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HomeMy WebLinkAbout22818-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 5-24248 Date MARCH 28, 1996 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property PRIVATE RD. (EAST END RD) FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 3 Block 1 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 7, 1995 pursuant to which Building Permit No. 22818-8 dated JUNE 12, 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 ALTERATIONS, ADDITIONS & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARRON KIDD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N362757& N-362758-SEPT. 6, 1995 PLUMBERS CERTIFICATION DATED MAR. 21, 1996-EMERY NEMESKAY G2 B ldin na pector 150 Rev. 1/81 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) Date. N® 22818 Z .F?" 19 Permission Is hereb granted to; 14-0.61 w . 01 c'"L!T to. at premises located at. .ew... County Tax Map No. 1000 Section Block.,;-/ Lot No. f~................... pursuant to application dated 19Y and approved by the ---Z>-Od Building Inspector. el0 Fee ..sue f. .o?(. ulldIng Inspector Rev. 6/30/80 J ~f Form .Vc. F. Qp TOWtZ ar 5GUTIMT) ~~'°'a. ~•9~if 'i rr BUTLLDTI~G DEPARTMENT L G ors y'7 TOWN' HALL 765-1802 APPLICATION FOR CERMICA'TE 6 OCCUOANCY A. !sty ap; ~cinn nog t ';e filled in by typewitter OR ink and tt.r'otaatt d lo th bui'.dl.rrd inspVc, v_th _,owing: for new building uc new use 1. Fir aurvev j: r-perty with accurate lo,ation of all buildings, property .theses, er:rats, and ~r`nsnal natural cc topographic features. 2. Final Apornva ..gym Health Dept. of water supply sad eewerage-diNpusaUn-9 forte.), 3, Approval of :le.~.:M installation from Board of Fige Underwritara. 4. Sworn statemerc from plumber certifying that the taaider'used in sysc em contains less than 2110 ,c 1% Lead. 5. Commercial builc..ng, industrial building, multiple residences ant ujurflaar buildi.ngx and installat ir; : , d certificate of Code Compliance from archi.te- t or PnSineer responsi`.,ie tot .he ;,wilding. 6. Submit Planr.inF I-ard Approval of completed site flan requirements. B. For existing hut'.dinvs Qprior to April 9, 1957) non-conformr.ng !rats, ,,r build(ngs ar,i pre-exis!irg" .,rid ,.srs. 1 Accurate surrev of nropercy showing all prorerty lines, streets, K ilr'_tng and unusual natural , topographic. features. 2. A properly completed application and a consent to insl;ecc signod b~, r uppiicant, If a Mitt! i- . Occupancy is denied, the BuiLding %spec-Cor sh-•11 rate the reasons tn2..r: siting to the applicant. C.. Fees 1. Cerrific er „f "icupancy - New dwelling $25.00, Additions t:, dwalli,, r M, A!ternr u rf.:PKIng $25.00, Swimming pool $25.00, Acces~,ory Adair. U: -o or swty building $25.00. Businesses $50,00. 2. Curtsfi,tc or up,iccy on Pre-existing Bu:Jding - $100.00 3. Copy of '".c;'..f! ;-e of Occupancy - $5.09 over 5 years - $10.00 4. Uy .iced Cerc`f in ire of Occupancy $50.00 5. lempnrary Cer-i' i~r of Occupancy - Recideutial. $15,00,~Cooc,;aerrial 11 Date . , df /t?? Mw Constrocclon..-. 010 Or Pre-existing Building.. Location of Property... RSU~.........TV11JI W~, _ Houn. No. Steuet Hamlet anwer or aners of r'rnp( . No~.<h:~~. ~o~~ . County Tax Map No 1000, on.10 ........Block_ _ ' .A _'Lox... subdi.vision....... Fileo fah.. LuL..J~~,~.............~ . Permit' No. d~u~6 1e f Permit, . i 40 ...,tppl it„ -nt b.now" 'Y~ Nealeh Dept. Approv:. ....tlndcgr,,a,riters r'gp~p~:~ov.al.l. t......,,.... Planning noavd Appro 1. .I Xd, 6001dJY'j, its! e Roquest for: Temporary; rort:.`icata........... Final Cerricate........... 00 Fcc Submitted: . . C3~ r5 ibo3 Lxcnarc Co ~210W. 03/21/1996 12:15 5167885549 HAROLD 'S PAGE 02 INSPECTORS ~,,~g~FFO%~%co• L: D SCOTT L, HARRIS. Supervisor N s Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector d y~ s t? Gary Fish Faro 71 (516) 765-1823 Building inspector Telephone (516) 765-1800 Robert Fisher Assistant Fire Inspector OFFICE OF'BUILDING INSPECTOR Telephone (516) 765.1802 TOWN OF SOUTHOLD C B R T I'F I C A T I O N DATE: Z I 9 Building Permit No. cr)Qg/g z Owner: ilw(1014 I111DO please print) NG ~~Sy Plumber: please pr nt) I certify that the solder used in the water supply oyster contains less than 2/10 of 1! lead, I C~a•)S~'. p?r~(c3-P hers Si at F) Q Sworn to before me this day of 19 l Notary Public, ounty Notary Publie _ EILEEN G. WALL NOTARY PUBLIC, NEW YORK STAT€c NO. 01 WA9509185 QUALIFIED IN SUFFOLK COUNTY TERM EXPIRES OCT09Ta A1, I9 p THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r1000913 BUREAU OF ELECTRICITY I 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEPTEMBER 06,1995 Application No. on file 1006 809 5 /9 5 N 362757 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of BARON KIDD, EAST END ROADS, FISHERS ISLAND, N.Y. in thefollowing location; ? Basement ® Ist Fl. ® 2nd Fl. Section Block Lot was examined on AUGUST 29,1995 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K.W AMT. K.W. "I K.W AMT. HP 19 23 14 , 19 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYS7EM5 AMi X. W OIL H. P GAS H. P. AMT. NO A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT H. P. NO. OF FEET AMT. WA1T5 SERVICE DISCONNECT NO. OF S E R V 1 C E MT. pMP, me METER I RW 1 S. 3W 3.e' 8W 3,e' 4W NO. OF CC COND A. W G. NO. OF HI-LEG A. W. G. NO.OF NEUTRALS A. W' G' EQUIP. PER.9 OF CC. CONO OF HI-LEG o NEUTRAL OTHER APPARATUS: WALL ROBERT E. LIC.#2455-E ALPINE AVE V GENERAL. MANAGER,. FISHERS ISLAND, NY, 06390 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. BMW KIRPUFAS71110011i COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 F BUREAU OF ELECTRICITY I 83 JOHN STREET. NEW YORK. NEW YORK 10038 Bate SEPTEMBER 06,1995 Application No. on file 10067995/95 N 362758 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MRS RICHARD WEBEL, MANSION HOUSE DRIVE, FISHERS ISLAND, N.Y. in thefollowing location; ? Basement ® Ist Ft. ? 2nd Fl. OUT 3ertion Black Lot was examined on AUGUST 29,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K.W MIT KW. AMT. K W. AMT. H P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gFll UNIT HEATERS MULTI-OUTLET DIMMERS AMT K. W. On H. P. GAS H. P. MAT. NO. A. W G AMT AMP. AMT. AMPS. TRANS. AMT, H, P SYSTEMS AMT WATTS NO. OF FEET SERVICE DISCONNECT No. Of S E R V 1 C E AMT AMP. TYPE METER L YW L 3W 3 d 3W 3 p 4W NO. OF CC COND. A. W G. NO. OF HI-LEG A. W G. NO Of NEUTRALS A. W G EQUIP. PER 0 OF CC. COND. OF HILEG OF NEUTRAL OTHER APPARATUS: made by a qualified person. J WALL ROBERT E. LI1.#2455-E ALPINE AVE V GENERAL, MANAGER.„ FISHERS ISLAND, NY, 06390 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE. MUST NOT BE ALTERED IN ANY MARINER. FIE4,D_I ISPECTION REPORT DATE COMMENTS re n ii H I FOUNDATION (iST) p u ii iii II p FOUNDATION (2ND)__ II II Illf I~ ROUGH FRAME It n III PLUMBING Ij1 it ii 11 T- II n INSULATION PER N. Y. Iu-- H STATE ENERGY II ii ~I CODE a n u ° C It II II II 1 II I II jj FINAL II ii ADDITIONAL COMMENTS: H\ H o Z, tlA e~ _a H O~ J.Y.O. Consulting P.O. Box 447 Quogue, N.Y. 11959-0447 516-653-0607 June 12, 1995 Mr. Thomas Fisher Building Department Town of Southold Town Hall, 53095 Main Road Southold, N.Y. 11971 Re: Property of Barron Kidd, Fishers Island S.C.T.M.N6. 1000-003-1-10 Dear Mr. Fisher: Enclosed please find a copy of the permit for this project which was recently issued by the N.Y.S.D.E.C. As always, should you have any comments or questions regarding this project, please feel free to call our office at any time. 7e&nii t siJust GEJ:ar c.c. Mr. Harold Cook New Yorl( State Department of Environmental Conservation .,gI DgY''s Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone (516) 444-0365 y Fax # 1516) 444.0373 < 2 ~p~^~FN7A4 QP~h Michael D. Zagata Commissioner June 7, 1995 Barron Kidd 3838 Oak Lawn Avenue, Suite 725 Dallas, TX 75219 RE: 1-4738-01141/00001-0 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (GNYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, ~r Laura J. Scovazzo Environmental Analyst I LJS:cg enclosure n NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION a DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01141/00001-0 June 7, 1995 FACILITY/PROGRAM NUMBER(S) FIEIlLV1IT EXPIRATION DATE(S) Under the Environmental June 30, 1998 Conservation Law TYPE OF PERMIT N New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate ? Article 15, Title 5: Protection ? 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPOES ? Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management 0 Article 19: Air Pollution ? Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management ' ? Article 23, Title 27: Mined Lend 0 Article 15, Title 15: Long Reclamation 0 Article 36: Ftoodplain Island Wells Management ¦ Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers 0 Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Barron Kidd ADDRESS OF PERMITTEE 3838 Oak Lawn Avenue, Suite 725 Dallas TX 75219 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Glenn E. Just JMO Consulting, P.O. Box 447, Quogue NY 11959-0447 (516) 653-0607 NAME AND ADDRESS OF PROJECT/FACILITY Kidd Property No # Private Road LOCATION OF PROJECT/FACILITY SCTM #1000-003-1-10 Fishers Island, NY 06360 COUNTY TOWN WATERCOURSE NYTM COORDINATES Fishers Island Sound/Middle Suffolk Southold Farms Pond/ FWW #MY-27 DESMIPTICN Q' P M-MIZHD PCTIVI-IY Construct a 6' x 81 first story addition, a second story addition and a deck with stairs accessory to an existing single family dwelling. The property landward of the 10' above mean sea level elevation contour on a gradual natural slope is beyond the jurisdiction of Article 25 (Tidal Wetlands). ALL work shall be in accordance with the attached NYSDEC approved plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General conditions specified (see page 2) and any Special Conditions included as part of this permit. REGIONAL PERMIT ADMINISTRATOR: ADDRESS , Robert A. Greene Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE ~ DATE 'June 7, 1995 Page 1 of 5 1.Inspections 1. The permitted site or facility, including relevant records, is subject to in- spection at reasonable hours and intervals by an authorized representative of the Department of EnvironTental Conservation (the Deparrent) to determine . whether the permittee is complying with this permit and the f{L. Such represen- tative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). copy of this permit, including all referenced craps, drawings and special conditions, crust be available for inspection by the Departmnt at all tines at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Fermi t C,harx3es and Penemi s 2. 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 provisions of the ECL and pertinent regula- tions is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) newrraterial infornation is discovered; or d) envirom-ental conditions, relevant technology, or applicable lav or regulation have rmterIaIIy changed since the permit was issued. 3. The permittee rrust submit a separate written application to the Departrrent for renenraI, n-odi f icat ion or transfer of this permit. Such application rust include any forms, fees or supplarentai information the Department requires. Any renenel, n-odification or transfer granted by the Departrrent rut be in writing. 4. The permittee nest sutmit a renew l application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPIDES), l-hzardous Waste Nbmagamnt Facilities (F tW), rrejor Air Pollution Control (AFC) and Solid Mate Nbnagermnt Facilities OWF); and b) 30 days before expiration of all other permit types. 5. UnI ess expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination perviously issued by the Department or any of the terms, conditions or requiramnts contained in such order or determination. Other Legal ClbIIgot1ons of Pbrrittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all dareges, direct or indirect, of whatever nature and by wlxrmver suffered, arising out of the project described in this permit and has agreed to i n dem i fy and save harmless the State from suits, actions, darages and costs of every name and description, resulting fran this project. 7. 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 vwrk nor does it authorize the inpairrrent of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. S. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-wey that may be required for this project. Page 2of5 ' i5206.E(7192)-2`e fRESHWATER WETLAND ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( ) 9 That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the stru( ture or work herein authorized, or project. if, in the opinion of the Department of Environmental Conservation 13. Any material dredged in the prosecution of the work herein permitted It shall cause unreasonable obstruction to the free navigation of said shall be removed evenly, without leaving large refuse piles, ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the Stale, the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused , thereby without expense to the State, and if, upon the expiration or 14. There shall be no unreasonable interference with navigation by the work revocation of this pennit, the structure, fill, excavation, or other herein authorized. modification of the watercourse hereby authorized shall not be com- 15 If upon the expiration or revocation of this permit, the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed, the applicant shall, without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require, remove all or any portion of the uncompleted Department of Environmental Conservation may require, remove all or slructure'or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site - and flood capacity of the watercourse No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration New York on account of any such removal or alteration 10 1 hat the Slate of New York shall in'no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- or injury to the 541.101.11e or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation, or for other purposes, and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage. (PL 95-217) provided that all of the conditions listed herein are met. 11 Granting of this permit does not relieve the applicant of the responsi- 17 All activities authorized by this permit must be in strict conformance bilBy of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S Army Corps of Engineers, U.S Coast Guard, New York State of the permit application. Office of General Services or local government which may be required. Richard H. Strange 12 All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by of any wetland or waterway by suspended solids, sediments, fuels, dated on 5/23/95 solvents, lubricants, epoxy coatings, paints, concrete, leachate or any SPECIAL CONDITIONS 1. Any work, disturbance, and storage of construction materials shall be confined to within the "Limit of Clearing and Ground Disturbance" as shown on the approved plan. 2. Any work, disturbance, and storage of construction materials shall be confined to 601 landward of the wetland boundary. 3. A 50 foot buffer of undisturbed natural vegetation shall be maintained landward of the wetland boundary at all times. 4. A snow fence or other temporary project-limiting fence shall be erected prior to the commencement of any permitted activities along the upland edge of the designated buffer area in order to prevent the inadvertent intrusion of equipment into the protected area. The fence shall be maintained until project completion. 5. Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of on an approved upland site more than 100 feet from any regulated freshwater wetland. These materials shall be suitably stabilized so as not to re-enter any water body, wetland, or wetland adjacent area. DEC PERMIT NUMBER 1-4738-01141/00001-0 PROGRAMIFACILITY NUMBER Page 3 of 5 t 1 95-20-6( (7187)--25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 24 I Freshwater Wetland 6. All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated, wetland or water body at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the regulated area. Fuel or other chemical storage tanks shall be contained and located at all times in an area greater than 100 feet landward of the regulated wetland or water body. If the above requirement cannot be met by the permittee, then the storage areas must be designed to completly contain any and all potential leakage. Such a containment system must be approved by NYSDEC staff prior to equipment, machinery or tank storage within 100 feet of the regulated wetland or water body. 7. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass, and mulched with straw immediately upon completion of the project, within two (2) days of final grading, or by the expiration of the permit, whichever is first. Mulch shall be maintained until a suitable vegetative cover is established. if seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed as soon as weather conditions favor germination and growth. Supplementary Special Conditons (A) through (F) attached DEC PERMIT NUMBER 1-478-01141/00001-0 FACILITY ID NUMBER PROGRAM NUMBER Page ---4_ of _5- SUPPLEMENTARY $PECIAIL CONDITIONS The following conditions apply to all Tidal wetlands; Freshwater Wetlands; Coastal Erosion Management; and wild, scenic, and Recreational Rivers Permits: A. A copy of this permit, including all conditions 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 location at the work site until all authorized work has been completed. B. The permittee 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 and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division,of Regulatory Affairs at the address on page one or telephone (516) 444-0365. C. 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 permittee is advised that substantial modification may require submission of a new application for permit. D. 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 the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which may be required for any encroachment upon State-owned lands underwater. DEC Permit No. 1-4738-01141/00001-0 Page 5 of 5 NYSDEC Commencement Notice AgM Bureau of Environmental Protection Ofto SUNY, Bldg. 40 Stony Brook, NY 11790-2356 / Permit No: 1 i 4/loooo/ -o Issued To: l~ 111 Contractor's Name: Contractor's Address: Contractor's Phone No.: To whom it may concern: Pursuant to Supplementary Special Condition D of the above referenced permit you are hereby notified that the authorized activity shall commence on The permit sign will be posted at the site and copy of permit will be available at site for inspection. Submitted by: This notice is to be sent at least 2 days in advance of commencement of the project. Failure to notify or post will leave owner and/or contractor subject to applicable penalties for non-compliance with permit conditions. Cut along this line NYSDEC Completion Notice Bureau of Environmental Protection 1qqW SUNY, Bldg. 40 Stony Brook, NY 11790-2356 Permit No: oll f -l ooC)o/ -o Issued To: Contractor's Name: Contractor's Address: Contractor's Phone No.: To whom it may concern: Pursuant to Supplementary Special Condition D of the above referenced permit you are hereby notified that the authorized activity was completed on Submitted by: This notice, with photos of completed work and/or completed survey, is tote sent to above address promptly upon completion of project. Failure to notify will leave owner and/or contractor subject to applicable penalties for non-compliance with permit conditions. a) cTj O C E O C: C13 co Q J O v_> 'a 0 cn C ~ , co o C C Rf = O N «S r. E w > °C cz C .0 C E j> 0 U) LIJ Cl) a) 00 N Q- E ~ ®0 aCl: O 0 C: a © co U ~ a LU cz C13 O .r E ttS i> A LL O v D o 3: cr a) Co 4- <o a) O C py O O C) 0 C CYJ U Q Q - C ~ O W F UJ x C: -0 V O r 0 - (D W O t' ;v Co C0) Q ui y_ O O ®Q I- 0 (D CIS O CZ 0 ccf O cn C U C a) CZ C C Co 0 C of a co Q O O C C C ~l wE ~:`uaE0 E 0 .C N 07 O -a m c F- QO N©Q cn z O cu t8 E CL IL w m n 39538 OAKLAWN AVENUE DALLAS, TX '7521`1 ' (312) 456-401`1 b. BA5E FOR LEVELS: N.G.V.D. 1`12q. 7. TOTAL AREA: 2:11 AGRE5, 95. X 10,0 EXI5TING SPOT ELEVATION. al. NO GRADEn5 1TV41LL BE MAINTAINED AROUND THE EXI5TINGING RE5IDENGE. T1 V 8T) EC APPROVED AS PER TERMS AND CONDITIONS OF PERMIT N/O.114 4-0!/y al'wl'O ®~,OF N(. Y DATE (`715..._ W4 ""__FFF___)11 cnp It i~ . SITE PLAN PREPARED FOR s'~,: ~oastz1 ~o' K~ 1 ' MR• • ! • I 6L.OGK 25 LOT #5 20 I~15HER5 15LAND, NEW YORK , SCALE IN FEET ;EVISIONS CHANDLER, PALMER & KING . Architecture, Engineering and Surveying DESCRIPTION 110 BROABWAT NBRWICK CT 06360 803-889-3397 FAX 903-886-7001 MUL Y 23, 1995 = 20 OF 1 0G/12/1995 13:42 1-51G-788-5549 HAROLDS FI NY PAGE 01 ' SUN ,-1-9!fr~N„ l i :26 a,M R,~Gl, 8M1,{~! NYSR ~.G. 516 444 0297 p. 02 Now York State Department of Environments) Conservation Building 40 • SONY, Stony Brook, New York 11790.238E Phone (616) 444-0386 M' . Fax p 1516) 444-0373 comnYtsbnr June 7, 1998 Barron Kidd 3835 Oak Lawn Avenue, Suite 723 Dallas, TX 75219 RE: 1-4735-01141/00001-0 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather, very truly yours, Laura J. Scovazzo Environmental Analyst I LJS:eq enclosure 06/12/1995 13:42 1-516-788-5549 HAROLDS FI NY PAGE 02 .TUN-12-93 MON 11:27 OM RE3G1 BMNP NYSDS0 316 444 0297 P.04 new YORK craft BR?ARTMINT OF INVIRONNtMTAL CONSIRVATtCM 06C PCRMIT KLMSER 6FFICTIVE OAT/ 1-4-no-01141/00001-0 Jura 7 loot _ FACILITY/PROGRAM NUMBEA(S) PGS11YlI i EXPIRATION DATN(S) Under 0 1hwt~~trve~Rel Juts 30, 1908 CmweMtlan Law TYPE OF PERNIY ¦ New 0 Renew( 0 Nodiflcatlon 0 Permit to COratruet 0 Permit to QD0FSte i 0 Artf Ol• 15, Title S: Protection 0 6YYCpp 608: Water 01N11tty 0 Article 27, Title 7; 6NTC11R 360: of Voters Certification Solid Vasa Menagemont 0 Article 15, Title 15z Water 0 Article 17, Titles 7, at WOES 0 Article 27, Title 91 6YYCRR 3731 etppLy Mazardows Waste MaraBaMet 0 Article 191 Air Pollution ' 0 Article 15, Title M. Water Control 0 Article 341 Coastal Erostan Transport Maraeamt 0 Article 23, Title 271 Mined Land 0 Article 15, Title 15: Lori Reclamation 0 Article 361 Floodplain Island Yells Mansgamont 8 APticto 2L1 Freshwater Wetlands 0 Article 1S, Title 271 Wild, 0 Article 1, 3, 17, 19. 27, 371 Seems end Recreational Rivers 0 Artlcl• 25, Tidal Yattarde 6MTCRR 3101 Radiatfa Control 0 Other: PERI411 JSSWIO To TELEPHONE NYNSIp Barran Kidd ADDRESS OF PFRNITTIl 3838 Oak Lewn AVOMI. Suite 725 Dallas TX 75219 CONTACT PERSON FOR PIRMITTSD WORK TELEPHONE NUMBER Glsnn E. Just JMO Coneult.in , P.O. Sex K7 euowo NY 11959-0447 516) 653.0607 NAME AND ADDRESS OF PROJECT/FACILITY Kidd Property No a Private Rood LOCATION OF PROJECT/FACILITY SCTM 61000.003-1.10 Fishers Island, MY 06360 COUNTY Taw Fiiahera sher$ island saunWVNinldla NTTN CagaalMAT95 f Suffolk fauthet0 fens Pondf nN -27 mil PTIQN CF A M341ZM Aal\ AIY Construct a 60 x 80 first story addition, a second story addition art a deck with stairs accessory to an exlating Stegle family dwelling. The property lenEward of the 10, above seen son level elevation ccnt*Ur on a Brsdual ratUM alOps 16 beyond the jurisdiction of Article ZS (Tidal Wetlands). All work shall be in accordance with the attached MYSDEC approved plan. By acceptance of this permit, the pergittee street that the permit 1s cantin0ent upon strict coopllance With the ECL, all applicable regulations, the Cenral Conditions specified (art pace 2) end any $postal Conditions inaluded as port of this pent[. REGIONAL PCRMIT ADHIMIStRATORs ADORISB Robert A. Gfoenm 8lds. 40, SONY, Rom 219, Stony Break, MY 11700-2356 AUTHORIZED SIGNATURE DATE June T. 1995 Page 1 of 5 BOARD OF HEALTH FORM NO.1 3 SETS OF PUNS TOWN OF SOUTHOLD SURVEY . . MAR /T hq5 BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC rORtt SOUTHOLD, N.Y. 11971 pT'fjtr~Si r u F>Ut;'st-^f~"~ TEL.: 765.1802 N0TI FY ; Examined 7!........., 19 l.r CALL . . . . . . . . . . . . . . . . MAIL TO: Approved ...~O// L 19~5/Permit No..`~ Z~fl Disapproved a/c Alt, (Building I pector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application must be completely filled in by typewriter Orin ink and submitted to the Building Inspector, with 3 SIAS of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, a d regulations,, and to admit authorized inspectors on premises and in building for necessary inspections. . . . . (Signa e o app icant, o if a corporation) .Q,c7 _ (c~c 1c}lo i Fr spt 2 JS fir, r It 4 ~lC)lo. (Mailing address of applicant) State whether applicant is owner, less_see, agent, architect, engineer, genneral contractor, electrician, plumber or builder. Name of owner of premises ! ! f. ~c . (J}!}k?,~c~r)IJ. I 6 A . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) j Builder's License No. Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done. J5 S1} ks(.jJA t.~[ r House Number Street Hamlet County Tax Map No. 1000 Section ..LOC?..- : !Q Block . . Lot. .~J s Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of-proposed construction: a. Existing use and occupancy Y,~S . . . - b. Intended use and occupancy ....Uhd4 tE 3. Nature of work (check which applicable): New Building Addition t/ . Alteration Repair • • • • • • ~noval • Demolition Other Work . ~ • ~ • Qp . (Description) 4. Estimated Cost . 4 ~7C, aQ (to be paid on filing this ap lication) If dwelling, number of dwellsg units Number of dwelling units on each floor I~1PN 6. If business, commercial or mixed garage occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front 900 . ' ' ' Height ..ea75......... Number of Stories ^ • .....Rear 64 Depth y........ . with alterations or additions: Front .4 ?P ,"C--~/. • . • f~lV6i~. Rear Depth lsto... same structure Height Number of Stories 8 Dimensions of entire new construction: Front Rear Depth • • • • Nu': ber of Stories Heht 9. Size of lot: Front Rear ......................Depth . 10. Date of Purchase . • • ' • • • ' ••••••••••I••••• ..............NameofFormerOwner ' • • • • • • • • • 11. Zone or use district in which proposed remises are situated 13. 2. Will Does lot be re construction , ,violate any zoning law, ordinance or regulation: • • • • • . graded a U Will excess fill be removed from premises: Yes No 14. Name of Owner of remises 41-IJi.,~(k_i, 8-IM, , Address Name of Architect Ubf ' ' ' ' ' • • • Phone No. r`I. K 4 N. Address 53.00N?tR`1T jp .P phone No.(oi~ :N$t: •,`i , Name of Contractor . t{(L t ids , , Address f, A it{F 15. Is this property within !,300 feet of a tidal wetland? , a .Phone...JJ6:.Y>c * N15 . X.. No......... If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block'Inumber or description according to deed, and show street names and indicate whether interior or corner lot. APP ~AS NOTED DATE: B.R # FEE: ~D NOTIFY BUI ING BY'P6$R 785-1£4452 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.®, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE STATE OF NE. Y K S Y OF . ~ry(N e of individual signing . • . • ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant contract) above named. 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