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Home My WebLink About25607-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27208 Date: 07/26/00 THIS CERTIFIES that the building NEW DWELLING Location of Property~ 805 BAY SHORE RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 3 Lot 10 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 1999 pursuant to which Euilding Permit No. 25607-Z dated MARCH 17, 1999 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 ONE F~T?.¥ DWELLING WITH ROOFED OVER WOOD PORCH AS APPLIED FOR. The certificate is issued to WILLIAM L & CHRISTINE EISENREICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0184 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 08/11/00 25607 04/06/00 04/14/00 THOMAS PACZKOWSKI Authorized Sig~ur~ 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. 25607 Z Date MARCH 17~ 1999 Permission is hereby granted to: WILLIAM L EISENREICH 9 OREGON RD HUNTINGTON STAtNY 11746 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR. PERMIT INCLUDES FLOOD PLANE DEVELOPMENT PERMIT APPLICATION. at premises located at 805 County Tax Map No. 473889 Section 053 pursuant to application dated JANUARY Building Inspector. BAY SHORE RD GREENPORT Block 0003 Lot No. 010 22 1999 and approved by the Fee $ 375.00 uthorized S~gnature ORIGINAL Rev. 2/19/98 JUL I~LDG. DEPT. %0,,~WN _OF SQUTHOL_ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. Final su~¥ey 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing"~mnd uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinK Buildin~ - $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 ................. Location of Property ..~.~ .~..~... ~..~-· - ............ ''~''~''J~' House No. Str~eet ~ Hamlet ty ' Onwer or Owners of Proper lq County Tax Mmp No i000, Section .............. Block ............ Lot ................... Subdivision Filed Map Lot ...... Health Dept Appro 1 · U d rwrit Appro 1 ................. · va . .... ..... ............... n e ers va ........ Planning Board Approval.......... ............. · Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $...........~2,~_~_ ................ .. APPLICANT CO-E Of "'Tqm- Town Ha~I, 53095 Main Road P. O. Box ~179 Southo~d, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD cERTIFICATION (516) 765-1823 Telephone {516) 765 1802 Building Permit No. __~b---~'~ ''~'' Owner: ~~7 C~ (plea--------- se ' print~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. sworn to before me this _ .1~ day of Notary Public, __ . _ County To: Building Department Town of Southold From: William L. Eisenreich 9 Oregon Rdr DP, IVF~ Huntington Sta., N.Y. 11746 Permit# 25607 Z Location: 805 Bay Shore Rd. Greenport, N.Y. Tax Map#473889 Sec. 053 BIk. 0003 Lot No. 010 -I Submit to the following: If I install a wood burning stov-e that I ~uil:l fife f~a blJJflding permit. When I final landscape the.~', op.er~/t ~,¢ill -~'mtain att £~Sers Of stairs 'from ground up~equ¢ to 118'. That I am installing ffly,o,w,~etCgemtor. That I supplied the cattinets ~ ~h~.d~a~,~er for the range top is my respon~t'sibitity. That this letter will be duly. notariZedl TONI M. WARREN Notary PubJJc, ~lote of N~w Yor~ No. 01WA;S042042 Qua [Jed in Na$~u CounlK Commission Expires Aprit 17,~0C) J 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] I~LATION [ ~/J' FINAL [ ] FIREPLACE & CHIMNEY lNG DEPT. SPECTION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &~CHIMNEY BUILDING DEPT. INSPECTIOn, [ ] FOUNDATION 1ST ~ ]/~)UGH PLBG. [ ] FOUNDATION 2ND [~/'INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPE · 765-1802 BUILDING DEPT. [ ] FO/U/,~ATION 1ST [/_.,]/ROUGHPLBG. [, ~UNDATION 2ND []INSULATION ? FRAMING []FINAL [ ] FIREPLACE & CHIMNEY DATE ~//~/~.~ ,NSPEC~~~ 17May To: 2000 Village of GreenPort Building Department · 236 3rd Street Greenport, NY 11944 Per'nit # 25607 Tax Map # 1000-53-03-t0 Bayshore Road Greenport, NY ()(1. To whom It May Concern, As Requested by the ~llage of Greenpo~ the following is a proposal to address the concerns of the village about potential freezing of pipes at the above referenced r~sidepee during periods of non-oceupmlcy during ~e winter months. · 1:~11 water pipes in unconditioned spaces ~hould be wrapped in heat tape conneCtedto a thermostat located in that space 2. All wate~ pipes in unconditioned spaces shofild be wrapped with pipe insulation. 3. An alarm sYstem with a moisture sensor, should be located in the spaces'where aleak may occur. This system should send a signal'to a central station or'the·owner directly. We feel that these actions will adequately address the concerns of the (gillage of Greeuport) Should you . have any questions or require any ad~tignal information, please feel free to Contact our office. Sincerely, /Mark D. Geiselman, Ali. X: ,60 2arleton Ave. · Suite 202 · Islip Terracel NY 11752. phbne: 63D859-3488 · fax: 631~859-3489 BUILDING OWNER'S NAME FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLO{)D INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pa~les 1 - 7. SECTION A - PROPERTY OWNER INFORMATION BUILDING STREET ADDRESS (Including Apt., Umt, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. CITY STATE PROPERTY DESCRIPTIbN (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) O.MB. No. 3067-0077 Expires July 31, 2002 CODE//PqH BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTIONAL) ( ~°-~'-fflt.f~' or ~.;.'22'.;'.'.°) HORIZONTAL DATUM: I--I NAD 1927 [~1 NAD 1983 SOURCE: I__l CPS (Type):· I__l USGS Quad Map I--I Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER I B2. COUNTY NAME I B3. STATE · J J 9', B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL BS. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER/~_~ ~_ DATE EFFECTIVE/REVISED,/~/~ ~ ~,' / ~ ,~DATE' I "~-~N'~ (Zone AO,c~ use depth of flooding) B'I0. Indicate the soume of the Base Flood Elevation (BFE) data or base flood depth entered in B9. J J FIS Profile IZ~.I FIRM I_1 Community Determined I_1 Other (Describe): B11. I~'~cate the elevation datum used for the BFE in Bg: ~'~1 NGVD 1929 I_1 NAVD 1988 I_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? I--~ Yes I__l No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I__lConstruction Drawings* I__lBuilding Under Construction*- I,~inished Construction · A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number ~ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AD Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used. Does the elevation reference mark used appear on t~e FIRM~ I_1 Yes J--~l No ~ ~"~ , ._~ n a) Top of boftom floor (includino basement or enclosure) <) -c) ft.(l~' J/.~ I~1 b) Top of next higher floor . I ~ . _~ ft.(m~ ~ · n c) Bottom of lowest horizontal structural member (V zones only) . ~ .'-~ft.(m) ~J/ u d)^ftachedgarage(topo s ab) . - Cl e) Lowest aleYation of maohinery and/or equipmant n f) Lowest adjacent grade (LAG) ~ ~.-.%'* ft.(m)~ CI g) Highest adjacent grade (HAG) /O . Z, ff.(4m) ._~ I ~ ~/~ '~ QI h) No of permanent openings (flood vents) w th n 1 ft. above adjacent grade ~ · C, O i) Total area of all permanent openings (flood vents) in C3h :5'-I 73 - sq. in. ~R~'tl') '~ J SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify ele, ation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTifiER'S NAME ,, UCENSE NUMBER TITLE ~ ~, ~ -- ,' ~ ,~ COMPANY NAME , ' ADDRESS ~) Z /- -- - ~' OH ~,~ ! T~T~ f.,- ZIP C(;~DE//~/_ ~:~ ~,.~ FEMA Form 81-31, AUG 99 / F SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A. I For Ihsumnce Company Use: BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O.,ROUTE A, ND BOX NO. J.,P01icY Nur~ber , SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION {CONTINUED) Copy both aidea of thia Elevation Ce~ificate for (1) community official, (2) insuran~ agenFcompany, and (3) building owner. COMMENTS I_1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION {SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate ia intended for use as suppolfing information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number __ (select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately raprasents the building, provide a sketch or photograph.) E2. The top of the bottom floor {including basement or enclosure) of the building is I_~_1 ft.(m) I_l_lin.(cm) L_I above or I_1 below (check one) the highest adjacent grade, E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I_1_1 ft.(m) I__l~lin.(cm) above the.highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? I~1 Yes I__i No I__1 Unknown. The local official must certif,/this information in Section G. SECTION F - PROPERTY OWNER {OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized raprasentative who completes Sections A, B, and E for Zone A (without a FNMA-issued or community-issued BFE) or Zone AO must sign hera, PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS I_1 Check here if attachments SECTION G - COMMUNITY INFORMATION {OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item{s) and sign below. Gl. I__1 The information in Section C was taken fram other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Con, Tents area below.) G2. L_I A community official completed Section E for a bud ng ocated n Zone A (w thout a FNMA-issued or community-issued BFE) or Zone AO. G3. I I The following information (Items G4-G9) is provided for community floodplain management purposes. GT. This permit hss bosh issued for: [~1 blew Construction I_1 Substsntisl Improvemsnt 138. Elsvation of as-built lowest floor (inctuding basement) of the building is: . __ ft.(m) Datum: 130. BFE or (in Zons AS) depth of flooding st the building site is: . __ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME i TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments FNMA Form 81~31, AUG 99 REPLACES ALL PREVIOUS EDITIONS Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~ ~ DATE:.,3/ZS/98 ISSUED TO WILLIAM..&. CHRISTINE EISENREICH Authorization Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chap+er 404 of the Laws of the State of New York 1952; and the Sou+hold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 3/25/9~ 19 9.8~, and in consideration of the sum of $150.00 paid by WILLIAm4 ~ CHRISTINE EISENREICH of ........... Gr.eenport.. N. Y, and subject to the Terms and Conditions 'listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: W~tand Permit to construct a single family dwelling with sanita system and driveway with condition that a 30' non-turf bluff{er at top of bank landward be maintained. all in accordance with the detaiJed specifications as presented in the originating applicstlon. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents be subscribed by a majority of the said Board as of +his dat, e. Tntstees JOINS PANEL 0157 PIPES COVE COASTA APPLY O Fidelity National Title, INSURANCE COMPANY OF NEW YORK' ' Applioatlon Date: January 25, 1999 Report Date: February 8, 1999 Title No. FNT9919998 William Eisenreich FEE: 9 Oregon Drive MORTGAGE: Huntington Station, N.Y. 11746 ~ :....~.;.;.:..:.~....=. ~,.=~.~.:.:..:~..-~ (516)997-3400 ext. 274 or (516)673-4616 ................... ~~, ~..:.. ?.=?.~.:....~.~? ............................... . .......... ~U~ .............. ~ ......... ~...*.~. William ~, Eisenreich and ,~,~.: * ~.~ ~,~.~,~.~.~.~,~, .~,.= ~ ~.%.?~ ~=~.~,~...~.~=..~ ..~ =~: ~. =~ Chris~ M. Eisenreich No Survey . ~-.~¢ - ~?e~..$earch 300.00 CLDG 805 Bag Shore Road, Southold, New York lown of Southold County of Suffolk Filed Map: No. Lot: Dist: 1000 Sect: 053.00 Block: 03.00 Lot: 010.000 DEPOSIT -300.00 RECORDIffiO CHARGES 4-1-$7 PAID ~300.00 PAYMENT CK. NO. 2365 ON 1-27-99. .= ~.~. ,....~..X~.~..~.: 24 Commerce Dr * Riverhead, N.Y. 11901 * (516) 727-0600 * FAX (516) 727-0606 TITLE NO: FNT9919998 DISTRICT: 1000 SECTION: 053.00 BLOCK: 03.00 LOT: 010.000 Town of Brookhaven Brookhaven, New York Gentlemen: FIDELITY NATIONAL TITLE INSURANCE COMPANY hereby certifies that it has searched the records of the Suffolk County Clerk and/or the Suffolk County Registrar for deeds affecting the captioned property and properties immediately adjoining and finds: SEE ATTACHED And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other further conveyance of any of the foregoing lots other than as set forth. FIDELITY NATIONAL TITLE INSURANCE COMPANY certifies that the above- captioned property has been in single and separate ownership Francis E. Jannella, III and Newton L. Homan and his/her predecessors in title since prior to 1957 except as follows: (see attached chains of title). The liability of the Company is limited to the amount of the fee paid. Dated: February 9, 1999 FIDEL~N~E INSURANCE COMPANY SALLY BEAL Sworn to before me this 9th day. of February, 1999 Notary Public x TITLE NO. FNT9919998 STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) SALLY BEAL, being duly sworn deposes and says: That he/she has had a search made of the records of the County Clerk of Suffolk County with reference to an application for a variance affecting the following premises: SCTM 1000-053.00-03.00-010.000 That the said records indicate the following chains of title as to premises and adjoining lots since prior to 1954. SUBJECT PREMISES: 1000-053.00-03.00-010.000 Kerwin & Kerwin, Inc. Dated: 6-11-46 to Rec'd: 10-4-46 Connie Sledzieski Liber 2631 cp 39 Helen Barszcaewski Stephanie Rutkowski,as executor of the last will and testament of Ursula Sledzieski, deceased to Arkays, Inc. NOTE: Connie Sledzieski died on NOTE: Ursula Sledzieski died on Dated: 7-26-65 Rec'd: 8-4-65 Liber 5793 cp 552 1-30-48 No. 119P1948 10-5-62 No. 1192P1962 Arkays, Inc. to Rudolph Koubek, Jr. Rudolph Koubek, Jr. a/k/a Rudolph Koubek to Joseph Wiederman Dated: 10-28-68 Rec'd: 10-30-68 Liber 6446 cp 455 Dated: 11-1-73 Rec'd: 11-27-73 Liber 7539 cp 157 SALLY BEAL Sworn to before me this 9th da~~r~ 9 Notary [Subl ic ~ C~mmi,~on E~ee Aug~ ~, ~ COMPANY Joseph Wiederman to Richard T. Flood Richard T. Flood to Robert F. Kelley, Jr. Robert F. Kelley, Jr. to Saul Millman and Janet Millman, his wife Saul Millman and Janet Millman, his wife to William L. Eisenreich and Christine M. Eisenreich, his wife LAST DEED OF RECORD Dated: 1-20-76 Rec'd: 2-6-76 Liber 7985 cp 82 Dated: 6-23-82 Rec'd: 6-30-82 Liber 9204 cp 322 Dated: 12-21-89 Rec'd: 12-29-89 Liber 10990 cp 321 Dated: 11-22-96 Rec'd: 12-5-96 Liber 11804 cp 914 FIDELITY NATIONAL TITLE BY: ~0 INSURANCE COMPANY Sworn to before me this 9th day_of February, ~99~9 Notary Public PREHISES EAST: 1000-053.00-03.00-011.000 Kerwin & Kerwin, Inc. to Connie Sledzieski Dated: 6-11-46 Rec'd: 10-4-46 Liber 2631 cp 39 Helen Barszczeski and Stephanie Kutkowski, as executor of the last will and testament of Ursula Sledzieski, deceased to Arkays, Inc. NOTE: Connie Sledzieski died on 1-30-48 No. NOTE: Ursula Sledzieski died on 10-5-62 No. Dated: 7-26-65 Rec'd: 8-4-65 Liber 5793 cp 552 119P1948 1192P1962 Arkays, Inc. Dated: 12-28-71 to Rec'd: 1-14-72 Bessie Bakke, as administrator of Liber 7087 cp 103 the estate of Johannes Bakke, deceased, letters of administrator having been issued by the Surrogate Court of Suffolk County on 11-5-71, under File No. 561A1971. Bessie Bakke, individually and Dated: 5-29-74 as administrator of the estate Rec'd: 6-3-74 of Johannes Bakke, deceased Liber 7647 cp 489 to Antonio DeMarco and Eleanor DeMarco, his wife, as joint tenants with rights of survivorship NOTE: Johannes Bakke died on 10-20-71 No. 561A1971 Antonio DeMarco and Eleanor DeMarco, his wife to Ann DeCesare Dated: 9-9-83 Rec'd: 79-15-83 Liber 9425 cp 346 LAST DEED OF RECORD FIDELITY NATIONAL TITLE INSURANCE COMPANY ~-' ~ALLY BEAL Sworn to before me this 9th day,Qf February, 199,$ Notary Public LoNd ISL_~AN~D..' ELECTRICAL INSPECT~!~I//SEI~VICE,, INC. · 670 M~ddle Country Road · Sa{~'~J~.s, NY 11780: Tel: (631) 265-3075 ~ thOcett~Cate~ybeacce~a ~l~t~er~fA~r~t~a~ctr~sar~m~w~r~mn~n~i~*~H~a~lw~~t~re~ectr~ PREMISES WEST: 1000-053.00-03.00-009.000 Kerwin & Kerwin, Inc. Dated: 6-11-46 to Rec~d: 10-4-46 Connie $1edzieski Liber 2631 cp 39 Helen Barszczewski and Stephanie Rutkowski, as executor of the last will and testament of Ursula Sledzieski, deceased to Arkays, Inc. NOTE: Connie Sledzieski died on 1-30-48 NOTE: Ursula Sledzieski died on 10-5-62 Dated: 7-26-65 Rec'd: 8-4-65 Liber 5793 cp 552 No. 119P1948 No. 1192P1962 Arkays, Inc. to Dorothy A. Koubek Dorothy A. Koubek to Alina Wiederman Alina Wiederman to Winric Realty, a co-partnership Dated: 10-28-68 Rec'd: 10-30-68 Liber 6446 cp 449 Dated: 11-1-73 Rec'd: 11-27-73 Liber 7539 cp 159 Dated: 1-20-76 Rec'd: 2-6-76 Liber 7985 cp 80 Winric Realty, to Ruth S. Kelley a co-partnership Ruth S. Kelley to Albert W. Albertson, Jr. Dated: 6-23-82 Rec'd: 6-30-82 Liber 9204 cp 324 Dated: 12-31-86 Rec'd: 1-13-87 Liber 10219 cp 25 FIDELITY NATIONAL TITLE INSURANCE COMPANY BY: ~ SALLY BEA~ Sworn to before me this 9th day_of February, _199~ Notary Public Ro. r~4e8 QueTZal in Suitor Cam%' Albert W. Albertson, Jr. to Sieglinde Konrod and Steffi Konrod, as joint tenants with rights of survivorship ~AST DEED OF RECORD Dated: 11-17-87 Rec'd: 12-1-87 Liber 10481 cp 592 PREMISES SOUTH~ BAYSHORE ROAD PREMISES NORTH: (TOWN OF SOUTHOLD) UNDERWATER LAND PIPES CREEK FIDELITY NATIONAL TITLE INSURANCE COMPANY BY: ~ Sworn to before me this 9th day_of February, 1999 Notary Public NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION EC PER~IT HUMBER 1-4738-02123/00001 FACILITY/PROGRAM NUMBER(S) PERMIT Under the Environmental Conservation Law EFFECTIVE DATE December 21¢ 199E EXPIRATION DATE(S) December 31, 2003 TYPE OF PERMIT B New [] Renewal [] Modification D Permit to Construct [] Permit to Operate D D D 0 Article 15, Title 5: Protection of Waters Article 15, Title 15: Water Supply Article 15, Title 15: Water Transport Article 15, Title 15: Long Island Wells Article 15, Title 27: Wild, Scenic ar~ Recreational Rivers [] 6NYCRR 608: Water Quatlty Certification [] Article 17, Titles 7, 8: SPDES' [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freehwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYGR~ 360: Solid Waste Managemen~ [] Article 27, Title 9; 6NYCRR 37'J= Nazardous Waete Management [] Art(cie 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 57; 6MYCRM 380: Radiation Control PERMIT ISSUED TO J TELEPHONE NUMBER William and Christine Eisenreich I (516) 997-3400 ADDRESS OF PERMITTEE 9 Oregon Drive~ Nuntington StatJon~ NY CONTACT PERSON FOR PERMITTED WORH 11746 TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY North Side of Bay Shore Roadr approximately 760 east of Kerwin Blvd.r Arshamomaque LOCATION OF PROJECT/FACILITY : SCTM #1000-53-03-10 COUNTY [ TOWN Suffolk Southo[d DESCRIPTION OF AUTHORIZED ACTIVITY: WATERCOURSE Pipee Creek MYTH COORDINATES E:719.8 N:4551.3 Construct a single family dwelling, septic system and driveway as shown on the 9/16/97 survey by Joseph Ingegno, L.S,, last revised 12/1/98 and stewed "NYBDEC Approved as per terms and conditions of Permit No. 1-473B-02123/00001 12/17/98. Dy acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the EEL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS George W. Hammarth Bldg. #40, SUHY, Stony Brook, NY 11790-2356 AUTHO IZED SIGMA RE DATE December 21~ 1998 Page 1 of s NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permiffee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damageS, and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities o.r operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the terms and conditions of the permit. Item B: Permittee to Require its Contractors to Comply with Permit The permittee sha~l require its independent contractors, employees, agents and assigns comply with this permit, including all special conditions, 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 raal or persona] property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 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 7%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 written or verbal notification is provided by the Department at least 24 hours prior to such inspection. 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. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 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. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for 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. The permittee must submit a renewal application at least: a), 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook, NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit when: .: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provision? of the ECL and pertinent regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. I DECPERMITNUMBER I PAGE 2 OF 5 1-4738-02123/00001 I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 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 perm[t, the structure, fill, excavation, or other modification of the watemourse 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. 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. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 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. Any material dredged in the prosecution of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 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 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. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitafions or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. 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 and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by DECPERMiTNUMBER I J PAGE 3 OF 5 1-4738-02123/00001 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS i. To protect the values of the tidal wetlands, a permanent vegetated buffer Zone shall be established. Thera shall be no disturbance to the natural vegetation or topography within an araa extending 50 linear feet landward of the tidal wetland boundary. 2. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area at the commencement of regulated activities and remain in place until project is completed and alt disturbed areas stabilized with vegetation. 3. Roof runoff shall be directed to drywells a minimum of 75 feet landward of the tidal wetland boundary for immediate on-site recharge. 4. Driveways and parking areas shall be constructed of pervious material. 5. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. 6. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 7. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows: a. Stabilization of the entire disturbed area with appropriate vegetation (gr~sses, etc.). ~; b. Temporarily stabilized with straw or hay mulch or jute matting or other similar natural fiber matting within 1 week of final grading. Temporary stabilization shall be maintained until a mature vegetative cover is established. 8. If seeding is impracticable due to the time of year, a temporary mulch must be applied and final seeding performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. 9. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than one (1) week shall be contained by a continuous line of staked hay bales/silt curtain (or other NYSDEC approved method) placed on the seaward side between the fill and wetland or protected buffer area. Tarps are authorized to supplement these approv ~ed methods. 10. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 50 linear feet from the tidal wetland boundary. 11. 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 tidal wetlands and or protected buffer areas. 12. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 13. The project must comply with all local and federal flood plain regulations: 14. No fill shall be placed on this site without further approval from this Department. DEC PERMIT NO; I 1-4738-02123/00001 PAGE4 OF 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 15. The permittee shall incorporate the following language as a notice covenant to the deed: egulated tidal wetlands associated w th Pipes Creek are located at the parcel located on the north side of Bay Shore Road, 762 feet east of Kerwin Blvd., Arshamomaque, Town of Southold, County Tax Map Number: District 1000, Section 53, Block 03, Lot 10, otherwise known as the properties of William L. and Christine M. Eisenreich and their heirs, assigns, or successors. This property is subject to the provisions of New York State Environmental Conservation Law (ECL) Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its succ Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and filling; clearing of vegetation; and application of chemicals." This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager, Bureau of Habitat SUNY Building 40, Stony Brook, New York 11790-2356. DEC PERMIT NUMBER 1-4738-02123/00001 PAGE 5 OF. 5 TOWN,OF SOU'i'HO!~ ~ ..~ .FOP, H NO. I TO~/N OF $OUTIIOI,D BUll,DING DBPARTNBNT 'I'O~N DALt, ~OUTIIOI,D~ N.Y. 1197i TEI.~ 765-1802 Pen. it Ho .......... / (Ikll Idlnl~ lnnlx'~:l'or) BOARD OF DEALTII ............... ~ $1[T$ OF PLAN8 ............... ?.vie ........................ ,,se~ ......................... ~AII, TO: .................... ,i,ICA'rlON FOIl BUZI.I)ZNO PERNT'F 1NSTIIIICT 10N,q n. 'lhls application mist I~!cm~letely filled In by typcn~rlter or In Ink taxi md~nltted to the ~dldlng TnSleClor 3 ~ta Or plans, ack,rate plo: plan to ~ale. ff~ according to ~fle. b. PIo~ plan ~1~ l~,ttm of lot a~ of I~lldh~a m ~l~a, retatlon~dp to Mjoinl~ pr~l~, or str~ts or areas, n~l 8tvt~ a &[allal ~riptt~ of 18~: off pro~rty mint I~ dr~ ~ tl~ diana, ddcb is I~rt of this nlq)t tcat t~. c. 'lhe ~ ~ ~ ddsn, a~licati~ my t~t t~ cm*mm~l tmfore ismm~e or ~ildl~ Pemit. d. U[~ a~al of Ods a~ltca[i~t, [1~ l~tldi~ ln~c~or will tsm~ a ~[ldin8 ~mit ~o the applicant. .l~rml~ ~mll ~ ~pt ~ ~ ~[~s available rot tns~tt~ tbr~*t the ~rk. e. ~ ~iidl~ ~mll t~ ~l~i or ~1 In ~ole or tn ~r~ for m~ p,~ Mmt~er ~mttl a C~r[lficate ~,ICATI~ 18 l~ ~ tO tim lh~thll~ ~rt~nt for the ls~e o[ a ~tldl~ ~mi~ ~rmmnt to Lhe ~lati~s, for tl~ ~at~tt~ Ge ~dtdl~s, m~itl~s or altera[l~s, or ~r r~al or ~litt~, (~1~ ~ss o~ ~] SLoCe d~tler a~licant is ~r, lea~, ~nt, archi[~t, en&i~r~'gmeral c~tractor, electrician, pl~r or IRHh ..................... ................ ~ ~ ~ ~ ~.... ~.~.9.~... ~~. ........................................ (~ a~ ~itle o~ ~rate oE[tcer) l~dldera License t~. , I. I~ati~ oE la~ ~ ~,td, P~I ~rk will I~ <~ ..... ~.~.. ~ff~...'.;~ : .............................. I~ ~r : St~t i~nle~ (~) 2. State exist}~ u~ ~ ,8 anal ~m~q~ m~eT 3. Pature of.work (cl~ck_ sadch~e~t~..ahle): ~ ll~lldin~ ,~ldition (tO ~ ~id {~ filing thia al~licatl~) If garage, ixad~r Of care ........ ~ ......................... If 0 / ~ or u~ dlnErtct in dddl pr~l~n a~ stSt~ .............................................................. ~s propel ~mt~tlm violate any ~ln8 1~, o~l~a or regtflattm~ ........................ PI.OT I)IAGllAN locate clearly and dlel;lnctly all bull(lln~e, ~he$.ber exleting or proposed, nnd Indicate att net-b~ck dimenelone proi~rey litms. Oi~ at~t n~ bl~k a~izr or ihacripti~ accordiag to i~, a~ d~ strut ~s a~l i~licate ~dmtlmr interior or corl~r lot. / loc) · .beinlA (July s~)rn, delx)ses and says tirol: lie in Lbe Ih ia Lhe ............... s.' .................................................................. (Cxmtrflctor, agent.~ corporate officer, el:c.) of enid (~r or o~ra; taxi ia (July mAI~ri~ to imrfo[m or hflve ix~rl:or.L~l 1.1~ ~id ~rk at~l to nnke taxi file ti, ia nl~d icnti(~,; that fill atatomnta c(mtal~l tn this fllqdicati(m are Lee Lo Lhe I~aC of Ida kill.ge that th~ ~)~k will I~ ~rfon~l in the n~m~mr ~t forth in tl~e nlq)licatlt.l fil~ ~)n~ LO I~f(~ ~ t.llls ..... ...... .... .... ~tfl~ l~lic .. ~ ' . . ....... ~.~.~/..~..~ ~A~A~ _ (Silpud:ure of: Applicant) NOT~Y PUBUC, SM~ of ~ 018T~8173, S~k ~ T~ ~ims June 8. ~