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HomeMy WebLinkAbout49535-Z TOWN OF SOUTHOLD Fe 0ra . BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 49535 Date: 8/ 1/2023rtMrtrv�� Permission is hereby granted to: Moutafis, Peter 1038 W Jericho T�ke__�w_ ... ........��.._...�w�w_.._............._..__ww�.._._.�..... ._...._.__.__.................... _wwww._._w........... _............... __....... � �.._� __thto..�....�. ._ ............................�,. ... �_ www _....._.._..T........_. �w _..__ .... ............. n.. _ .. w _......... µ_.............w ._._......... www www Smithtown, NY 11787 To: legalize "as built" additions and alterations to existing single-family dwelling as applied for per Trustees & DEC approvals. Additional certification may be required. At premises located at: 1..75.Dawn Dr, Greenport _........w.........._..............._m _...__­.w.................._.............. ...............w.................._........................ _... SCTM # 473889___.w_... _w_. ....-...... _ .__wwww_. __.__..................... ................................. ........... ..� Sec/Block/Lot# 35.-5-21 Pursuant to application dated ..__8/,16/2022..,_ and approved by the Building Inspector. To expire on _. 1/30/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,465.60 CO-ADDITION TO DWELLING $50.00 -............ - ...wwww.....__......�_._ Tidal: $1,515.60 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 . ' Telephone (631) 765-1802 Fax (631) 765-9502 [ :�� vw .s� u�ihaldt��r �w�1,il Luoa Date Received APPLICATION FOR BUILDING PERMIT I D 0 Office Use Only PERMIT NO. w�wwww Building Inspector:__�,.._ . � ,:�r: �,r, 2 Applications and forms must be filled out in their entirety. Incomplete -BUMDING DE VE applications will not be accepted. Where the Applicant is not the owner,an 'OWN OF SOUTHOLD Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: P" + KDUTA fIs SCTM # 1000- Project Address: , © ' 6�L Phone#: 5t � Email: FR EST 5(b(b ew Mailing Address: CONTACT PERSON: Name: ���� �� Mailing Address: Phone#: ��� C(16Y Email: e(l6� i� DESIGN PROFESSIONAL INFORMATION: Name: PMC R 4 Mailing Address: P. Q, IBM( 5 7 Phone#: tmv ,, 467 — SSQCEmail: a, QZZe (0 (F 0eA-7.C)(0). C CONTRACTOR INFORMATION: Name: T 5 i'J Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure dditionIteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes 60 Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property:Msj� /�Ck �'� _ Intended use of property: 6a Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes W)o IF YES, PROVIDE A COPY. he k Bii fter l�"ei,%diN Pg� �"rhe owner/contractor design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the'Town Code. APPLIt:",47'I0N 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,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 to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are p on 210.45 of the New York State Penal Law. punishable as a Class A misdemeanor p„arsuant to Section " " „ � Application Submitted By name): / t�CJ Authorized Agent ❑Owner Signature of Applicant: Date:. STATE OF NEW YORK) CONNIE D.BUNCH SS: Notary Public,State of New York COUNTY OF ) No.01BU6166060 oualified in Suffolk County F=XPlfo ApFll 14,2_ being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (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 this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this j�dayof . �� _ , ZD Notary Public PROPERTY Y EIS' LJTI���� IZI�' .� \ here the applica"n"".t.."..i.sW..n�o �t.._h"."e" .owner) " I, residing at do hereby authorize_ to apply on my behalf to the outhold Building Department for approval as described herein. . " �- Z 2- Owner's Signature Date Print Owner's Name 2 N. J. MAZZAFERRO P.E. PO Box 57, Greenport,N.Y. 11944 Phone- 516-457-5596 Consulting Engineer August 8, 2022 Design Construction IiLs eetion Page 1 of 1 Town of Southold-Building Department 53095 Main Road Southold NY 11971 Re: 165 Dawn Drive East Marion,N.Y. 11939 District-1000, Section-35, Block-5, Lot-21 Building Permit Application for Alterations Inspection—Existing Septic System On April29,2022, I inspected the existing septic system at the noted location. The inspection covered the location and size of the septic system components. The inspection results are: —The System includes a precast concrete septic box (900 gallon) and two precast concrete leaching pools. Each pool has precast one ring(8'diameter x 4'-6"deep) and a concrete cover. System is performing as designed. - The System size conforms to the SCDOH requirements for a(0 to 3)bedroom house as of the date of installation and approval. The size of the System components is based upon SCDOH Standards. -The System construction was approved by SCDOH on April 27, 1979. (copy of approval attached). Result—Based upon inspection of this site and to the best of my knowledge, belief and professional judgment, the Septic System, when installed, complied with the SCDOH Requirements for a three (3) bedroom house. Nicholas J. Mazzaferro,P.E. 0 ,e rl / 1 i r l 1 i 1 1 1 I 1 r , i i Ir i r / 1 r i I IP�ii iii IUB IHIIIIII ��� �� �� �� ri r r ;/ / l / � � !�y,;,y,r,.,rr/,�,,;,/�,�,/,�,,�oma Jin ,,�i ui�� Yl�r�/Y/Y'�;6 ✓, ,�r��- .� , r�/� ,r r ',,,, / r r r r r r r .., ii. t.....�rii rr✓ �u ��lY ��rfi u. rr ir,.�,� r r� � r/r 1, „' ;;� f. �/ni p..✓rf/�, /�./i ✓»i r nim r.. r«rr��llNAr.4N,fr r�nrU.,�(i✓/�r//!r r�r�� rit� . rrrr r, rrr,,rrrr rr ,rrrr raai�/ i/rr,rrrr NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY cP Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-0365 I F:(631)444-0360 www.dec.ny.gov July 25, 2023 Chris Koukounas 165 Dawn Dr Greenport, NY 11944 Re: Permit No. 1-4738-03421/00004 Koukounas Property - 165 Dawn Dr, Greenport, NY 11944 SCTM # 1000-35-5-21 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 for the referenced activity. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions, please contact us at the above address. In addition, please be advised that DEC has documented the summer occurrence of the Northern Long Eared Bat(NLEB) (Myotis septentrionalis), a species listed as "threatened" by both New York State and the US Fish & Wildlife Service, within 1.5 miles of the project location. We have determined that tree cutting at this location between March 1st and November 30th of any calendar year may result in the "take" of these endangered/threatened species or their habitat within the meaning of Environmental Conservation Law (ECL) §11-535. The term "take" is defined in part as the direct killing or injury of individual members of a protected species, interference with critical breeding, foraging, migratory or other essential behaviors, or the adverse modification of the species' habitat. The "take" of a species listed as endangered or threatened is prohibited in the absence of a permit from this Department issued pursuant to ECL §11-535. Therefore, we recommend that no tree cutting activities be conducted at the project site between the dates of March 1 and November 30 of any calendar year. Enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of Construction. x � 0 Sincerely, �V s a prJ N w,r•• mt hu Danielle St go-Torre Environmental Analyst J'"'NEWYORK D+e artmentot .wiry Environmental Conservation NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03421 PERMIT Under the Environmental Conservation-Law Permittee and Facility Information --— --........ .......Under ------------------ ........... Permit Issued To: Facility: CHRIS KOUKOUNAS KOUKOUNAS PROPERTY 160-20 CRYDERS LN 175 DAWN DRISCTM# 1000-35-5-21 WHITESTONE,NY 11357 GREENPORT,NY 11944 Facility Application Contact: EILEEN WINGATE 2805 W MILL RD MATTITUCK, NY 11952 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 722.357 NYTM-N: 4555.153 Latitude: 41'07'02.1" Longitude: 72'21'05.5" Authorized Activity: Construct portico and additions with roof line changes to an existing single-family dwelling. All authurized activities shall be done in strict conformance with the attached plans prepared by N.J. Mazzaferro, last revised 5/22/23, and stamped NYSDEC Approved on 7/25/2023. P er mit Authorszati on s Tidal Wetlands -Under Article 25 Permit ID 1-4738-03421/00004 New Permit Effective Date: 7/25/2023 Expiration Date: 7/24/2028 .......... ...........__ —-----................ NYSDEC Approval ......-——--"""'--- _'­'_"­�"_'___"""'­_'---------""...........................­�_�_�'��"._­"­........ ........... By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: SHERRI L AICHER, Regional Permit Administrator Address: NYSDEC Region I Headquarters SUNY @ Stony Brook150 Circle Rd ,NNoo- Stony o Y 11790 -34 1 Stony Authorized Signature: Date 1003 ............ ...... Distribution List ............... ...... Page 1 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03421 EILEEN WINGATE Bureau of Marine Habitat Protection DANIELLE A STANGO-TORRE .... ­­ s __ _'1'1_1 _ ­___ :,_ _ _" ,: ' ,'' . ........ Permit Component ..........�m� .. ..... NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZF'D PERMFI'S NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS ...............E ............................. ......... ... pply to the F.. ........... . ............ n .. NATURAL RESOURCE PERMIT CONDITIONS - Aollowig Permits: TIDAL WETLANDS­ ­­ ­................... .......... 1. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by N.J. Mazzaferro, last revised 5/22/23, and stamped NYSDEC Approved on 7/25/2023.N.J. Mazzaferro, last revised 5/22/23, and stamped.NYSDEC Approved on 7/25/2023, 2. State Not Liable for Damage 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. 3. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 4. Notice of Commencement 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. 5. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 6. No Construction Debris in Wetland or Adjacent Area 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 wetlands and/or protected buffer areas. Page 2 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03421 7. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 8. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 9. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 10. No Unauthorized Fill No .fill or backfill is authorized by this permit without further written approval from the department (permit, modification, amendment). 11. Install, Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of any disturbed area. "Phis sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 12. No Pool Discharges to Wetland There shall be no draining of swimming pool water directly or indirectly into wetlands or protected buffer areas. 13. No Changes to Septic System This permit does not authorize any alteration, expansion or replacement of existing septic systems. 14. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales / silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 15. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 16. State May Order Removal or Alteration of Work 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 permit, the structure, fill, excavation, or other modification of the watercourse 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. Page 3 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03421 17. State May Require Site Restoration 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 lawfully 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. 18. Precautions Against Contamination of Waters 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. .GENERAL CONDITIONS ._.... ....... .... .... . ....... CONDT...I. ON.S Apply_.to AL. ..L A_.u._t.ho..rized I---- e.r..m. itsw..• . I - __ I.. ..—..u_ . . .-- _... ._._ . . . _ _ ... .. .............. ....a. I. 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 71- 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 requested by the Department. 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 or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 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. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit 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. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. Page 4 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03421 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this perinit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d, newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMIT TM � OBLIGATIONS ..... .. .,...M ...._......._ .... ...�......... ...._. ..__ ....__.__..._..�.. ... .. .... ......_ .._. _ ....._..TEE...... ._._.... .... .._� .... _ .�� . Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's owti negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, 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. Page 5 of 6 NEW YORK STATE.DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03421 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 real or personal property held or vested in a person not a party to the permit. Page 6 of 6 .................. ED Ca W cu _r_ mE :3 ta) 0 N = E a- 07(6 C) > It 0 0 CU U) (Y) LL CL C: w a) j .2 WE :t=! C: 0 0 a) .�= > (D .(nwZ- -he 0- 0 0 Lo L- mom* CU E5) OD 0 low U) C: LLJ*am CD -I-- > E: C) U)C) w 0 LLI uj CL 70 U) 7t-- 0 L- o z 0 mom e CL C: 0 a ' 0 0 a;-0 : N j 0 uju 4— a- z m L 0 4-0 L 0 — C: ?: M 0 Y. a) cn -f-a 0 0 z 0 X LL. 0 4— C) !E LLJ o -0 Lt-ij m CD R A C: Z ai LAO 0 0 z 0 a) 0 C) 00 z E cu C:) 0 co cn m a) N N -0 C: CC) ti 0 4-1 0 E (Y) w C) L) =3 rl- 0 C: 7t-- 4-1 a) E L: N E O a) o E 0 O E Cc: cn IZZ =3 — c -&� z 0 W 0 0 -1--1 a) a) 0C 0 a) x W NOTICE OF COMMENCEMENT OF CONSTRUCTION RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail: dec.sm.R1MHP-BEH@dec.ny.gov SUNY at Stony Brook 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS` _ CONTRACTOR NAME&ADDRESS: TELEPHONE: Dear DEC: Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on �� project w _ _µµ,,,,_,__wwM„__,_. We certify that we have read the referenced permit and approved plans and fully understand the authorized and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign, and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITTEE: ... �.._�_ _ DATE.��__w.._...._..m...._m...... CONTRACTOR: .w_�......._, _ _. .. DATE_...... _m THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail:dec.sm.R1MHP-BEH@dec.ny.gov 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: -.. _ a, EXPIRATION DATE: _ ._-. . ... ... ........... PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS:. � _..._.�. . TELEPHONE: . Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on .�......„m .w ww - We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required) PERMITTEE: .. �....�_ DATE _...._. . CONTRACTOR; THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY, AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. -- r Nw ttM AWIMOdN33HO I,P-2 ER ME oz O 4!� z 3AImaNmvaSL W99 6i Z NVId 311S m w SNOIIVN311V MOA N0IIV3I1ddV �uj z 0 V14 'k U) z10 Wrc F— .......... C, 0 o n'— Wn � g- W> U, Q 15 0 LU W Mx 0 M w w Ir,Cr wzw wo�z Z U, (D W L Z,z OMM w Z 0 50 2 ogw L-ti o 0 LLJ w III We HOWM'S Zotw -�W3� 01 0 11 w '< W� D, E N z oz o'o zo 10� O,�Jmz .2 wo, < VOPN�- ww �w -C 01,- z6gw, 2,�jzj w I z w TW -'o W, w wo I z<�I w<o 0� z y 0 0 w �8 g I�.F S'o�.l g, - z �2 m A Z.oz HW, Z. �Z. �z z < 0 'o ow,"-qo� Z-W. z Nw,>c P'N �zx �o W—ozowx,� 2S2 .w ww Z 0 2 >6z > 0,z zozo " U. 1 -9. <Eu. 62z, HIT F 0 w z D9() 'm 0)W,, ir. lo fft. 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VHM -0 �w�2(W5'o E 2 ->rw� z 0, wz 4, < <o,, 40 -<z -0 0 U. -<. -1 w < OR 6� u CD -w Z<� ...mououooum 3: m .............. -— ----- ---------- 110 T MWkWillOdN33HO Q INN NVId J00's (i;i Z� 03SOdONd Mma NM` SLWM Z2 SNOII"311V2104 NOUV011ddV (�j Lu LL m. :gy Z, 9H(l 13-�I00,�omj slyj Q LL 0 0 N o M A V IV j O p v N>N X6646 AN 12lOdN332IJ ; r�. I �, NOIIVA313 J �N � � co �, a3svdoad �_ oma . mP6,j lw SNOII"311d HOA NOUV011ddV mxa n° o z r , t], Ql 4S C] U! U) L.. ... ...... ... ... _�.... ....... k_..,,. 1 ..,..,.... . ....._, ...,..... ..,,,.. ..... .........,.... ............. _ ........,,,......,......... ` it k' j I 1 � M — I n ` wn. _ f I p I i �. .a_ 1 El 20i Cl) I _.. _._ r yy i YF �,. IPI r`K 'w m I I f r I ' Z I� N W Glenn Goldsmith,President Town Hall Annex A. Nicholas Krupski,Vice President c' 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples � ' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10319A Date of Receipt of Application: March 1, 2023 Applicant: 165/175 Dawn Drive LLC SCTM#: 1000-35-5-21 Project Location: 165 Dawn Drive, Greenport Date of Resolution/Issuance: March 15, 2023 Date of Expiration: March 15, 2025 Reviewed by: Eric Sepenoski, Trustee Project Description: Resurface the existing 12.5'x47.5' rear deck and 45'x4' side deck; replace the deck(s) handrails; replace doors and windows, eliminate a set of doors on the east (rear) and realign the balance of windows; removal of front entry deck and construct a 6'x4' entry portico; installation of gutters to leaders to drywells; clean-up and restore existing non-turf buffer. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Nicholas J. Mazzaferro, LPE, dated October 20, 2022, and stamped approved on March 15, 2023. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. 4, 44_4x Glenn Goldsmith, President Board of Trustees =�N Y R g 01 u, MA O P O o �. Q•G CD of O l p c� H fs, 0, Z W O Z U o M . 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