HomeMy WebLinkAbout40861-Z gUFFOI,I•ca Town of Southold 12/29/2016
a� P.O.Box 1179
d' 53095 Main Rd
oydao` Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38751 Date: 12/29/2016
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 665 Jasmine Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 69.-3-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/19/2016 pursuant to which Building Permit No. 40861 dated 7/26/2016
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:
ACCESSORY IN-GROUND SWB4MING POOL, FENCED TO CODE,AS APPLIED FOR
The certificate is issued to Dunne,Edward
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40861 08-18-2016
PLUMBERS CERTIFICATION DATED
nr' Signature
�S��ot�cvTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • o�� 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#: 40861 Date: 7/26/2016
Permission is hereby granted to:
Dunne, Edward
665 Jasmine Ln
Southold, NY 11971
To: construct accessory in-ground swimming pool gas applied for.
At premises located at:
665 Jasmine Ln., Southold
SCTM # 473889
Sec/Block/Lot# 69.-3-14
Pursuant to application dated 7/19/2016 and approved by the Building Inspector.
To expire on 1/25/2018.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Buil spector
Form No.6
-fo\NfN of sou-moLD
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,
im
Swming 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. C6py of-Certif cafe of Occupancy-x:25-
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
„B SSS Date.
New Construction:• �� a'" /old or Pre-existing Building: (check one)
Location of Property: l8 S, -
House No. Street Hamlet
Owner or Owners of Property: C)1Gc3)_�UQ
Suffolk County Tax Map No 1000, Section LD Block. O,Z Lot
Subdivision I Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Ce 'ficate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
pf SOU��®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roaer.riche rtO-)town.southoId.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To- Edward Dunne
Address: 665 Jasmine Lane City: Southold St: New York Zip: 11971
Building Permit#: 40861 Section- 69 Block: 3 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Jim Sage Electric License No: 3635-E
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment: Inground Swimming Pool to Include; Bonding, Control Panel, Salt Generator,
Pool Lights(Low Voltage).
Notes:
Inspector Signature: Date: August 18, 2016
OOElectrical 81 Compliance Form.xis
oF su�Tyolo
H • O
�'40UM'l,� a
TOWN OF SOUTHOLD BUILDING DEPT.
°765-16®2
INSPECTION
[ ] FOUNDATION 1ST [ XROUH PLRG.
FOUNDATION 2ND [ ATION
FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: @ r1KiV `S�
L
DATE l INSPECTOR
qocb(Dk OF SOUTyo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL
( ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAI )
REMARKS: o�(
DATE Y{ INSPECTOR
FOUND,1!=N(1ST)
...........
, �......... lit
.. t 1
FOUND�TXQN'(2NJJ) •� �
� O
SA
ROUGH FR TYMgQ&
MOLATZON•PER N.-Y. ,
STATE ENERGY CpDE ;
FiN L
TZ
4
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
19 Storm-Water Assessment Form
�JJ
JUL ��9� Contact:
Approved ,20J $UMDINGDEff• Mail to:
Disapproved a/c TOWN OF SOUMOLD
Phone: 6a'1' oI�$ " *0Y
Expiration ,20
Bu' ding ector
APPLICATION FOR BUILDING PERMIT
Date .lC-�,C /9 , 20 /6
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 inspections.
ti �61k chile
(Signature of applicant or name,if a corporation)
9 loo V 4- AMTr i iti.Y/N
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber o builder
Name of owner of premises low ✓� 1 )LAX)
(As on the tax roll or latest deed)
If a p pl is a cor ration, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other T-rade.'s.License No. (®
11. Location`o£land on`wliich`proposed work will be done:
�AJ , Sia,�� ( �(-i ��4`J
House NurhgEr "° Street Hamlet
County Tax Map No. 1000 Section ray l Block 03 Lot �'
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
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
q'1 _3m (Description)
4. Estimated Cost "I s ," «Ρ: ,
IoJbaid on filing this application)
5. If dwelling, number of dwelling units '� 1Number of dwelling un�t�s ll each floor
If garage, number of cars t. 1�
6. If business, commercial or mixed occupancy, specify.Tatu;re_,nd�exte
ynt of�each type of use.
7. Dimensions of existing structures, if any: Front `/< <jJ Depth 3 7® S
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES No /Will excess fill be removed from premises?YES__j/NNO
14.Names of Owner of premises A )(s00104� Address_In 6r j'4SZ4VePhone No. —6,'16 Hbo77
Name of Architect Address DU T Phone No
Name of Contractor Po-o-4 Pct PW C&l e- Address &,PO A Phone No. l&31~ z� 01Yc
"TT c`T
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO V"
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey./
18. Are there any covenants and restrictions with respect to this property? * YES �/ NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OV5 0
j/t / �'G ° being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(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.
TRACEY L.DW1/ER
Sworn to before me this OTARY PUBLIC,STATE OF NEW YORK
f 9fh day of 201 NO.01DW6306900
QUALIFIED IN SUFFOLK COUNTY
(f OEM" COMMISSION EXPIRES JUNE 301kk
Notary Public U Signature of Applicant
a,
Scott A. Russell
SUPERVISOR U, f ,�— I -
SOUTHOLD TOWN HALL-P.O_Box 1179y t0� FUS SOS Town of Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971 % .�
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No ..
[j[U( Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface-
: ❑ B_ Excavation or f illing involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ . Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area. r
❑ . Site preparation within the one-hundred-year f loodplain as depicted
--�n=EI-Rl�Map--of�ar�y..-wat-% Fc-au-=se=---------------------- --_-------: ._.._ __.. . ..._
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
S.C.T.M. #: 1000 Date.
APPLICANT: (Property Owner,Design Professional.Agent,,/Contractor,Other) /D�isrtict
NAME �(i � '81
Section Block Lot
FOR BUILDING ULPARTNIENT USE ONLY"
Contact Inforrnat,ore
Reviewed ByJL
Q� G
— — — — — — — — — — — — — — — — — — ate: 7->-! -110
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
Approved for processing Building Permit_ — — —
Stormwater Management Control Plan Not Required.
��� � . / ���� ❑ Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review)
FORM A SMCP -TOS MAY 2014
i
I
SOUry4!
Town Hall Annex Telephone(631)765-1802
54375 Main Road
cis ,ax(631)765-99502
P.O.Box 1179 G roger.richert _Iown.SOutil0 .nV.us
Southold,NIC 11971-0959 �O
ly�4UIVt`1,��
BUILDING DEPARTMENT !
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. Date: 3
Company Name:
Name: '
License No.: j
Address:
Phone No.: 33 L
JOBSITE INFORMATION: (*Indicates required information)
*Name: :::i ��-
*Address:
*Cross Street:
i
*Phone No.: -- l —✓�{/h `� �'�7 i
Permit No.:
Tax Map District: 1000 Section: Block: , Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle Ali That Apply)
*Is job ready for inspection:
YE Rough In Final �
*Do you need a Temp Certificate: YES/(&03
I
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
� Lq -3 - 1,4 TOWN OF SOUTHOLD PROPERTY RECORD CARD _
OWNER - - STREET VILLAGE DIST. SUB — LOT
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Plus all adjustment tot the increase in the conau
paid by the ownect Nor
price Index Crou the dot* of Purchase to the data of sale, plus
tb* resale
1'��ft �.�•f-.a.i'S�i•v�((,t
bll:,&.ud nocvasary resale Aptness pertinent to
b. prior to any resale the owner shall provide the Communityto evil and OR octet of such fw'ir; /.1�tr•aat%�'•'i'e',yf�7
Development Director of the Town of Southold with a notice of intent X
`
YaN,tl1{y.r�r: r;tif'.�
al'�'}yr:,1y.7:;! dlt,i r7 :ia�`•,•7Ji},i :C;�♦1�.! .
determined by the proVisions of Ngbpafaggaph Is) &how*. said notice
and stIttial shall be delivered to the community Development Director
';1MIJ110 Of the TOWN CC Southold In written form and& Calling a written
7►1Y:!ir�:•".�': it - R
A a. hey profit realized by the seller of a vacant parcel of
Ji (e.l.�i.sr✓2 l: yC{tictr335;1'•:,�i•S.`*:,�7
V F sd received at the time of ptopetty exceeding that sot forth above anaf .31.'i': Y1
f R` "Irk :{t:�,l�•r:h an.,{
a{.1 ��'«T A•F !(�21 a'1 bf• .rt:r,.lrt,:+.(•U
d. only those applicants q0alifying
tiY, ?�: 7 ^fir• under the guidelines of theAffordable Housial Ordimaoces of the Town of Southold shall be
.r^�a/.L:yL7"r'♦{.- ..11,i".?�.«j1"�`'�,E`.r•i`.� .if
a. to the event of a resale of any dwelling units within too
tr�{.t.rr.ta�i:t':5r r if:
In subparagraph JbI show*.
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attyf9 ,til.{11�a; •y'!tra�',-!'�•^.''y�; ?�'f.
+� years J,.•..
yrla \Ylab�,•wMazismo allowable tonal* price, on specified In Section 100-56 F(l) of too
i y.�7 a,!.. Fes`0 hl
t r b . T:, �ji
seller Rod the Town 14 the 1OIlOwInq proportional
;,flP r}r.�•f..-�,�, 7�tk+�4S}.�L+%+ aal,i•:
Tear of 1190410 percentage Percentage
is ��.•:. 1J. lot Do iu N'�fZ i7y.
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4tb 304 701
stil 401401
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4J. That all of *tie covenants# conditions and restrictions
contained hotels shall bo-construod as real covenants tanning with the
ii•r• 'vH},.
land and shall continme and repalm, in full force and effect at all
is 1 Yu•h• �•T1!,�).off r.i. 1; f,:�•i�f�v
;'-;• l•�,C`°.4, times as agalost the owners of the ArrORDABLI HOUSZOG SKMON or any
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1 11349P6
DECLARATION
w
DECLARATION OF COVENANTS AND RESTRICTIONS
THIS DECLARATION made this /?7�L
SOUTHOLD VILLAS, INC. , a New York corporatiohavin it 1991, by
Place of business at 97 Crows Nest Court g s Principal
hereinafter referred to as the DECLARANTS, as the owners ofpremises
re1m 030
described in Schedule '
"A• annexed hereto (hereinafter referred to sas
the PREMISES) desires to restrict the use
PREMISES and has for such o and enjoyment purposes determined tof said Of
on said
PREMISES covenants and restrictions adoes
and
---. • PREMISES shall be held and shall be coned hereby declare that said
ed
`%`covenants and restrictions; y subject to the following
• DECLARANT has made application to the
DISTRICT
Department of Health Services Suffolk County
1000 the DEPARTMENT) for a (hereinafter referred to as
or approval of a subdivision or development onpthe aPREMISES.
l of plans
SECTION
070.00 2. As a condition for the approval
pplication t the
BLACK a he Of agreesf t at DEPARTMENT,here shallo be such
01.00 further division a£ the premises described herein and thano
t
said premises shall remain as eighteen lots, one of which
LOT shall contain sixteen16
( ) condominium units .
006.00I As
a condition bf approval b
subdivision or develo y the DEPARTMENT of the
covenants that pment application, the DECLARANT
unless there shall be no conveyance
public water is of any plot
extended thereto.
Prevent shall
a conveyance of . the entire subdivisions subject notsubject
this covenant.
The DECLARANT, its successors '
any areas delineated and/or assigns, covenant that
subject parcel and designated as open space on
shall remain ' as described in Schedule •A■ annexed the
protecting as open space for the express hereto,
in its g the aquifer and water su 1 purpose of
natural state, te supply, and shall be kept
activities, asexcepting only property maintenance
foregoing Purposes may
appropriate .impairing to effectuate the
and open character of the P 9 the essential nature
Premises.
• -11349PL463
3• The DECLARANT, its successor and/or assigns shall set forth
these covenants, agreements and declarations in any and all
leases to occupants, tenants and/or lessess of the
above-described property and' shall, by their terms, subject
same to the covenants and restrictions contained herein:
Failure of the DECLARANT, its successors and/or assigns to
so condition the leases shall
subjugation not invalidate their automatic
to the covenants and restrictions.
4 • All of the covenants and restrictions contained herein shall
be construed to be in addition to and
limitation upon an not it derogation or
laws y Provisions of local, state, and federal
• ordinances, and/or regulations in effeck at the time
Of execution of this agreement, or at the time such laws,
ordinances and/or regulations may thereafter be revised,
amended, or promulgated.
5• This document is
made subject to the provisions of all laws
required by law or by their provisions to be incorporated
herein and they are deemed to be incorporated herein and
made a part hereof, as though fully set forth.
6• The aforementioned
Restrictive Conants
enforceable by the County of Suveshall be
ffolk , State of New York, by
injunctive relief or by any other remedy in equityor at
law. The failure of said agencies or the County ofSuffoak
to enforce the same shall not be deemed to
validity of this covenant nor be a impose an affect the
whatsoever upon the County of Suffolk por y liability
employee thereof, any officer or
7• These covenants and restrictions shall run with the land and
shall be binding upon the DECLARANT
assigns, and upon all ' its successor and
them, and may be terminated sonsor revoked entities
claiming under
Of the premises only with the wr1tten consent
owner
DEPARTMENT. of the
11349PE464# t
$ s
SCHEDULE A
DESCRIPTION OF pROPERTX
DECLARANT SOUTHOLD V
ILINC.
N.D. REF. NO.
:! 91-093(SO)
ALL that certain
and being in theVilla• Piece or parcel of land
and State of Nev York 8e and Town of , situate,
Southold an described
County of puff olk
lying
BEGINNING at a d described follows;
Route 25) at thepoittt on the westerly
Jane Fra southeasterly side of Hain Ro$
Franke and Thomas Franker csrner of land �N•Y•S.
being distant 917 feet now or
formed b , more or Point place for rlY Of
Y the intersectio lass,Psouther2 °f beinning
the southerly side tt of the we8torl Y from th
of Tucker Y side of Hain Re, corner
RUNNING THENCE South 13 degrees
Lana, Abd with
the westerly side of B ens OQ minutes
Of Marguerite Young; Hain Road. I00 fact to00aseconds West along
THENCE North 77 degrees pp minnow Or formerly
mentioned land* ute
120 feet; s00 secott.rls West aloe
THENCE South 21 - 8 last
last mentioned d@
THEgree$ 56 minutes
land, 126.42 feet; 0Q seconds West still along NCE
North 81 degrees 12
or formerly of D minutes 20 seconds. West along or formerlyqu8las Peix and Williaa
Flower Hi1.1 Of Anna Burn•Qtt and along
Crawford, aloe 8 land now
Building 8 land 8 land now
ng Corp• , 540.46 feet; now or formerly of
THENCE North 1.2 degrees
seer 50 mi
mentioned la 8 minutes
land,, 28 feet; 10 seconds East
THENCE along last
North 75 de
mentioned land degrees 43 minutes
Hemblo ' 89S•9.2 feet to 10 seconds West
and Thomas E. Ne land now or formerl along Inst
mblo;
THENCE North Y °f Ann Diller v
mentioned land. degrees QI mi
700.8 min 50 seconds East along .�
Hann and Jon 3 feet to land now *t
Joan Hann ; or formerlyng last
THENCE South °F Russell
42 degrees 4
mentioned land 384 . 779 minutes >
feet;
50 seconds Ess. alo
TIJENCE North ng last
y
m 30 degrees 37 minu
mentioned ;}
ned land, 150.07 feet; 00 seconds
Ens. alon8 la
continust
•�d - r-
t
�� _ _
SC F-DTJLE A (continued)
THENCE South 72 .
mentioned l$nd degreea '46 minutes
474'.11 feet•• 10 Seconds Eaet alon
THENCE � last
South 73 degrees 12 minutes
mentioned land. 238.03 feet 00 sec
1:ing ; to land now or seconds East aloe$ Inst
formerly of Marion
THENCE South 17 degrees
mentioned land, 119.20 20 minutes 40 sec
feet; onds West alo
T8ENC8 So qg last
South 75 degrees 38 Minutes 10
weationed land, 124.54 feet to
Franke; seconds Esat along last
land now or formerly of Thomas .
TH$1{CE South 16 degrees 3
mentioned land 9 minutes
30 sec
162.55 feet; • no or formerly of Jane Frankedand
elo.g last
THENCE South Thomas Fr anke.•
mentioned b0 degrees 55 minutes
the point or place a 68 feet to the 00 seconds East
lof BECxNNIn. westerly aide of MRo
ax.ong Iasi
ad. at
• � • .i.' �i+�+moi• �i%✓i%��:%
•t - �•' • ,.w• .t :' •. + 'i.•'.sp fi�t'
_ .Jf 11.�/yf� . :r:�• .. •.t7 ••�.: :fir•• •t• '• •f. • +i',f�L :t
.i' �. •ti it�r' •'iii• •1' i••'+�r�`�YC.. 6 :�.`:•• •, •r '.•:•.••.•r�' •• :� :i. �
] + '� •�''•f •�/a{t�•!:l•7(•I,J•�•1t f!••:f f 4�::41•,t•,}••l•;i .•.• •.. 1,•.).':r•:'4::'"'. ��y.•'• '•'• ••f_ +•••.ti{••y •
'11349PL466 `
SCHEDULE B '
CONSENT OF MORTGAGEE/LIENOR
DECLARANT SOUTHOLD VILLAS, INC. .
N.D. REF. NO. #91--093(S0)
In the matter of the application of SOUTHOLD VILLAS, INC.
The undersigned, THE NORTH FORK BANK & TRUST CO. , having its principal
Office at 9025 Main Road, Mattituck, N.Y. , as holder of a mortgage or
lien on premises described in Schedule "A' of Declaration annexed
hereto, hereby consents to the annexed covenants and restrictions on
said premises.
THE qqRTH FORK BANK & TRUST CO. , by:
STATE OF NEW YORK)
COUNTY OF SUFFOLK)SS. :
On thVr_1-rV_e_W
"day of
�I-ID 1GZ , 1991, before me personally came
id me known, who being by me duly r'�` �.sworn
d� ,a dzPo�� a:1d say that re resides at
- ` , t h a t h e i s the Sx.,,�,-� Jac.. l5 �n!s�Lc �D.:��.- I
. FORK BANK & TRUST CO. E: NORTH
, the corporation described n andowhich executed
the foregoing instrument;
n 11311 1191 11:11 1211:11 2,
by order of the Bothat
ard of 1recto s of said
corporation, � he signed hu nam •theret
Notary ub 3c
LYNNE M.GOR
Public,Stepof Nary Y"k
No.6272
QCOM�sllJie�d In Su f k Cou ry �'
i+slon Exar"s Oot.31,E
' 11349PA67
SCHEDULE 'B (z)
CONSENT OF MORTGAGEE/LIENOR
DECLARANT SOUTHOLD VILLAS INC.
H.A. REF. .NO. 191--093(SO)
In the matter of the application of SOUTHOLD VILLAS, INC.
The undersigned, GEORGE WIESER, residing at Ad,,&/ws &/,,d -D.4 .
N.Y. , as holder of a mortgage or lien on
premises described in
Schedule "A' of Declaration annexed hereto, hereby consents to the
annexed covenants and restrictions o said premises.
Ge rg reser
STATE OF NEW YORK)
COUNTY OF SUFFOLK)SS. .
On the /0 4tay of /-77/9
before
GEORGE WIESER, to me known Ca be�the 9,individualmdescribedlin came
executed the foregoing instrument and acknowledged that he executedo
the same.
GERALYN GERLE
Notary Public.State of Newyork
No 4750631 Suffolk Cau No Ar pu
Term Expires May 31 18
i
11349r u468
Z11
8. If any section .�.
provision of ' subsection, paragraph, �f�i�hsei ' r
these covenants and restrictions ' P Be or
court of competent ( jurisdiction, be shall , b a
unlawful , invalid adjudged illegal,
shall not affect + °r held to be unconstitutional
the validity of these covenants s the same
or any other part or as a whole
adjudged to be Provision hereof other than .the '
tional. illegal, unlawful, invalid or Part so
unconatitu-
9- Local Law ¢32-1980
that he - The DECLARANT represents and
has not offered or , given warrants
official, employee, or agent of any gratuity to any
State, or of any political part Suffolk County, New York
of securing favorable Y. with the purpose or intent
Performance of the
with
and is familiar withgth�ment, and that such respect to the
provisions of Local person
sOn has read
t32-1980.
SOUTZD
SLLAS, IN by:
�
STATE O,F NEW YORK) Isaac aidmehr, Secretary
COUNTY OFSS.
;SUFPOLK)
On the /8Zday of
Isaac Saidmehr, 10-XI4" . 1991 , before
say that he ' to me known, who being b me duly me personally
resides at 97 Y Y came
he is Crows Nest Court Y sworn did depose and
the Secretary of Southold + Manhasset
described Villas, Inc- ' NY 11030, that
knows in and which executed the foregoing
, - ' the corporation
the seal of said corporation instrument; that
Instrument is such corporate t that the seal he
the Board seal; that it is affixed to said
Of Directors of said corporation, so affixed b
name thereto by like Y order of
order. . + and that he signed his
otary Public
rp01'ARY PUBL)�S ATE QEF NREW YORX
11349PG461
tAJ
./ _` •�:
11..
w cn
RECORD AND'RETURN TO:
Rudolph H. Bruer, Esq.
Edson and Bruer
P.O. Box 1466, Main Road
Southold, New York 11971
a
i
w
—� 11349Pb455
AMENDMENT TO DECLARATION Op
• COVENANTS AND RESTRICTIONS
THIS DOCUMENT amends theI '
made by SOUTHpLD VILLAS, NCiara tion o .
f Covenants and Restrictions
Principal place New York corporation
of business at 97 having its
11030,• dated FebruaryCrows Nest Court
Clerk ,* �7' 1991, and recorded in the Manhasset, N.Y.
Office on March 15, 1991Suffolk
. in Liber 11232 at County
NOW THEREFORE Page 374 •
follows:\
. Declarant hereby modifies the�)
above declarations, as
A. Paragraph
�„+ *; P numbered -
g.,�;t B• Paragraph numbered "2" is hereby deleted.
hearings in "5" is amended to
• � twice Place of the " re substitute the words •
�''•�' words Pubi i c
Within the p 1lminary hearing•, which
DIST C. Schedule paragraph' appear
1000 "$" {Descri t '
section) attached p Ion of part of -
SEC hereto, is hereby premises-
SEC housing
070,00 D• Schedule "C" y added.
(Description of
ELK. attached hereto Part of premises_
0!•Op ' is hereby added• condominium section)
E• The Paragrap�OThs hereinbelow j
and shall b (numbered . ,
)06.001 a effective onl 8 I 9 & "IO") shall be
Property designated as the y as t° that Portion of t
.lots, containingSUBDIVISION of seventeen he Subject
Schedule " 9.0107 acres and more (17) affordable
$ attached hereto: Particularly described in
8' No Plantings
9 shown on t
destroyed cut he approved Landscape
or removed P Plan shall be
control. except as required
9 • There for disease
shall be no construction o
designated f any kind within
10. as conservation the areas
There shall be easements on the
no further subdivision of subdivision map,
perpetuity. any lot in
11349Pb45S
C. The paragraph hereinbelow (numbered "11•
be effective onl as ) shall be added, and shall
Y to that portion of the subject property
designated as the sixteen (16) condominium unit SITE PLAN, contai
9.0103 acres and more particularly described in Schedule nzng
hereto: "C• attached
11. The following requirements shall be taken to insure that
the
"open space & recreation areas* shown on the condominium
section of this map remain as open space excluded from
future development:
a) A condominium-owners ' association shall be formed to
all "open space & recreation areas• ,all
b) Assessment of the "open space & recreation areas• shall b
based upon these areas being open space and/or recreational
areas. Such areas should be given a "zero• assessment and
the assessment records prepared both for the open space &
recreation areas and all the affected properties within the
condominium complex show that the value of these areas is
"reflected" on the tax rolls by addingthe
share of the value of the common proportionate
the remainingProperty to the value of
properties in the condominium complex.
C) The "°pen space & recreation areas" shall not be sub
in the future or used for commercial divided
d) The condominium-owners ' association shallosesnot .use the •
. space & recreation areas• open
as compleXollateral for improvements
within the condominium
e) The condominium-owners ' associationate Attorney
shall meet all
requirements and regulations of the St
office. y General s
f) These requirements are necessary not only
taxpayers of the Town of Southold but toto protect the
• from having to acquire the prevent the county
property as the result of
failure
Of the condominium-owners ,
the •open space & association to pay the taxes on
P recreation areas"
for sale at an auction of tax delinquentand put ParcelSareas up
ups..
11349945'7
g) Dissolution of the condominium-owners ' association shall be
prohibited without the approval of the Town Board or the
Planning Board of the Town of Southold.
In all other respects, the Covenants and Restrictions dated February
27, 1991 and recorded on March 15, 1991, in Liber 11232 at page 374 ,
are confirmed.
IN WITNESS WHEREOF, the Declarant hereunto sets tris hand and seal
this day of Seplri,t(ev; 1991.
SOUTHO VILLAS, NC. , y:
Gr.✓'
Isaac Saidmehr, Secretary
STATE OF NEW YORK )
COUNTY OF SUFFOLK ) SS.
On the 12— day of S-,i ��
ISAAC SAIDMEHR, tom known, who beinglbybmeore dulyesworn, didycame
depose
and say that he resides at 97 Crows Nest Court, Manhasset
that he is the Secretary of SOUTHOLD VILLAS, INC. , the corporation0;
described in, and which executed the above instrument; that he knows
• , the seal of said corporation; that the seal
'Rep` is such corporate seal ; that it was so affixed fbyeorder d to sofdtlnstrument
-�;':: of Directors of said corporation and that he signed his namehthereto
by like order, o
' Notary Public
1
RUDpLPH H,BRUER
Notary Public,Stats o1 New York
No. 52-0465530, Sullolk County
Commission Expires March 30, 11)
3
• I
' Is 1
11349H458
(Description of Part of PremzsesEAffordable Housing Section)
ALL that certain plot, piece or parcel of land , with the buildings and
improvements thereon erected, situate lying
and Town of Southold, County of Suffolk nd Stateand bof being
whe the Village
and described as follows; York, bounde�d�
BEGINNING at a point on the westerly side of Main Road (N-Y.S. Route
25) at the southeasterly corner of land now or formerly of Jane Franke
and Thomas Franke. Said point or place of beginning being distant
917.00 feet, more or less, southerly from the corner formed by the
intersection of the westerly side of Main Road
Of Tucker Lane; with the southerly side
THENCE South 13 degrees 00' minutes 00 seconds West along the westerly
side of Main Road, 100.00 feet to land now or formerly of Marguerite
Young;
THENCE along said last mentioned land the following two (2) courses
and distances:
(1) North 77- degrees 00 minutes 00 seconds West, 120 feet;
(2) South 21• degrees 56 minutes 00 seconds West, 126.42 feet,
now or formerly of Douglas Peix and William Crawfo{d; to land
THENCE North 81 degrees 12 minutes 20 seconds West along said land now
or formerly of Douglas Peix and William Crawford, land now or formerl
Of Anna Burnett and land now or formerly of Flower Hill Buildin y
the following three (3) courses and distances: 9 Corp.
(1) North 81
(2 ) North 12 deg
rees 12 minutes 20 seconds West, 540.46 feet;
rees 50 minutes
(3) North 75 degrees 43 minutes 10 seconds West, 168-41East28. 0ffeet to
now or formerly of Southold Villas, Inc. ; . land
THENCE in a northeasterly direction, along said land now or formerly
Of Southold Villas, Inc. , the following three (3) courses and
distances; _ Y
(1) North 14 degrees 16 minutes 50 seconds East, 314 . 64 feet;
(2 ) North 35 degrees 43 minutes
50 seconds(3) North 42 degrees 02 minutes 00 seconds Eas East, 145.00 feet;
now or formerly of Russell Mann and 169 .80 Feet to land
.Yvan Mann;
THENCE along said last mentioned land the following two (2 ) courses
and distances:
(1) South 72 degrees 46 minutes 10 seconds East
(2) South 73 degrees 12 minutes 00 seconds East, 184 -03 feet;
now or formerly of Marion King; , 238.03 feet to land
(continued) 2.
w
11349PG459
Schedule 'B• (continued)
THENCE along said last mentioned land the following two (2 ) courses
and distances:
(1) South 17 degrees 20 minutes 40 seconds West, 119 .20 feet;
(2 ) South 75 degrees 38 minutes 10 seconds, 124 .54 feet to land now or
formerly of 'Thomas Franke;
THENCE along said last mentioned land and along land now or formerly
Of .lane Franke and Thomas Franke the following two (2) courses and
distances:
(1) South 16 degrees 39 minutes 30 seconds West, 162.55 feet;
(2 ) South 60 degrees 55 minutes 00 seconds East, 182.68 feet to the
westerly side of Main Road, at the point or place of BEGINNING.
BEING AND INTENDED TO BE the easterly 9 .0107 acres of the premises
described in SCHEDULE 'A`.
11349PE460 SCH
EDULE C
(Description of part of premises--Condominium S f
ALL that certain plot, piece or � on()'1 �j F
improvements thereon erected, situate, if land, with the buildings and
and Town of Southold, Count , ' lying and being the the Village
and described as follows:
y _of Suffolk and State of New York, bounded
BEGINNING at a point at thesoutheasterly corner of the within
described premises . Said point or place of beginning being the
following five (5) courses and distances from a monument set on the
westerly side of Main Road (N.Y.S. Route 25 ) distant 1017.00 feet,
more or less, southerly from the corner formed by the intersection of
the westerly side of Main Road with the southerly side of Tucker Lane:
(1) North 77 degrees 00 minutes 00 seconds West, 120.00 feet;
(2 ) South 21 degrees 56 minutes 00 seconds West, 126.42 feet;
(3) North 81 degrees 12 minutes 20 seconds West, 540.46 feet;
(4 ) North 12 degrees 50 minutes 10 seconds East, 28.00 feet;
(5 ) North 75 degrees 43 minutes 10 seconds West, 168.41 feet;
RUNNING THENCE from said point of beginning, along land now or
formerly of Flower Hill Building Corp. , North 75 degrees 43 minutes 10
seconds West, 727.48 feet, to land now or formerly of Ann Diller
Hemblo and Thomas E. Hemblo;
THENCE North 31 degrees 01 minutes 50 seconds East along last
mentioned land, 709 .83 feet to land now or formerly of Russell Mann
and Joan Mann;
THENCE, along said last mentioned land, the following three
courses and distances; (3)
(1) South 42 degrees 49 minutes 50 seconds East, 384 .77 feet;
(2 ) North 30 degrees 37 minutes 00 seconds East, 150 .07 feet;
(3) South 72 degrees 46 minutes 10 seconds East, 290.08 feet;
THENCE in a southwesterly direction', along land now or formerly of
Southold Villas, Inc. , the following three (3) courses and distances:
(1) South 42 degrees 02 minutes 00 seconds West, 169 .80 feet;
(2) South 35 degrees 43 minutes 50 seconds West, 145.00 feet;
(3) South 14 degrees 16 minutes 50 seconds West, 314 .64 feet to the
southeasterly corner of the within described
place of BEGINNING. Premises and the point or
BEING AND INTENDED TO BE the westerly 9 .0103 acres of the premises
described in SCHEDULE 'A" .
CP70
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yygqNY AL TERA TION p; ADDITOV TO TH1S SURVEY IS A VIOLATION C "'•�A T�
bF SECTION 7209 OF THE NEW YOW STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209 - SGEDIVISION Z. ALL CERT1F/r,4 TAMS
HERS41DE 4P OR CSS SSOR TM MAP AAV WSEAL OETHE SURVEYOR
WHOSE SIGNATURE APPEARS AEgEON.
ADDITYONALL Y TO COAFL Y MYTH SAID LAW TERM 'AL TERED BY '
MUST BE USED BY ANY AhD ALL SURVEYORS UTILIZM A COPY
OF ANOTHER SUR VEYOft A44P TERMS SUCH ' INSPECTED 'Ah0
BROUGHT - TO - DATE 'ARE NOT AV CaWLIANCE WITH THE LAW.
CERT/FED T0+
EDWARD A. DUNNE
°rte LONG ISLAM SA VkVGS SAW IM SUR VEY OF
SUPERIOR ABSTRACT CORPORATION LOT 3
TRW-S-543938-3
"MAP OF SOUTHIOrLD MLAS"
aW"W X W2M4P NO 9237
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
The water supply and sewage disposal VW - 69- 03 - 14
systems for his residence will conform �
to the standards of The Suffolk County SCa/e. I"= 30
Department of Health Services. March 11 1982
.x Y 1A �41 W(foundation)
-The locations of wells and cesspools shown hereon are from field Oct. 24W21
observations and or from data obtained from others. pF NEW yo
C��Q�t1 S• MET2,;F '��
202 sq. ft NO
=
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES AREA 14,
FOR APPROVAL OF CONSTRUCTION ONLY
.Y. L . N0. 49S
DATE HS. REF. N0. 92 SO 40 PECDIWC " V S'� C.
1631') 7 - d' 1) 765 - 1797
conc. loundallon 01124103 P. 0. B 90 D S
APPROVED correction 2/2/96 12,30 TRA T
revise tax number 12/08192 SOUTHOLD, N.Y. 11971
93 - 103
AAPROjED AS NOTEDDATE6.P.#
FEE: BY: ELECTRICAL
INSPECTION REQUIRED
NOTIFY BUILDING DEPART AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE RETAIN STORM WATER RUNOFF
2. ROUGH -FRAMING & PLUMBING PURSUANT TO CHAPTER 236
3. INSULATION OF THE TOWN CODE.
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FORx; ' s s-� ^ i ",-L'4,„ .Yee
DESIGN OR CONSTRUCTION ERRORS. ENCLOSE�EIP C;�,L �TO 0 CODE
UPON COMPLETION
',BEFORE VAT. R"
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODE:
AS REQUIRED AND CONDITIONS OF
DO NOT PROCEED WITH,
`38VGWMA-�- ,:FRAMING UNTIL SURVEY
"OF FOUNDATION LOCATION,
G:;.,WAS BEEN APPROVED.,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY-