' J �✓ .: , 4f t.Q 11 D L/ S� 06 / /�. 6 y - L r6 s Gco cb- _JJJ6 - 2 L s v v L71 o D - ,/'G'ez 1 ko 00 G 94 � �'KR-y1/ Ufa I,�4L ,f . AGE r , BUI ING 11ft -2 ION ' aJK �LC dJ36 � ' NORMAL L ABOVE Z Z 67o I7/ Z' �".rm cre slue PLeA Value — Z�O 10 zoo - Con��,� eLlfeo- Tillable 3 ddoadlond - 9 ac) 3 - Swampland `Swampland 3rush!and 0 ��l � / ---- r _1i7�, P w�1 4i; House Plot b 7 1A11 ictal ` Board Of Southold Town Trustees SOUTHOLD, NEW YORK March 20, 2002 ;§ PERMIT NO. SD`j DATE: ...... ...... :. Environmental East,_Inc. on...b.ehalf...of _. . °" ISSUED TO ..._. ._ ..... .. __ . _. r Pursuant to the provisions of Chapter 615 of the Laws of i �r the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- 41 n-titled "REGULATING AND THE PLACING OF OBSTRUCTIONS R. :>. ._ IN AND ON TOWN WATERS AND PUBLIC LANDS and the 3a REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;'_': and in accordance with the Resolution of The Board adopted at a meeting held on March.29.,.. 2002 , and in consideration of the sum of ... paid by a Alan Goodman ..... , of ...Southold, N Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: t ` Wetland Permit to replace existing concrete patio with wooden deck. all in accordance with the detailed specifications as presented in . .the originating application. ` IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to ?^ be subscribed by a majority of the said Board as of this data. ,} ti .� �`.(r� L , Artie F'Q4tPr (Aldz"t) IR ITrustees ` v .r�f.J.rvr�"�=-'�.JGiS$:.xllyd'�L' "•� ''!.�-'y iv[ n_a`�Eti�:r'r'�'•�ji��i'[�'s 1 r 0. �- � � .ail► ��'.�- � �� „x,�.,�,,. .��w1M� �F 5, Applicant/ Date Owners Nannie: Reviewed: Architect Date Engineer: li✓aAAk �1,_ Submitted: SCTM M: _ District: I MO Sec0n: . 0� Block: J Lot: L Projectr�� Q v� L Subdivision Location: (fit/ 0- —_-- - Name: Sin&Ie & separate Required certification: (Yes/Nol Req 2 Req. /oning Distrkc C) IIAt size: - Actual:,J _�-ef-_I (Lot coverage 1"op, cJ l Req. Req. / i � � Req. (front Pard - Proposed (side Yard/ ProposedO " I [Rear Yard _ Proposed I Project Description: Q AGENCI► ERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees / Town Zoning Board approval: � Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes• 15,70 ash FROM SOUTHOLD TOWN PLANNING BOARD FAX NO. 631 765 3136 Sep. 21 2001 10:13AM P1 STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) warren A. Sambach Sr. , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at 7675 Cox Lane, Cutchoque, NY . 11935 That on the 21-aiday of September , 2001 deponent cwp4i#ecttengineer, licensed by the State of New York, hereby states that,//he accepts full responsibility for theaccompanying plans compliance with the New York State FirePreventionand Building Code (9 NYCRR),, said plans pertain to property located at SCTM# 1000- street address)KTv B t), i"7 AP@W*eVEngineer Sworn to f r e this ? da 12001. 0 OLAND Not to of New Yak TOJ4 - -d cc: Applicant jUp4 TH T- TERRY ( _ ::. `. �� Tm"n Hall. S{OV( mJ111 Road TOWN CLERK :• P0 Roy 1 179 I Southold, Nck'- Durk 114171 IitCI STRAR OF VITAL.STATISTICS MARRIAGE OFFICER l y,�. Fax (S l hl 765- _ O� I R_1 •.�.i,�o� � �b TcicPliunc (SIC�I 765_ IH011 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 : RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93) ] , and "Certificate of Compliance for Development in Special Flood Hazard Area (C/C(93) ) . ;UI( ti TOWN OF SOtJP!= udith T. Terry Southold Town Clerk August 25, 1993 APPLICATION a PAGE 1 of a TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and sien): 1. 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 TH B T F MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANTS SIGNATURE) DATE Z SECTION 2: PROPOSED DEVELOPMENT (To be completed by APPLICAN''n NME ADDRESS TELEPHONE APPLICANT +A�_ g BUILDER ` ENGINEER PROJECT LOCATION: • To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot 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. ` A 1 FDP(93) APPLICATION PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes) A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure ❑ Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Flood proofing? ❑ Yes) ❑ Relocation ❑ Combined Usc (Residential & Commercial) 9.15;C11rofi600 F ❑ Manufactured (Mobile) Home (In Manu- ®'Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. . Dated The Proposed Development: ❑ Is *LIQ=located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located is a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION a PAGE 3 OF 4 SECTION 4' ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATORI The appbcanl must submit the documents checked below before the application can be processed: O A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑ Development 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 floodproofing of utilities located below the first floor and details of enclosures below the first floor. Also ❑ 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). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new Fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Ft.'NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR I have determined that the proposed activity. A.O Is B. O Is not in conformance with provisions of Local Law ,€ 19_ 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 BOX B 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 hearing from the Board of Appeals. APPLICATION a _ PAGE 4OF4 APPEAL S: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance 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 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofng 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. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION g: CER FT -e rF OF OMPLIAN E(To be completed by LOCAL ADhtINISTRATORI 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 SPECL4L FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACA.NT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #_? 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_1 AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� " INSPECTOR G� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING FINAL [ ] FIREPL CHIMNEY REMARKS DATE O INSPECTO FIELD IlMSPECFION REPORT DATE CO=s ae r� � x FOUNDATION (IST) x ------------------------------------ FOUNDATION (2ND) C x ROUGH FRAMING& H PLUMBING C, x INSULATION PER N.Y. y STATE ENERGY CODE CED FINAL ADDMONAL COMMENTS c O r m F � S a � b C z x r a x d r� b y TU"OF SOUTHOLD BUILDING PERMIT APPLIL'ATION CHECK BITII.DI(TtG DEPART1VIIt,NT Do you bsve azaoadlbp follovda&bo£oro aPP TOWN HALL Board ofgeelth SOUTHOLD,NY 11971 3 aetaofBuaftPh= TEL:765-1802p03' PEPM - NO, • �2y0?S /� Cheek Septlaspbsin" • T�ostees mea ./ 9' .20 0)--. coma Approved .zo Dom• Died a/c .Phame:. r n1y ^ a3 � U 2V . ? TIc, FMBUILD NGter. Date. �i✓i�T• 2l ,200. Te�:a�a gas ` INSTRIICTIONS a.This appliaaf=M=bo oaaplotelytWiubytypewrltatoria.iakaadsubmftedtothoBuildingInspectorvvit sets ofpIans,accamte plot plan to seek.Boa aocordiagxo schedule. b.Plot plan showing locafl=of lot and of buildings onpzamisos,reladonsMp to at oiaiagpremises or public streets areas,and watesw'sys. c.The work eovered by this application may not bo commemoed bafore issaaaee ofSuDEm&Pcsmit. d Upon approval oftbis application,the BuUWgbspta=wM issue a BuodiagP=ait to the applicant.Such a pca shall be kept on the pzemaises available for iaspectian&=Whad the work. c.No bm'ldintg aball be occapkd ozused in whole or iapart for any purpose what4o-aver until a C. to of Occup is issued by the Building Iaspeator. APPLICATION IS B33PMYUMB totheBuild agDepartrnoa't fortheismnaaoe ofaBuilftPemmitpursuant to th Building Zona Or+diza=of the Town of Southold,Sufic County,Now York,and other a TU=b 1v Laws,woes w Regniatioms,for the oonstructionofbuildmga,additiams,or alms orfw=oval oar domoliti=as herdm d=nbod,The applicant agrees to eoaaply with all angicable kwa,ordiasaoes,bullding oode,housing ooc*and mgalations,and to admit andwrizod inspoctamonp:remises and inbuMbsforn000saary3nspeotlons• nJ�Cl,2o rs M,�iJT ��t� rniG (Sime ofVP9GaMt or" e,if a ooapaaa d=) ;f>.p- awe 1g7 Feaor,-�t c- AJ (h &AWA addreea ofd) State whether applicant is owner,lessee,agent,arrhitact,engineer,gonmral contactor,doclz dan,plumber=or,bmldm Nacre of owncr of premises L. =4 N &oo pn-t A lV' (as,on the tox roll or latest dead) If s natmV of duly audrorizod Off= amu and tido of coiporato officer) pe-MR, S. STo Lrre4v b UK c64 t'(26T Builders License No. IS�v� • Pmmbers License No. Meatriciam License No. Other Trade's Liccrosa No. 1. Location of land on which proposed work wi'1].bo done: 15 55 13&Yyt t w A,\4 Flop---r House Number Street Hamlet Couaty Tax Map No. 1000 Section 0,52— gloms Lat Subdivision Su rnm e P, H AVe N Ned Mg No. Lot 5 3-moo .(Nemo) .Lslmg:nse sdd oompamogoirpi+amlses and fintm cw use and ocarpa>sep bf p�'opOs�d co don: ..' '$X;3tingV3eat'fdOI�CQffi0�► 11J61� �fcM4L`f �WE.I.I.tIJ� _ b. ' ti1 Cr azure of work(check which applicable)'New Building Addition_ Alteration' ✓ epair Remioval Demolition Other Work T-)EC is (Description) stinaated Cost ?�� Fee (to be paid on filimg ibis application) . dwelling,number of dwelling units- N Number of dwelling units on each fiooz nJA. garage, number of cars N A 'business, ctimmerdd.or mixed ooegmcy,specify nature and eactelrt of each type of use nmensions of existing structures,if ear Front N o C i�G�Rea Hous Dept leight Number of Stories ' . ►imensions of same structure wftti aitetabons or addfOorw. 110 Cx{aEN GE Front Rear iepifiHej9 Number of Stories )hneaaions of entire new consttnc don:Front l7 l O' ear . J5 2 Depth Cf !eight D ECS QA Number of Stoties nI ize Of lot Front ISO o o Rear' 15 3 .•5°( � Depth 63 Z2 we of Purchase• Name of Fomer OWM. ;one or use disttkt 4n which pteptises am sittiebed _ O roes pioposed consdu+ction violate any zoning law,ordinance or regulation: 1 j 6- VM lot V711ot be regraded • . N O Will excess Sil be resnovbd$oro premises: .YW Tames of owner of premises GUaDM�Address t 555-cl "u ieLJ . Phone•.No. Tame of Architect Addreess Phone No Tame of �. t G - 1'0 soya La,7 Phone No. -7 3 4' *74-.7:4 • �Z'�ONI-� this.propertywrthin 100 feet ofatidal wetland? *YES NO • IF YES,SOUTSOT D TOWN-TRUSTEES PERMITS MAYBE REQUIRED rovide survey,to scale,with accurate fotmdation plan and distances to property litres. elevation at any point on property is at 10 feet or below,must provide topographical data on surveil CE OF NEW YORK) O c� i`� being duly deposes and says that(s)ho is the applicant Name of individmd sig W,;jg contract)a om named, :is the ContcaabDt; Ctvorate Officer,etc.) d owner or owners,and is duly andwrized to perfoatt crbave perbmed the said we&and tD make and file this application; R statements contained in this application are true to the best of his knowledge and belief and that the work wM be aned in the manner set forth inIhe applicadon'Sled tttercwith. z� o b�ttm me tb}s E- �'�a. ofZO et' ., Notary lic S%astme ofApplica N No.1 G 701 York Quslffied In Suffolk Cou Commission Expires Dec. 3 smAdl EXISTING EX15TM IN-Gtz011JNCJ CONGM 5WIMMING PATIOPOOL -� 9"2" WINL90W LNif AP R VED AS NO NOTIFY BUILDING DPA ENT AT 785-1802 9 AM TO 4 PMS FOR THE FOLLOWING INSPECTIONS 1. FOUNDATION - TWO QUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING A LUMBINO 3; INsutKrION 4. FINAL - CONST UCT N MUST BE COMPLETE F C.O. ALL CONSTRUCTI SH LL MEET THE REQUIREME 0 THE N.Y. STATE CONSTRUC"ON ENERGY CODES. NOT RES ONS BLE FOR -- - - - - ERRORS � L�Ai55 POR � i 71 PA10 POOR GOOPMAN/ 51�� PT P5 Y 1 1C�N5T, CONCH � /{.�OCCUPANCY Sl aq PACK (Y ION # I USE IS UIuW7 U!. MRONMM �A5f IWHOUT CERTIFIC^.J E II i ��I II i „ q ��,�i COhARRE. ENGINEERS 2 Q Q%WCY �7 P.O. 6JX 1 033 COX LANE _ 1561 ,61 11 CUTCHOGUE,W 119 2 51s-734-7492 57/4 MCKING 2 X 8 CCA J015T5 @ 16" O.C. 2-240 V060 PaSP TO H0115e W/ 1/2" LAG 1 aT5 2411 D.C. 2-2X10 CCA 6MR5 t3afW T 4 X 4 CCA P05T5 MA50W FOOTINGS @ ,5'011 MOW GW. MAX, 8" la% ON 51M. GOOPMAN/ 5EPWr I?r5112 NCS MCK MTAL �NVIPONWNT �W INC , 9 ,19,01 A. WARREN A.SAMBACH CONS-oLTING ENGINEERS P.0.86X 1033 COX LANE CUTCHOGUE=W 11835 516-734-7482 SURVEY OF PROPERTY AT ARSHAMOMAQUE TOWN OF SO UTHOLD SUFFOLK COUNTY , N. Y. 1000-52-05- 11 . 1 SCALE: 1 " =20' DEC. 19, 2001 0 Colo vy RoaD z i LOT 59 o q" N 52.30'00' E 1$6, FL 2 _ 1 aas CIO L ,s A LOT 58 - V b LOT 57 0, K A S - H r m 56 N Z Ise, woo \ / / l� 55 ry ,) m n IJr q m o x A � m m � a m n d J80 u f T CSF ]INHEDGE \ LUT NUMBERS REFER T❑ 'MAP OF SUMMER HAVEN' FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE 4 UTILITY ROLIIY i S 52430'00' W PULE ovc ncA vraes OLE AS MAP N0. 1133 LOT 52 KF OF NEW yO f ELEVA TIONS ARE REFERENCED TO N.G.V.D. -/ ,�1',$, LIC. ND, 49618 ANY ALTERATION DR ADDITION 7,7 ''H =Y IS A VIOLATION AREA = 30,224 sq. ft. OF SECTION 7209 OF THE NkV YORK DUCATIDN LAW (631) 76I 02(06` (631) 765-1797 EXCEPT AS PER SECTION 7?@'r-SUBDI ' ALL CERTIFICATIONSP, ❑� BOXAND S TO TIE LINES HEREON ARE VALID FOR TH", MAP At E THEREDF ONLY IF SAID MAP OR COPIES BEAR -NE IMPP„ -AL OF THE SURVEYOR 1230 TRAVELS TREET WHOSE SIGNATURE 'APPEARS r~EREON SDUTHDLD, N. Y. 11471