HomeMy WebLinkAbout43763-Z OS�EfUi-cr Town of Southold 1/13/2020
P.O.Box 1179
C* 53095 Main Rd
Y�q, o�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40993 Date: 1/13/2020
THIS CERTIFIES that the building DECK
Location of Property: 2700 Mill Rd, Peconic
SCTM#: 473889 Sec/Block/Lot: 67.-5-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/7/2019 pursuant to which Building Permit No. 43763 dated 5/17/2019
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 single-family dwelling as applied for with ZBA approval#7232 issued January 17,2019.
The certificate is issued to Goldsmith's Inlet LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
th ri d SIgnature
r - TOWN OF SOUTHOLD
o�suFFot .�
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Py • � � 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#: 43763 Date: 5/17/2019
Permission is hereby granted to:
Goldsmith's Inlet LLC
Chidlom Place Condo
6/10 Soi Chidlow Rd Apt 5A
Bangkok, 10330
To: construct deck addition to existing single-family dwelling as applied for with flood
permit per Trustees, DEC and ZBA approvals.
At premises located at:
2700 Mill Rd, Peconic
SCTM # 473889
Sec/Block/Lot# 67.-5-2
Pursuant to application dated 5/7/2019 and approved by the Building Inspector.
To expire on 11/15/2020.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $469.20
Flood Permit $100.00
CO -ADDITION TO DWELLING $50.00
Total: $619.20
Buil ing nspector
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 consent to inspect signed by the applicant. If a Certificate- -of Occupan
- -cy 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,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of'Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location ofProperty: dJ iiv`�// .Ltd
Lo t
House No. Street Hamlet
- �
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section , &=b 0-7 Block Lot
Subdivision /�� /� Filed Map. /v A, Lot:
Permit No. �J: Date of Permit. Applicant;
Health Dept. Approval: ���/'�— Underwriters Approval: *V
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ '
Applicant Signature
OF SoUTh�
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm,��' 765-1802
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] UNDATION 2ND [ ° ] INSULATION/C_AU KI G
[ FRAMING/STRAPPING [ FINAL A
[ ] FIREPLACE-& CHIMNEY [° ] FIRE SAFETY INSPECTION -
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: ~
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to
DATE /Q/dVM INSPECTOR
' F �� L � ` LU
EN �G �lNEERi1 N ;G
October 28, 2019
Southold Town
Building Department
Main Road
Southold, NY 11971
RE: 2700 Mill Lane,Peconic
I inspected the footings for the deck for the above referenced project.The footings have
been installed in accordance with IRC and local codes.
gyp•
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U OCT 3 1 2019
i7 4 OVI rl isi l i i�� 1
BOARD CERTIFIED IN STRUCTURAL ENGINEERING
JOSEPH@FISCHETTI.COM FISCHETTIEN01NEER]NG.COM 631 -765-2954
1 7 2 5 H O B A R T ROAD S O U T H O L D , N E W YORK 1 1 97 1
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October 28 2.4� Z�3 76,3
Southold Town
Building Department
Main Road
Southold, NY 11971
RE: 2700 Mill Lane,Peconic
I inspected the footings for the deck for the above referenced project. I certify to the best of
my ability the footings have been installed in accordance with IRC and local codes.
I also certify that the drywells for stormwater were installed in accordance with my
Stormwater Management Plan plan of 3/20/17
n6
-� OCT 31 2019
BOARD CERTIFIED IN 5TRUC-rURAL ENGINEERING
JOSEPH@FIS CHETTI.COM FISCHETTIENGINEER ING.COM 63 1 -765-2954
1 7 2 5 H O B A R-r ROAD S O U T H O L D , N EW YORK 1 1 97 1
FIELD INSPECTION REPORT DATE COMMENTS
-41
FOUNDATION (IST)
y
....................................
'FOUNDATION (2ND)
1
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ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y-,
STATE ENERGY CODE
Wko
FINAL
DITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,N.Y. 11971 4 sets of Building Plans
TEL.: (631)765-1802q,31
Planning Board approval
FAX: (631)765-9502 63 Survey
www.northfork.net/Southold/ PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 5 of 2019 Contact:
Approved 2019 Mail to:SUFFOLKENVIRONMENTAL
Disapproved a/c P.O.Box 2003;Bridsehamnton,NY 11932
i Phone: (631)537—5160
Expiration l
( uilding Inspector)
PLICATIONKOR BUILDING PERMIT
MAY - 7 2019 9 �
Date May 6,2019
INSTRUCTIONS
a.This appltca to l SrT- 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 waterway.
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.
c�—
(Signature of applicant, or name, if a corporation)
Suffolk Environmental Consulting, Inc.
P.O.Box 2003; Bridgehampton,NY 11932
(Mailing address of applicant)
State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
AGENT
Name of owner of premises, Goldsmiths Inlet,LLC (c/o Pote Videt)
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
N/A
(Name and title of corporate officer)
Builder's License No.
Plumber's License No.
Electrician's License No.
Other Trade's License No.
1. Location of land on which proposed work will be done
2700 Mill Road Peconic
House Number Street Hamlet
County Tax Map No. 1000 Section 67 Block 05 Lot 02 -
Subdivision Blanche Dickinson Filed Map No. 860 Lot . P/o,15,& 16
(Name) :,; �„ r .•,ir,i . . ,i
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.Existing use and occupancy Residence
b.Intended use and occupancy Residence with attached deck
3.Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work deck
(Description)
4. Estimated Cost $20,000± Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units N/A Number of dwelling units on each floor N/A
If garage,number of cars N/A
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use N/A
7. Dimensions of existing structures,if any: Front 55' Rear 55' Depth 32.4
Height Number of Stories 1
Dimensions of same structure with alterations or additions: Front 55' Rear__ 55,
Depth 47.4'(inclusive of attached deck) Height Numbr`5f tories
s
8. Dimensions of entire new construction: Front N/A Rear Depth
Height <35 Number of Stories 1
9. Size of lot: Front 110.90' Rear 121.7' Depth 147'
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated R-40
12. Does proposed construction violate any zoning law, ordinance or regulation: YES X NO
13. Will lot be re-graded YES NO X Will excess fill be removed from premises: YES NO X
Pote Videt,Manager,Chidlom
14.Name of Owner of premises Goldsmith's Inlet.LLc _Address Place Condo,BnkokTH10330 Phone No. (201-320-3004
Name of Architect Joseph Fischetti, PE Address POB 616, Southold,NY 11971 Phone No. (631)765-2954
Name of Contractor Ratsey Construction Address 413 Wiggins St,Greenport.NY 11944 Phone No. (631)477-0979
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES X NO
* IF YES,D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK
Bruce A. Anderson being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract) above named.
(S)He is the Agent- Suffolk Environmental Consulting,Inc.
(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 this knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
do of 11414 201'3'
Notary Public Signature of Applicant
MATTHEW D. IVANS
NOTARY PUBLIC-STATE OF NEW YORK
No.01 IV6053859
Qualified in Suffolk County
My Commission Expires 01-22-;i
202'3
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,N.Y. 11971 4 sets of Building Plans
TEL.: (631)765-1802 Planning Board approval
FAX: (631) 765- 9502 Survey
www.northfork.net/Southold/ P RMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 06 Contact:
Approved ,200 Mail to:SUFFOLK ENVIRONMENTAL
Disapproved a/c P.O.Box 2003:Bridgehampton,NY 11932
�® "� p
��0 W Phone: (631)537—5160
Expiration ,2006
qr
( m mgInspec
APPLICATION FOR BUILDING PERMIT ' ;
Date April 23,2018
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 waterway.
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.
(Signature of applicant, or name, if a corporation)
Suffolk Environmental Consulting,Inc.
P.O.Box 2003; Bridgehampton,NY 11932
(Mailing address of applicant)
State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
AGENT
Name of owner of premises Goldsmiths Inlet,LLC(c/o Pote Videt)
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
N/A
(Name and title of corporate officer)
Builder's License No.
Plumber's License No.
Electrician's License No.
Other Trade's License No.
1. Location of land on which proposed work will be done
2700 Mill Road Peconic
House Number Street Hamlet
County Tax Map No. 1000 Section 67 Block 05 Lot 02
Subdivision Blanche Dickinson Filed Map No. 860 Lot P/o 15 & 16
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.Existing use and occupancy Residence
b. Intended use and occupancy Residence with attached deck
3.Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work deck
(Description)
4.Estimated Cost $20,000± Fee
(To be paid on filing this application)
5.If dwelling,number of dwelling units N/A Number of dwelling units on each floor N/A
If garage,number of cars N/A
6.If business,commercial or mixed occupancy, specify nature and extent of each type of use N/A
7.Dimensions of existing structures,if any: Front 55' Rear 55' Depth 32.4
Height Number of Stories 1
Dimensions of same structure withalferations or additions: Front 55' Rear 55"
Depth 47 4(inclusive of attacfied deck) Height Number of Stories
8.Dimensions of entire riew construction: Front N/A Rear Depth
Height <35 Number of Stories 1
9. Size of lot: Front 110.90' Rear 121.7' Depth 147'
10.Date of Purchase Name of Former Owner'
11.Zone or use district in which premises are situated iR-40
12. Does proposed construction violate any zoning law, ordinance',or regulation: YES X NO
13.Will lot be re-graded YES NO X Will excess fill,be removed from premises: YES NO X
Pote Videt,Manager,Chidlom
14.Name of Owner of premises Goldsmith's Inlet.LLc _Address Place Condo,BnkokTH10330 Phone No. (201-320-3004
Name of Architect Joseph Fischetti,PE Address POB 616,Southold,NY 11971 Phone No. (631)765-2954
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X NO
*IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES �X NO
* IF YES, D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale, with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK
Bruce A.Anderson being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract) above named.
(S)He is the Agent- Suffolk Environmentall Consulting,Inc.
(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 this knowledge and belief, and that the work will be
performed in the manner set forth in the application filed therewith.
Sworno before me this
2018
Notary Public Signature of Applicant
Matthew D Ivans
Notaiy Fublic of Mery York
No O I N60l 3659
Qualifiec in Sufi.�ik County
Commission Execs January 22, 20(�
_R
BOARD OF SOUTHOLD TOWN TRUSTEES
5v
SOUTHOLD, NEW YORK
PERMIT NO. 9432 DATE: APRIL 17,2019 V
ISSUED TO: 'GOLDSMITH'S INLET,LLC MIA
PROPERTY ADDRESS: 2700 MILL ROAD,PECONIC
RIP
Ilk,
SCTM# 1000-67-5-2
Pa AUTHORIZATION
tit..
Pursuant to the,provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 17, 2019, and in
consideration of application fee in the sum of$250.00 paid by Goldsmith's Inlet,LLC and subject to the Terms
and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the
following:
A
62,
Wetland Permit to construct a 14'x51' (irregular),604s ft. attached deck with a 22'x4'
attached side deck 64sq.ft. (side entry); two sets of stairs at 4'x4' and VxF,and a third set of
6'x4' stairs; establish and perpetually maintain a 20'wide buffer consisting of a single row of y
boulders on its landward edge,beach grass plantings and a row of marsh elder to be installed at
the wetland boundary; implement a stormwater control plan consisting of three WxY leaching
pools,on the landward side of house and four 81x2' leaching pools 51' from the wetland
boundary at its closest point; and to maintain a 4'wide path to the shoreline of Goldsmith's
Inlet; and as depicted on the site plan prepared by Suffolk Environmental Consulting,Inc.,
R dated June 6,2018,and stamped approved on April 17,2019.
Ia V_
IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,
and these presents to be subscribed by a majority of the said Board as of the 17'h day of April,2019.
4
Ice,
CA
Ri M -4
Michael J.Domino, President �®f S �Y Town Hall Annex
John M.Bredemeyer III,Vice-President ®� ®�® 54375 Route 25
P.O.Box 1179
Glenn Goldsmith
Southold,New York 11971
A.Nicholas Krupski Telephone(631) 765-1892
Greg Williams ® a® Fax,(631)7,65-6641
BOARD OF TOWN TRUSTEES - JAN 1 3 2020
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE -
1671C Date: January 7, 2020
THIS CERTIFIES that construction of a 14'x51' (irregular), 604sq.ft. attached deck with a
22'x4' attached side deck 64sq.ft. (side entry);two sets of stairs at 4'x4' and 4'x5', and a third set of
6'x4' stairs; establish and perpetually maintain a 20' wide buffer consisting of a single row of boulders on
its landward edge, beachrg ass plantings and a row of marsh elder to be installed at the wetland boundar;
implement a stormwater control plan consisting of three 8'x3' leaching pools on the landward side of
house and four 8'x2' leaching pools 51' from the wetland boundary at its closest point; and to maintain a
4' wide path to the shoreline of Goldsmith's Inlet;
At 2700 Mill Road,Peconic
Suffolk County Tax Map#1000-67-5-2
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated January 29, 2019 pursuant to which Trustees Wetland Permit#9432 Dated
April 17, 2019,was issued and conforms to all of the
requirements and conditions of the applicable provisions of law. The project
r
for which this certificate is being issued is for construction of a 14'x51' (irregular). 604 ft.
attached deck with a 22'x4' attached side deck 64sq.ft. (side entry);two sets of stairs at 4'x4' and 4'x ,
and a_third set of 6'x4' stairs; establish and perpetually_maintain a 20' wide buffer consisting of a single'
row of boulders on its landward edge, beachr�ass plantings and a row of marsh elder to be installed at th'e
wetland boundary; implement a stormwater control plan consisting of three 8'x3' leaching pools on the
landward_ side of house and four 8'x2' leaching pools 51' from the wetland boundary at its closest point;
and to maintain a 4' wide path to the shoreline of Goldsmith's Inlet.
The certificate is issued to Goldsmith's Inlet, LLC owner of
the aforesaid.pWerty.-__-_
Authorized Signature
AM
Ishow
NEW YORKlSTATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-02906
PERMIT
Under the Environmental Conservation Lava ECL
Permittee and Facility Information
Permit Issued To: Facility:
GOLDSMITH'S INLET LLC GOLDSMITH'S INLET LLC
100 CHIDLOM P CONDO 2700 MILL RDISCTM# 1000-67-5-2
SOI CHIDLOM RD -APT 5A PECONIC,NY 11958
BANKOK, TH 10330
Facility Location: in SOUTHOLD in SUFFOLK COUNTY
Facility Principal Reference Point: NYTM-E: 712.3 NYTM-N: 4547.8
Latitude: 41'03'13.5" Longitude: 72°28'25.4"
Authorized Activity: Construct decks and steps; install stone border; and establish a buffer area with
vegetative plantings. All work shall be done according to the survey prepared by Nathan Taft Corwin
last revised on April 4 2018 and the Site Plan prepared by Suffolk Environmental Consulting stamped
NYSDEC approved on 7/18/2018.
Permit Authorizations
Tidal Wetlands -Under Article 25
Permit ID 1-4738-02906/00003
New Permit Effective Date: 7/18/2018 Expiration Date: 7/17/2023
NYSDEC Approval
By acceptance of this permit,the permittee agrees that the permit is contingent upon strict
compliance with the ECL, all applicable regulations, and all conditions included as part of this
permit.
Permit Administrator:MARK CARRARA, Deputy Regional Permit Administrator
Address: NYSDEC Region I Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY 11790 -3409
Authorized Signature: Date 2 e2 /�Of(?
Page 1 of 5
A
NEW YORk-STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-02906
Permit Components
NATURAL RESOURCE PERMIT CONDITIONS
GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following
Permits: TIDAL WETLANDS
1. Conformance With Plans All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the applicant or applicant's agent as part of the permit application.
Such approved plans were prepared by Nathan Taft Corwin last revised on April 4 2018 and the Site
Plan prepared by Suffolk Environmental Consulting stamped NYSDEC approved on 7/18/2018..
2. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee
and contractor shall sign and return the top portion of the enclosed notification form certifying that they
are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion
of project,the bottom portion of the form must also be signed and returned, along with photographs of
the completed work.
3. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous
location on the worksite and adequately protected from the weather.
4. Storage of Equipment,Materials The storage of construction equipment and materials shall be
confined within the project work area and/or upland areas greater than 75 linear feet from the tidal
wetland boundary.
5. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal
wetlands or protected buffer areas as a result of the permitted activities.
6. Long-term Plant Survival The 20' foot wide natural buffer shall be planted with Marsh Elder and
American Beach Grass and the permittee shall ensure a minimum of 85% survival of plantings by the
end of five growing seasons. If this goal is not met,the permit holder shall re-evaluate the restoration
project in order to determine how to meet the mitigation goal and submit plans to be approved by the
office of
Marine Habitat Protection
NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY11790-3409
7. Cover Material For Footpath Cover material used for footpaths is limited to natural wood/bark
chips, stone, gravel or sand.
Page 2 of 5
AM
NEW YOR%STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION o
Facility DEC ID 1-4738-02906
8. No Unauthorized Fill No fill or backfill is authorized by this permit without further written
approval from the department(permit,modification, amendment).
9. No Changes to Septic System This permit does not authorize any alteration, expansion or
replacement of existing septic systems.
10. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be
stabilized with appropriate vegetation(grasses, etc.) immediately following project completion or prior
to permit expiration,whichever comes first. If the project site remains inactive for more than 48 hours
or planting is impractical due to the season,then the area shall be stabilized with straw or hay mulch or
jute matting until weather conditions favor germination.
11. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from '
construction of this project shall be completely removed from the adjacent area(upland) and removed to
an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas.
12. State May Require Site Restoration If upon the expiration or revocation of this permit, the
project hereby authorized has not been completed,the applicant shall, without expense to the State, and
to such extent and in such time and manner as the Department of Environmental Conservation may
lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its
former condition. No claim shall be made against the State of New York on account of any such
removal or alteration.
13. Precautions Against Contamination of Waters All necessary precautions shall be taken to
preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents,
lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials
associated with the project.
14. State May Order Removal or Alteration of Work If future operations by the State of New York
require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the
Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation
of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause
loss or destruction of the natural resources of the State,the owner may be ordered by the Department to
remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State,
and if, upon the expiration or revocation of this permit,the structure, fill, excavation, or other
modification of the watercourse hereby authorized shall not be completed, the owners, shall,without
expense to the State, and to such extent and in such time and manner as the Department of
Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill
and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall
be made against the State of New York on account of any such removal or alteration.
15. State Not Liable for Damage The State of New York shall in no case be liable for any damage or
injury to the structure or work herein authorized which may be caused by or result from future operations
undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no
claim or right to compensation shall accrue from any such damage.
GENERAL CONDITIONS - Apply to ALL Authorized Permits:
Page 3 of 5
AM
NEW YORK-STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Inv
Facility DEC ID 1-4738-02906
1. Facility Inspection by The Department The permitted site or facility, including relevant records, is
subject to inspection at reasonable hours and intervals by an authorized representative of the Department
of Environmental Conservation(the Department)to determine whether the permittee is complying with
this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301
and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection
to the permit area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available
for inspection by the Department at all times at the project site or facility. Failure to produce a copy of
the permit upon request by a Department representative is a violation of this permit.
2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly
provided for by the Department, issuance of this permit does not modify, supersede or rescind any order
or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination.
3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a
separate written application to the Department for permit renewal,modification or transfer of this
permit. Such application must include any forms or supplemental information the Department requires.
Any renewal,modification or transfer granted by the Department must be in writing. Submission of
applications for permit renewal,modification or transfer are to be submitted to:
Regional Permit Administrator
NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY11790 -3409
4. Submission of Renewal Application The permittee must submit a renewal application at least 30
days before permit expiration for the following permit authorizations: Tidal Wetlands.
5. Permit Modifications, Suspensions and Revocations by the Department The Department
reserves the right to exercise all available authority to modify, suspend or revoke this permit. The
grounds for modification, suspension or revocation include:
a. materially false or inaccurate statements in the permit application or supporting papers;
b. failure by the permittee to comply with any terms or conditions of the permit;
c. exceeding the scope of the project as described in the permit application;
d. newly discovered material information or a material change in environmental conditions,relevant
technology or applicable law or regulations since the issuance of the existing permit;
e. noncompliance with previously issued permit conditions, orders of the commissioner, any
provisions of the Environmental Conservation Law or regulations of the Department related to
Page 4 of 5
Am
NEW WRii STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-02906
the permitted activity.
6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or
another permit condition. Applications for permit transfer should be submitted prior to actual transfer of
ownership.
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the
Department of Environmental Conservation of the State of New York, its representatives, employees,
and agents ("DEC")for all claims, suits, actions, and damages,to the extent attributable to the
permittee's acts or omissions in connection with the permittee's undertaking of activities in connection
with, or operation and maintenance of,the facility or facilities authorized by the permit whether in
compliance or not in compliance with the terms and conditions of the permit. This indemnification does
not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or
intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under
Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision
under federal or state laws.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of
their responsibility to comply with this permit, including all special conditions while acting as the
permittee's agent with respect to the permitted activities, and such persons shall be subject to the same
sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-
way that may be required to carry out the activities that are authorized by this permit.
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands or interfere with the
riparian rights of others in order to perform the permitted work nor does it authorize the impairment of
any rights,title, or interest in real or personal property held or vested in a person not a parry to the
permit.
Page 5 of 5
95.20.1 (8187)-9d
New fork State
Department of Environmental Cbnservation ,
. IIIIII Aft
TI E OWN
The Department of Environmental Conservation (DEC) has .issued
permit(s) . pursuant to � the Environmental Conservation Law
for work being conducted at this site. For further information
regarding the nature and extent of wo"proved and any
Departmental conditions on it, contact the Regional . Permit
Administrator listed below. Please refer t'o- the permit number
shown when contacting the DEC.
Regional Permit Administrator
Permit4-73 -o O�
Number — 8 ROGER EVANS
Expiration Date 717 40 R 3
NOTE: This notice is NOT a permit
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE. April 30, 2018
TO: Suffolk Environmental Consulting(Goldsmith's Inlet)
PO Box 2003
Bridgehampton,NY 11932
Please take notice that your application dated April 23, 2018
For permit for a deck addition to an existing single family dwelling at
Location of property: 2700 Mill Road, Peconic,NY
4
County Tax Map No. 1000—Section 67 Block 5 Lot 2
� I
Is returned herewith and disapproved on the following grounds:
The proposed construction on this non-conforming 17,258 square foot lot in the R-40 District is not permitted
pursuant to Article III, Section 280-15, which states,
"...accessory buildings and structures or other accessory uses shall be located in the required rear yard."
The proposed construction places the existing accessory garage structure into a side yard location
i
I
ori Si
Cc:File, ZBA
li
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE: April 30, 2018
RENEWED:August 28, 2018
TO: Suffolk Environmental Consulting(Goldsmith's Inlet)
PO Box 2003
Bridgehampton,NY 11932
Please take notice that your application dated April 23, 2018
For permit for a deck addition to an existing single family dwelling at
Location of property: 2700 Mill Road,Peconic,NY
County Tax Map No. 1000—Section 67 Block 5 Lot 2
Is returned herewith and disapproved on the following grounds:
The proposed construction on this non-conforming 17,258 square foot lot in the R-40 District, is not permitted
pursuant to Article III, Section 280-15, which states,
"...accessory buildings and structures or other accessory uses shall be located in the required rear
The proposed construction places the existing accessory garage structure into a side yard 1 cation.
Authorized Si ature
Cc:File, ZBA
Vi" BOARD MEMBERS Southold Town Hall
eslie Kanes Weisman Chairperson a�F SCUT 53095 Main Road•P.O.Box 1179
- � � � yelp Southold,NY 11971-0959
Patricia Acampora Office Location:
Eric Dantes Town Annex/First Floor,
Robert Lennert,Jr. • �� 54375 Main Road(at Youngs Avenue)
Nicholas Planamento
COMM� Southold,NY 11971
D® �� f. Od� http://southoldtownny.gov RECEIVED
JAN 2 5 2019 ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD JAN 2 5201�9/
,r„�- D�;�� ,a,�;�^s a Tel.(631)765-1809•Fax(631)765-9064
TO, Off'SOULS S® old Tov�n Clerk
i
FINDINGS,DELIBERATIONS AND DETERMINATION
MEETING OF JANUARY 17,2019
ZBA FILE: #7232
NAME OF APPLICANT: Goldsmith's Inlet,LLC
PROPERTY LOCATION: 2700 Mill Road,Peconic,NY SCTM#1000-76-5-2
SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this
application and determines that this review falls under the Type H category of the State's List of Actions, without
further steps under SEQRA.
SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk
County Administrative Code Sections A 14-14 thru A 14-25, and the Suffolk County Department of Planning
issued its reply dated September 14, 2018 stating that this application is considered a matter for local determination
as there appears to be no significant county-wide or inter-community impact.
LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency
review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy
Standards. The LWRP Coordinator issued a recommendation dated December 19, 2018. Based upon the
information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the
records available to us, the "as built" garage is recommended as INCONSISTENT with Policy 4. The structure is
located in a FEMA Flood Zone AE E1.9 and may be subject to episodic flooding during storm events. The
proposed construction of the deck is recommended as CONSISTENT with the LWRP, provided the following is
considered to further Policy 6: Memorialize the 20 foot wide natural buffer required by the NYSDEC in Permit no.
1-4738-02906/3 in decision making. The LWRP Coordinator further advised that, although this is an application
for a deck and accessory garage, it was noticed that wastewater is disposed in an 8 foot deep septic tank and one
pool. Goldsmith Inlet has had water quality problems in the past. It is recommended that'the Board discuss with
the landowner the possibility of replacing the sanitary system with an All OWTS (out of the flood zone if possible).
PROPERTY FACTS/DESCRIPTION: The subject property is located at 2700 Mill Road, Peconic, NY.
SCTM#1000-76-5-2. The total square feet of the property measures 17,258. The northerly property line measures
165.99 feet, the easterly property line measures 121.70 as it runs east and south adjacent to Goldsmith's Inlet, the
southerly property line is 128.01 feet, and the westerly property line runs adjacent to Mill Road and measures
110.90. The parcel,is improved with a single-family dwelling and a framed 24.2 foot by 22.2 foot two bay garage
located partially in the side yard as shown on the survey prepared by Nathan Taft Corwin, IJI, LS, last revised
August 17,2018.
�I
C;
Pago2, January 17, 2019
#7232, Goldsmith's Inlet
SCTM No. 1000-67-5-2
j BASIS OF APPLICATION: Request for Variance from Article III, Sections 280 -15; and the Building Inspector's
August 28, 2018,Notice of Disapproval based on an application for a building permit to build a deck addition to be
attached to an existing single family dwelling; at; 1) existing accessory garage will be located in other than the
code required rear yard; at: 2700'Mill road, (Adj.to Goldsmith's Inlet),Peconic,NY, SCTM#1000-67-5-2.
RELIEF REQUESTED: The applicant requests a variance to construct a deck addition attached to the rear of an
existing single-family dwelling The proposed construction on this non-conforming 17,258 square foot lot in the R-
40 Zoning District, is not permitted pursuant to Article III, Section 280-15 which states, "accessory building and
structures or other accessory uses shall be located in the required rear yard." By constructing,the attached deck,the
existing accessory structure will be partially located in the side yard.
ADDITIONAL INFORMATION: On July 18, 2018, the applicant received a permit from the New York State
Department of Environmental Conservation to build the deck and steps and install a stone border, as well as
establish a 20,foot buffer area with vegetative plantings as shown on the survey prepared by Nathan Taft Corwin,
III, L.S. last revised April 4, 2018 (agency approval stamp). The existing accessory structure requiring variance
relief was issued a certificate of occupancy in November 18, 2003 as an accessory boat storage building. The
applicant testified that the Southold Town Board of Trustee's approval is pending for aforementioned
improvements to the property. A letter to the Board from the neighbor to the north expressed support for this
application.
FINDINGS OF FACT/REASONS FOR BOARD ACTION:
i
The Zoning Board of Appeals held a public hearing on this application on January 3. 2019at which time written
and oral evidence were presented. Based upon all testimony,documentation,personal inspection of the property
and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and
relevant and makes the following findings:
I ,
1. Town Law 4267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of
the neighborhood or a detriment to nearby properties. The proposed deck is to be built on`the rear of the house and
will not be seen from the street. The two bay boat storage accessory structure has existed for some time on the
property and its location will remain the same..
2. Town Law $267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible
for the applicant to pursue, other than an area variance. The existing accessory garage cannot be moved. The
dwelling on this non-conforming lot does not allow for much use of the rear yard due to the,close proximity of the
tidal wetlands. The construction of the deck will allow the property owner to enjoy the views of the water.
3. Town Law §267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing 100%
relief from the code. However, the accessory garage exists,in the current code conforming rear yard and the
construction of the attached deck will place the garage only partially in the in the side yard,.with 14.2 feet
continuing in the rear yard location and 10 feet(the width of the proposed attached deck)in the side yard.
4.. Town Law §267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential
community will have an adverse impact on the physical or environmental conditions in the neighborhood. The
applicant must comply with Chapter 236 of the Town's Storm Water Management Code. Although the Board
understands and supports the logic of the LWRP coordinator's recommendation that the applicant upgrade the
existing sanitary system with an alternative waste water treatment system, the proposed deck addition does not
constitute sufficient new construction to warrant the imposition of such a condition by the Board. The installation
of. the proposed stone border and buffer area will help protect the tidal wetlands that run along
P Page--3, January 17, 2019
' #7232, Goldsmith's Inlet
SCTM No. 1000-67-5-2
Goldsmith's Inlet and the applicant's property. Additionally, the applicant proposed to abandon a structurally
poor cesspool on the seaward side of the as built accessory boat storage structure
5. Town Law 4267-b(3)(b)(5). The difficulty has been self-created since the applicant proposes new construction
that will place an as built accessory structure, currently located in a code conforming rear yard, partially in a non-
conforming side yard, and it is presumed that the applicant has actual or constructive knowledge of the limitations
on the use of the parcel under the current Zoning Code.
6. Town Law §267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of a deck while preserving and protecting the character of the neighborhood and the
health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under
New York Town Law 267-B, motion was offered by Member Weisman (Chairperson), seconded by Member
Planamento, and duly carried,to
GRANT the variance as applied for, and shown on the Building Plans (A-1 to A-3) prepared by Joseph Fischetti,
P.E., dated August 5,2018, and the survey prepared by Nathan Taft Corwin, III, and dated August 17,2018.
SUBJECT TO THE FOLLOWING CONDITIONS:
1. The deck shall remain open to the sky and unenclosed.
2. The applicant shall comply with the code requirements for onsite drainage, including installing gutters and
leaders, and any necessary drywells to prevent storm water from draining into the inlet
3. The applicant shall install and continuously maintain the proposed 20 foot natural buffer
4. The applicant shall receive approval from the Town of Southold Trustees
5. This approval shall not be deemed effective until the required conditions have been met; and failure to
comply therewith will render this approval null and void
i
That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued.-
Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays
and/or a possible denial by the Building Department of a building permit, and may require a new application and
public hearing before the Zoning Board of Appeals.
Any deviation from the variance(s) granted herein as shown on the architectural drawings, site plan and/or survey
cited above, such as alterations, extensions, or demolitions, are not authorized under this application when
involving nonconformities under the zoning code. This action does not authorize or condone any current or future
use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses,
setbacks and other features as are expressly addressed in this action. In the event that this is an approval subject
to conditions, the approval shall not be deemed effective until such time that the foregoing conditions are met; and
failure to comply therewith will render this approval null and void.
The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does
not increase the degree of nonconformity.
3 Page.4, January 17, 2019
#7232, Goldsmith's Inlet
SCTM No. 1000-67-5-2
Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the
Board of Appeals shall become null and void where a Certificate of Occupancy has not been
procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three
(3)years from the date such variance was granted. The Board of Appeals may,upon written
request prior to the date of expiration, grant an extension not to exceed three (3) consecutive one
(1)year terms.
Vote of the Board: Ayes:Members Weisman (Chairperson),Dantes,Planamento and Lehnert. This Resolution
was duly adopted (4-0). (Member Acampora was absent)
e
Leslie Kaned Weisman, hairperson
Approved for filing I /a�/2019
UFFQ
Scott A. Russell ,��°S 'r ST01KMWA\TIER,
SUPERVISORJ �T �T
� z I��][A\�A\tG�]EI��1[]E1�'7C'
SOUTHOLD TOWN HALL-P.O.Box 1179 p
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
C_ HAPTER 236 ,- STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
i
DOES TMS PROJECT INVOLVE ANY OF THE FOLLOWINCi
Yes No (CHECK ALL THAT APPLY)
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑® B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
�❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ E. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
❑® 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 wit�your Building Permit Application.
APPLICANT: (Property Owner,Design Professional.Agent,Contractor,Other) S.C.T.M. #[ 1000 Date-
APPLICANT:
f District
NAME Amkecsam (�`- =k 0T-06-11
Section Block Lot
FOR BUILDING DEPARTMENT USE ONLY
Contact Information: &3 l- ri':11-6i rC!
, rr�do�h�wi
Reviewed By: G
Date:
PropertyAddress/ Location of Construction Work: — — — — — — — — — — — — — — — — —
X00 i Q 1�0 ❑ Approved for processing Building Permit.
St water Management Control Plan Not Required.
byNiC4 Newyork 11958 Stormwater Management Control Plan,is Required
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
APPLICANT: S.C.T.M. 1000 CHAPTER 236
(Property Owner,Design Professional,Agent,Contractor,Other) �S.C.T.M.
� �'Q`�U�i�.
.SLx Stormwater Management Control Plan CHECK LIST
NAME Robe \ W•knacrso•n Section Blocs: Lot S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application.
K_er" Date � The applicant must provide a Complete Explanation and/or Reason for not providing
63t 5�I60 Q5'-0i6_a®1ci �l,i t all Information that has been Required by the following Checklist!
§ wtum Tdephwm umbra
1. A Site Plan drawn to scale Not Less that 60'to the inch MUST If You answered No or NA to any Item, Please Provide Justification Here,
show all of the following items: YES NO NA If you need additional room for explanations, Please Provide additional Papel•.
a. Location& Description of Property Boundaries �0 r "
b. Total Site Acreage. 00
c. Existing- Natural & Man Made Features within 500 L.F. Shall include but no
of the Site Boundary as required by §236-1702) O0 A well maintained ons ruc to7 2019
d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. Wire Backed Silt Fencing, stab"IZa ton
e. Limits of Clearing & Area of Proposed Land Disturbance. Seeding of exposed and/or inactive soils.
f. Existing& Proposed Contours of the Site (Minimum 7 Intervals) _ - - '—'' L`
is Z
g. Location of all existing& proposed structures, roads, tOWN OF B®UT1nll
driveways,sidewalks, drainage improvements& utilities.
h. Spot Grades & Finish Floor Elevations for all existing&
proposed structures.
1. Location of proposed Swimming Pool and discharge ring. jNo WeMM,r% ool ftgotea
j. Location of proposed Soil Stockpile Area(s). "t e C o -stke.
k. Location of proposed Construction Entrance/Staging Area(s). pftdewa4, be, uPhred
1. Location of proposed concrete washout area(s). 1L. v%rtreke 4,o be wkeA61 wkAzl6ffolv
M. Location of all proposed erosion&sediment control measures. �0
2. Stormwater Management Control Plan must include Calculations showing
that the stormwater improvements are sized to capture,store,and infiltrate URAlly
on-site the run-off from all impervious surfaces generated by a two(2')inch0 ontact 7 S ARE
RF
rainfall/storm event Backfill 11. ering at 7
3. Details&Sectional Drawings for stormwater practices are required for approval. a Engineera ore
Items requiring details shall Include but not be limited to: has bei Certification
a. Erosion&Sediment Controls. ro Code.
b. Construction Entrance& Site Access. 36, rte at\C is y,
c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc) 0 V
d. Leachina Structures (e. .infiltration basins,swales,etc.)
****FOR ENGINEER DEPART NT USE ONLY**** Additional Information is Required.
Reviewed & Stormwater Management Control Plan is Not Complete.
Approved By: — — — — — — — — — — — — — — — — — — — — — — —
Stormwater Management Control Plan is Complete.
Date: /g 1 SMCP has been approved by the Engineering Department.
FORM * SWCP Check List -TOS MAY 2014
r7
Uj
_Q40 sP
Z i DRAINAGE INSPECTIONS ARE REQUIRED t
O Contact TOS Engineering at 765-1560 before
Backfill, OR Provide Engineer's Certification
that the drainage has been installed to Code. j
[k[cg
EROSION & SEDIMENT CONTROLS APPROVAL OF STORMWATER MANAGEMENT
Shall include but not be limited to: CONT L LAN -To Code
t lA
A well maintained Construction Entrance, Date: 1
Wire Backed Silt Fencing, stabilization & Approved b a
Seeding of exposed and/or inactive_ soils.
( Y
E STORM /
VV
T
:ZONAL ENGINEER
fr . BOX 616
UTHOLDI NY
) 765-2954
t. - i-Wi,.H T. TERRY I I�i _r+,:'1 _
TOWN CLERKN
Y. C �, r o- mix 117h
S(lullinld Nc%%* 1 trk 1
IEGISTM2Of VITN.STATI511Cs F3), (S 101 7f��•IR��
MARRIAOF OFFICER _ Tdcpi< nc ( S I(,) 76.C. 1
RECORDS MnNAGEMENT OITICEII �l : A
FREEDOM OF INFORhUTION 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
7
lCpplication" (FD P(93) ] , and "'Certificate of Compliance fir Development in
Special Flood Hazard Area (C/C(93) ) .
J )
TO1%;4 OF SOtJ"PiOLD
Ah T . Terr
Y
Southold Town Clerk
August 25, 1993
1
I�
• J
• APPLICATION
r PAGE I of 4
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
SECTION I• GENERAL PROVISIONS (APPLICANT to read and si6):
1. No work may start until a permit is issued.
2 'Me 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 Compliancc is issued.
5. 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 acrd federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her represcntauve to make rmasonable
inspections required to verify compliance.
6. I,THE APPLICANT,CERTIFY THAT ALL STATE HEREIN AND IN ATTACHMEN'T'S TO
_ THIS APPLICATION ARE,TO EST 0 MY O WLEDGE,TRUE AND ACC •I E. ..
(APPLICANTS SIGNATU DATE�LJ
i
/SECTION 2: PROPOSED DEVELOP.F.IENT (T�be completed by APPLICAlin
NAME ADDRESS TELEPHONE
AP P � 11 f �I7(iL L�tL X10® 0 1 t
PROJECT LO TION:
• To avoid delay in processing the application, please provide. enough information to easily identify the project
location. Provide the street address, lot number or Icg-al description (attach) and, outside urban areas, the
distance to the nearest intusecting road or well-known landmark A sketch aaacbcd to this application showing
the project location would be helpful.
FDP(93)
APPL(CATIOI\
PAGE 2OF4
DESCRIPTION OF WORK (Check all appbcable boxes)
i
A. STRUCTURAL DEVELOPMENT
ACTIVITY STRUCTURE TYPE
[JNew Structure ❑ Resideudal (1-4 Family)
j ❑ Addition O Residential (More than 4 Family)
O Alteration ❑ Non-residential (Floodproofing? 0 Yes)
0 Relocation ❑ Combined Use (Residential & Commercial)
O Demdlitioti P Cl Manufactured (Mobile) Home (In Manu-
0 Replacement factured Home Park? 0 Yes)
ESTIMATED COST OF PROJECT S ,t!�O Ov v
B. OTHER DEVELOPMENT ACTIVITIES:
0 Fill ❑ Mining ❑ Drilling 0 Grading
0 Excavation (Except for Structural Development Checked Above)
0 Watercourse Alteration (Including Dredging and Channel Modifications) ,
O Drainage Improvements (Including Culvert Work)
j 0 Roar, Street or Bridge Construction 1
/ ❑ Suh''/'vision (New or Expansion)
1 O I dual Water or Sewer System
C+�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 ADKIMSTRATOIZ)
The proposed development is located on FIRM Pancl No. . Dated
The Proposed Development:
❑ Is UI located in a Special Flood Hazard Arca (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED).
0 Is located in a Special Flood Hazard Arca.
FIRM,zonc designation is
100-Year flood elevation al the site is: R. NGVD (MSL)
O Unavailable
❑ The proposed development is located in a floodway.
FBFM Panel No. Datcd
O Scc Sccuon 4 for additional instructions
i
SIGNED DATE
APPLICATION -4
PAGE ) OF 4
SECTION 4 ADDfTIONAL INFORMATION REQUIRED (To he completed by LOCALADMINIST'RATOR)
The applicant must submit the documents checked below before the appbcalion can be processed:
O A site plan showing the location of all casting structures, water bodies, adjacent roads, lot
dimensions and proposed development.
❑ Dcvclopmcnt 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 floodproofng 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 cxceeds 50
lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations
if they arc not otherwise available).
O Plans showing the extent of watercourse relocation and/or landform alterations_
❑ Top of new fill elevation Ft. NGVD (MSL).
❑ Floodproofing protection level (non-residential only) Ft:NGVD (MSL). For
floodproofed structures,%upp[itiG
cant must attach ccrcation from r,-gistered engineer or
- architect. /
❑ Certification from a"registercd engineer that the proposed activit�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.
❑ Othcr:
E 1 5: PERMIT DETERMINATION fTo bc completed by LQCAL ADMINI RAT R
I have determined that the proposed activity. A_ ❑ Is
B. ❑ Is not
in conformance with provisions of Local Law ifE , 19_. The permit is issued subject to the conditions
attached to and made part of this permit.
SIGNED DATE
if BOX A is chcckcd, the Local Administrator may issue a Development Permit upon payment of designated
(cc.
If BOX B i5 chcckcd, lbc Local Administrator will provide. a written summary of deficiencies. Applicant may
revise and resubmit an appbcation to the Local Administrator or may request a bearing from (be Board of
Appeals
APPLICATION �!
PAGE IOF4
APPEALS Appealed to Board of Appeals) ❑ Yes ❑ No
Hearing date:
ppca ---
Cooditioos
SECTION 6• AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Comolianee
is issued
The following information must be provided for project structures. This section must be completed by a
registered professional eogincer or a licensed land surveyor (or attach a ccrtificaeion to this application).
Complete I or 2 below.
1. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard
Areasbottom of lowest structural member of the, lowest floor, excluding piling and columns) is:
FT. NGVD (MSL).
L Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL)-
NOT' . Any work performed prior to submittal/of the above information is at the risk 6( the Appl,:cant.
SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRAT R
The LOCAL ADMINISTRATOR will complete this section as app[icable based oo inspcaioo of the project to
ensure compliance with the community's local law for flood damage prevention.
INSPIEC'I'IONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
+SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR)
Certificate of Compliance issued: DATE: BY:
I, -
Attachment B
/� BAMP,LE
CERTIFICATEP'F coHPLIANCE
/ for Development in a Special Flood Hazard Area
•Ir• s
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAJZAJ D ARCA
(n' a T—P. MUST BETA IN-THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
❑ NEW BUILDING
❑EXISTING BUILDING
❑ VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE k OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LO CAL LAW # , 19_
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH TflE REQUIREMENTS OF
LOCAL LAW # , I9_1 AS MODIFIED BY VARIANCE #
DATED
SIGNED: DATED:
C /C ( 93)
Suffolk Environmental Consulting, Inc.
Newman Village,Suite E,2322 Main Street,P.O.Box 2003,Bridgehampton,New York 11932-2003
(631) 537-5160 Fax: (631) 537-5291
Bruce Anderson,M.S.,President
HAND DELIVERED
April 23,2018
Michael Verity, Chief Building Inspector
Town of Southold
P.O. Box 1179
Southold, NY 11971
Re: Goldsmith's Inlet,LLC -�
2700 Mill Road —PeconicM
SCTM 1000-67-5-02 �OA
Dear Mr.Verity,
Request is hereby made for a Notice of Disapproval that will authorize us to proceed with an application
for zoning variance,The proposed attached deck places the existing garage in a technical side yard
thereby requiring zoning relief.Attached herewith please find the following:
I
• Application for Building Permit;
• Survey prepared by Nathan Taft Corwin, III last dated April 4,2018; and
• Check made payable to the Town of Southold in the amount of$50.
Kindly prepare requested updated Notice of Disapproval at your earliest opportunity.Thank you in
advance for your anticipated cooperation.
Yours truly,
Bruce Anderson
D
APR 2 4 2018
i
cc: P.Videt TOWN OFSOUTHOLD
V
®�*pF OUp�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ® a�
i
October 31, 2019 BUILDING DEPARTMENT
TOWN OF SOUTH_ OLD
Suffolk Environmental Consulting Inc
P.O. Box 2003
Bridgehampton, New York 11932
RE: Goldsmith's Inlet, LLC, 2700 Mill Road, Peconic
TO WHOM IT MAY CONCERN:
The items marked below are required to obtain your Certificate of Occupancy
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (Electrical Inspector 631-765-1802)
A fee of$50.00.
Final Survey with Health Department Approval.
Plumbers Solder Certificate or Pex Affidavit
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall. (631-765-1802)
Final Landmark Preservation approval.
Final Elevation Certificate required.
Final Storm Water Runoff Approval from Town Engineer
Spray Foam Insulation certification from a NYS licensed architect or
Engineer
BUILDING PERMIT: 43763-Z deck
AREA of BEACH
SITE PLAN GRASS PLANTINGS w '` N\ PROTECT SPECIFICATIONS
1.0" =20.0' ± SINGLE LINE of = \
\ !
4.0' Wide Path Applicant proposes to plant an '—
BOULDERS \ area(1,100 square feet±)along the
0 00 lbs/each !• \ existing tidal wetlands boundary
Q within the northeasterly section of �
0
the property with Marsh Elder(Iva .~
frutescens) and Cape American
Beach Grass (Ainmophila P-4
JAN 2 9 2019des1O°�r . . brevigulata). Additionally, a single
line of boulders (100 lb/each) is toCU
10ve
o�F
`J be installed along the landward .> c
boundary of the proposed active
native plantings. An existing area Z c
of native vegetation within the :
� 'mss Gp,RP :�,:+ ;.•: ��*,,, ;, w
\ ,• f `y southeastern section of the
property is to remain undisturbed. 0 o
Marsh Elder z
/`��
04 Z
(Iva frutescens) u ►.,
\ P Py�> ���� \ , AR-,A of NATIVE I U, aCZ
/ J
to : Planted at 1 to 2 gallon potted. c W
REMAIN a;, Seventeen(17) total
\ < pILI
ow �G�
•r- Planted 3.0' o/c. v rte`
\ \ ` BGG Zc\ .•.F \ e 1t i i .a Z O U N
a ` 6 � �. is Z',� ty.::,., � : ) •� ��`��r�'�4• - O ' � x I
,\� ° .\.;, yti y �'iaP`� � � ��o o � z � << a �•, � �� � s��, w3'�'�• �-i�'s w t ^ 4 � 'o � c�a v-;
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Ti+a vOt� p CSS
)SN
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7 , t
American Beach Grass
1 a o z 4\
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� �(Ammophila breviligulata) oa (z _
.r
f � —
y� PPRED BY • Planted as plugs. _
B • 18" o/c throughout buffer. L
OARD OF 1 RUSTEES g
TOWN OF SOUTHOLD ° T
DATE
av t., r 6
l, tv
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SURVEY OF
g�
1-7f P/0 LOT 15 & LOT 16
MAP OF PR OPER T Y
OF BLANCHE T. DICKINSON
YI of '' - p�' \ ,,�\ \ FILE No. 860 FILED JUNE 6, 1926
G \ \ \ .3 O
SITUATE
< a6 AL
�°oN�P�� 3 ,\ �. �\ I \ J � PEC 0 NI C
\ a�PNooN�o�\ \ TOWN OF SOUTHOLD
°F'tiODDS �$$� �t° o >, FSG 1 \ SUFFOLK COUNTY, _NEW YORK
2 s Ea°E °�o s� N��FE� \ 2 S.C. TAX No. 1000 67-05-02
°4F ��'° — ��� / \ \<2c a SCALE 1 "=20'
qF� \ 71 OCTOBER 7, 2014
m� MARCH 26, 2016 ADD WETLANDS
-Ilk v DECEMBER 27, 2016 ADDED PROPOSED DECKS
NOVEMBER 10 2017 ADD WALKS TO LOT CO7OR
AGEsAPRIL 4, 2018 RNISED PER NYSDEC LETTER 043/2018
� AUGUST 17, 2018 REVISED PROPOSED DES
Z p`g � �,2�\ as \ °p `\ AREA = 17,258 sq. ft.
��A1 tiI CERTIFIED TO: 0.396 ac.
1_7 GOLDSMITH'S INLET, LLC.
44 a+ 9yoo`oo�o �ps os �o , II FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
p NOTES:
dl / hl 1. FLOOD ZONE INFORMATION TAKEN FROM:
I / � FLOOD INSURANCE RATE MAP No. 36103C0161H
ZONE AE: BASE FLOOD ELEVATIONS DETERMINED
ZONE X*: AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL
°ad' �•'�- 5 \ `� o.. CHANCE FLOOD WITH AVERAGE DEPTHS OF LESS THAN 1 FOOT
N OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE;
\ �� �I / AND AREAS PROTECTEDTO BE OUTSIDE THEEES M 1% ANNUAL CHANCE FLOOD.
0.2% ANNUAL CHANCE FLOODPLAIN.
\ 5 O o\ \ int ZONE X: AREAS DETERMINED
G ` S �� 1 I TEST HOLE BY McDONALD GEOSCIENCE
s _ �\ <� " \ \ \ ,& „10 P. 0. BOX 1000, SOUTHOLD, N.Y. 2. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1988 DATUM
'. I 1 ON 4 AUGUST 04 ® 1:30 P.M. EXISTING ELEVATIONS ARE SHOWN THUS: 5.0
co(v ORIGINAL GROUND EXISTING CONTOUR LINES ARE SHOWN THUS: — —5— —
��qALI / o MIXED SAND AND LOAM F.FL. — FIRST FLOOR
\ 4•. � M 2 G.FL. — GARAGE FLOOR
WATER IN MIXED SAND AND LOAM
OT \" 4 WATER IN BROWN BOG PT
O i Q WATER IN GREY ORGANIC CLAY OL PREPARED IN ACCORDANCE WITH THE MINIMUM
1 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE L.I.A.L S. AND APPROVED AND ADOPTED
ti OG �ST��PO IN PALE BROWN FOR SUCH USE BY THE NEW YORK STATE LAND
G�j A� O� , FINEWATETO ME UM SAND SP TITLE ASSOCIATION. a�
��o \ G°NG � .� o_ �° x / O�J °p05 `\ 6' `��' \ �G B �°t��
P / F
WATER IN BROWN CLAYEY SAND SC10
C
Ego ►v 3La �o °y`<^ Bldg Dept copy from ZBA
12Final reviewed ocursents
ZBA Fil #
%
L°� 5 5 * J 1 Date:
o
1 ,
/0 14101AX67 C "
C"
,,ttLIt1$ BUILDING COVERAGE OVER UPLAND AREA WATER IN BROWN CLAY CL GAy gvt►V Y. Lic. No. 50467
G° ��tN DO Jv UPLAND AREA 14,789 sq. ft.
f1° DESCRIPTION AREA X LOT COVERAGE 25
0 4 / 5 6 EXISTING HOUSE 1,187; sq. ft. 8.0% Nathan Taft Corwin III
POIRCH STING FRONT 2121 sq. ft. 1.4% COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL Land_=Surveyor_.___
y�yo gyp/ _ _ EMBOSSED SEAL SHALL NOT BE CONSIDERED
9.3 -•� a - EXISTING GARAGE 537j sq. ft. 3.6% TO BE A VALID TRUE COPY.
ao pE�� EXISTING GARAGE APRON 35 sq. ft. 0.2Y. CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
O. r� ° IS PREPARED, AND ON HIS BEHALF TO THE
EXISTING CONC. WALKS 215 sq. ft. 1.5% TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout
\\ LENDING INSTITUTION LISTED HEREON, AND
PROPOSED DECK #1 6e' sq. ft. 0.4X TO THE ASSIGNEES OF THE LENDING INSTI—
/ TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727
A j PROPOSED DECK #2 604 sq. ft. 4.1% OFFICES LOCATED AT MAILING ADDRESS
I�I PROPOSED STEPS 103 sq. ft. 0.7X THE EXISTENCE OF RIGHTS OF WAY 1586 Main Road P.O. Box 16
AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 Jamesport, New York 11947
TOTAL 2,957 sq. ft. 20.0% ANY, NOT SHOWN ARE NOT GUARANTEED.
,
34-186E
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F FWITHOUT CERTIFICATE
NO BY' COMPLYMENT AT WITH ALL CODES OF OF OCCUPANCY8/5/2018
NOTIFY- 8ABUDDING DEPARTNEW YORK STATE & TOWN CODES
TO 4P FOR THE AS REQUIRED ND CONDITIONS OF
'i :-LOWOW ING INSPECTIONS:
S -CUSCALE. SEE PLANNDATION - TWO REQUIRED
JSOUTHOLD TOWN ZBA
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2. OUGH - FRAMING: & PLUMBING —._� Ti!
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E� COMPLETE FOR C.O. —_..lGN.Y.S.DEC Contsct TOSS Engineir3ng at 765-1560 before
ALL CONSTRUCTION SHALL MEET THE Backfill,OR Provide Engineer's Certificat!on
REC3REMENTS OF THE CODES OF NEW that the drainagip has be^n Insta!!ed to Code.
YORK STATE. NOT RESPONSIBLE FCR � ��o
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