HomeMy WebLinkAbout26882-z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26882 Z Date OCTOBER 27, 2000
Permission is hereby granted to:
KAUFMAN (GOELLER)
2895 EUGENES RD
CUTCHOGUE,NY 11935
for
CONSTRUCT A ONE FAMILY DWELLING WITH 3 BEDROOMS, ATT. 2 CAR GARAGE
& COVERED PORCH AS APPLIED FOR PER DEC AND TRUSTEES .
at premises located at 2895 EUGENES RD CUTCHOGUE
County Tax Map No. 473889 Section 097 Block 0003 Lot No. 020 . 001
pursuant to application dated AUGUST 4 , 2000 and approved by the
Building Inspector.
Fee $ 980 . 40
Above fee includes $100.00 flood permit
Authorized Signature
ORIGINAL
Rev. 2/19/98
FROM FAX NO. Jan. 01 2001 01:37PM P1
Q.-�-�-per,-�-c,o✓� . �r+•�� , �(�t�.d � �er►�u.c�'
. Yvrrr,�
Albert J. Krupski,Prosidontr/S IFFO��,�3 Town Hall
James lung, vice-President �ObO Z'0 ' .13093 rUULU 23
Henry Smith P.U. Box 1179
Artie Foster Southold, New York 11971-U959
CA
Ken Poliwoda - • Telephone(631) 765.1892
�Jip� � foo
Fax(631)765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 10,2001
Mrs. Sharon Goeller
4725 New Suffolk Ave.
Mattituck,NY 11952
RE: 2895 Eugenes Rd., Cutchogue
SCTM#97-3-20.1
Dear Mrs. Goeller:
The Southold Town Board of Trustees reviewed the survey dated March 21,2000 and last
revised June 19, 2000 and determined the construction of a single-family dwelling, garage, and
septic, to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code.
However, any activity within 100' of the Wetland line would require permits from thus office_
This determination is not a determination from any other agency.
If you have any further questions,please do not hesitate to call.
Sincerely,
Albert J. Krupsld,Jr.
President,Board of Trustees
AJK:Ims
TD Y U E LIL10 C
STATE OF NEW YORK )
ss:
COUNTY OF SUFFOLK )
being duly sworn, deposes and says:
That dppo�nent is ova the age of 18 years and resides at
That on the `qday of�'' y �/ , 2000 deponent architect/engineer,
licensed by the State of New York, hereby states that s/he accepts full
responsibility for the accompanying plans compliance with the New York State
Fire Prevention and Building Code (9 NYCRR); said plans pertain to property
located at SCTM# 1000- 0,3 2e,
street address
Architect/Engineer
Sworn to befor me this
day of , 2000.
Notary Public
EILEEN S.SANTORA
NOTARY MI ,State
o f Now York
No.
Qualified iN COU 17�
Commission Expirt es
cc: Applicant
ENERGY CODE CALCULATIONS
(tor Non-Electric Heat) Desiyn Criteria 6 , 000 Uegree'.0sys
0.A.11U°1' I .A. 70°C
FOR..
PER: l��h n,7 4' 2 0 P
5c T ti-i (6 6y- OR '1 - O3 - zo
DATED: 2t v 7 2 8 V�
DESIGN THERMCL REMARKS
SUBSYSTEM AREA "U" RATING
F:xtcrj.ui: Walls (Opaque) 20411 D 2IQ — ---- -- --
clazlny _� ,3�i2. 3 Z - 7 0
Doors ,S7 • �� • 2 3 r—
.:eil.iny/Itvof (Upaque) v� Q
Sky lig ll is %
Floor ��69
1:'Uuildation Walls
Slab Insulati011
TOTAL t ��
Notes :
Duil(-Uny Envelope Systems to Meet- requirements of 7015 . 2
I1VAC Lqui.penient to meet requirements of 7015 . 11
11VAC Systems to meet requirements of 7015 . ]'2
Duct Systems to meet requirements of 701.5 . 1.3
Ventilations Systems to meet requirelneclts of '1015 . 1
Insulation of Pipiliy Systems to meet requirements of 7015 . 15
Service Water Heating Systems & Equipment to meet- requirements of '1015 . 7.1
Electrical & Lighting Systems & Equipment- to meet requirements of 701.5 . 31
��Of NEW Y
Iro the best of my knowledge, ,gyp E . .
belief, & professional Ty
judyenlerlt, these plans are in
cuuipiiance with the Code. / W
A, a�
O 032264.1 �
P90F ESSIONP
B Z UY
t �
ELD INSPECTION REPORT DATE COMMENTS
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)UNDATION (2ND) II a t�f j
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HUGH FRAME &
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iSULATION PER N. Y. u — i{ H
STATE ENERGY
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BOARD OF HEA TH
FORM NO. 1 3 SETS OF ANS
TOWN OF SOUTHOLD SURVEY . . . . . . .
BUILDING DEPARTMENT CHECK
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: Shit�
CALL
Examuined....�� �.' ., 20.45A -MAIL To: . . . . . . . . . . . . . . . . . . . .
Approved....11?b 5,.... 1-"0 0 • Permit No.
Disapproved a/c .................................. ............ . ..................... .
. .................................. .
......................................................
100
...............
(Building Inspector)
AUG It 20
U.!; APPLICATION FOR BUILDING PERMIT.
OUT,yOLD INSTRUCTIONS
a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
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 Toust be drawn on the diagram which is part of
this application.
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
permit shall be kept on thepremises 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 MALE to the Building Department for the issuance of a BuildingPermit
pursuantthe
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appicable Laws, OrdiCnances 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, otlu to a-4w,;t authorized inspecLors OUivra1St:s `
P :rtxi ill uuiid' iur neceusery inspeuticros.
• _
..........
.(Signatureof applicant, or name, if a corporation)
Ll
7.. ..!A/ .,-...) y.�. � SGC ACL LcL�
(Mailing address of applicant)
State whetth-er applicant
,.i`s, owner, lessee, agent, architect, engineer, general contractor electrician
...N .L.-IcAC .. L4C� 1�isrr......� �'i�;c: ..................................'......... .. plumber or builder
Name of owner of premises .Sc o ... ?r;(nv:....................................................... ..... .....
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
• • •..•••.•
(Name and title of corporate officer)
Builders License No. ..Z��`J,�Q • ....
Plumbers License No. (P,.
/f . ...... ..
Electricians License No. . TQ4�o,_ .•..
Other Trade's License No. ....................
1. Location of land on which proposed work will be done..
.... 2 ........................ Rr�:....... c + ;
House Number Street fie ...................
County Tax Map No. 1000 Section ..�.��..7....... Block ...rV.. ......... Lot
Subdivision M►nor S; i o�Surt+.KGc u�wmA✓. . Filed Map No. A:49 Z...... yot 1-
(Name) ............ ...
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occ upancy ..�IaCa✓�{,Layid,,,,,.,•.,... 2m TATP,A►r 1~.1rIJ9
.....7f t0'!l wrti s►i'l.:.,.t •2, ........
b. Intended use and occupancy ... }w✓+ , T
...................® ..1.': cam........r !i 4---11 ..........
Nr lore of work (check wiiidi applicable): New Building ..11.... Addition .......... Alteration s
Repair ............ Removal ............. Dowlition ............ Other Work ............................. . ... .
(Description)
Estimated Cost 1` E 0 00 ......... fee ..............................................
(to be paid on filing this application)
JIf 4 elling, number of dwelling units . �.' Number of dwelling emits on each floor ................
Ifgarage, number of cars ...2................................
If business, caunercial or mixed occupancy, i nature and extent of each type of use..
Dimensions of existing structures, if any: Front................ Rear ............... Depth .................
])eight ......................... Number of Stories ......................
Dimensions of sane structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height .................... Number of Stories ...............
Dimensions of entire new construction: Front ................ Rear ............... Depth ... ...........
Height ......................... Number of Stories ....2:.............. See. a-�Gc�iec�p lQvl S
i
Size of lot: Front ............ Rear ..3CYq/.......... Depth .�J..?�...... �`c� G-�t¢cE su-,uet P
). Date of Rirclhase .��.. !t 1�!Gt C ... Name of Former Owner ............................ .... ..... .
I. Zone or use district in which premises are situated ......................................................
'. Does proposed construction violate any zoning lata, ordinance or regulation: ..NO.................
i. Will lot be regraded .................... Will excess fill be moved from preurise YES NO
2+1 F- 4817 V /
i. Names of Owner of premises X"I ft:�....t...... Address 2r.V..`�Rrk,,.I�t`�..IP.Q.�7. Phone No?12L4:2 -t412
Name of Architect 1 a !rq.,��L .............. Address Phan No. `'I�7-000
Name of Contractor Q �1 e ,r�........ .. Address .i3 I(0�7,WeSf�tav�n'}p,�' Phone No. .��nl '
5. Is tlhis property within 300 feet of a tidal wetland? * YCS .. ✓. . NO .......... Qt�''��' �
*IF YES, 90UI11()iD T13idl M1S1FLS PERMIT MAY HE WqJI M. Gt �t�.i e cQ I e-f4-cvy t r e rK Lr Lt si e e S and l EC
PLOT DIAGRAM
locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
rum property lines. Give street and block number or description according to deed, and show street names and indicate
hether interior or corner lot.
rKiE ar N;1 Y(W,
SS
"IT Or . .......
.... �•` U! .. :.. L!� .......... ..........being duly sworn, deposes and says that he is the applicant
Horne of individual signing contract)
hove named,
istlhe .................... ...............a .............................. ....................
(Contractor, agent, corporate officer, etc.)
r: said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplicatioti; that: all statements contained in this application are true to the best of his knowledge and belief; and
fiat the work will be performed in the manner set forth in the application filed therewith.
;porn tobe f e me this
..... of 20 co..
- G�cB�zwv
Rotary Publ. c .. "
NOTgRYP�B.C State ofk •(Signature of Applicant)
fti
No.,Or Eomiufw 8,204f�-
FIRST FLOOR EL. 12.0
N
el.
� SURVEY OF
4. lnv.N. a3 LOT 1
in v.sl. 7.5 !n v.N. 7.3 fe/. /N
FOUNDATION MAP OF MINOR SUBDIVISION
4.8
CROSSOVER P1,-E TEST HOLE DATA: APRIL 27, 2000 PREPARED FOR
. SEP 77C TANK 3 CESSPOOL GROU dD NIA TER
el. 1.8 50 PERFORMED BY : McDONALD GEOSCIENCE SCOTT KA UFMAN
o SECTION N. T S �6 ORE tNPNitPRY SITUATE
N 1 ' 43 00 E N/F L 0V40 RESIDENCE 30 ,Fv t0 EL. 5.3 EXIS77NG GRADE EAST CU TCHOGUE, TOWN OF SOU THC
,a
BOLT JN I _ \,�\T\,\,\ �� DARK BROWN SILTY LOAM OL SUFFOLK COUNTY, N. Y.
s7uMPI PO � —
----
vJ BROWN LOAMY SILT ML
.PROPOSEC - 2.3' SURVEYED FOR THOMAS D. GOELLER
qN `'y7 /'Ct
/P6
OOLSE�_% O `EXPANSI�N SHARON W. GOELLER
\ EL. 1.B — 3.5' WATER IN BROWN LOAMY SILT ML
%PI�OPQD \ �Y�'' in i v
+ / SPP Tl INV 7.3 ti i
fANK! IN7.5��` ; pry i Q)
INv. e. ' O ; O TAX MAP NO.
, c
60' —"`� 1000-097-03-20.1
r INV. 8.3
PROPOSED
�P rn-I -m"i of 4 BEDROOM - "
RESIDENCE c A suRv>YEn 21 MARcrc 2000
O\��` SCALE 1-60'
AREA - 140,060 SF
---- N/F KAUFMANOR
WATER /N BROWN FIN£ TO COARSE SAND SW 5216 AQ4ES
8 CONTOUR
�1 <✓ACAN T 10'
F \ GRa5 CON70UR
-AN�� 0 TEST�1 - GUARANTEES INDICATED HERE ON SHALL RUN
HOLE I O ONLY 70 7HE PERSON FOR WHOM THE SURVEY
o I LOT 2 IS PREPARED. AND ON HIS BEHALF TO THE
rf \ ZONE "X �; 2 1 1� FOR S.C.D.H.S. USE ONLY �DINGINSn7U770N IF LJS7ED HEREON. AND
i 1 O TO THE ASSIGNEES OF THE LENDING INSTITU770i
N/F VlVIANO GUARANTEES ARE NOT 7RANSFERABLE TO
VA CAN T -7i It i
ADD1770MAL INS777LI77ONS OR SUBSEQUENT OWN,
i PROPOSEq UNAU7HO&ZED ALTERA77ON OR ADD177ON TO 77-
WELLI SURVEY
IS RK srATIiON OF
SEC77 N 7209 OF
ZONE \ I
\ \ I
\ \ 1 NG
THE/LAND SURVEYORS EMBOSSEDOF THIS SURVEY MAPTSEAL /SHALL
\ I NOT BE CONSIDERED TO BE A VALID 7RUE
COPY.
ELEVA 77ONS SHOWN ARE
NVGD BY HJ26 RESET 1968
a I v ELEV.= 13.052=
GUARAN7E'ED TO
h� ( THOMAS D. GOELLER
SHARON W. GOELLER
2 _
/P TIE TO SKUNK LA FIDELITY NA77ONAL 777LE INS CO.
{p 1 1 BRIDGEHAMPTON NA77ONAL BANK
_ J.
OF SOUTHOLD
F _ _ _ _ —�— —�y�� �r+- 193.02' =1.128.33'
7.1 S 77 0 106.33W 7.41 SUR VEYED B Y
6 7.24 EUGENE'S 7.56 ROAD NE/1.1240 (APP x
7.44 NELL P.O.STANLEY J BOX 294 AKSEN, JF
6.61 a�c AM C mNoAA o( TE5ARAMC7o s°j E BA NE SUFFOLK, NY 119 E
RECISIEREO AFRAW CT. ALL DMOV PARAMETERS ARE BASED
COLWrY HEAL 7H D£PARIMENT REOIRREM£N75 63 7 S
W LICEN D APJD SUP, E
m 3 /O JULY00 ADD FWW ZONE L/NET Aw No TARO uscrJvcED ARpfllEcr �- � N YS C. NO. 492 7
ITARY AND WELL LOCA 7
W 1. 12 MAY,E2000 SHOW D.E.C.2. 19 , 2000 REWSENWE'TLANDS DETERM1NA770NN
. m REVISE LOCA77ON OF.- HOUSE. SANITARY & WELL. OOc
FIRST FLOOR EL. 12.0
N e/. 9.5f
� SURVEY OF
„ inv*1. 8.3 LOT 1
3 FOUNDAT/ON '"v.WI. e.0 /n v.W. 7.5 /n v.WI. 73 IN
Tel. 4.8 MAP OF MINOR SUBDIVISION
3, CROSSOVER PIPE TEST HOLE DATA: APRIL 27, 2000 PREPARED FOR
SEP 71C TANK CESSPOOL GROUND WA TER
SCOTT KA UFMAN
e% 1.8 0� 1 50 PERFORMED B Y : MCDONALD GEOSC/ENCE
o SECTION N. T. S. ` ETN N�1PRY SITUATE
N N .81' 43' DO" E N/F LOVE�lO RESIDENCE 0 ° P EL. 5.3 EXISTING GRADE EAST CUTCHOGUE, TOWN OF SOU THOLI
FD 30 30' /P DARK eRONN SILTY LOAM a SUFFOLK COUNTY, N. Y.
BOLT WV ------ �r����
STUMP - �8 - 1'
• p� � ' .-' ,_'''OPO E. ��� (.I)
i S D BRONN LOAMY SILT ML
PROPOSED - 2.r SURVEYED FOR THOMAS D. GOELLER
I ORE 1 rPI6POSED._ r1 . SHARON W. GOELLER
17 ;C� $POOLS _� 09`Ex 11
XPANSI .v
P Oj' / r S ; %1 O \ — WATER IN BROW LOAMY SILT ML
�. PLOPp�AFD �- ��� i c-')
i + EL. 1.8 3.s'
+ / SPPT14 r v 73 � A, � l
SANK IN 7.5 ; ,y i 0 TAX MAP N0.
INV. 6. �/� C 0
EXCAVATION INSPECTION REC�UMED
60' 1000-097-03-20.1
l INVa.T ,� FOR SANITARY SYSTEM
P�� Q n1�' ' PROPOSED*BEDROOM W HEALTH DEPART•IMEM
O t_I �� Oi o SURVEYED 21 MARCH 2000
RESIDENCE CARA ;
ON��`m� 1st FL EL 12.0 MIN. _�_ _ scALE r'-6o'
Q C) m�D ,. AREA - 140.060 Sr'
_ --------'? N/F KAUFMAN OR
8 CONTOUR ' "l'' J WATER /N BRONN FINE TO COARSE SAND SW .1216 ACRES
�, VACANT 10'
6 CON TOU_R ' TEST
� —
_ fj , O
_�
HOLE � GUARANIES INDICATED HERE ON SHAH RUN
-0
O ONLY TO 7HE PERSON FAR OHOM THE SURVEY
\ ; O LOT 2 IS PREPARED, AND ON HIS BEHALF TO THE
FOR S C.D.H.S. USE ONLY 777LE COMPANY, GOVERNMENTAL AGENCY,
\ o LENDING INS777U77ON, IF US7ED HEREON, AND
O TO THE ASSIGNEES OF THE LENDING 1NS777V770N.
N/F Vl VIAND 2 > C y GUARANTEES ARE NOT 7RANSFERABLE TO
\ 11 O i a > ADD17IONAL INS717U77ONS OR SUBSEOUENT ONNERS
VACANT
PROP S q COC O UNAUTHORIZED AL7ERA77AN OR ADOI77ON'TO THIS
\
WELLI }� L>7 x SURVEY IS A WOLA77ON OF S£C77ON 7209 OF
O O 8 7HE NEW YORK STATE EDUCA77ON LAW.
\ '
no COWES OF THIS SURVEY MAP NOT BEARING
ME t\ Ly t- Fd NOT BEYDSURVEYORS WOSSED SEAL CON510 70 BE UO TRUESHALL
p
—4—
n3 > O < ELEVA AGNS` SHOWN ARE
Ico
(n 3 H > NVGO BY HJ26 RESET 1968
a v to 3 O O ELEV.= 13.052—
2
O J O M GUARANTEED TO
W \ ( O rNr D X41p-
a) C THOMAS D. GOELLER
h _ U) yv M x ..� SHARON W. GOELLER
_ N 1Tt m z FIDELITY NA 77ONAL TI TLE INS. CO.
--L pp ,77E TO SKUNK LA 0 Z t BRIDGEHAMPTON NA77ONAL BANK
g _ =1,128.33' c c O > Q G r TOWN OF SOU77IOLD
m1— -- — — — —s�— — 73 W 193.02' 6 ,_,. .a 4 C
7.1 S 77' 08 lO6 z3W
={ 7.46 RQA� T a _< SURVEYED BY
24 EUGENE S �•�� " Q
6.61 7.," LocArr<ws CD r- �C} n STANLEY J. ISAKSEN, JR.
I > P.O. BOX 294
e ARE BASED r r — IF*a7
Q t a T REOummwEN7s
W L/CENCD ANDS EYOR
m 3
W 2. 19 ,VNE , 2000 REVISE SAN/TAR����l� ON. NYS L . NO. 492
W 1. 12 MAY, 2000 SHOW O.E.C. WE7LAN03v0� ON,
` m REVISE LOCA77ON OF- HOUSE, SANITARY do WELL. OOCB
BUILDING PERMIT REVIEW CHECK LIST
DATE REVIEWED:
APPLICANT NAME: X-atl�,-� AGoe 11cr DATE SUBMITTED:
PROJECT LOCATION
STREET: CITY: Cwkcho4ue SUBDIV. NAME:
ARCHITECT/ENGINEER: %u .�,c� FAST TRACK: E R NO
SCTM#--- DISTRICT: 1,000 SECTION: 9 7 BLOCK: 3 LOT: a• /
ZONING:
ZONING DISTRI 8 AC_CONFORMING:<gNR NO REQUIRED LOT SIZE: O SQFT.
WHERE ACTUAL LOT SIZE FROM? 49100 ACTUAL LOT SIZE: 14o,ogc SQFT.
REQ. REQ. REQ.
FRONT:'PROPOSED: 8-? ' SIDE YD: 2-c '/4_' PROPOSED: 8'9 'l�J ' REAR: 9 ' PROPOSED-,2jt'
LOT COVERAGE: ALLOWED:�1 % EXISTING: sf .% NEW:30Ao s ° TOTAL: Sf %
CORNER? YES oxe WAT ER FRONT? YES'o NO DESCRIPTION: >C7_-vj 2
SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES OR NOTES:
LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM
JAN.1997 100-25. Merger. (A nonconforming at anytime after July 1, 1983.)
PROJECT DESCRIPTION: ADD.ALT,ACC oR /z ['aS ,�.� _ � ,� /Jezrusx-
AGENCY PERMITS REQUIRED FOR REVIEW
NEEDED
TOWN SPETIC PERMIT: E or NO O
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED # : DTE: 7 /S /ad PERMIT#:R10-60-0///
NEW YORK STATE DEC: or NO
SOUTHOLD TOWN TRUSTEES: S r NO 0
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES or O
FLOOD COMPLIANCE ZONE: PA #: /6 FLOOD ZONE:
FEMA PRE-FIRM OF SOUTHOLD 3/18/80
NYS ENERGY: ES RNO !49 EGRESS: VENT: LIGHT: ,
NOTES: , ,-� ' 7 0ri
FEE STRUCTURE: FOUNDATION: SF Cr-,,1 p4Ce
FIRST FLOOR : 2_q cg SF
SECOND FLR ! SF INIT OTHER TOTAL
TOTAL: S/7 SF FEE FEE FEE
TOT( gS17 SF)- ( _-!�O SF)= _467 SF X $,2_6 =$ 233.40 +$ 7S.- +$ /oa = $ ?Wr 40
• � l� J1 1 ' Ph-R IT TI CHECK I I '
Applicant/ Date
an
Owners Nie: !' /1 Reviewed:
Architect/ ' r,
Date
Engineer: Submitted:
SCTM fl-
District: -l'000 Section: Block: J Lot: b
Project5 Subdivision
Location: --Jv�7—C--' (��V-� Name:
Single& separate Require Jv�
certification: (Yes/?Vo))
Rc fey Req. —
/.onine District ILot size: Acuial /-to 6 I (Lot coverage '024 Propo.;ed
Req (0 0Req q
(I pont Pard Proposed: ) [Side Yard Proposed
�S l /`J [Rear Yard � Proposedj/J
Project Description: ��Q "�//,eC mus �s
AGENC)MERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Numbe
Suffolk County Health Dept. R/0-W -Qi/�
New York State D. E. C. ✓ 2tL&_ Cgs�i�oe
Town Trustees Al,�,�
Town Zoning Board approval. �
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone:
Notes.: /Huse- e, -Z"- �
4 /'�� N i CTe c-r
�S£sts'� � �•
Albert J. Krupski, President ��$UFF04 Town Hall
James King,Vice-President �.r� GGy 53095 Route 25
Henry Smith P.O. Box 1179
Artie Foster WZ Southold, New York 11971-0959
Ken Poliwoda O Telephone(631) 765-1892
Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 19 , 2000
Mrs . Sharon Goeller
4725 New Suffolk Ave.
Mattituck, NY 11952
RE: 2895 Eugenes Road, Cutchogue
SCTM#97-3-20 . 1
Dear Mrs . Goeller:
The Southold Town Board of Trustees reviewed the survey dated
March 21, 2000 and determined that the construction of a
single-family dwelling, garage, and septic to be out of the
Wetland jurisdiction, under Chapter 97 of the Town Wetland Code.
However, any activity within 75 ' of the Wetland line would
require permits from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to
call .
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
New York State Department of Environmental Conservation
Division of Environmental Permits, Region One
Building 40 - SUNY, Stony Brook, New York 11790-2356
Phone: (516)444-0365 FAX: (516)444-0360
John P.Cahill
Letter of Non-Jurisdiction - Freshwater Wetlands Act Commissioner
Thomas and Sharon Goeller June 29, 2000
4725 New Suffolk Avenue
Mattituck, NY 11952
Re: Goeller Property, Eugene's Road, Cutchogue
SCTM# 1000-097-03-20.1
Application #1-4738-02685/00001
Dear Mr. and Mrs. Goeller:
Based on the information you have submitted, the New York State Department of
Environmental Conservation has determined that:
Your proposed project to construct a single family dwelling, septic system and driveway
on Eugene's Road in Cutchogue, NY, SCTM# 1000-097-03-20.1 as shown on the
survey prepared by Stanley J. Isaksen, Jr. L.S., dated 3/21/00, last revised 5/12/00, is
more than 100 feet from regulated freshwater wetlands.
Therefore, no permit is required under the Freshwater Wetlands Act (Article 24 of the
Environmental Conservation Law).
Be advised, that all construction, clearing, and/or ground disturbance must remain more
than 100 feet from the freshwater wetland boundary. In addition, any additional work,
or modification to the project as described, may require authorization by this
Department. Please contact this office if such are contemplated.
Please be further advised that this letter does not relieve you of the responsibility of
obtaining any necessary permits or approvals from other agencies.
Sincerely,
Mark C. Carrara
Permit Administrator
cc: BOH
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