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HomeMy WebLinkAbout20365-z r ' : ! ~:.J Ln~.'J~..: ~%~V ~~Jn: I~ ~.C}(i•1LNT~ . 'M 1. II Im~ _ FOUIIDATTO"t (1st) I ~ y n~.. • I ~ 1V FOUaD„TTOII (2nd) I -I - - 2. o '.OUCH FRki•!E & PLUMBING i ~ ~j J ~ .3. y ~ In IilEUL„TIO;! PER N. Y. I y ST„TE EilERGY I~ CODE ' II ..I~ r 4 . m FIIlAL ' ~ ° ~1 ADDITIOPIAL CO.M.MEPJTS: x ~ e • Y~ m a _ ~3 ~ ' i H • ~ p J P08M NO. >t 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) N°- 2 0 365 Z Date ...................6........~......, 19.9...E Permission Is hereby gmnted to: Z . r..~.~rt:...~~~. . to ....~-~r. . ~ /p ~...~.~...p~...~.................................... ' at premises located at ..........5,.......~1.1%~~,/,~,,Jr~........Gls~!:.`L ~i~2.rr~.r. n•... • • ~.K~• County Tox Map No. 1000 Section ......n17 Block Lot No......1....~~.......... pursuant to application doted 19..~~..~..~nd opproved by the ! Building Inspector. Fee S•••~•~~•~••~ Building Inspector ~sa~/~` ~ 1 Rev. 6/30/80 , Albert J. Krupski, President ~p~pS~FFO~,~-cOG Town Hall John Holzapfel, Vice President j y~ 53095 Main Road - William G. Albertson y x P.O. Box 1179 Martin H. Darrell O ~ ~ Southold, Ne~v York 11971 Peter Wenczel y?~~~ ~ ~.DO~ Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF S - THOLD July 1, 1994 z ~ issa ~ J.M.O. Consulting ~LtaG Mr. Glen Just 7°i3WM a~l'J: P.O. Box 447 ~`"~~SO~~~al-a Quogue, NY 11959-0447 ~ Re: ROBERT E. PATTERSON SCTM #6-1-10 ,Dear Mr. Just, The following action was taken by the Baard of Town Trustees during its regular meeting held on June 3b, 1994 regarding the above matter: WHEREAS, J.M.O. Consulting on behalf of ROBERT E. PATTERSON applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 5, 1994, 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 June 30, 1994 at which time all interested persons were given an opportunity to be heard, and, WfIEREAS, the Board members have personally viewed and are familial 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, - " RESOLVED; that the Board of Trustees approves the application of ROBERT E. PATTERSON to construct guest rooms, terrace, walk, deck, platforms and to install additional drywell in existing sanitary system. All construction activity shall take place on what is now lawn area. All construction activity shall take place a minimum of 55' from freshwater wetlands. A continuous line of staked hay bales shall be installed prior to and maintained during all phases of construction activities and an area of "no disturbance" shall be maintained. All activity as per enclosed plans as prepared by Chandler, Palmer, & King last dated February 16, 1994. Located Crescent Ave., Fishers Island. Permit 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'. Very truly yours, Albert J. Krupski, Jr. Pzesident, Board of Trustees AJK/djh cc. CAC Bldg. Dept. ZBA ~ ii ~ ~ ~t.,~: lei to-- ftr rd 9 /y':EV.r ~ ~.9iyt ~ ,°if ,a`., -sF,Jf7 x~ ~i x:A'. x ,Y' ~ ' ~ ~ylr ~ ~~~ps~ ~n ~D~!eTA ~y , ~ it sr~!FA..L"'.'u^.Y.t w.i 12~"~~"A~I~>j~ JC!C rT~'Y..'~~J~fed~,~~ia i~3~~ ~TIY"]I~'~~ i \ ~ 1~ ~ .Board Of Southold Town Trustees {i; !i SOUTHOLD, NEW YORK ~`r. ~ ~64 G PERMIT NO. 1 3 y I DATE:..b130i94 ~r I 3a~ ISSUED TO ROBERT E. 1'ATTERSO]V I "9~ Pursuant to the provisions of Chapter 615 of the Laws of ~t~ ~ ` ~ the State of New York, 1893; and Chapter 404 of the Laws of the ~f» , State of New York 1952; and the Southold Town Ordinance en- " , ~ ",di titled "REGULATING AND THE PLACING OF OBSTRUCTIONS r„ ~ i~ ~ IN AND ON TOWN WATERS AND PUBLIC LANDS and the i~. ~p'; i^^~ REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM ~ LANDS UNDER TOWN WATERS;" and in accordance with the lha ~ ~:g , ,;y ' ~ Resolution of The Board adopted at a meeting held on 6,!30/94.. t; • 4 ' 19 94, and in consideration of the sum of $150.00 paid by ' o° ~ ~~I ~ ti ~ i'i . i~ ~ ~ ~I 'rw ~ of ~,,.$Oishers Island £or ..ROBERT N Y.Tands ub ect to the ~ ~ Terms and Conditions listed on the reverse side hereof, 'r" ' .a~~ of Southold Town Trustees authorizes and permits the following: i 4~~ To constr. guest rooms, terrace, walk, deck, platforms, & ~h '';,j .~I~ install additional drywells in exist, sanit. syst. All constr. will !I~ , 4 take place on what is now lawn area, all constr. is within 55' of ;~i r 9 etlands, ha bales andd rea of " o disturb." shall be ma}ntained~ ` ~ w~' all in accordance wi4h the detaile~ specifications as ,~S~,~sented m k° ' ~j~,„' the originating application. ~E , rr ,a ~ - ''K s}, t ~ IN WITNESS WHEREOF, The said Board of tees here- "t; by causes its Corporate Seal to be affixed, and t res~~ts.~to , ~ f ;i be subscribed by a majority of the said Board as of ~ is a R ~g941~a`~ ' R ~ g~ o05~FF0(i(rC~G tlfjj!/.«,~,.,~-- f~,~~.,~G~r~r~r~~~~~~'~, • o / f , I j j y~~! ~ r~~ Trustees "4 , ~ ~ 's, 4 _ - - - - ply ~ ~~Y.uLYi4.~. w! AI.Gm; a'Li.+i.~r~o~ k'?"". 'wA~_,f~ ~b w e"~,. %c+ naL ,+-,t„ a x~ i ~1., `'y;~ @ ~"nj~~~.~pS4 /,.~t~~~~~, ~.i,n ~.,%w,, ~ n .i~r \a~* Yi%.~>K ~~,:A 12,'94191 1E:27 CENTERFRWK, RRrHITECTS 7E7-9175 902 Fe L. v-+ ~ev 1"~ l-+ ~~OC~ F~U~C.6F~ EDIT. I~ic. TF1. 51 ~~-E°_•:-be.U - New York State Det7artment of ~nvlranmental Canservalion ' ~uikdinp 40w^SUNY, Stony Brook, New work 11790.2358 ~ ~ R, a M D 15 V n (SIG) 751-790U, ~~C ~ g ~ ,ut &LOG. DEPT: Tham~i G. Jorllnp 1'OtNN OF SOU1'HOLD Aommisslbnsr February 5, 1991 , Robert E. Patterson General pelivery fishers Island, NY 05390 , 1-473II-00163/00001^0 pear Mr. Patterson: lIl COn1Ul n~•+nrr N'>Vh t.ha rr?r~ulr'BIINt TICS Of C1,~ ''f arl' Uni lOrm Pa eta 6Z l~p Hcc (Article 11%,I~UI-~ algid ~;s' implementing reg,liations (4NYCRR, we 2xa enc109ing your permit. Please read sll r.,nnditiul,s caref,llly, 1f yvu ere unable to Comply wiflr any Con<jrtionS, phase c~tirttnet us aC ChB aUove addre>rY~ Alsu enclosed is a permit. sign whir:h is co bc• dunspicuottsly Posted aL Che prcjecc site and protected from the weather. V rY crt~1Y Yotrre. 1 C,l1G'~' RO9 r Evans ~ Envlronmentanalyst R~~Sll~sure Ar... • 12iC~4: 91 16:28 CEFITERBRDOK RRC'HITECTS 767-n175 gGJ3 ' Pl U. i'~ .-1 a^, a-+ ~•C,GG P6aCC~+Ei,T. 1.:.:. ',TEL '',lr-E.°_~~-UUU_~. P, "~1 95~111b h,U'~RI-!SC 'u MFW Yr1RA STAir plf {Rl hlf r~l 6f tN'J~PPVMf hlh.l LL1vSE NthTION IIhECTIHr Dn+E orc mli I+uMUrP ~ February 5 , 1991 1.473H-UU163/0000]-0 PERMIT ,~r~Rrk,c1+. ~~tk fnuutkromiaR^^IrvV..,eEknl February 2$, 1994 Under thr [nvironmental Comervatfun law (E , {Yrl 11r Pf Rn111 If mah MI nnld~oiWl' RV•`. + v , un.u.n t tJ P...ou vo Ul~~+nh~ ?MeA l,cabV,~ fc~n,n o+ . ArUCIe 27, Tlue 9, tiNYGRR 373' Arflct9 t7, Tltlee 7, 0 Haiartl0us Wasta Management Ankle t5, tole 5 ~ spoES ~ Arllcle 34 Pr0lacflon of Weler ArtiGlB 19'. Article 15, Tme t5 ~ Av Pollution Control Coastal Erosion Management Water SugPly Article 36; ArtlCte 75, Title 15' ArUCIE 23. Title 27: C~ Floodplain Management Water Transport Mined t-and RECtamaUOn Artldes t, 3, t7. t9, 27, 3z, ArUcIE 24: ~ 6NYCRR 380. Radiation Canuot Article 15. Title 15 ~ Freshwater Wetlands Long 191and WEIIS ArtICIE 25. t 1 QthEr: attirde t5. Tlue 2r tidal Wetlands L~.J Wild, Scenic and Reaeauonal ArtlCle 27 TlEle 7 IiNYCRR 3UU Rivers ~ Scud Waste Managetnont , GNYCRR 6U8 ~ _ Water Quality CeruhcaUOn ulEr„~Nr N'- uMOtk _r~'" ~ I 1'fRM11 KSUkD iG ~ bet r 1 hDUNES)JF VI NhII(IfL Q - 1kLFPIfONr NUMIItN ~ co"tnCTPIRSpaIbRPranantFDly+ oc~nn~ rl mfa NV ll$SS__ ~ 1 w I NAME hND hI)D0.iSS t)I PR,IIE1, 1!14CII ITI _a---^ i 1 Lttl 1v1N 01 fRrl))E t1~FnCUIT1 ~lshers ]Stand prp,MCVUR°'""'Is , Wnu RGUURSr;W[1, hNn NO F•~--~. No v.,~-~1 Cf)u 'T1 TUwn,unnuln+,1 -,J_ , ~UffOlt: Stluthold ' DIstR~rna+ol>.cn~,t,Rl.:rDh,Tl~lr1 esc rooms. End Edd one 6' diam~arY..wel~ ~.e Construct two Fred stY.- and~~g gu exlstl__ nQ s?ptiic, su'stem. A11 work shalt be in acCOrdance witt,_.? the EttEC_----ham YSOEC . ~ , ..rte-~ I rasa chat the permit le contingent upon strict compllaeCOee verse Stde) and soy SP gy acceptance o1 this parmtt, the permlttbt ag wrth the ECI, all appllpeble regulations, the Gertar Rr k*z n7fiRYpAx1~A1Tt~ ee R~ ~Y~-! ~ f i QpndiUonE inctuderJ evs paH of this Permi~~~=~t~~tf~~.~_~--- noti e•, Re.+~.~q~}-•---•-•°^-~'~',~~rtPF SS rrrn'fC'Llla Nl uSirv uP N}W yORIC ' - 12%04/91 16:2'3 CENTERBR00!< RRCHIT.ECTS 767-0175 004 F'. 4. 1-7 ''dl l.': I'' fit q9~ FtJGEr-"i CnT. ih~. TCL ~,te,-.'.5?.-ue,UC ~ F 1 _ ,..w- gENENAI CQNbITiQNS Inipecllona t and me vats ny Ian authorized relpresentalllve olrthe OepastmenOCOftEnvironmieMal Conservation (the DeperhnenU to determine whether the permlUee Is complying wNh this permit and the ECL. Such reprea©ntative +vtay grder the work suspended pursuant to ECI. il•0301 and SAPA 401(3). A copy of Utls permit, including ale referenced maps, drawings and special conditions, must be of Ihepermit inspection by the Department al all times at the pra)ect site. Failure to produce a copy upon request by a Department reprasentatlve to a vlolallon,al lots permit, Permit Changes end lienewele 2, The bepartmunt reserves the right to motlifri suspend or revoke Ihls permit when; a1 the scope of the permitted activity 16 exceeded or a violation of any condition of the permit ur provisrans of tits ECL and pertinent regutetlons Is found; b) Ihs pennir was olDlained ny misrepreaentalion pr taliure to dlscl0se relevant facts; c) new mat9rial inlormatton Is discovered; or d) 0nvlronmantal conditions, relevant technology, or applicable law or regulation have materlBUY changed since the permit was issued. 3, The permlUee mug! BubmH a separate wceUo~ mul5lslriicluda any~pms, Aes opr6 DphO ~ pelmsnt . Lion or transler of this permit. Such app matlon the Department requires. Any renewal, modlHcatlgn or transler grentad by mull be In writing. I a. The penniltee must submit a renewal application at least: stem lfip17ES1, a) 18U days haters expirallo ementrFsogtlleel(MWMFII tmal~ IAlhpotiuUOnlConlNosAPC) and Solid Hazardous Waste Marrag Waste Management ("aelllUes (SWMF), and b) 30 days before expiration of all other permit types. 5. Unless expressly provided for by the Department, issuance onehlQa Pa~rtrtmenol og any of the termer con• pr rescind any order or determinatlon previously lesued by P dltlans or requirements contained In such order or detarminallon. Other Lagsl Qbligetlons 4t permitlaeessly, by the execution of the application, the fu11 Legal reapanelblii- g, the per+r+ittee has acrepted exp ty for all damage„ direct or Indirect, of whatever nature and by whomever sutlered, er181ng out n suits( alcuons9dab agestandP oats at eveaY namedand rdes~tltAll n resulting irom Ihls prSo~actfrom i. 1 h16 permit dues nvl convey to the permlitee any right to trespass upon the lands Or Interlere with the ttgarlan rlgnts of others 1; oedseln oeAeooper nnaeProlPetly Held or vealedlln a person not n pertY msnf of any rights, tUle, or In to the permit. roval9 lands, easements and rtghta• 8, Tne permutes la responsible for obtaining any other gerrnils, app + ol•way that may be required for this pro)ecl. ,1:. 1zi©4191 '16:30 CEIJTEREROCK RRCHITECTS 767-0175 0O5 r .I•. la •51 i',:1e~ Uh?r!Ir FfJ!iEF'3 EII(. Ina. TCL ,t6-65;-i161JC F'. 9S~7U6A (10190)-ZS[ AOOITIONAL GF Nl kA4 WNUIi1dNS {OR ApilC tfS 14 Rllle SI, ]I, 2S, )A, 36 and 6 NVtI1R Pul Pr0a l 1 '~'I Thel J luturv up•r Plinn) by der grAU• ul h<w Vork rvy~uv ~n ol~ r4h~<r <m ugnrntutnhy dvleteriow matt nAl4 dat4datrd, wllh lI1C termm~ In Jrv pur neon nl rh<!r/ncrure or woi4 Lc.cu, aut LUnred m prnlrrr U, ,n the opnnwr ul art boynum„nt ul km ~ronm<nfnl Confer. Ab4n a nnY'mAt•unl dr edyrJ In tht Lru;ea utlan bl ILr work harem ptrnvuvU .e rhAll rA~se um tnlonebL• uL+t rua•mn ta. tl~r rmn n», •gnhnn nr aniA .hal! Gn r•mnvrd evenly wrlh4ut IeeV ing large relwe pdPS, nAytt ntnlit w•1•n nr fIVVA (lv»a of andarym the he Jlth .af<rr n' r`•VArP nl th[ bCtl 41 a wetmway w IInnARIeaY or Atep hpt OS akea eaey t. ease thv peuvft of the 5lntr, crt caofP let, ur da>l.ua Gun of thr~ natural tnndru(y to cmn,: d.~megv to nmldAhlr rhAnnds of to the banAl 01 rm4ur<er ul lhu Stnt< II+P nr. nP/ n1•fY I)C Ordtr<A by IhC DCpB.trnvnt tU » wnf..w A, renrave of nhvr lhu xvualy ml »nrA, nhNnrrhnn< ar haraKlS cdufed IJ TbPrP shAlt h.r nu unrearonnblo ina•rlurtnue wide nperyAttnn by rhr wolh th0rCUY wtll14V1 4xpun+r N tha ilJlw uMl il, liana lhC CA pItAUOO 61 ryPMrn Apthnrir Cll. rPvb[Allar O! Ihls pPnuv; th4 >tror Iwe, hll, .vAVahon 4r Other I4 It u~lOn the PxprtdtlOn Or IUVOC JIIun lrl tah permit, the pralr[I hertbY ntudlf l[Anon of the halvrt uurty ItrreLY uu lhu.it r.l .Hall not ht ?Ont' outhnnAtd ha+nnl peen completed, tlY! AVyhcem shall, althuut exprnre pllteA the ownrrf. shall muLout vxp[n etc w dtv $hltt, Jnd to wr h to the SIPw Jnd to .w~h valPnl AnA m au[h hma And manner AP tha P+,Pnt mdm meL?mt and mAnnu~AS llebvuannrom Ol Lnu,runTrttal UdIYAr11Y1trI1 V1(IIVIrUr1r11(:rltdl CUnfVr.•rtiOn mnY r+•OVIfP remove Pfl dr ' Confer•AU4n mnV rCglurr rCCPOVt All G~ nnV I)GrtiOn 411hC urlrMnplalCd Arty Irnr tlnp UI VrP un[OnsplM4d ellUalWU UI (111 Jnd rertart Ihr, +itr rtru(t~re or till and rnalnrP la da Ira mtr [noA NOn the navrAAUle to dt Inrmtr rondrNnn Nn rle 1111 Pllall l)F mAdt AYAl11St thly 4latu OI and loud to VP[IIY bf the wAtrlr.uunv NualJ~m ,hell br mAdv ayarn+t Ncd lorA •~n Jaa UUnl GI uny wch remordl au Allrretlon ~ , the $IdtP nl NPw Ybrl. on a<'t VUnl of auy 6u(hi rtnlbvAl ur AIIC/e(lun 5b ytpglUd wWd( Mba4e 34 thn pP.nLt dgPS nOt 4tQpt1Y n1 any WAV 1V r11a1 the $lJte of Nrw ynd .hall .n n0ln•F he tmhlt I<rr M)y AAMAyP IIYdI ill[' IYr Opel Ntll Uv Ir4V in)m flondlna Or ln)ury to:hr nruclure or v.mx LPwm uurhnnrni vhvh may hr rr+u4A ~7 Il yrJblvd undueV PrVl:kN1'M1 bVU, IhP NY$rJPputmenl of EnvilVn' Uy' Or reruh Irwn lulwr uyer A:Wu> vnJ art,. A.•n by IPe 6bt.~ la• thr• mn+IJI L1.11>rl \'Atl[r11 tlrrrby crntf lur that tlm wbivxt V, ulvat w111 nut au n•er%un ur rmprn+<o'rem nl nA, ~PAUOr Jr for other purpof Pf Jnd (n.+f r.1VPnP Ptllunn hnulnnonf ur ullta't hndldtlmn u, xaOAn[d. under nu tlA lni u• rlgLt tU wntywbubNr ^hmll nr rrrr• /lam AnY aw:h Aansaye i«, LUm 111'1, iU^, 10 f, 3nyi doA iM of the Clean \NnlCr M'I of 19Y7 11 CrPnGn7 p! thl, panmt dues nut n•nvav mr epp6a„nt nl lhv reapun •i IPt 5S~21Y{ pro+rdud tnel all ul IhP randninns LateA htrPrn Arc met , Odrty Of oUtAUtp.y Any mhrr pcn'tI»rou tun u•rd ur -a 4l,rov e) Irnm 1U 911 ,n tw itirv Juthnn PPA IYY ihra ptmul O,u 41 bC m Sh KI chat OlM1+h rltP the V $ nrmV COrp+ nl [Yty ulerr s. U 5 Coln Cumd NdW Vork SWIU' W II I11hC JpIrrUVCd plans WbmillVtl Us lllr YplYlir ant nl hp eytnt Al pArt 4ffkr ul Crrnrr el SJrv,c•. or L•xnl yove.naYem which MAY IYC rv9wr(•U ail the paa nnl 'appl!a aUOn 12 All nett»nrY' W4taulluui ,hJII b.• tul.en ro prvrfud« ronlammaBOn Gulp APprGVP(I plant weer pr4pdred hV• , Rl chard 11. pStrCU$e OI AnV wll~AnA Or wP'tlwAy I)y SufpendC(1 wLdt f4dlnlenb, luets, July l V, 1990 arlveau, IvhACanl4, apoq u•nbnys, pn mr4. taruttt, ItrAtItA1P Or env On - SPFt1At CONDITIONS 1, A11 areas of soii disturbance resulting Pram this project st,a11 be mulched with hay or straw within two days of final grading. Mulch sha71 be maintained until a suitable vegetative cover is estebllshed. 7r Before the h8yb81eS that are referenced an the site piar~ are removed, any trapped sediments shall be removed'to a suitable upland site. Supplt?mentary Special Conditions la) thru (.,i) attached. all pl Rnvf Nontb(R ~ ~ ~ ~ ' ~ ~ fp a ^ a 4 m co'~~w~ i'11cb m p a~ x ~'rna O ~ w ~ cp p~ tp ~ N ~ r-r cb $ ~ ~77 ° ~ 9~ M o t~ ~ cG. ° ~s ~ m (n ~ ~ ~ r: ~ Q ~ ~ ~ ~~'Cp~L1 N Y VN R ~ 4M P r`: ..1 ~o~o-ss~-~r•& '171 ,ul '1117 ':,j'j~1i"t.d gnnn ;.T:LT i6. t-T 4?~ 5a0 SLte-G9L 51~311H~~id ~1UG'JHJ31h13~ 0~:9t t6'ta2t ~ ~y. rii R-k _ ,;te~'/~ 7U~NSxu, Y wa J Y,. Xi{rya : ~ A 15i/ rr ~q~ -~YF(r. vr.z~ a v ~ ~<1Y +oPO~'- Y$f i ` y 1 ,z, \ 777 Board Of Southold Town Trustees ; 1 " ; ~ SOUTHOLD, NEW YORK il.;.:-~c~ / It~ - \ . ' PERMIT NO. „ 3868 DATE: Sept. 28, 1990 p;. - ~ ~:t , ~ i ISSUED TO ..,,,,,ROBERT E. PATTERSON ~ ~ ' ~ ~ ~ ',ij 'F: ~ A` . << - x. - ' 1! Pursuant to the provisions of Chapter 615 of the Laws of ;i i '=~''a` the State of New York, 1893; and Chapter 404 of +he Laws of the k; .'c:~ State of New York 1952; and the Southold Town Ordinance en- ` ~ +i+led "REGULATING AND THE PLACING OF OBSTRUCTIONS !i~:.> 1, ^ i, , IN AND ON TOWN WATERS AND PUBLIC LANDS and the ja ' ~ I! REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM j`4~ r LANDS UNDER TOWN WATERS" and in accordance wi+h +he ' 1 ~ ~ ~ Resolution of The Board adopted at a meeting held on ..Sept. 27,, - j1 ~ 6~1~ 19. g~.., and in consideration of the sum of $.150.00 paid by !I~ ~ ' ~i=.i j ~n JM.O Gozasulting(.~.pbert..E. Patterson ;.I~j a of Fish„ers,,, Island.., , N. Y. and subject to the ~i J ~ ~ ~ Terms and Conditions listed on the reverse side hereof, Ik`I ~ ' ~ ~w `q of Southold Town Trustees authorizes and ermits the followin ~z, "e, Construct two guest rooms, gravel path, and to install one /'~r~,~ ~ryt~ additional 6' drywell at existing sanitary system. Proposed guest`,; ~ ~ rooms will be serviced by existing sanitary system. There shall li: ° - minimal regrading and no fill shall be trucked in. This permit is ~f N , •t all in accordance with the detailed specifications as presented in ' . ht, +he origins+ing application. subject to th'e following conditions: b drywells, gutters, and leaders are to be incorporated to contain _ I ~iJ run off• IN WITNESS WHEREOF, The said Board of Trustees here- i~~= - z„ by causes i.5 Corporate Seal to be affixed, and these presents to i~. be subscribed by a majori+y oft said Board as of +his date. i~~ , ~~A'~ _ / ( ~ i ' ' l~~ .~,1 cn ~ - ~ i,~~ ,i - ~~~~ii / ~ ~ _ ~ ~ ~ ~ ~ i~ Oy,~~ 0~ / ~ g41 ~ .Trustees ..:s5s1~~...L~.'.,..u~WS ILr r~ GcT ~cL'l.-ry.., ..~i: x.. ii'a' r +.+ti.~v ;.i a„pir 'v"iZ' T a a T^ L.~ului..~..Tiu.Rr A .x~~..:.a. f - 'GG~.~ 'r 1 L ~i V+ ~ ^ r~ n r~ .w 'rim s d'~~~ ^.n.:. ~ '~sa> W'"!~ 'Az!~aA~ .rx•~.wA`'<.y~,,~R}arar~~PE~ ~ac'A~ o~A"rxr.~Dl~ ~ I M x 4 .s,A~,~ P9r.~U ` 'may 'w` = / Saz project is to be moved 10' "east' as recommended by they AC~ l~~~~. ~ b ~d >G y'___ - - - - _ -~~~m _ . ~ ~~-`~a ` - - . -----.mod, ad - - = ~ _ ~ _ _ a l_,~__ _ - - -~~l , ~-a--- - - x---- ~ - _ _ _ _ ~ 1 c~ TRUSTEES ~ ~ ~ ~ SCOTT L. HARRIS John M. Bredemeyer, III, President ,~,p` ~ - .cam Supervisor Henry P. Smith, Vice President e~~°`4 Albert J. Krupski, Jr. Town Hall, 53095 Main Road John L. Bednoski. Jr. P.O. Box 1179 John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 February 15, 1991 J.M.O. Consulting P.O. Box 447 Quogue, NY 11959 Re: Amendment of Permit No. -3868 Dear Mr. Just: The following action was taken by the Board of Town Trustees during their regular meeting held on February 14, 1991 regarding your request to amend the above permit. RESOLVED that the Town Trustees Approve the request of J.IvI.O. Consulting on behalf of Robert E. Patterson to amend permit number 3868 to state the following: The following condition of permit #3868; "said project is to be moved 10' east of the 10' contour line, as recommended by the CAC" Shall be removed from this permit. All other terms and conditions in the original permit granted shall remain. The amended permit shall take effect immediately. V y truly your M John M. Bredemeyer, III President, Board of Trustees JMB:jmt cc: CAC, Bldg. Dept. D ~ 0 ~ ~ nonno oe•neALTU........... FOnM N0. 1 ) $ETS OF FLJ775 TOWN OF SOUT'IIOLD SURVEY .~..~Z g QUILDING DEPARTMENT CIICCI: . TOWNlIALL SEPTIC FOR:t 6LDC,.o[FT. SOUTIIOLD, N.Y. 11J71 Ix TOWN OFSOUTM6LU,u__,~ TEL.:7G5-if302 ttOT1F'f; CALL Examined Ig . ttAIL T0: Approved 19 ['crrttit No............ . . Disapproved a/c • • . • ....(Ihtilding Inspector) • APPLICATION FOR BUILDING PERMIT ' Date ....,ll.o?Gv........, 19.~~.1 INST'RUCT'IONS a. This, application must be completely Cilled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of pl:ins> accurate plot plan to scale. f ce according to schedule. h. Plot plan showing location of tot and of buildings on premises, relationship to adJoining premises or ~ub[ic st3•eets >r areas, and loving a detailed description of layout of property must be drawn on the diagram which is part of this appti- :ation. c. The.work coveted by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Buildhtg 1'ettnit to the applicant. Such permit hall 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 hall have been granted by the Building Inspector. APPLICATION IS liT:RGBY MADE to the I2uildinq Deparhnant fat ilia issuanco of n Building Parntit pursuant to tha luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to rdmit authorized inspectors on premises and in building for necessary inspections. ' - - - - - ~~f~- ' (Signature of applicant, or name, if a corporation) (Mailing address of applicmtt) 06850 I i 'hate whether applicant is owner, lessee, agent, architect, en!,;incer, general contractor, electrician, plumber or builder. ~e,~l...~-~ . `anie of owner of premises ~~rGV".... ~`.'.t/~~su~l . (as on the hn roll or latest deed) If applicant is corporation, signa~tu~r~e~of duly authorized officer. (Marne ar title of corporate ofGc r~~ Duildcr's Liccnsc No. ~y°?. ~S Plwnbcr's Liccnsc No. Ss .y- y~y- E Glectrician's Liccnsc No . . I OlherTrade's License No. ..0?3&-- X12 Location of land oP which proposed work will be done. . ilouse Number Street ifantlct ' County T'ax M1lap No,' 1000 Section ......l°........... 121ock Lot l~ . . Subdivision 1~ilcrl Map No. Lot . ~(Nmucj Slate existing use and occupancy of premises and intended use and occupancy.ttt proposed construction: i a. Esis(ing use and gccupancy .......:5~:~//....'.~~.":`f/l . b. intended use and occupancy TSi~fK....."~ ,•,."'4.~rr . - _ . l I I 1.i:Ld , / 3, Repair or,w, •k check widrh nppllc~nble): New UuilJing t Addition , . Alteratl$n d~xi.a• aar~'"^.:.:.. . Ucmolition . . Removal . , , , , , , , , Other 1Vork . G?~" . ~ . . a;~~a~~~,o~r . ;Epescription) 4. Estimated Cost ...~V,ty„~,y,U,, (JCO . r , '~~s-/ lJC', ce < g .g (to be paid on filiri6Athis application) S, If dwelli'n number of dwellin uni g If gars a nutnbce o(cars is ' ' ' ' ' ' ' ' ' Number of dwelling units on each floor . C. if business, commercial or mixed occupancy, specify nature and extent of each type of use . 7, Dimensions of existing struchtres, if any: rront . ~ ~ " ~ " " " " " " g .Rear Depth. flei Itt . Ntunberof Stories . , , Uunensions of same stntchtre with alterations or additions: Front , • ~ • , • ~ ~ ~ • ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ' ~ ~ ~ ' Ueptit...,. Rear.................. ' . ~Icight . , , Number of Stories , 8. Dimensions of entire newconstntction: Front , ~ ~ ~ ~ ' ~ }Icight Rear............... Depth • Numberof Stories . 9. Size of lot: I7ront , Rear . . . 0. llate of Purchase . . Uepth , . ..Name of Pornter Owner i. Zone oruscdistrictinwhiehpranisesaresituutcd. Dees proposed construction violate pay zoning law, ordinance or regulation: ~ ~ ~ • • ~ . 3. Will lot bb regraded , . , , , , , , , , , , . ,Will excess fill be removed from premises: Yes No M1. Name of Owner of premises , , , , , , , ~ ~ ~ , Address .Phone No. . Name of Architect Name of Contractor . ....................Address ...................Phone No............... . .Address . . .Phone No. . i. Is this property within 300 feet of n 'hidnl wetl.nnd4 *yea. No, ..>C.....~ • • ~ ~ • • • . *I1''ye>s, Southold Town Trustees Permit may be required. PLOT DIAGI2A11i Locate Clearly and distinctly'all buildings, whether existing or proposed, and, indicate all sehback dimensions Crom roperty lines.'Give street and block number or description according to deed, and show street names and Indicate whether tcrior or corner (ot. s~ r. •ATr: or• NGW YoRtc, s s ~ , lurrrY or• , . ' • . • • . (Nam ~ dividual sigttamg ~:/`O ~ ~ ~ ~ ' ' ' ' ' • • being duly sworn, deposes and says that he is tha applicant ontrncl) pVC neared.' ~ / iS the . ~9~?tt / ~ovL~NCPUt_~ ' (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly au4horized to perform or have pcrfomwd rho said work and to make and file this ilication; that all staternents contained, in this application are true to fire best of his knowledge mtd belief; and that the irk will be pcrfonned in the manner sc orth in the application filed lherewillt. loin to before n~this Mary Publi 1. . ...County i ,'~,1~.. ~'fNt3bt~(4ia h 6tlWH9i'Y JN. . NAkryJlublle saw of Nsw York (Signature of applicant) ' No.A8Aifi5Q .I ~,OUWMrater.6ulto1lc,Ceumt V~-Explras52~111W~• ~ ~y' , , D ~ ~ ~ ~ ~ BOARD OF HEALTH FORMNO.1 3 SETS OF PLAN$ , DEC - 91991 SURVEY , OWN OF SOUTHOLD CFIECh ~ ~ ~ ' ...-rv........a.~,... B ILDING DEPARTMENT SEPTIC FORM ~ ~ ~ • • BLDG. DEPT.' , TOWN OFSOUTHOLD TOWN HALL UTH4LI1,. Dl Yo 1:t0:Zl l~ktTT E FY ; TEL.: 7G5.1802 CALL , Exantincd 19... MAIL T0: • • • . ApprovcdG/.~~.~J'), L!..., 19 /~crmit No.. ~ O,~ 6 . Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date /"2/.c~/~~ Iy... INSTRUCTIONS s'. ' a. This application must be completely filled in by typewriter or jn ink and submitted to the Building Inspector, tuith ~ sets of plans, accurate. plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property 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 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 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections('. ~ ' ~~J LQYI•~l'~/0-G'lY,H~ tic. (Signature of applicant, oY name, if a corporation) . „~Gls , ~?x , n10o3 ~76~ens .7s/nom 6 (Mailing address of applicant) State whether applicant is owner, lessee,,/agent/,az/chitect, engineer, general contractor, electrician, plumber or builder. . ~hc~r~!( LPny~4YZMC(? Name of owner of premises ?`./,Y,l';,r....!t°~~~ ~l?es:?'? . (as on the tax roll or latest deed) IC applicant is a corporation~J, signature of duly aut~h/orized officer. (Name title of corporate oyfGcer) ' Builder's Liccnsc No_ d~!o7... . Plumber's License No. ...:r5.y~ Electrician's License No. OtherTradc's License No. .,~:?~f~', 1. Location of land on~tich proposed work will be done; ~C./ ~ . Flouse Nuntbcr Street. Hamlet ~ ~ ~ ~ • " " " County Tax plop No. 1000 Section ~ Block , , , , , , , , , , , , , , , Lot ..,/,"~d. , , , Subdivision , Filed plop No. . . Lot............. (Name) . . ' State existing use and occupancy of premises and intended use and occupancy of proposed construction: A. 15xisting use and occupancy.... c),iia ~ tsvi , , , , , . , ~B. Intended use and occupancy.....s%'? h!~ ' ~ I i . ~ • ~ • ~ I Alteration 3. Nature of work (check which applicable): New building Ad ~'cn,,.. Y• • • • • • • • • • • • • • • • ' Repair R~moJal . Demolition & P ~ Tennis Court•......~., e~iccessory Suilding..........Fer,ce //....Other Work:Ur!~°.~*:"~:.. 4. Estimated Cost.........~S.~t?7?~.!~............ Fee ...~.,,~J.~ ~~.cJ~w~/~......... (to b~,paid on Ciling this apglication1 5. If dwelling, nutnbcr of dwelling units Number oC dwelling units on each floor Ifgaragc,numbcrofcars J ' 6. If business, commercial or mixed~',occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, iC any: Front . , . , Rear Depth . . Hci~ltt Number of Stories . . Dimensions of same structure with alterations or additions: Front Rear . Depth } .Height Number oC Stories . 8. Dimensions of entire new constnuction: Front Rear ...............Depth , , . Height Number of Stories . 9. Size of lot: Front Rear Depth . . 10. Date of Purchase ................Name of Former Owner , , 11. Zone or use district in which pre'ises are situated . . 1?. Does proposed construction violate any zoning law, ordinance or regulation : 13. Will lot be regraded . .................1Vi11 excess fill be removed from premises: ,Yes , No . 14. Name of Owner of premises L.................Address. . ............Phone No................ . Name of Architect ...............Address ...................Phone No................ . Name of Contractor ~ .....Address ......Phone No..... . 1S.Is. this grogerty•loca[ed •within 3b0 feeC of a tidal wetland? *Y);5....NO.iY.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all bubdings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block }cumber or description according to deed, and show street names and indicate whether interior or corner lot. ~ ~I • STATE OF NE1V YORK, ! S.S COUNTY OF . ..1?dJ+~4. • • (Nam^e of i divrdual sig~t ~ ~ • • ' ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant hto contract) . about named. ~°'I He is tltc ...................~i?er;~.~...~4~?~oc 0~[............. . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dyly authorized to perform or have performed the said work and to make and fle this application; that atl statements contained in this application arc true to the best of his knowledge and belief; and that the work will be perl'orntcd in the manner set f rth in the application filed therewith. Swom to bcCorc r~ this I C~'/ Notary Public, .1:.......:~, County . ~ I//I ~ j~ THOMAS F.DONEPr/J yx-,4, _ _Y ; ;'E,~~~:'r:Y~............ Notary Public Stoto ui Nowr vor'F ($i$nature of applicant. No!4006559 Qualtflea In Sutf olk County Term kl{pirae t 2m re0--