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Home My WebLink About23072-zFORM NO. 4 TO~q~ OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-25291 Date SEPTEMBER 30, 1997 THIS CERTIFIES that the buildin~ DWR~.LING Location of Property. 640 HAYTWAT~KS DR. & 455 MASON DRIVE House No. Street Hamlet County Tax Map No. 1000 Sectio~ 104 Block 5 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5~ 1995 pursuant to which Building Permit No. 23072-z dated (~"TOBER 17~ 1995 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 RELOCATE EXISTING ONE FAMILY DW~.?-ING & CONSTRUCT FOUNDATION~ DORMER WITH ATTAC~R~ GARAGE & DECKS AS APPLIED FOR & AS PER ZBA ~4316. The certificate is issued to OSCAR E. & BETH D. BL~5~INS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RlO-95-O109-BEPT. 9~ 1997 UNDERWRITERS CERTIFICATE NO. N-410935 - FEBRUARY 11~ 1997 PLUMBERS CERTIFICATION DATED AUG. 29, 1997-OSCAR E. BLEVINS Rev. 1/81 FORM NO.~ tOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N? 23072 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULl. COMPLEllON OF THE WORK AUTHORIZED) Date ....................................... ]9...~ ..... Permission is hereby glanted to: to / at premises locked at....~-'..~/',~.2 ..... pursuant to application dated .................................... 19 ................ and approved by the Building Inspector, Rev, 6/30/80 S~-orn s~a:~en: from pi~ber cerciJy~g than :he solder used ~ ~ymz~m con~ains less :hen 2/i0 ~f L% lead. a~d ~s~a!ia~ions, a ....... responsible for ~he Sub~ ?la~g Board ~pr~ of c~ie~ad si~e plan requirements. exis='Lng bui.!dlxgs (prior ca Ap_r~--! 9, !957) aoo-co~o~2=g ~ses, or buZid~gs &nd "pr~is~g" land 2ses: umuau~ na~ur~ or ~o~ographic feazuras. properly co~iaued app!iaa~iou and a couse~c ~o ~spec: s!~ed by ~he applicanu. C. Fees i. Car~ifica=e of Oc~apanc7 - New d~-eiiiag ~.00, iddl-'ions Addizions [o ac~es$o~ bu~d~g $25,00. Zus~esses SBO.OO. i Copy of Car%~!caza of Occupancy - .2~ ~a ..... ca~_ Oc~ga~c7 50.00 p. Taboret? Certificate ~f Occ'a~a~c? - ~esi~iai $i5.00, C~e ..... ~.~ O0 ~ ...~r~92?f ......................... Xew Co~:~a:~o~ ........... OLd Or P:~s:~g B~g...~ ........... ~ousa ~o. ~ounW Trax Y~p Ne !OOO, Sea:ion.. ~ P. 9 ,31ock.. ~'. 9.~ ...... Lo[ .................. Subdivision .................................... Filed Y~p ............ Lo:..,' ............... apg_~v~ ......................... Eaquesu f:r: ~°-. ~=-7 Zer:iflaaca ........... ?inal Ce~-~*a~e THE NEW YORK BOARD OF FIRE UNDERWRITERS ~"'.',~- ~['- "]' ? BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10036 THIS CEEIFIES THAT ~y t~ ~t~ ~uip~ent ~ ~c~d be~w e~ i.t~ by t~ ~ic~nt ~ on t~e o~e ~i~t~n ~m6~r i~ t~ p~m~s of Per This cert~flcote must not be olte,ted in uny mcmner~ return to the office of the Board if incorrect, inspectors may be identlfie~ by their cre(' COPY FOR BUILDING DEPARTMENT. TMIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Lydia A. Tortora BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 August 14, 1~95 Ms. Diane Herold, Architect P.O. Box 884 Westhampton Beach, NY 11978-0884 Re: Appl. No. 4316 - Variance for House Relocation (Blevins) Dear Ms. Herold: Please find attached a copy of the Board's findingS and determination rendered at our August 9, 1995 Regular Meeting concerning your recent application for a variance. For convenience purposes, we have forwarded copies of this determination to the Building Depat'tment for their permanent reco]~ds. With reference to the sanitary system, you may wish to furnish the Health Department with copies of the Town Trustees' SEQRA determination and permit documents since they are the "local jurisdiction" in this proiect. The Zoning Board of Appeals does not have jurisdiction for sanitary systenm. "Local jurisdiction" is usually the "Board of Town Trustees" for the sanitary system~ near or adjacent to wetland areas. If you have questions pertaining to this determination, plea.se feel free to call. Very truly yours, ldnda Kowalski Enclosure cc: Build/nC Department Suffolk County Department of planning (this project is within 500 feet of a waterway) APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Lydia A. Tortora Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 DATE OF ACTION: BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF A.PPKALS August 9, 1995 APPL. tM316. 1995 APPLICANTS: OSCAR AND BETH BLEVINS. LOCATION OF PROPERTY: 640 Ha.~vaters Drives Cutchogue. COUNTY TAX MAP DISTRICT 1000, SECTION 104, BLOCK 5, LOT 23. BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated May I1s 1995. "Under Article IIIA, Section 100-30A.3 ... Proposed Construction will have Insufficient front and side .yard setbacks. PROVISIONS APPEALED FROM: Article IIIA, Section 100-30A.3. RELIEF RE(~UESTED: Setback proposed at 11 feet at its closest point and 15 feet at the northeasterly corner of the proposed dwelling, as relocated, for the northerly side yard, and 25 feet from the southerly front yard (nea~ Mason Drive). MOTION MADE BY MEMBER: Robert A. Villa SECONDED BY MEMBER: Gerard P. Geehringer, Ch,i~man ACTION/RESOLUTION ADOPTED: Approved as applied with the unde~tandlng that the applicant will obtnln all other agency approvals required for thL~ mew dwelling location and utili~, hook-ups. REASONS/FINDINGS: The subleet prope~y is a corner lot with two front yawls. The house as exists is located 11 feet from the northerly side yard and at 25+- feet from the southerly front propert7 line - at an angle and size different from that now pm)posed in thi.~ project. The dwelling strneture is proposed to meet all other zoning requh'ements. VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member James Dinizio, Jr., Member Robert A. Villa, Member Lydia A. Tortore, Member Germ.rd P. Ooehringer, Chairmnn-Member · GERARD P. GOEHRINGER, C/tt!%IRMAN Town Hall, 53095 Main Road P. O. Box 1179 Southo[d, New York 1197'~ . Fa.x (516) 765-1823 Telephone {516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERT [ F T CAT T ON (~lease pr±hr) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this - Notary Public, ~ County No. 52-2615150 Q~ ifi~ in Suffolk ~ ~ NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART 6 WORKSHEET THERMAL RATING METHOD ONE- AND TWO-FAMILY BUILDINGS BUILDING ADDRESS C(~TRACTOR, GROSS FLOOR AREA I~q~ NUMBER OF STORIES ..~ DEGREE DAYS ~0oo ARCHITECT OR E-N~R '"'~[~ TELEPHONE If the building does not meet the following pre-qualifying conditions, Part 6 of the Energy Code may not be used. YES NO Building is one- or two-family residential. Building is detached. Building is less than 5,000 gross square feet. Building is three stories or less in height. Entrance doors have a storm door or certified U value of .40 or less. Glazing area/gross wall area is equal to or less than: 24% if 5,000 degree days 23% if 6,000 degree days 20% if 7,000 degree days 18% if 8,000 degree days 16% if 9,000 degree days If all of the above conditions are not met, either PART 3, PART 4 or PART 5 of the Energy Code must be used. 41 DIRECTIONS: For each component of the proposed building design enter the design information requested such as Areas, "U" or "R" Values. Additional lines are provided for designs with more than one component construction type. Obtain thermal ratings for each item by consulting the appropriate Tables. A. ROOF/CEILING Obtain Thermal Ratings from Table 6-1, 6-2, 6-1E or 6-2E depending upon degree days and healing type. Area: ~7~ U-Value: O. 0~-/ J Square Ft. ~-~-~rmal Rating Area: U-Value: Square Ft. Thermal Rating B. NET WALLS Obtain Thermal Ratings from Table 6-1 or 6-1E depending upon heating type. Area: Nil U-Value: 0.07 -~ Square Ft. Thermal Rating Area: __~.~iO U-Value: 0.04/ ~ Square Ft. Thermal Rating Note: Net ~all Area = Gross Wall Area mir~us Basement/Cellar Walls, Glazing Areas and Door Areas. C. GLAZING Obtain Thermal Ratings from Table 6-3 or 6-3E depending upon heating type. WINDOWS Area of Glazing: ~0~ U-Value: 0.~ 0 Square Ft. Thermal Rating Area of Glazing: U-Value: Square Ft. Thermal Rating SKYLIGHTS Area of Gl~zing: ~ U-Value: ~uare Ft. Thermal Rating 42 D1. FLOORS Floor Area: ~B Sq. Ft. Obtain Thermal Ratings from Table 6-1, 6-1E or 6-4E depending upon degree days and beating type. U-Value: 0.~ Thermal Rating D2. BASEMENT/CELLAR WALLS Obtain Thermal Ratings from Table 6-4, 6-5, 6-6 or 6-5E depending upon degree days and heating type. Wall Perimeter: Linear Feet Feet Inches Exposure Above Grade: U-Value of Wall: Depth of Wall U-Value Below Grade: Thermal Rating Note: Use the above grade U-Value of the wall. The Thermal Rating Tables have been designed to take into account the insulating effect of the earth. D3. SLAB INSULATION Slab Perimeter: Insulation R-Value: Obtain Thermal Ratings from Table 6-7 or 6-6E depending upon heating type. Linear Feet Thermal Rating 43 E, INFILTRATION CONTROL Obtain Thermal Ratings from Table 6-8 or 6-7E depending upon heating type. If the building does not meet the following conditions, enter NA (Net Applicable) for Thermal Rating. YES NO All windows have an air leakage rate of 0.35 cfm or less per linear foot of operable sash crack; All net wall areas have an infiltration barrier; and A heat recovery ventilator, which transfers heat between the outgoing airstream and the airstream entering from the outside, is iostalled. Conditioned Floor Area: (Shall not include basement/cellar floor area) Square Ft. l~hermal Rating F. SOUTH FACING GLAZING Obtain Thermal Ratings from Table 6-9 or 6-8E depending upon heating type. If the building does not meet the following conditions, enter NA (Not Applicable) for Thermal Rating. YES NO The building is no less than 1,250 square feet in conditioned floor area; At least 45 percent of all glazing faces within 30 degrees of true south; All glazed areas in buildings are no more than U(glazing) = 0.58; South facing glazed areas are free of any site obstructions during the heating season; and An area of four-inch thick concrete or masonry is exposed to direct sunlight from south facing glazing. The area of this concrete or masonry shall be no less than three times the area of south facing glazing. South Glass/Total Glass: Glass Area/Gross Wall Area: Conditioned % Floor Area: Square Ft. (See Above) Thermal Rating 44 SUMMARY OF TOTAL THERMAL RATING If tile Total Thermal Rating is zero (0) or greater, the proposed design for the building envelope complies with the Energy Code. THERMAL TABLE AREA U--VALUE RATING USED A. ROOF/CEILiNG ~7~ ~/' ! .. B. NET WALLS .-z~! 0.07 -~ ~-~ ~ _o.o¥ ~/ ~-/ C. GLAZING Window Window Skylights D1. FLOORS D2. BASEMENT/CELLAR WALLS Wall Perimeter Exposure Above Grade Wall U-Value Depth of Wall U-Value Below Grade D3. SLAB INSULATION Slab Perimeter Insulation R-Value INFILTRATION CONTROL Conditioned Floor Area SOUTH FACING GLAZING South Glass/Total Glass Gl. Area/Gross Wall Area Conditioned Floor Area _0.05 o ~-I Feet Feet Inches ~_~,._ Feet Sq. Ft. ~ ._ Percent Percent 'Sq. Ft. ~ TOTAL TttERMAL RATING ~ 45 New York State DeparEment of Environmental Conservation f~ut]dt'ng 40 - SUNY, Stony Brook, New York 11790.2356 Pho~re (5161 444-0355 Fax ff (5161 444-0373 June 27, 1995 lt.{icheel D, Zegata Oscar and Beth BlevJns 4 Pcp[ar Lane ~aypo~t, NY 11705 RE: 1-4738-00958/00001-0 Dear Permjl:tee: In conformance with the requtrements of the State Uniform Procedures Act (Article 70, ECL) and its Implementing regulat~o~ts (6H~CRR, Part 621) we are e[%closillg your perm~.t. Please read all condJ, tlons carefully. If you ars unable to oomply with any conditions, please contact %is at the above address. Also enclosed ~s ,a permit, sign which is to be conspicuously posted at the project site and protected from the weather. very truly yours,~ Margaret M. Rorke E~Con Program Aide M{~R: cg enclosure NEU YORK STATE DEPARIHENT OF EXViRONHEHTAL COXSERVATION PE VIIT U~ler the E~wirmlacntat EFFECTIVE DAlE d~_.~2r~ 1995 EXPIRAT~O~ DAIECS) Article 15, Title 5: Protection of Waters Alticie 15, Title 15: Water S,ipty Artlc[e 15, Title 15: Water A~tic[e tS, Title 15: tot~g Island Uelis A~ticte 15, Title ~r: Wild, Scenic and Recreatlolmt Rivers [1 Article ~, Title 27: Hinc*d Lm~d Reciamat ion Article 05car aJlrJ BrztJl BteviJ~s (516) 472*0706 _P:O_.~.Bo~X ~.8~, He. stha.~o. Ij_~each RY 11978 .~C~r~f Uay~aters Dr lye and HaSOIt Drive Suffolk S~utimld WAIL:R COURSE Mud Creek/Ua}~tleter Cove 1..[.~17I ICT4 Ct": ALJI1 [~12't'D/'CFIVFIY ~ o~r, DITICI~ Inspect 1o~ 1. 'fiDe permitted site or facility, including relevant records, Is suflject to In- spectlo~ at reasonable hours and intervals by an autl~orized representative of tide Depar~ent of Envlrormental Conservation (the Depart.~nt) to determine ~t~ether the permittee is cra'plying with this pem~it and the EEL. Such represen- tative nay order the v~rk suspended pursuant to 13CL 71-030! and SAP^ 401(3). A copy of this permit, including all referenced rraps, tire,rings and special co~Jitions, rmst be available for inspection by the Deparb.,nt at all times at tide project site. Failure to produce a copy of tide pen~lt up(ut request by Departn~nt representative Is a violation of this pemrlt. t Changes and llene~Hs ~ihe Deparlrrent reserves the r 19hr to rrr.'~tl f.y, suspend or revoke this permI! ~J~e~ a) the scope of the permitted actlwty is exceeded or a violati~q of any cenditl(~ of t~ permit or provisions of the [[;L and pertinent regula- tions is found; b} the pe,nit v~s obtained by misrepresentation or failure to disclose relevant facts; c} newn~terlal info,ration is discovered; or d) envlromantal conditions, relevant technology, or applicable law or regular ion have tinter iai Iv changed since tile perml t v~s issued. ]he pe~ntttee mint subnit a separate written app! tcat ion to the Department for renal, n~Hfication or transfer of ttHs [~it. ~h appll~tionn~st tncl~le a~ fem., fees or supplemental Irlfom'~tlan the [~par~l~nt requires. renewal, ~Ii flcatlon or transfer granted by tl~ ~par~fent mint ~ hi 'lhe pem~lttee mint sub. It a rental application at least: a) 180 days before expiration of pem~lts for State Pollutant Discharge Et iminatlon b-'yston (SPEES), H~zardous W~ste IM~nage~nt F~cl I I t les (t~,FI, nejor Air Pol~utioa Control {,NCC) and ~lld W~ste M,~fje~ent Facilities (E~Wf:); and b) 30 days before e. xplrat Ion of ell other pe,-nit types. 5. tisless expressly provided for by the Deparm~nt0 issuance of this permit ~ot m.~'di fy, supersede or rescind any order or determination perilously issued b~, the [~par~mnt or a~ of the te~s, ~itions or requlr~nts contained in such order ar determination. OtlH~r 6, l.egal Obi Igatlons of Pe~ittee "l'ho rmlmltl, ue" l~as accepted expressly,, by tho execution of tide eppl Icatlon, the ft.~ll legal responsibility for all day,ages, direct or irvJi~ect, of ~J~tever nature arxl by,~t~n~ver suffered, arising out of the project described In this pc.alt m~J has agreed to indormi[y alxt save hamfless the State frm~ stHts,i actions, da~fjes and costs of every n~ and description resulting rrm! thig prelect. "fhis I']ermit does not convey to the permtttee any right to tres~mss upon the larMs or interfere with the riparian rights of others fn order to perform thu p,~mltled ~rk ~r d~s it autl~rlze the i~mlnmr;t of any rights, title, or interest in real or personal property held or vested In a person i~t a party tu the lmrmit. 8. ~e penTdttee Is responsible for obtaining e~/ other permits, approvals, easements ar~J r ights-of-way that nay De requJ rc~ for this project. Page 2 of 5 $1'1!( IAI, £()NI)IIlONS During construction, concrete or leaehate shall not escape or be d.|scharged, nor shall washings from transit mix trucks, mlxers, or other devices enter tidal wetlands and or protected buffer areas. 2. 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. 3. There shall be no disturbance to vegetated tidal wetlands O'r' protected buffer a~eas as a result of th~ permitted activity. 4. All areas of 'soil disturbance resulting from th~s project shall be stabilized immediately following project completion or pr~or to permit expiration, wl~lchever comes first. The approved methodologies are as follows~ a. stabilization of the entire disturbed area w~th appropriate vegetation (grasses, etc.). ' b. stiabJl~z(;d as per specifications identified on approved plaits, c. Temporarily stabilized with straw or hay mulch or jute matting or other similar n~tural fiber matting within 1 week of final ~radtng. Temporary s~abiltzat]on shall be ...... maintained un~il a mature vegetative cover is established. ' SPECIAL CONDITIONS I~or Ar[ids 25 __ {. Tidal WetLand The storage of construction eq%~tpment and materials stlall be confined to within the project work site and or upla,~d areas greater ~han 50 linear feet from the t.[dal wetland boundary. An area extending from the tidal wetland boundary landward 15' shall be removed of all woodchlps and shall be allowed to revegeta~e naturally. This 15' buffer shall then become a permanen~ vegetated buffer zone and there shall be no disturbance to the vegetation or topography wit, bin that area. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 15 linear feet from the property line, or as per NYSDEC approved plan at commencement of regulated activities and remain .in place until project is completed and all disturbed areas stabilized with vegetation. Roof runoff shall be directed to drywells a minimum of t00 feet landward of the tidal wetland boundary for J~,lmed~ate on-site recharge. Supplementary Special Conditions (A) through (F) attached The following conditions apply to all Tidal Wetlands; Freshwater Wetlands; Coastal Erosion Management; and Wild, 8cenic, end Recreational Rivers Permits= A copy of this permit, including all con~itions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous ].ocation at the work site until all authorized work has been completed. The perm[tree shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit a~d all its general, special, and supplementary special conditions. Any failure to comply precisely with ali of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If a,~y of the permit conditions are unclear, the permittee shall contact the Divisfen of Regulatery Affairs at the address 0~ page one or telephone (516) 444a0365. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications- The perm[tree is advised that substantial modification may require submission of a new application for permit. Ab least 48 hours 'prier to commencement of the project, the perm[tree and contractor ,shall sign and return the top portion of the enclosed" H~tification form certify;ng that they are fully aware of and understand all teims and conditions of this permit. Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and return%ed, along with photographs of the completed work and, if required, a survey. For puoJects lnvolvi~lg activities to be undertaken phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator ~n writing at least 48 hours prior to recom~nencing work in subsequent years. The gk'anting of this permit does not relieve the pez~n~.ttce o~ th~. responsibility of obtai~.ng a grant, easement, or other necessary approval from the Division of La~%d utiltz[~tlon, o~fice of General Services~ To,er t~ut]d~ng, Empire state Plaza, Albany,, ~;Y 12242 (516) 474-2195, wht~h may be required for any encroachment upon State-owned lands t]nderwater. DEC Permit No. 1..4738..()095}~/I~(;{)(~-.0 P~ge 5 of. 5 C 0 LIJ 0 z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated..~.~.~.'~..; .. .............. , 19 7.~.~ ~ouse tvo. ~ Street Ham~ County T~ Map No. 1000 Section .../~ ..... Block ...~.~ ...... Lot .... ~.~ ..... Subdivision ................. Filed Map No ................. Lot No .................. is returned ~erewith and disapproved on the following grounds...~./~-~...~~ ~,~,,~ ~.~..~:.~.?-~.~..~ ~..~..~ ~'~<~"~' ~'~'~'"~"'~ ..... ;/c ......... / ..... ~'" .............. . .~..~......~..~.~. ................ ~..~ ....... ~~ '"~s~o o; ..... ~V 1/80 I~Y -'3 Ig~] COUNYY OF 51JFFOLK ~-057 ~) R~ 1992 TilI,q APPLICATION SHOULD ONI,Y BB USF, D IH CONJUNCTION ~ITI! Alt EXIRTINO 8INGLW- FA~ilL¥ DN~'.LI.ING ON RESIDENTIALI,Y ~.OIi[~D Yp.O[*ERT¥ 4. TaX ~ 5. PROPOSED WATER 8UYPLY; (CHECK ON~.) [ ] PUBLIC WATER .~OPPI,Y [)~] PRIVATE NELL TO COtiPI~TF- THI~ APPLICItTION raf~r to tl~ bl~ll~tin '~'oc~du~ & Application ia h6r~b¥ mad~ for a p~lt to construct in Penal l,aw." t'hnl'~' Na~._~i~ ~i~ ....................... or,ice u~u only: REVI~%IKt{ ................. ii~lilaEl$CE { .............. Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. H $ DATE: ... 1.0/27/94 ISSUED TO .,OS.CAR _& BETH. BLEVINS ....... Antl nri atian Pursuant fo the provisions of Chapter 615 of the Laws of fha State of New York, 1893; end Chapter 404 of the Laws of the State of New York 1952; and the Soufhold Town Ordinance en- Hfled "REC~ULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, C~RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 19 94, and in consideration of the sum of $ 150.00 paid by Diane Harold for OSCAR & BETH BLEVINS of Cutch~gue N.Y. and subject to the Terms and Conditions lls~ed "on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: To relocate exist, house to parall~l prop. lines in order that a 24' X 24' garage may be built on east side, 12'X33' deck on west side, full foundation, enlargement of 2nd floor, & enclosed porch,, move c,esspools, t9 front yard as far away from wetlands as a. in .ec. coraance w!th the detai~ed specifications as presented in poss.the o.g~nating apphcafion, restore natural buffer & place snow i fence along wetlands area. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Sea[ fo be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Alberl J. Krupski, President John Holzapfel, Vice President William G, Aiberts~m M~tifl l-I. Garrell Peter Wenczel BOA RD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 1197I Telephone (516) 765 ~ 1892 Fax (516) 765- 1823 October 31, 1994 Diane Herold, Architect P.O. Box 884 Westhampton NY 11977 Re: OSCAR & BETH P. BLEVINS SCTM ~104-5-23 Dear Ms. Herold, The following action was taken by the Board of Town Trustees during its regular meeting held on October 27, 1994 regarding the above matter: WHEREAS, OSCAR & BETH BLEVINS applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated August 1994 16, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 27, 1994 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, t4.4y '3 ,-' RESOLVED, that the Board of Trustees approves the application of OSCAR & BETH BLEVINS to relocate existing house to parallel property lines in order that a 24' X 24' garage may be built on the east side of house, a 12' X 33' deck on west side of house, a full foundation instead of concrete block piers, an enlargement of existing second floor, and enclose an existing screened porch. Permit issued under conditions that cesspools be moved to the front yard near test hole No. 2, as far away from wetlands as possible, res~e natural vegetated buffer, and place snow fence along wetland line. Located 640 Haywaters Drive, corner of Mason Drive, Cutchogue. SCTM ~104-5-23 Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. CAC Bldg. Dept. ZBA DIANE HEROLD, ARCHITECT P.O. Box 884 Westhampton Beach, October 4, 1995 New York 11978 Mr. Thomas Fisher Building Inspector Town Hall P.O. Box 1179 Southold, New York 11971 RE: Oscar and Beth Blevins property 640 Haywaters Drive, Cutchogue tax map 1000-104-05-23 Dear Mr. Fisher: The Suffolk County Department of Health Services has denied our application for relocating the sanitary system on the above property as required by the NYSDEC permit and the Board of Town Trustees permit. Enclosed are copies of the letters I have written to these agencies requesting an amendment to their permit. Hopefully this matter will be resolved quickly because we are eager to file an application for a building permit with your department. Sincerely, Diane Herold enc. 8L~G L~ , T TOWN OF ~( !t'rHO! DIANE ttEROLD, ARCHITECT P.O. Box 884 Westhampton Beach, tlew York October 4, 1995 Mr. Albert J. Kcupski, Jo. President, Boaud of Trustees Town tlall PoO. Box 1179 Southold, Ne%; YOrk 11971 11978 RE ~ Oscar and Beth tIlcVi]LS $CTt~ 101-5-23 6-10 ttaywatevs Drive, Cutchotjue Trustees perntlt 4'3~84, I0/27/94 Dear Hr. Krupski: On behalf of my cltenEs, Beth a(~d Oscar Blevins, ~ am r~questin~ an amend~aent Lo t:{le ~bove p~r~ait. W~ ace Ii~,t yard as far away from wetlands as possible" becatt~e off a conflict, %,~ith other re~wlation:~. Ar] application for re]ocatin9 the saafta['y s~stem ~,:,ia: filed %~i[,h the graf folk Cot~nt.y l)~p~rt~n~l~h of Health ~',,~vice~ request:ed by Th~mas Fishec, ~tLJ],.]ing ri]~pe,::Lo~. The shotted tile sanil,ary system located near l.~st holc~ 2 as to kheic rctqui~ement:,~, the ]oc:at,~o~% off the san[5~l;y s,,,'st has [o be a minimum of 100 feet away from neJgt,borln9 wtet or be ilo ctoser to neighbc)r]nCl ~;etls than the sanihary system on the west side of the prope~bF. 'rhu~,e no location on thfs property where the sanita;.y system be located 100 feet from neighboring %ze!]s. Also, the location of bl,e saa~tary s.fstem is closer to the located on the prope~'ty to hhe norhh and closer to the iocdte~J oll'the 'L%io properties across Mason Drive Lo the The SCDIIS has d~n'[(~,t our request because Lhe suf~Ly drinking w~lter is first; priority, arid they feet the relocated sanitary system will ,~dverse~y. affect the 3 neighLorin9 we]is. Further-more, the SCl>itS would require the il~.t,~ltal:ion'~ '" of a l)aw woll oil this pr,)Dat'L~. The exlskin9 ~lcll %~c:tit ~ La downhill fl:Oln the ne~ location for the sanit;u~y systisla Mr. Krupskt October 4, 1995 page two and sl~bject to contamination from the sanitary system. Doth the SCDHS and a rc:prusenta['.i.v~: fro~ KreJger ha~e informed us tha~ only shallow wells are possible this area. A deep we~i, which could be placed closer to a sanitary sysLem, cannot be ~sed in ~his area because there is no potable water at a g~e~ter depth. An additio~lal problem Js that relocatin.~ the well to the east side of th~s property would brin.3 it clo~er to nei~hbortn~ sanitary systems and therefore subjec~ to pollution from them. The Suffolk County DeFarlment of t{ea~th Services has informed us that they will app~-oYe only t~'~-a existing location of the sanitary system F;ec~use the ~eu location can~ot conform to their requirements. The ma~nte~]anc~ of potable ~aLer fo~' this a~d adjo[~in9 properties is the most i~]portant cons[defc~Lion. Roy l¢~ync, lds of tll~ S{~i)iJS is h;~n,~l[n<j th.is he %,o~ld ne will,no t.o d~sc:~su t}~s applcnt~on ~/~th y(')~ boa~;d and Is available at (516) 852-21OO. [f yo,~ haYe al'~ q~est~o~s that. I may be 1 m~f be 1;~ached at (b}~) yOU for your p['o~%pt attention to th~s r~qu~::sl;. D~ane He ~-ol d TOWN OF SOU'FitOI,I) BUll_ I)ING I)EPARTI~IF. NT TOWN CLERK'S OFFICF. SOU1HOI,D. N.Y. NOTICE OF I)ISAI'PI{OVAI, .,.~,':;;~:,.~,,././..~,~:~.. . .~',~.~,.. ~. : / ~.~~.~, /louse tvo. c~ Street County Tax Map No. 1000 SccHon .../~ ..... Block ...~.~ ...... Lot .... ~.-~ ..... ~& t lao ~ ~D INSPECTION REPORT DATE FOUNDATION ( ~2ND ) PLUMBING INSULATION PER N. Y. CODE Southold Town Building Department To who it may concern I am requesting an extension for my existing building permit # 23072 under the name Oscar and Beth Blevins 640 Haywaters Dr. Cutchogue thank you in advance for your help. Oscar E. Blevins DIANE HEROLD, ARCHITECT P.O. Box 884 Westhampton Beach, January 25, ~996 New York 11978 Mr. Thomas Fisher Mr. Gary Fish Building Department Town of Southold P.O. Box 1179 Southold, New York 11971 RE: Oscar and Beth Blevins 640 Haywaters Drive, Cutchogue tax map 104-5-23 Dear Mr. Fisher and Mr. Fish: Enclosed is a copy of the Amendment to Permit issued by the New York State Department of Environmental Conservation for the above property. Also enclosed is the original permit issued by the Suffolk County Department of Health Services. I am still waiting for an amendment to the Board of Town Trustees permit. Both the Blevins and I thank you for your co-operation on this project. Sincerely, Diane Herold enc. N~w York State Department of Environmenta! Conservation 'i{u~ding 40 -SUNY, Stony Brook, New York 11790~2356 Phone {516! 4440365 Fax # (5i6} ~/.&0373 AMENDM~.NT ~0 ~ERMI~ C~m~.~ Re: Permit No. & Location: Your recent request to modify the above permit has been reviewed Pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: This letter is an amendment to the original permit an~, as such, shall be available at the job site whenever authorized work is in progress. All o~her ~eras and conditions remain as written in the original Very truly yours, Permit Administrator A~'~ITION4a~L GENERAL CONDITIONS t:OR ARTICLES 1S (Title Si, 24, 25, 34 and 6 NYCRR Part 608 ( waters or flood flows or endanger the health, safety or welfare of modification of the watercourse hereby authorized shall not be com~ .15 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. 10 That the State of New York shall in'no case be liable lot any damage 16, or injury to the structure or work herein authorized which may be caused 11 Cranfing of this permit does not relieve the applicant of the responsl- 17, the U,S, Army Corps of Engineers. U.S, Coast Cuard. New York State Office of Ceneral Services or local government which may be required 12 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 Tidal Wetland other environmentally deleterious materials associated with the project. Any material dredged in the prosecution of the work herein permitted shall be removed evenly, without leavln~l large rHuse piles, ridges across the bed of a waterway or floodplain or deep boles that may have a tendency to cause damage to navigable channels or to the banks of a waterway. There shall be no unreasonable inter :fence with navig~tlon by the'.,ork herein authorized, II upon the expiration or revocation of this permit, the proiect hereby authorized has not been completed, the applicant shal~, 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 sha~l be made against the State of New York on account of any such removal or alteration. If granted under 6 NYCRR Part 608. the NYS Department of Environ- mental Conser~atlon hereby certifies that the subiect project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 19'/7 (PL 95-217) provided that all of the conditions listed herein are met, 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 Diane o. 10/24/94 ~ last ~vfsed 11/15/95 SPECIAL CONDITIONS 10. Special Condition $6 shall be modified to read: An area extending from the tidal wetland boundary landward 30' shall be removed of all woodchips and shall be allowed to revegetate naturally. This 30' buffer shall then become a peri, anent vegetated buffer zone and there shall be no disturbance to the vegetation or topography within that area. Special Condition #7 shall be modified to read: A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 30 linear feet from the property line, or as per NYSDEC approved plan at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. PERMIT NUMBER 1-4738-009~8/00001-0 Page of__ DIANE HEROLD, ARCHITECT P.O. Box 884 Westhampton Beach, New York 11978 January 31, 1996 ~] ~~Ta~i~sher Building Department Town of Southold P.O. Box 1179 ~S°uth°ld' New ~Yor ~ · RE: Oscar and Beth Blevins ' Lax map 104-5-23 Dear Mr. Fisher and Mr. Fish: Enclosed is a issued by the relocation of copy of the Amendment to Pemit %4384 Southold Board of Trustees regarding the the sanitary system at the above property. I believe that you now have all the paperwork you need to complete this application for a building permit. Please contact me if this is not the case. Thank you for your attention to this matter. Sincerely, Diane Herold FEB - 11996 ELDG t3E~"[ Albert $. Kmpski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel January 26, 1996 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (5 t 6) 765-1823 Diane Herold P.O. Box 884 Westhampton Beach NY 11978 Re: OSCAR & BETH BLEVINS SCTM ~104-5-23 Dear Ms. Herold, The following action was taken by the Board of Trustees at their regular meeting of January 26, 1996: RESOLVED that the Southold Town Board of Trustees grant'an Amendment to Permit #4384 to relocate septic system as per Suffolk County Health Dept. and with the condition of DEC "Amendment to Permit" special conditions # 9 & 10 and that the haybales be left permanently. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees A~Ktdjh cc. CAC 765-1802 BUILDING DEPT. INSPECTION [~/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R__EM~REMARKS. ~ ~ DATE 765-1802 BUILDING DEPT. INSPECTION FO~JNDATION 1ST FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]/~NDATION 2ND [ ]INSULATION [ r/j' FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] FOUNn~ATION 2ND [ ] FRAMII~IG []FIREPLACE&CHIMNEY INSPECTION [ R~~OUGH PLBG. [ N~~SULATION [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. [ ] I~TION [ FIREPLACE & CHIMNEY ] FOUNDATION 1ST ] FOUNnlATION 2ND ] FRAMING INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] IN~.ATION [ ] FIREPLACE & CHIMNEY REMARKS:~ ~ INSPECTOR FORN1 NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~.7/~f ..... , 19~.; Approved )~/¢..0~...., 19 r.. Permit No. ~. -~. ~. 7.,~...~5~: ........................... ....... APPLICATION FOR BUILDING PERMIT ~AY "5 1995 BOARD OF HEALTH 3 SETS OF PLANS ........ SURVEY ................. CIIECK .................. SEPTIC FDRH ............ HA~L Date . .rt'~.~: .-$. ......... , 1995 INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 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 stree; or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app! 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 permi shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in paxt for any purpose whatever until a Certificate of Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t, -- (Signature of applicant, or name, if a corporation) ...-~.e,:o'~. ~85(. . ~esTH$~rs~..-~ou .15~qt//,~'/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, arckitect, engineer, general contractor, electrician, plumber or builder ...................... ¢~..~.aj 7.~..eTr. .............................................................. Name of owner of premises . ~.C, .~gr..~., ...~..~.~.....~..7'.H....~:...~.t,~y./O..~ .............................. (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 ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ................................................. ..... ~...q.C? ............ H,'~"'[ ~ &~....~.~. LO. ·e. ............. Cgy:r£/~t:xSO.t~ .................... House Number Street Hamlet County Tax Map No. 1000 Section ..... /.~,r.. ......... Block . . .~ ............ Lot.. ~F--~ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .~. t. tg.~.t,.~.-. K4UrtleY...-~. ~..tgd.t4..~..Co.t~'/( .,5.qaX:~...~:>...~..t~..ff ........ b. Intended use and occupancy ...,-%UJGCff-.%~tqgglC-.V..'I~..6~..C-L4..t,).~., .O~.-t'./~ ./~.'TT'..A..C~...~..Z-.'q..C~...~..~ ,1~..~.~... 3. Nature of work (check which applicable): New Building .......... Addition .. 2~ ...... Alteration ......... Repair .............. Reinoval .............. Demolition .............. O. ther Work ~..~q~ FOP ../'~. ~.. 4. EstimatedCost.'~..~ *>d-~' °"~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... l ......... Number of dwelling units on each floor ............... · If garage, number of cars ....... a~KOPO~.~.~?..-'/'ld~2 ................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front.. g.~, ~. ....... Rear . IZ~ ~. ........ Depth. ~,..~,.I.5 ....... Height ............... Number of Stories ....... I.t('~· .................................... · ......... Dimensions of same structure with alterations or additions: Front ...~:: .~. ......... Rear .. ~.% ~ .......... Depth ..... .9%..-J,5.. .......... Height ...................... Number of Stories...P~, ................ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ....................................................... 9. Size of lot: Front ...................... Rear ...................... Depth ..................... 10. Date of Purchase . .'I~E.O... t. '.G... [C[q~.. ......... Name of Former Owner k. Okt. t.~...~....x/..~g..~.~.~,1~,~_ .... I 1. Zone or use dist~ct in which premises are situated ..... ~4:.'~:2 ............................ : .............. I2. Does proposed construction violate any zoning law, ordinance or regulation: .... Y~. ......... ; ............ : 13. Will lot be regraded ....... .4/0 .................. Will excess fill be removed from pr~rrjises: __ Yes 14. Name of Owner of premises ot.~..Ik~.4..~=.~l..t~4-¢--P. I¢~. Addressq .?{:~kht~-.t,P~...~.~."t .Pt.t.~. Tlth--~No. Name of Architect . .'3~l.l~J~.. ~I.F~.H~...L~? ........... Address ~01c..~.~..~, .od.~$. I.t.~ 7.~. Phone No.7_~.~. 7~.O.~.~. .... Name of Contractor ... O.t,Ofl..~.. ............... Address ................... Phone No.. ............. Is this property within 300 feet of a tidal wetland? *Yes...'~..... No ......... · If yes, Southold Town Trustees Permit may be required. ~' qS~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions fron property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or cornerlot. , YT~'~- Z~--~:> p 15. STATE OF NEW YORK, COUNTY OF..~.~-f--~k K ..... S.S ....... .'~iD [IM4~ .... bl~L-4~l.-.'~ ..................... being duly sworn, deposes and says that he is the applican (Name of individual signing contract) above named. He is the .................... JkC~6~/' .............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi: application; that all statements contained in this application are true to the best of his knowledge and belief; and that th~ work will be performed in the manner set forth in the applicatior~ filed therewith. Sworn to before me this ........ --r' ......~ ...... day of ........... , 19 Notary Public, ..~..~..-...~..~. County · (/ - JOYCE M. W1LKINS .................................. 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