HomeMy WebLinkAbout52052-Z pf SOUryOlo Town of Southold
* P.O. Box 1179
you 53095 Main Rd
lam," Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47262 Date: 08/03/2026
THIS CERTIFIES that the building DECK
Location of Property: 4105 Soundview Ave Mattituck, NY 11952
SecBlock/Lot: 94.-3-1.8
Conforms substantially to the Application for,Building Permit heretofore,filed in this office dated: 03/10/2025
Pursuant to which Building Permit No. 52052 and dated: 07/01/2025
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:
"As built" repairs/alterations to an existing accessory deck with trellis and attached storage
as applied for.
The certificate is issued to: Jeanne-Marie Bellows
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
k� -al
Auth ed S gnature
of so&ryo`o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
`� • TOWN CLERK'S OFFICE
°"" 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#: 52052 Date: 07/01/2025
Permission is hereby granted to:
Jeanne-Marie Bellows
22 Old Country Rd
Chester, CT 06412
To:
legalize "as built" repairs/alterations to an existing accessory deck as applied for per Trustees
approval. Additional certification may be required.
Premises Located at:
4105 Soundview Ave, Mattituck, NY 11952
SCTM#94.-3-1.8
Pursuant to application dated 03/10/2025 and approved by the Building Inspector.
To expire on 07/01/2027.
Contractors:
Required Inspections:
FOOTING/REBAR, FRAMING/STRAPPING , DRAINAGE, FINAL,
Fees:
As Built Accessory Structure $250.00
CO Accessory $100.00
Total $350.00
Building Inspector
BRANDON HAMCHUK, KA LfED AP BD#C 783 Pat Drive -West Islip, NY 1 1795
BKHarchit--ct@6jmail.com
(G3 1) 241-7328
August 2G, 2025
Town of Southold
Building Department
54375 Main Road
Southold, NY 1 1971
Re: 4105 Sound View Ave - Mattituck, NY 1 1952
Sec: 94, Blk: I , Lot: 1 .008
Appi # 3
Dear Inspector,
I witnessed the installation of the footings, framing and strapping of the pool deck. I certify the following:
1 . Footings are 3G" below grade;
2. Framing strapping is installed;
3. Framing is per approved drawing t- 2020 KCNYS
Please call my office at your:ea"r.`ilstcnvenlence should there be any questions or clarifications needed.
R rds, w -„ '
Brando; mchuk,
\�Tq 03 992)
OF N %
fA
0 CT 2 3 2025
PAGE 1
oe souryO�
* # TOWN OF SOUTHOLD BUILDING DEPT.
coarm, 631-765-1802
�v1 NSPECTION
[ ] FOUNDATIONI ST/.REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL
R ARKS.
l41�t [
7�;Vht 4 4- Vv, Pn`
t v rfeA
� - I-
m t
DATE 1, INSPECTOR (./
OF SOUly06
# TOWN OF SOUTHOLD BUILDING DEPT.
co 631-765-1802 I" NSPECTION
''
DLO �
[ ] FOUNDATION 1ST-/ REBAR-: [ ] R UGH PLBG.
[ ] FOUNDATION 2ND [- INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL
[ ] . FIREPLACE &. CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION
[ ], ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) .
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL -
REMARKS:
DATE '" �✓'� INSPECTOR
FIELD INSPECTION REPORT ;ATE COMMENTS
�tv�\
................. ------- 1p m
C)
FOUNDATION (1ST)
------------------------------------- -- ------
FOUNDATION (2ND) ---------
—----------- -
O
ROUGH FRAMING&
PLUMBING VQ
INSULATION PER N. Y.
STATE ENERGY CODE
VY--
FINAL
MOO*
ADDITbNAL COMMEMTS Looe
2:1 9L 5 (ee-(- buj-
0
poo CLP-CK jq7nejNjA..e j�o (41�) --A::E
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--------------- —-------......---
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---------------- ........
- -----------
.y-•rzr
�o�S�FFOIq TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959
oy Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtownny.gov
Date Received
i
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. a6 Building Inspector.
►' 14 �°
I
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an BF rainy )01- ``toent
Owner's Authorization form(Page 2)shall be completed. -own of Bout.
Date:6/16/25
OWNER(S)OF PROPERTY:
Name:Jeanne-Marie Bellows ScrM#1000-094-00-03-00-001-008
Project Address:4105 Soundview Ave Mattituck, NY 11952
Phone#:860.304.0345 Email:jmbellows7@gmail com
Mailing Address:22 Old County Rd. Chester, CT 06412
CONTACT PERSON:
Name:,jeanne-Marie Bellows
Mailing AIddress:22 Old County Road Chester CT 06412
Phone#:860.304.0345 Email.,jip.be.Ilows7@qm.ai,l.com .-
DESIGN PROFESSIONAL INFORMATION:
Name:BKH Architect plc
Mailing`Address:783 Pat Drive West ISlip NY 11795
Phone#:631.241.7328 Email:bkharchitect@gmail.com
CONTRACTOR INFORMATION:
Name:Fastway Preservation Inc
Mailing Address:46 Holly Lane Shirley, NY_ 11967
Phone#:631.630.6500 Email:fastWaypreservation9gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ■Repair ❑Demolition Estimated Cost of Project:
❑other $10,000.00
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? []Yes ■No
1
PROPERTY INFORMATION
Existing use of property:reSldence Intended use of property:reSidence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
v this property? Dyes NNo IF YES,PROVIDE A COPY.
■ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code.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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(p rit name): eanne-Marie Bellows ❑Authorized Agent ■Owner
Signature of Applicant: a,{tj� Y I , Date:
STATE OF NEW YARK)
SS:
COUNTY OF- k
Jeanne-Marie Bellows
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Owner
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
lid i y of t,n f—
NotUry PublicloAnn G.Schl.der
NOTARY PUBLIC
State of Connecticut
My CW8WWl0n Expires 4M/2029
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
j
�SufGd TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y�o Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y�o• �a��� Telephone (631) 765-1802 Fax (631) 765-9502. hgps://www.southoldtownny.ggv
f
Date Received
APPLICATION FOR BUILDING PERMIT
I,\f,�
For Office Use Only j]* D�1)
PERMIT NO. Building Inspector: S E P 2 1 2023
Applications and forms must be filled out in their entirety.Incomplete BUILDTNG DEPT.
applications will not be accepted. Where the Applicant is not the owner,an T011"N Yi Sol Ml (,l 4.o
Owner's Authorization form(Page 2)shall be completed.
Date: 1 QC4-3
OWNER(S)OF PROPERTY:
Name: SCTM#1000- ,..
Project Address: '
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:.
Name:
-. Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: - -
_ -
Mailing AddressA -� --�_ - __� =--____S_�1�_✓.__._ ��__.__�_(� --_—__._ �._--- --
Phone#_-�2 � Email_ ySt.t�l ��_._C_� SG( N
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition [--]Alteration ❑Repair ❑Demolition Estimated Cosstof Project:
I?Other -i CX" bJ a. &Y-% $(®10Da r
Will the lot be re-graded? ❑YesitNo Will excess fill be removed from premises? Dyes D1No
\ 1
f
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes No IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By( int nam uthorized A en ❑Owner
Signature of Applicant: Date: i ( z
STATE OF NEW YORK)
�^ SS:
J COUNTY OF 1,qz: - )
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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
r / 'day day of V�� _ , 20 '7
Notary Public
JAMES N.HULME
NOWY Public,State of New York
No.02HU4884984
Oual(fied in Suffolk Co OPERTY OWNER AUTHORIZATION
Tenn Expires January 20,
Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
Glenn Goldsmith,President OF SO�r Town Hall Annex
A. Nicholas Krupski,Vice President ��� ��� 54375 Route 25
P.O. Box 1179
Eric Sepenoski J Southold,New York 11971
Liz Gillooly G Q Telephone(631) 765-1892
Elizabeth Peeples • �O Fax(631) 765-6641
COU
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 10789A
Date of Receipt of Application: May 27, 2025
Applicant: Jeanne-Marie Bellows
SCTM#: 1000-94-3-1.8
Project Location: 4105 Soundview Avenue, Mattituck
Date of Resolution/Issuance: June 11, 2025
Date of Expiration: June 11, 2028
Reviewed by: Board of Trustees
Project Description: Replace in-kind/in-place existing 628 sq.ft. wood pool deck with
composite decking; replace existing 3'-4" walkway and 4' steps; construct 2'-8" x 3' deck
extension with 1'-8" steps.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
site plan prepared by BKH Architect, received on May 27, 2025, and stamped
approved on June 11, 2025.
Special Conditions:.None.
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
a'
Glenn Goldsmith, President
Board of Trustees
Glenn Goldsmith,President ,*of S 0 Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
P.O. Box 1179
Eric Sepenoski J J Southold, New York 11971
Liz Gillooly
Telephone(631) 765-1892
Elizabeth Peeples Fax(631) 765-6641
COU
JAN 2 202
_ :BOARD OF TOWN TRUSTEES
G,JAN
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
#2338 Q Date: December 26, 2025
THIS CERTIFIES that the replacement in-kind/in-place of existing 628 sq.ft. wood pool deck
with composite decking, replacement of existing 3'-4"walkway and 4' steps, construction of 2'-8"x 3'
deck extension with 1'-8"steps,
At 4105 Soundview Avenue, Mattituck
Suffolk County Tax Map#1000-94-3-1.8
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated May 27,2025 pursuant to which Trustees Adniinistrative Permit#I 0789A
Dated June 11.2025,was issued and conforms to all of the
requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is for the replacement in-kind/in-place of existing 628
sq.ft. wood pool deck with composite decking-, replacement of existing 3'-4"walkway and 4' steps-,
construction of 2'-8"x 3' deck extension with P-8"steps.
The certificate is issued to JEAN-MARIE BELLOWS owners of the aforesaid property.
Authorized Signature
Albert J. Krupski, Jr. �°�U STORMWA\TIEIR),
SUPERVISOR ��' ( �j
I��l[A\1�A\G�IEI\�l[]E1�T
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 119n Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
(NAME: J Q3e I JOLO S Date: 1Z..
(Pri
t5ignalure:
Contact Informati 1 .
lG-Mail c Telephone Number!
Property Address / Location of Construction Site:
.41 v v n Lkk- S.C.T.M. #: 1000
(IUUo-U9d{--�-D3- G1b1-fi8)
0 4- r dvg
Section Block Lot
TO BE COMPLETED BY SOUTI-IOLD TOWN ENGINEERING DEPARTMENT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Area of Disturbance is less than I Acre. No S.P.D.E.S. Permit is Required!
❑ - Project sloes Not Discharge to Waters ofthe State. No S.P.D.E.S. Permit iy Required !
❑ Area of Disturbance is Greater than I Acre& Storm walcr Runoff Discharges Directly
to Waters of the State oi' New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit
DIRECTLY From N.Y.S. DEC Prior to Issuance of a Building Permit.
❑ - Area of Disturbance is Greater than t Acre & Storm-water Runoff Flows Through Southold
Town's MS4 Systcros to Waters of the State of New York. T14L APPLICANT MUST OBTAIN
a S.P.D.E.S. Permit through the Southold 'Town Engineering Department
Prior to Issuance of a Building Permit.
r
Iteviewul By: We:: vv 2 ,
r'
� e , vet;P �� � �
�SpFFO�K Town of Southold 9/21/2023
53095 Main Rd
H x Southold,New York 11971
631-765-1802
t
COMPLAINT
To: Verdi,Robert Complaint#: 2022-931
SCTM#: 94.-3-1.8
Follow-up Inspection Date: 1/1/1900
Location: 4105 Soundview Ave
PLEASE TAKE NOTICE,a complaint has been registered against the location described above,in that the above
named individual(s) did commit or permit to occur the following offense:
"no pool fence,un covered unsafe pool, unfinished construction""we are renting the house adjacent and have chiildren"
This condition constitutes a violation of:
When on 1/1/1900,I did observe the following:
On 1/14/22 APB observed a swimming pool without a compliant safety enclosure.
This property will be re-inspected for compliance on: 1/1/1900
�'i S�EfOL Y Town of Southold 9/21/2023
53095 Main Rd
y x Southold,New York 11971
o 631-765-1802
COMPLAINT
To: Verdi,Robert Complaint#: 2023-1185
PO BOX 695 SCTM#: 94.-3-1.8
Mattituck,NY 11952 Follow-up Inspection Date: 7/20/2023
Location: 4105 Soundview Ave
PLEASE TAKE NOTICE,a complaint has been registered against the location described above,in that the above
named individual(s)did commit or permit to occur the following offense:
John observed new deck and stairs at pool being constructed without building permits
This condition constitutes a violation of:
When on 7/6/2023,I did observe the following:
This property will be re-inspected for compliance on: 7/20/2023
John Jarski
i
SURVEY OF PROPERTY
SITUATE
s� ew MATTITUCK
TOWN OF LD
SUFFOLK COUNTYTY,, NEW YORK
S.C. TAX No- 10% ' 03-1.8
SCALE
/ SCA 1"=3030
/ DECEMBERNDSCA 2. 1997
RECEM9ER ti.APRI ACDEO EI REV AP_LANDSCAPE
E BUF7,RL EROSION LINE
APRIL I,19E 23.20 LA DEDw^E BI1f�cR
/ .APRIL 19 23.1 UP ATE 5 POOL
/ APRIL t9,20:1-LrPI)AtE SJRNEv
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SCALE
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SCALE 1"=600'
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a�o\ III
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an han Taft Corwin III
S\ / Land Surveyor
.„
i/ SURVEY OF PROPERTY
j
-�—• ��os��.. ,SITUATE
MATTIT U C K
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
----=
S.C. TAX No. 1000-94-03-1.8
i SCALE 1"=30'
DECEMBER 2, 1997
i• �""' DFCFMBER 13, 1997 ADDED LANDSCAP- D-U=--N k !,'CASTAL EROSION _IIJE
A.PR.L 1, 1g9R RFVISFD IANDSCA-E BUFFER
VOVEMOER 23, 2009 ADCED POOL
APRII tg, 20"I UPDATE ;URV-"
AREA = 105.110 sq. ft.
(Ta TIF NE) 2.413 cc.
1 1t
11R 11tz ccrrr. '�D TG
ROBERT VERDI
COMMONWEALTH LAND TITLE IN5URANCE COMPANY
1' t111 " IRS COMPANY
JPMORGAN CHASE BANK
Ov'1V
KEY MAP 93.$ ;
SCALE 1"=600' P \/ / y//�
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IGs wN n�w in
SE E,al.s
Land Surveyor
O - * 6uc°eseur lR:61Rnle J IeRYsen,J•.l.1
Jo,.o(,n.Inyro,e Ls
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LAND Gm Es LOCATED AI VANNO ADDRESS
NG 50A6� 15B6 4cm RNRE 10 B°e 16
�Rmeep°rl.Nan Y.:M 11947 JTme—N.N.N Tory 1195T
NAY I
ZONING INFORMATION ` / s;,';;", 4q,Z4'
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BOARD OF"I",TIES
TOWN OF SOUTHOLD
DATE 3.,,N 2OaS
MSM DECK
— - le-Iarllss��Evrocxs
PEGK REPAIR Y
I�
_ ____ �t'A' -• '"1,��. Na .EAI•IhE-MAReIE BELLCI^6
v s wo ufE+nve-wrri nk �_w
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PECK KVFAIfZ �A
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APP VED AS NOTED
ZONINO ( NF® �IATI ®N 5 541.85'
ti / 26010'50" E 4q.84' IDA
_ _ _ _ _ _ _ — _L — _ _ _ _ _ _ _ 5 26°10'50" L= Fm BY:
~ NOTIFY BUILDING DEPARTMENT AT
4105 SOUND VIEW AVE. - MATTITUGK, 2 831765-1802 8AM T04pM FOR
D15T: 11000 5EG: g4 BLK: 3 LOT: I.008 ZONE: R-80 FEMA: 'X' ZONE �' / FOLLOWING INSPECTIONS: TH
LOT SIZE = 541.85' X Ig3.38' IRRES = 105,110.0 50. FT. 2.413 ACRES I I i 1• FOUNDATION-FOR POURED CONCRETE REQUIRED
2. ROUGH-FRAMING&PLUMBING
ITEM REQUIRED EXISTING flROP05ED
/ 3. INSULATION
~ ~ /vim 4• FINBE AL-CONSTRUCTION
FOR N MUST
�, _ C.O.
LOT COVERAGE 20go - NO GHAN5E
ALL CONSTRUCTION SHALL MEET E
EXISTING DECKS NOT SHOWN FOR CLARITY o REQUIREMENTS OF THE CODES OF N
LOT AREA 80,000 105,110 NO GHANSE , ^. I /HIV I -�
LOT WIIDTH 115, Ig3.12' NO GHAN5E
- SEE SURVEY A& m � YORK STATE. NOT RESPONSIBLE F R
FROND YARD 60' IgS.I' NO GHANSE o N DESIGN OR CONSTRUCTON ERRORS
51DE 1rARD 20' MIN - 45' T 20.4' 8 63.1' NO GHAN5E < rr��. z — �, ,
REAR YARD 15' - NO GHAN5E ll�-�11 ,�, `-"; I & EX15TINO J
COMPLY WITH ALL CODES F
HEISHTf 35' - NO GHANSE ���`� DWELLING IgS.lo NEW YORK STATE&TOWN C DES
�'_ AS REQUIRED AND CONDITIO S OF
/ i u 0771 .vIN BOARD
® / M-rTHOLD TOWN TRUSTEE
/ . . .
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ALL INFORMATION BASED UPON 5URVEY PREPARED BY NATHAN
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