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Home My WebLink About14532-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z 15183 Date ...J.a.n..u.ay.y. ?~..1.9..8.7 ........... THIS CERTIFIES that the building .... O..n.e.. ~..a.m.i.l.y...dEe. l:..1 .i.n.~ ..................... 3145 MAIN BAYVIEW ROAD SOUTHOLB Location of Property House No. Street Hamlet County Tax Map No. 1000 Section .. 0..7.8 ....... Block ... 9 .2 .......... Lot .... 9.1.2. ......... S ..... m/o WEST CREEK EST 3 uoulvls,on ...................... : ........ Filed Map No. 3 8 4 8 .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated . .J .u 1.y. 8 1985 . pursuant to which Building Permit No. 14532g dated............................February 7, 1986 .,wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... One family dwelling, includin~ deck. The certificate is issued to . ...K .E .lq.~.~..T .It..S.C..H .lJ ~.E. 13. ?o'vJnb), 'ti/~lt'tb~'n~) ...................... of the aforesaid building. Suffolk County Department of Health Approval 8 5 - $ 9- 1 3 7 UNDERWRITERS CERTIFICATE NO ............. ~.7.8. Q } 5.3,. 1 .I/.2.q/. ~ 15 .................. PLUMBERS CERTIFICATIOM DATED: Sept. 26, 1986 //B~ilding Inspector Rev. 1/8'1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY Certificafe Of Occupancy No. .Z151.01 Date .. November 14, 86 THIS CERTIFIES that the building One. fam~_ly Owe±ling i P 3',45 Main Bayview R..b.a.d. Southold,. N.~. Locat on of roperty ....... ................................................... t~ou~e Ivo. Street Hamlet County Tax Map Bio. 1000 Section . .0.7.6 ....... Block ...0.2 .Lot 012 .?..w ~. ? .ef..~ : 3~ ~ Subdivision.. e s r E s t s Filed Map No. .Lot No ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated .J, .u.i.y. ,8.: ............ ,19 . pursuant to which Building Permit No ...................... February 7, 19.8.6 dated .............................. , 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 ......... ........ .07...~.~.m.~.~. ¥..a~..kLt~.~. ................................................. KENNETH SC flu I,I,;R Tile certificate is issued to ........................................................... (owner, fs_~ ~xt~fCa~ X of the aforesaid building. 85-S0-137 Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ................ F.~ U ~,i.ttg .......................... Flumbers Certification dated Sept. 26, 1986 Building Inspector Rev. 1/81 FON~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 1~1532 Z Permission ~s hereb/granted to: I S~,- AJo..e.~..~,.,... Pr', ~-4 .. ...... ...... -7 I r ': .... , ,-" ........................................................................................ County Tax Map No, 1000 Section ...... .,~,.,~.,~ ....... Block ..... ..~...,,,~,. ....... Lot No ...... ..~.1.....,~... ..... pursua,,, to ~pplicotion dated ...~. ~....~ ............................ , 19..~..~.'~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m Immmemmmm to the Building Inspec- tor with the fo[lowing; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Arch{tect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features, 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .................. NewConstruction. ..... Old or Pre-existing Building ........... Vacant Land ..... Location of Proper~ ........... Hou~ No. Street Ham/et Owner or Owners of Property .............................................. .... CounW Tax Map No. 1000 Section ~ Block D~ Lot. Subdivision ~/D ~S% ~¢~~ F . ~..LotNo .............. ................... ~ ........... e_ Map No, . PermitNo. l.~ ~.~ Date of Permit .~7 ..... Applicant ... ~ ...... q ......... Oe,,. ¢.P.Z ...... 0.0 . ,,row, ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ../..-'2~.. ................ Fee Submitted $. o ~ .... ~. ........... Construction on above described building and pT/Init meets, e.e.e.e.e.e.e~ appli~e codes and regulations. App cant .. . ...... Rev, 10-10-78 :LOOZOV: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY THIS CERTIFIES THAT only t~ electrical equipment ~ ~scrlbed be~w a~ i~tr~uc~ by the applicant ~med on the o~ve application number i~ ~ ~em~es of ~n Sch.~er, M~n Bayview Aven~ ~/S 1st. ~. No~h o~ B~y Water Avenue, South., aad /ound to be in cott pi at ce with the require.tents qf this Board. Lot RANGES OVENS EXHAUST FANS SYSTEMS NO, OF FEET OTHER APPARATUS: 1-G.F.C.I. 1-~f&~oke Detector '.["rack Ligilting 4' 0" 3- IAte~ ~ R V I C 1 1 1 Electric 215 Southold, N.Y. 11991 Ltc. 578E GENERAL MANAGER 11 Per This certificate mvst not be altered in any manner; return to the office of the Boord if incorrect. Inspectors may be identified by their credentials. COPY FOR BUI~LDING DEPARTMENT TH S COPY OF CERTIFICATE MUST ~OT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 1 1971 TEL. 765-1802 CERTIFICATION Building Permit No. /~/~ Owner /~/~/~/ (please print) Plumber ~~ ~~O ~/~ (plea'se print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~&~ day of ~ ~~_, 19~ Notary Public, County Notary Publ~ KAREN W. BOERGESSON Notary Public, ~State of New York No. 4842180 Qualified in Suffolk C~unty Commission Expire~ March 30, 19~'7 FIELD INSFECTION 1. FOUNDATION (lst~) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FOUNDATION XST [ ]ROUGH FOUNDATION 2ND []INSULATION []FINAL [ ] FRAMING REMARKS: PLBG. BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [z-~ i~F~NAL ~. ,_.~, / / - FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted mm----,-- to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2, Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tio n requ ired to prepare a certificate. C. Fees: I. Certificate of occupancy $5,00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 NewCons tpuc tion ...... Old or Pre-existing Building $15.00 Cate .... /././/. ~, / .~c. ~ .......... ............ Vacant,and Location of Property .... ~./...~.-..~.. ~'1%~ I ~ .~ ~ .~.'~ ~ Hou~ No. Street Ham/et Owner or Owners of Property ..... I~.' .... ~ ~ J.~%~. ............................ County Tax Map No. 1000 Section .... '~.~ ........ Block 0 ~ Lot... ~E ~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... D~te of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ............... ~ .... Planning Board Approval ...................... Request for Temporary Certificate ..... .~. .............. Final Certificate ....................... Fee Submitted $ .... /~ ~ .. .................. Construction on above described building and permit m/ee/t~'all applicable,~es and regulations. Apphcant ..................... Rev. 10-10-78 Co-Z- 15 ol BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 March 7, 1986 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Kenneth Schuler P. O. Box 151 Cutchogue, New York 11935 Re: 3145 Main Bayview Road Southold, New York 11971 Dear Mr. Schuler: Please be advised that no construction should take place on the property referenced above until further notice. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip cc: Bldg. Dept.~'~ Board of Appeals Trustees file iES: ~^L ~,TY, NY BTU F~rm BO4I [Rev. I II?&l- CONTRACT OF'BALE WARNING: NO REPRESENTATION IS MADE TttAT THIS FOR{~ OF CONTRACT FOR THE S,A,,L,E AND PURCH,A,,S,E OF REAL ESTATE COMPLIES WITH SECTION 5-702 OF TIlE GENERAL OBLI,GATIONS LAW ( PLAIN ENGLISH ). CONSULT YOUR LAWYER BEFORE SIGNING IT, NOTE: FIRE AND CASUALTY LOSSES: This contract form does not provide {or what happens in the ergot of fire or casualty loss be{ore the title closing. different ptovi~on is made in Ibis contract, Section 5-131 { of the General Obligations Law will apply. One part of that m~es a percher tespo~sibl~ for tiro and casually Io~s upon taking og title to or pos~sion of the prcmi~. CONTRA~ OF SALE mad0 a~ of sbu day of J~e . 19~ ~N JACQUELINE B~TER, r~siding at 30 Wellington Place ~it~ille, New York 11701 Add~e~: -,¢~inafter ce, lied "SELLER". who agrees to md KENNETH SCHULER, residing at 1865 Nassau Point Road Cutchogue, New York 11935 Addreu: hc~cinafte! called "PURCtiASER" who agrees to buy the property, including si{ buildings and improvcment~ thereon (tho "PREMIS~"), more fully d~rlbed on m separate pa~e marked "Schedule A," ~nd ~so known ns: ~ ~ Street Add.ss: Main Bayviewo/~Road, Southold,NY 11971 ' ' Tax Mep Desi~atiou: lO00-07o/-u,~pO12 Together with, SELLER'S intem~t, if any, in ~tracts and unp&id awards as set forth ~ Para.apb 9. ~-~o~netudes-ei~i~lu~e~.and. articles of per.nil'property attached to or used in conncclion unle~ specifically excluded below. SELLER states {hat they a~e paid for and owned by StiLLER ft~nd clear of any oth~t than Ihs EXISTING MORTGAGE(S), They include but are ~LlimitedXo"plumblng, heating, lighting and cooking fixtures, bathroom and kitchen cabinets, mant~]~or~irror],~e~etiau bimds, ~mdes, {circus, awnin~, ato~m wmdow boxes~~Lboxes~"~6~'~et vanes, Oa~polem. pumps, ~ubbety, fencing, outdoor statuary, too{ dtsh~ch~e~, clothes d~ers, ~rbage disposal units, ran{e~, refri~ctato~, fte.zers"~ air conditioning 12 13 J4 15 16 19 20 21 25 26 22' 28 2.9 30 31 32 33 34 35 38 39 40 PER,tIT ISSUED TO Ernest Wilsberg Old .zu!e ^OORESSOF P£~[UEE Matt/tuck, NY 11952 LOCATION OF PROJECT (Section of stream, lidal wetland, dam, building) East side of Bay View Rd. approximately 122' So. of its intersection with Glenn Rd. on lots 2 & 3. - DESCRIPTION OF P~O)ECT Construct two single' family dwellinqs 78' & 76' from £idal we%lans.with sani- tary systems a minimum of 100' from said wetlands. Ali work is to be in ac- cordance with plans entitled, "Proposed c~gle Family Dwellings. lots 2 & 3, Map of West Creek Est." receiyed 9/11/84. COMMUNITY NAME (City, Town, Village) J TOWN Southold J Southold COUNTYsuffolk ' JFIA ,COMMUNITY NO. J DAM NO. GENERAL CONDITIONS 1. The g~rmittee shah (i(e in the o{(ice of the appTop~iate Regional Permit Administrator, a nolice of intemion to commence work al leasl 48 hours m advance of Ihe lime of commencemenl and shall also nodly him pTom~l¥ in writing of the completion ol the work. 2. The permitted work shall be subject ID inspection by an authorized ,ep~esentalNe ol the Department of Envi~onmenlal Conservation who may order the work suspended if the public interest so requires. 3. AS a condition of the issuance o! Ibis permit, the applicant has ac- cepted expressly, by the execution of Ihe application, the full legal respon- sibility for all damages, direct or indirect, of whatever nature, and by whom- ever suffered, arising out of the project described herein and has agreed IO indemnify and save harmless the Slate from suits, actions, damages and 8. That lhe State of New York shall in no case be liable for any damage of iniury Io the struclure or work herein authorized which may be caused by or ss.~o.4 (9/75) (SEE REVERSE SLOE) SPECIAL CONDITIONS There is to be NO disturbance to VEGETATION or TOPOGRAPHY within 50' of TIDAL WETLANDS. SPECIAL CONDITIONS A THROUGH J ATTACHED. SPECIAL CONDITION M ATTACHED. PERMIT ISSUE DATE 11/13/84. IPERmn ^D,INISTRATO~ ~ltgr_l~te)~ ,/ ~1ADO~SS Bldg. 40, Suny Charles T. Fx3miltcm~4._~{/~_~. Stony Brook,NY 11794 The followin~ co~tt~s ~hall sppl~ ii' checked~ ee..applicable by the .. ReEio~al Yer~it ~m~-!strator: ----- K. All dredging shall be conducted so as to leave a uniform bottom elevation free of mounds or holes. L. Ail spoil material shall be disposed of either in the Atlantic Ocean or at an approved U.S. Government Dumping Ground, as directed by the District Engineer, U.S. Department of the Army, Corps of Engineers, Any spoil material not intended for such water dis- posal shall be r~mov~d from the site and disposed of at an approved ~pla~d site. Ali fill and'spoil material shall be suitably contained at the work site so as to prevent its eroding, leaching or otherwise entering into adjacent wetlands and waterways. N. Ail peripheral rip-rap berms, cofferdams, rock revetments, gabiens, bulkheads, etc. shall be completed prior to placement of any fill material behind such structures. AIl repairs to existing structures shall be confined to replacement,. of ~xJatJn~ a~_ructuzal elements with no change im, desig~,,di~io~ or ~ter~-l~, ,~!ess sp~ffially aut~ri~ herein, The followimg Water Quality Certification shall"apply'~f'~req~lred b~ one or more agencies of the United States'Gov~ume~t and if ....checked as applicable by the Regional Permit /4~t~trators'~ In accordance with Section4Ol(a)(1) of the Cle~n.Water~Ac~-~f'- '1977 (PL 95-217) the ~ew York State Department of Emrlro~ental .Conservation hereby certifies that the subject proJec~-p~oFoeal'will not contravene effLuent limitations or othe~: ~ie~ Sections 301,. 302, 303, 306 or 307 or the Charlms T. Hamilton. .Alternate .Division of Regulatory Affairs NYS I)epartment~'~f Building 40,'~---Room-21~' Stony Brook, NY 11794 (516) 751-7900'~ ~ .......... BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 1 I971 March 27, 1986 TELEPHONE (516} 765-1892 Mr. Charles T. Hamilton Alternate Regional Permit Administrator N.Y.S.D.E.C. Building 40, SUNY - Room 219 Stony Brook, New York 11794 Dear Mr. Hamilton: Transmitted herewith is wetland application no.374 submitted by Kenneth Schuler. We would like to coordinate with you in our role as lead agency regarding this application. May we have your comments on same by April 16, 1986. Thank you for your input. Very truly yours, Henry P. Smith, President Board of Town Trustees Ilene Pfifferling Secretary to Board Attachments cc: Commissioner Williams Southold Town Building Dept. file BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO. ~¢_ DATE OF APPLICATION ........................ PHONE NO AGENT PHONE NO.____ ......... ~ ~' .......... LOCATION OF PROPERTY FOR WHICH PERMIT WANTED__~t_~- .......... HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION CREEK, BAY OR HARBOR FRONTING PROPERTY 5 ' size OF PROPOSED WORK L~' '5/ LENGTH ~ [ / WIDTH HEIGHT ABOVE HIGH WATER DEPTH BELOW LOW WATER YARDB TO BE EXCAVATED YARDS TO BE FILLED WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY DEPTH AT LOW TIDE AVERAGE RISE IN iTIDE DISTANCE TO THE !NEAREST CHANNEL FT, DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA ]S THIS FOR PRIVATE OR BUSINESS USE?_&2___.~_~_J____ AREA ZONI N~ MANNER IN WHICH MATERIAL WILL B~ REMOVED OR D~OM]TED INTENDED U~E OF :'P~OPERTY DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE P~EMISE FT. AND WHETHER ANy{PRIOB LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR T~ DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR ICENSEB WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY DESCRIBE FULLY THE REHABILITATION AND PROPOSED ¢ONOITIO~ OF THE PREMISES AFTER ~HE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITk IF NECESSARY WRITTEN CONSENTI! OF THE OWNER OF 'THE PROPERTy, IF NOT THE SAME AS THE APPLICANT. ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PiROJECT? ~7 ~D~---- BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 4.-- SHORT ENVIRONMENT.AL ASSESSMENT FORM Project Information (To be completed by ^ppl[ca~nt or Proiect sponsor) I/~.~,~1 ~..~ ~ ~-~k4~l~} 2, Project Name [] Modification/alteration 5. Descr,be proiect briefly: 7. Amount of land affected. InR{ally acres Ultimately [] Agriculture [] Park[and/open space [] Other [] Yes [~No If yes, list agency(s) and permst/approvals 11. Does aspect of the acBon have a currently vahd permit ot approval,' ~ [] No If yes, list agency name and permK/approva[ type 12 AS result ol proposed actmn wdl exasung perm~t/approval require modfflcationI I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Apphcantfsponso. name: I'~"~ ~'~'~- ~~ Date. PART I( Environmental Assessment (To be completed by Agency) ^, Does action exceed any Type I threshold in 6 NYCRR, Part 617.12~ If yes, coordinate the review process and use the FULL/LONG FORM ~:AF. [] Yes [] No ' [3. Will action recewe coordinated rev'low as provided for Unlisted Actions in 6~HYCRR, Part 617.77 If No, a negative dec~aratton may he superce~ed by another involved action. I C3. Vegetation or fauna, movemint of fish or wildlife species, sigmficant habitats, or threatened or endangered species? Explain briefly: C4 ^ community's existing plans~or goals as officially adopted, or a change in use or intensity of use of [and or other natural resources~ Explain briefly, C5. Growth, subsequent development, or related actlv~tms hkely to be induced by the proposed actlonl Explain briefly. C6. Secondary, cumulative, or ot~er etfects not identified in C1-C67 Explain briefly. C7. ^ change in use of eithe[ quantity or type el energy~ Explain briefly. PART Ill Determination of ~ignJficance (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect ~hould be assessed in connection with its la) setting (i.e. urban or ruraL); lb) probability of occurring; lc) duration; (d) irreversi~' ty; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials· Ensure that explanations cont,~in sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you ~ave identified one or more potenHaJJy large or significant adverse impacts which ,MAY occur, Then proceed directly to th~, FULL/LONG FORM EAF and/or prepare a positive declaration. [] Check this box if you ~ave determined, based on the information and analysis above and any supportin[ documentation, that the proposed acti, on WILL NOT result in any significant adverse environmental impacts AND provide here, and on attachments as necess,ary, the reasons supportng this determination: Agency Preparer'~ Name Pate LE~IS NICKLES ADJOINING AREA SEE HAP NO 24 All ~ the Savings lank Services you'll ever n_ccd -- . Offices SOUI'HOLD, 54575 Mare Rd., (516) 765-2800 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ...e,,~l:~~..u....~.,.. !~.q .~¢. .... PLEASE TAKE NOTICE that your applicationdated.....~.~.. ~ ......... ,19 Location of Property · .~.).~.&f....~..o~.'.. ~ ~ . ~...g .~~.~. House No. ' ~ I ~troet Ham/et County Tax Ma~ No. 1000 Section .... ~ ~ ~ .... Block ..... ~ ....... ~t .. ~1.~. ~ .... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds .~_~c.' .~....~1~... ~... ( .o~. . ? .:~.l . , . . . .6~. .~. . .?~ ~ /,. . .( ~. . . '. .~. . .-.~. . , .~. . ~. /. .~. . 3../,/.cl.. : . .'~. ....... . '. . . ... ~ ~o~.~.~~....--~" ~ ~. ......... ~. ...... -. ............ RV 1/80 COUNTY OF SUFFOLK ) STATE OF NEW YORK )SS: AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND S I GNAT AP NOTARY PU~IC -~ U~!~'A J. C00~ NOTARY PUBLIC, Sta~ of New Y~ ~, ~226~, S~lk Cou.~ Te~m E~ Ma~h 30, 19_~(~ EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOAT,DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97) (CHAPTER 32) EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southotd, New York 11971 TELEPHONE (516) 765'1892 March 7, 1986 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Kenneth Schuler P. O. Box 151 Cutchogue, New York 11935 Re: 3145 Main Bayview Road Southold, New York 11971 Dear Mr. Schuler: Please be advised that no construction should take place on the property referenced above until further notice. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip cc: Bldg. Dept. Board of Appeals Trustees file S: NAL RTY: NYBTU Form B041 (Rev. I Il?G)~ CONTBACT OF'SALE To' WA~iNG: NO R~P~ESE~TATION I$ MADE THAT THIS FOR~ OF CO~TRA~ FO~ THE SALE AND PURCHASE OF ~EAL E~T~TE COMPLIES WITH SEL~ION ~-7~ OF ~HE GE~AL OBLI~GATIONS LAW (*~PLAIN ENGLISH"). CONSULT YOUR LAWYER BEFORE SIGNING IT. ~OI'E: FIRE AND CASUALTY LOSSES: 'hi,contract form does not provide for what happens in the event of fire or casualty loss before the title closing. Unre~ lfferent provision is made in this contracl, Section 5-I :31 I of the General Obligations Law will apply. One part of that taw mal~es n purch~r responsible for fire and casualty loss upon takin8 of title to or pos~ssion of tho premiss. CONTRA~ OF SAt. E made ~s of the day of JBBe , 198S JACQUELINE B~ER, residing at 30 Wellington Place Amit~ille, New York 11701 hereinafter c~tt~l "SELLER*', who e~re*$ to a~d KENNETH SCHULER, residing at 1865 Nassau Point Road Cutchogue, New York 11935 &ddre~s. hereinafter called "PURCHASER" who agrees to buy the property, including all buildinl~ and improvement~ thereon (tho "PREMISES'*), more fully described on a separate page marked "Schedule A," and also known as: ~. Main Road, Southold,NY 11971 Street Address: Bayview ~L.~.~ % 'Fax Map Designation: 1000-07 012 Together with SELLER'S intel:st, if any, in streets end unpaid awards as set forth M Para~aph 9. ~.el~es-et~iatute~.en& articles of- per.hal' properly- attached' to or used in connection wit.~.PR~MIS~ unle~ specifically excluded below. SELLER states that they ate pa~d for and owned by S~LLER'fr~nd clea~ of any lien other than the EXISTING MORTGAGE(S). They include bu~Llimited~o'-plumbing, heating, lighting ~nd cooking fixtures, bathroom and Rjtchen cabinets, mant~r~irrO?% venetian blinds, shades, screens, awnings. ~torm window boxes storm d~t~.boxesT'~h~t vane~, ~a~pole% pumps, ~nabbery, fencing, outdoor statuary, tool ~eds, d~sh~~ef, clothes d~ers, ~rbnge disposal units, r~nges, refrigerators, fre=zer$, air conditioning / // / I .%. Propo Dwell Lots ' Ma!~ o Erie Appl~:~ '\ \ ./ 1BOARD OF TOWN TRUSTEES FOWN OF $OUTHOLD Town Ha{l, 53095 Main Road P.O. Box 728 Southold, New York 11971 June 10, 1985 TELEPH ON'b: (516) 765-1892 Mrs. Theresa schuler P. O. Box 151 Cutchoguef New York 11971 Re: Survey for Mark & Jacqueline Baxter Dear Mrs. Schuler: As per your request for a determination on the need of a wetland permit, please be advised that as proposed on the map of the West Creek Estates submitted by Mark and Jacqueline Baxter, a permit is not required at this time. If the site plan is amended to a distance of 75' or closer to the wetland area then a permit will be required. We would like to ask you to use careful consideration to contain the fill from excavation so that it does not encroach on the wetland area. Thank you for your consideration in regard to this matter. Very truly yours~ P. President Henry th, Board of Town Trustees HpS:ip Trustees Building Dept. File 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ., ~OUTHOLD, N.Y. 11971 ' TEL.: 765-180:3 Examined · ... ,~~..~,., 19 .~.~. Approved .~-~-5 5a~.~., 19 ~ 5. Permit No. ,l.9.~.~.~.~...~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal ~r demolition, as herein described· The applicant agrees to comply with all applicable laws, ordinances, building }code, hou~l~g,~xcode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecti~ ..~.: .~.......LL.~ .... ' ............... ;dl. 'd Lb;l';ia'ti/,; .... (Signature ofhapplicant, or name, i a p ' ) · ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................. Name of owner of premises...~,.¢~r)..r). ~..~....S. O~ h ¢¢ ).~.C...~..G.. C~.r3..~.CLC~-...~.~(gJ.~.~_~. ............... ~jAr£en-~k Oconefq: ~Y-~cc~utd (be ~c~"~-.Y- (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No... ~.~ ................... Plumber's License No...7>~.~.~. .................. Electnman s License o. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................... ............. .... .................................................. /.. House Number Streg~ Hamlet County Tax Map No. 1000 Section ................. Block 0 ~ Lot 0/~,9,, Subdivision .~.~.~ .~ ............. Filed Map No....~. ?..~..0c~. .... Lot...~. ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .x].~ .~.~.% ........................................................ b. Intended use and occupancy ~X~) x~'~Xt0 ~ L ~ \k~.~ 3. Nature of work (check which 4. Estimated Cost ......... ?. pplicable): New Building X' Addition Alteration :oval .............. Demolition .............. Other Work ............... (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .....i ....................................................... .... . ...... .. 6. If bu~in6~s, commercial or mix{d occupancy, specify nature and extent of each type of use ..................... 7. Dimensions o(existing structures, if any: Front ............... Rear .............. Depth ............... Height . ... Nu~nber of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ........ ~ ........... I. · · Height ...................... Number of Stories ...................... 8. Dimensions of. entire new construction: Front ............... Rear ............... Depth ............... Height ~. :': . ~.,,:, :.~ ....... Number of Sto~es ....................................................... 9.' Si ofloi: Fr ' Rea Depth Ze ont .......... , ............ r ............................................ 10. Date 0fPurchase .......... : ................... Name of Former Owner ............................. 11. Zone or use district in which ptemmes are situated ..................................................... 12. Does propdsbd construction viblate any zoning law, ordinance or regulation: ................................ 13. Will let bere~raded'........,.....: ' ........Willexcessfillberemovedfrompremises: Yes No 14. Name of Owner of premises .~¢4rx ~A', . ..... Address . Phone No. ~..~.q.. ?..~.°..~... Name of Architect ......... : .................. Address ................... Phone No ................ Name of Contractor ........................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or descnpt~on according to deed, and show street names and indicate whether interior or corner lot. NEW YORK, S.S (Name of individual si ining contract) being duly sworn, deposes and says that he is the applicant there named. He is the ......................................................................................... (Contractor, agent, coxporate officer, 6tC.) et' 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 con:rained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mangler set forth in the application filed therewith. Sworn to before me this ........................ day of ............. ,19.. , HELEN K DE VOE : ....... ,... k.X, .~ .x,.l'~ ............. : .......... NOTARY PU~tLIC, State of ~lew V!rk . ..... ' ' ,' :X~'" f applicant) No 470787.8, Suffolk Counl.~, 'ferm Expires Ma'rch 30, BOARD OF TOWN TRtSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O Box 728 Southold, New York 11971 June 10, 1985 Mrs. Theresa Schuler P. O. Box 151 Cutchogue, New York 11971 Re: Survey for Mark & Jacqueline Baxter Dear Mrs. Schuler: As per your request for a determination on the need of a wetland permit, please be advised that as proposed on the map of the West Creek Estates submitted by Mark and Jacqueline Baxter, a permit is not required at this time. If the site plan is amended to a distance of 75' or closer to the wetland area then a permit will be required. We would like to ask you to use careful consideration to contain the fill from excavation so that it does not encroach on the wetland area. Thank you for your consideration in regard to this matter. Very truly yours, th, President Board of Town Trustees Building Dept. File PERMIT UND£11 1HE ENVIIIONMENTAL CONS£1VATION LAW ^DDRESSOFPER)4111EE Mattituck, NY 11952 122' so. of its intersection with Glenn Rd. on lots 2 & 3. DESCRIPTION OF PROJECT Construct two sinqle-family dwellinqs 78' & 76' from tidal wet]ans wi~h tary systems a minimum of 100' from said wetlands. Ail work is to be in ac- cordance with plans entitled, "Proposed ~gle Family Dwellings, lots Map of West Creek Est." Southold COU~Y Suffolk receiyed 9/11/84. I TOWU Southold SPECIAL CONDITIONS A THROUG~ J ATTAC~TR~. SPECIAL CONDITION M ATTACHED. 11/13/84. PE~lldlT Al~a41 MIS'/P, ATO~, [~1 ~ ~'~_~'"~,t ~3 ] / ~ Aooe~s:Bldg. 4 0, Suny Z \ Proposed Singla Famfiy Dwelitng~ r~ r. ot~ 2 and 3 3 Map. of West ~eek E~t. ~nest Wilsburg lppl.[c~t Please ~oto: Su~ec , Wilsberg is the O~'i~ The follouing conditions apply to all permits: If any of the permit conditions are unclear, the permittee shall contact the Divimfoo mf Regulatory Affairs at the address and telephone noted below. A copy of this permit or approval and approved project plans and supplement- ary conditions shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit or a copy of approval letter shall be protected from the weather and posted in a conspicious location at the work site until completion of authorized work. At least 4~ hours prior to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and understands all provisions and conditions of this permit, Hithin one week of completion of the permitted work the bottom portion of that form shall also be completed and returmed. For projects involving activities to be accomplisbed over a period or more than one year, the permittee shall notify the Regional Permit Administrator in w~iting at least 48 bouts to the commencement of resumption of work each year. If project design modifications take place after permit lssuance~ the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification ~y require submiss- ion of.a new application for permit. Ail necessary precautions shall be taken to preclude contamination of any wetlands or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy coating, paints, concrete, leachate or any other environmentally deleterious materials associated with the project work. Amy failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall b~ treated as a violation of the Environmental Conservation Law. Bldg. 40, Sb~{Y--Room 219 Stony Brook, NY 11794 (516) 751-7900 spoil ~aterial shall be disposed of either ia the Atlantic Ali fill and spoil material ahall be suitably contained at the work All peripheral rip-rap berms, coffezdam~, rock revetments, gabions. bulkheads, etc. shall be co~leted prior to placement of any fill Ge AiL repairs to ex~se{n5 structures shall be confined to replacement The fol~ov/~g Water Query Cer~ication sh.1 l-apply'-lf ~qu/~-~d - In accordance with Section 4Gl(a)(1) of the Cle,n Water~AcL utP .Alternate Divluiou o~ R~,l-tory Affairs I'~ZS Depo&~..-,,,~',~: B..~ ....... ~,~a~-2 40, ~uar ~-219' Stay ~x~k, ~ 11794 (516) 751-7900'~ - Proposed Single Family Dwellings~-., Lots 2 amd3~ Map. of ~est O~eek Est. ~nest Wilsburg Appl:Lc~ ' Please Note: Sub~ec ' lots ~e pre-e~sti~ ~'~ non-conlorming. ~. ~. Wilsberg is the APPROV~ TEST r ~ ~ l. COT. ¸7, I z t,.~63°53'30"E. ~ ,, ' '\ CANAL SUFFOLK CO HEALTH DEPTT APPRoVaL H S NO STATEMENT OF INTENT --- THE: AND S~WAGE DISPOSAL SYSTEMS PO" THIS RESIDENCE WILL {SI SUFFOLK COUNTY DEPT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE H S REF NO. APPROVED. SUFFOLK CO TAX MAP DESIGNATION DIST SECT BLOCK PCL [C~,')O Q?8 2 1l~12 OWNERS ADDRESS: ~0 WiELLINGTOI~ PLJ~E_ DEPT. AppF~vAL rt, ~ATEMENT OF INTENT ~ THE WATER,S~LY AND SEWA~ D'IS~SAL ,, , SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE $TANDAROS OF THE SUF FOLK SER VICES. SUFFOLK COUNTY DEPT. ~"~ALTH ~ SER'VICES -- FOR APPROVAL OF ~ in a~ord~ wi · ~( I Review CO~TRUC~,IQN SUFFOLK CO. TAX MAP DESIGNATION: -- ~ ~'~OUU ~62"4T DIST. ~CT. 'BLOCK PCL. Sectmn 7209 of the New Yo~ ~e RO~RICK VAh ~, P.C.' LICENSED LAND SURVEYORS GREEN~RT NEW YORK ¥ 0 ~ S,UFEOLK GO, LINTY HEALTH'DEpAIT[MENT ,?. ~-,~. SINGLE F~MiLY DWELLING ONLY: " HAVE BEEN ,, TO Bt THIS DEPARTMENT AND ement ~ctlo~ ' '~ \\ Rop_FRic~' VAN T~TL, P.C. -=. LICENSED LAND SURVEYORS GREENPORT NEW YORK sTATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DI~4=~OSAL SYSTEMS FOR THIS I~ESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT, OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT. Of HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.. ~-~0-~'7 , I APPROVED: SUFFOLK CO: TAX MAP DESI(.~NA~ION: DIST. ~CT. BL~K PCL, 'oWNERS ADDR~: TEST ~'LE STAMP ~AL ~"L,~LLy C~ L. , ,U T -* 3 APPROVED AS NOTED ~. '~ OqTE: ~7/~B.P ,]1' I~"~,~,~"~ PLUMBERCEI~IFICATION' ~.~~. ~ ON ~aD C~ e;FO;~ NO~ BUILDING DEPARTMENT AT CERTIFI~ ~ O~UPANCY 76~1802 g AM TO ~ ~ ~R ~E COLLOWING ~N~p~CTIO~S: 1 FOUNgAqD'J TWO ~EGUIRED THE I~,E~tOd*~''~IE[~'~ Cfi: rile N.Y STATE CONS tRUCe'lOt~r & ENERGY CODES NOT ,~.SPON$~OLE FOR DESIGN OR CONSTRUCTION ERRORS, SOLDER USED IN WATER. SUPPLY SYSTEM CANNOT . EXCEED 2110 ~1t 1~ LEAD. If eopp~.tubing is used ~ Water dls. ibating ~ Idpln~ Jhall be M Iypel K or L only USE IS UNLAWFUL WITHOUT ·CERTIFICATE OF OCCUPANCY t ~,ATN Ill .. T ~..