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Home My WebLink About19908-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20735 Date MAY 18, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 160 LAKEVIEW AVENUE PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 68 Block 3 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 1990 pursuant to which Building Permit Nc. 19908-Z dated JUNE 3, 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH GARAGE IN CELLAR & ATTACHED DECK WITH PARTIAL SCREEN ENCLOSURE AS APPLIED FOR & AS PER ZBA #3968. The certificate is issued to IRENE MILLER (owner) of the aforesaid building. SUFFOLK COONTY DEPARTMENT OF HEALTH APPROVAL 89-SO-12-MAY 5 1992 UNDERWRITERS CERTIFICATE NO. N-225283 - FEBRUARY 20, 1992 PLUMBERS CERTIFICATION DATED JAN. 2, 1992 - MATTITIICK PLUMBING Fx HEAT. Yet Building Inspector Rev. 1/81 •OB~1L NO. 1 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° 19908 Z Dare 19..,1 Permission is hereby ranted to ~ , ,r~1~:..~...J..~.~?.. . ~ .to a°:f.°f..1~~ ~ TT//11 ,~~///)JO.~vd . x .....................................f~..~.:~-`.............:~.......... ,l ~ 'r1.~~,rtis~s!!~~.....~~...~~'o ..............yak.'.'.'~...,~.....................:............................. County Tox Map No. 1000 Section Block .......~r.~.........p. Lot No.....1.~............ pursuant to oppllcation dated ......~~.f ~ 19.6, and opproved by the Building Inspector. Fee 5...~~.~...~ ~ ...B.... Ing Inspector Rev. 6/30/80 Form No. 6 r z~-~ ~ TOWN OF SOUTHOLD 'f ~'(~GI~~tiGGtlGe,~ BUILDING DEPARTMENT Xi P~'g ~ MAY , ~ ~ TOWN HALL ~ 9, . ~°U-1 ~ 3Z APPLICATION FOR CERTII'ICATE OF OCCUPANCY ~.o,~_~~,.u_."" " A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ Date G: New Construction....V Old Or Pre-existing Building Location of Property....~~?CJ ................LA;IG~.!/j,~~,`.`~....~S~t.......~~UtDhJ/.~....... House No. Street Hamlet Onwer or Owners of Property.....=1'~F~~.. ~!.~~~a~~ County Tax Map No 1000, Section....G'.~.:.....Block...... ~........Lot.......~ Subdivision ....................................Filed Map............Lot...................... Permit No.. .Date Of Permit.. ..Applicant. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ X13 ~S f -~c~.-a~~c~-~~~ . Cc~ ~aO7~ ~ APPLICANT ~ ~ ~5~FF0(,~-~o ' ~ TEL. 7GS-1802 i ~ . ~ ~ ~ OFFICE OF IIUILDI2•IG INSPECTOR. ~~~JD b0~' SOUTHULD, N~ Y ] 19 j ~ ~ 71 i C E R T I F I C A T I O N i ' Date Building Permit No. / rj ~ ~ Z i i s( ~ ~ C=-! Owner Z'/ZEnI E 1rL1 i ~ ~~'L i; ' (please r s ~r~" P int) Plumber M Y H 1. a - ~ f1~, (please print) ~ s YfJt~as~' ~ t ~ ' i 2 certif ~ Y that the solder used in the water supply system contains less than 2/10 of 1; lead. ! _ r ~ (plumber' urej Sworn to beforn_ me this .J~O~_day of ~ ~ , Notar~i lj,o J f7otary Public, ~ c/J~~(~ County EOrtN F. JACKSON Nowt' ~07s8New York fJwiMd h Sulb9c County Term Expires Feb. 18, 1992 ~ ~~~THE NEW YORK``,BOARD~'.OF~°~FIRE UNDERWRITERS '2AGE 1.~~~ :'01071 ~ • - ~ BUREAU OF ELECTRICITY' ~ ~ - _ , '85 JOHN STF2EET,,NEW YORK, NEW, YORK'10038~~ Bate FEBRUARY,20,1992~~ ftppfiroiianNo.anfile''.74136591/91' N'225283 THIS CERTIFIES THAT ~ - ~ ~ - oniy the electrical equipment tra deacrihed helow and introduced by the opplicopt homed on the shove opplication numher in the premises of MILLER, SALT MARSH LANE,'PECONIC, N,Y. in thefollouingfncntion; Baaernent ®latwY. ? 2nd FL ~ GAR/ATTICIOUZ` •Sectkrn B(«'k Lot , was examined on FEBRUARY 14,1992 arrdfounj/coke?nconrplianreu•fththe,requirrmentaq(thislfoard. FIXTURE ~ FIXTURES " RANGES COOKMG DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT nVORESCENj OTHER pMT. K W. AMT. K. W. PMT. K. W, PMT. K. W. AM1. N P. 26 44 33 23 1 1:2 2 F DRYERS FURNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MUITI.OUTLET DIMMERS AM7. K. W. Oll H. P. GAa H P. AMT. NO. A, w, G. AMT. AMP. AMT. AMPa. ?KANS. pM,t, H P SYSTEMS AM7. WpTES i NO.OF FEET j 1 F .L..;i c9 1 30 r :1 ~ ~ SERVICE DISCONNECT ~ Nb.OF :x i, -r, ~ . n. , . ~ e•~..,- ~ . METER NO.OF CC. COND A W. G. A. W. G. A. W, G. AMr. AMP, TYPE EQUIP, 1•a'RW t,a'3W tg3W R,a"~W PFR .e OF CC. COND NO. OF HfIEG OF HI-LEG NO.OF NEUTRALS Of NEUfRAI I ' 1'. '200 CB~~'' 1 K ~ 1.' ~ ~~`2/@ 1~~ ~ 2/0 OTHER APPARATUS: G.F.C.L-7 SNOKE DETECTORI-1 ' I ~ , ~ ~ t, G!/l~~`9 ~~r~~- ~ G & S CONTRACTOR LIC.#578-E BOK 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Boord if incorrect. Inspectors may be identified by their credentials. _ I ril~i,?~~ II~+ " Y r; s . I ~ i iYC ~ - I FORM NO. 3 T04VN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N,Y. NOTICE OF DISAPPROVAL (Date 7~,~~,J 19 ~f-~. , PLEASE TAKEN,OTrI/CE that your application datepd , , , , ,~,/J, , , , „ 19j,_?. . for permit to~!C~GL:.. c9~'-.?... ~ p?`n;~. ~t-G%~'.-~<: tX~ at c Location of Property ~~~.a..~!!.. ..`~~`'~.*:`G?`~s'~.,~1'~l!,.U~./~~~....~>_Lr~lu~ House No. S der ~Haml~ County Tax Map No. 1000 Section ~ Block ......-~-'.......Lot lr? . Subdivision Filed Map No. , Lot No. . is returned herewith and disapproved on the following grounds . URZG~ . ,Qi~e~,~Q . , .~~~..../JD-.~,O, ~G~ . B ldi ~ Inspector µ RV 1/80 =1cLD i.;5:`ci.iiUN ~~DniE COP4MGNT° -o m ~ - H FOUtJDATION ( 1st ) ~\`"i(V\ c m FOUNDATIOIJ (2nd) _ - 2 . 7 . o • O P.OUGH FRAME & PLUMBING viL-L^ f3"~L- H 3 . Pr`' .rte / ~ H IIJSULATIOt1 PER N. Y. STATE ENERGY ~ CODE x 4 . ~ ~f..ev y FI;JAL «i``-~ - ~ ~ ~ z ADD IONAL COMMENTS: ~ _Ll ~ ~ . ~1~~~ ' ro x•~ 1-i 77 y H \ N O Z i x H 1V • - Z Lr C7 " ^t m \Y y T . o 16` ~ 9 ~ x ~ _ ' ~ ~ ' ~~-7 ~ _ ' I~r~l y=3 ~ SCOTT L. HARRIS APPEALS BOARD MEMBERS ~ y _ _ r~', { ) ) ~ ~ Supervisor Gerard P. Gcehringer, Chairman ~ { I g, - ~ 1~~y~~ Chazles Grigonis, Jr. ~ ~ ~Rir 2 7 in ».~U 'ia n Hall, 53095 Main Road Serge Doyen, Ir. t ~ ; P.O. Box 1179 Joseph H. Sawicki ~ &3LUf Ct==~~ "`"'°''`''S uthold, New York 11971 lames Dinizio, Jr. BOARD OF APE t5F SC7UYHOL~7 ~ Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 ACTION OF THE BOARD OF APPEALS Upon Application of IRENE R. MILLER. Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.3 and Article IIIA, Section 100-239.4A for permission to locate proposed dwelling structure with a setback of less than 100 feet from the top of the highest point (top of bluff} on this 42,930 sq. ft. parcel. The parcel in question is nonconforming as to lot width (frontage) of less than the required 150 feet in this R-40 Zone District. Location of Property: Lake View Avenue (127+- feet southwest of Huntington Boulevard, a private road}, Southold, NY; County Tax Map Parcel No. 1000-68-3-10. WHEREAS, a public hearing was held on November 1, 1990, and all those who desired to be heard were heard and their testimony recorded; WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. This is an application for a Variance under Article XXIII, Section 100-239.4A for permission to place a new dwelling structure (not to exceed 30 ft. by 60 ft. wide}, including decks and overhangs, with a setback of approximately five feet from the highest contour of the property referred to as the "top of bluff" and as more particularly shown on the survey prepared by Peconic Surveyors, P.C. July 24, 1990. 2. The premises in question is identified on the Suffolk County Tax Maps as District 1000, Section 68, Block 3, Lot 10, has 94.19 ft. width at the proposed building line, and contains a total lot area of 42,930 sq. ft. 3. For the record it is noted that the property slopes considerably downward from the top of the bluff to "Lakeview Avenue" with variations in the contours from 45 feet to 26 feet. On the beach side and main land sides of the bluff, the property is heavily vegetated. II ! i Page 2 - Appl. ~ I X9,6 Matter of IRENE ~LER Decision Rendered ~IOVember 15, 1990 The dwelling structure is proposed 138+- feet from the N.Y.S. D.E.C. wetlands (75 ft.) setback line near "Lakeview Avenue," all of wh'~ich are located just north of Autumn Lake. It is also noted than,construction has been restricted in areas closer toward Lakeview Avenue for sanitary and building construction as a result of the closeness of Autumn Lake. 4. Article XXII2, Section 100-239.4A of the Zoning Code requires all buildings and structures located on lots upon which there exists a bluff or bank landward of the shore or beach of shall be set back knot less than one hundred (100) feet from the top of such bluff 'or bank. 5. The dwelling on the adjoining easterly parcel is set back approximately five feet from its closest point to the "top" of the bluff, and the dwelling adjoining to the west is set back approximately 13 Beet to the "top" of the bluff. Each dwelling is set back more than 150 feet from the tie line along mean highwater of the L',.I. Sound. 6. It is the' position of this Board that in considering this application: (a) the' relief, as alternatively noted below, is not substantial and is the minimum necessary; fb) the, grant of alternative relief will not alter the essential character of the neighborhood; (c) the' difficulties are uniquely related to the property and are dot personal in nature; (d) the variance, as alternatively noted below, will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (e) in !view of all the above, the interests of justice will be served by !granting relief, as conditionally noted below. Accordingly, !on motion by Mr. Goehringer, seconded by Mr. Dinizio, it was RESOLVED, to~,DENY the relief as requested under Appeal No. 3968; and it was further I RESOLVED, toGRANT alternative relief in the Matter of IRENE I I i i Page 3 - Appl. No. 3968 Matter of IRENE MILLER Decision Rendered November 15, 1990 MILLER for placement of a new dwelling structure SUBJECT TO the following CONDITIONS: 1. That the entire building construction (including deck and overhangs) be set back not closer than 13 feet from the top of the bluff at its closest point; 2. That the dwelling construction comply with all other setback regulations, including side yards at a minimum of 20 and 15 feet, for total side yards at not less than 35 feet (as per 100-244B of the Zoning Code}; 3. That prior to commencing construction activities and during all phases, hay bales be placed at 10 feet from the top of the bluff and 40 feet from the proposed house location to the south (road side), for a full length of at least 60 feet; (and there be no disturbance of land outside this construction area.) Vote of the Board: Ayes: Messrs. Goehringer,-9s~and Doyen. (Member Sawicki and Member Grigonis were absent.} This resolution was duly adopted. ~ ~ lk / ~-~~~~ii~ <=O~t vl/L-~ GERARD P. GOEHRINGER,~C/$AIRMAN sty This agreement entered into the / ~ day of November, 1990 between Irene R. Miller (hereinafter Miller), Lakeview Drive, Peconic, NY and Heskel M. Haddad (hereinafter Haddad), Lakeview Drive, Peconic, NY. WITNESSETH In consideration of One (1.00) Dollar paid by each party to the other, receipt of which is hereby acknowledged, and the mutual covenants and promises set forth herein: 1. Miller hereby agrees that acce~s to her property located on Lakeview Drive shall be made from the westerly ~`of the property, where said property fronts on Lakeview Drive. Any such access shall not disturb the existing landscaping bordering the driveway which provides access to the Haddad residence. ' 2. During the course of construction of the proposed Miller residence, Haddad will allow the Miller's builder to use the electrical service of the Haddad residence to facilitate construction of the Miller residence. '3. This agreement shall be binding upon the heirs, successors and assigns of the parties and cannot be amended except in writing and signed by all parties. Executed as of the day and date set forth above. ~c a~~ R~~~,\VE-~ Irene R. Miller ~QV ~ ~yy0 ~E'F+~Z~~Rp,1.D Heskel M. Haddad 1. Dr. Haddad is to be notified at least one month in advance so that he can arrange for the builder to get the electrical line. 2. Except for the line across Dr. Haddad's property, there will be no invasion of Dr. Haddad's property with the construction. 3• The tree barrier between the two properties, including the trees on the side of Mrs. Miller's property, should be preserved intact to maintain the privacy for both sides. 4. Use of the electrical outlet from Dr. Haddad's house does not mean the use of power, therefore any charges from Lilco for the electricity used should be charged to Mrs. Miller or the builder. Vie; or~c Mate t~epartment ®V ~ravironmenYai Conservation " ` ' _ egion 1 Headquarters SUNY, Building 40, Stony Brook, NY 11794 ~ ~ (515) 751-7900 r AMENDMENT TO PERMIT Thomas C. Jorling Commissioner Former Ms Irene R. Miller Permit #,~(if any): none 38-09 211 Street Wayside, New York 11361 October 11, 1990 Owner: above RE: Permit No. & Location: 1 0-R9-f1~SR et i l~ rakay;r~~a n.,Arnra, Gnutholcl (.7~i 4CZM. ~t]00-E8=0?~.0 ~,t:, ,-r^-~,.,r Dear ~~c!`~Q# ji N1s ~ Miller, nt request to extend the above pc'rm;t iewed pursuant to 6NY ~ < ~•*AnAad to a }CLYYX Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: relocate proposed home as per NYSDEC approved plan - attatched (plan by Joseph A Ingegno, last revision 8/29/90) This letter is an amendment to the original permit and as such, shall be posted at the job site. All other terms and conditions remain as written in the original permit. Very truly yours, Deputy Regional ~rmit Administrator cc: 1 °m a m a ~ ~ ~ C a-' ~ d u' ~ O ~J~ ~ ~ ~ cn O ~ ~ .E ~ .C ClS O ~ ~ ~ ~ C "a ~ Q ~ W~ p 0 Q E i. ~ ~ ~ C ~ Q~ N d O Q ~ .o ~ ~ c;~: ~ ~ cTf ,p Y O o~ . > ~ V.., p ~ L ~ it. Q • O C~ O p Z O O C ~ W ~ ^ ~ p N ~ W c~ C ~ w Z O V O p ~ i-- O ~ ~ ~ z _ ~ O c~ ~ ~ O v C ~ ~ U _ O C ~ i ~ ~ _ i U ~ cLS O ~ ccs i Q ~~y-•- ~ N _o-a~cc m ~ ~ ~ ~E~,c~~~Ea ~ o ~ a~ ~ i- ~~Q cn z o a m ~ ~ •Q N Q W W TRUSTEES w~i r~s~ ,w, i~ SCOTT L. HARRIS John M. Bredemeyer, III, President ~ ~ °~t~ Supervisor Henry P. Smith, Vice President "d'°?~ J v3j 1 Albert J. Krupski, Jr. Town Hall, 53095 Main Road 4'a,~~X1%" P.O. Box 1179 John L. Bednoski, Jr. Southold, New York 11971 John B. Tuthill BQARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-(800 August 13, 1990 RECF,JVED James Fitzgerald, Jr. - Proper-T Services ~(JG i ~ jyyp P.o: Box 617 J.E F17'z ~~D Cutchogue, NY 11935 CER RE: Irene R. Miller, SCTM #1000-68-3-10 Dear Mr. Fitzgerald: In response to your correspondence of August 7, 1990, the above mentioned property is not in the Trustees jurisdiction as they do not have jurisdiction on the Sound. Thank you for your courtesy and if you shall have any further questions, do not hesitate to contact this office. Si erely, John M. Bredemeyer, III President, Board of Trustees JMB:jmt FRANK A. KUJAWSKI, ,1R., President ( O TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President th ~+s<n ~j j~ (516) 765-1892 JOHN M. BREDEMEYER, III JOHN L. BEDNOSKi, JR. =i~a/f~ HENRY P. SMITH BOARD OF TOWN TRUSTEIJS TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 February 24, 1989 Mr. Eugene A. Csicsak P.O.~ Box 429 Mattituck, New York 11952 Re: Inspection request by Eugene Csicsak at property located at Lake View Avenue, Peconic, N.Y., Tax Map Number 1000-68-03-10. Dear Mr. Csicsak, Please be advised that the Board of Trustees inspected the above referenced property and it was determined that the project proposed is out of our jurisdiction. This determination is only a determination rendered by this Board. Any other approvals that may be applicable are required prior to the commencement of the project. Thank you for your courtesy and cooperation in this matter. Very truly yours, Frank A. Ku awski Jr. v 7 President Board of Town Trustees FAK:jmr cc: Bldg. Dept. Board of Appeals D.E.C., Stony Brook S.C. Dept. of Health Services , b ` e _l ~ ~ ~ k a= _ APPEALS BOARD MEMBERS ? ~p~ ~ e ' ~ ri SCOTT L. HARRIS ~s"?~>_ s~'wi Supervisor Gerard P. Goehringer, Chairman ~``_~,,/~7 Chazles Grigonis, Jr. ~~r .qp~ - ,y j Town Hall, 53095 Main Road Serge Doyen, Jr. 'y~~G1=mow P.O. Box 1179 Joseph H. Sawicki Southold, New York 11971 James Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 November 20, 1990 RF~~.ILr^o ~Oy Mr. dames E. Fitzgerald, Jr. ?,~c 201,99 CuOtchogue,lNY1C11935 FiTZG~RAlo Re: Aggl. No. 3968 - Irene Miller - Variance Dear Mr. Fitzgerald: Transmitted for your records is a copy of the determination rendered by the Board of Appeals at our November 15, 1990 Special Meeting concerning the above application. Please be sure to return to the Building Department and any other agency which may have jurisdiction for appropriate permits prior to commencing construction activities (and placing hay bales as noted in the Board's decisionj. A copy of this decision has simultaneously been transmitted to the Building Inspectors' Office for their files and update. Yours very truly, GERARD P. GOEHRINGER CE_ S!" RMAN , , ~ Linda I~Cowalski~~ Enclosure Copy of Decision to: Mr. Victor Lessard, Principal Inspector Mr. Thomas Fisher, Building Inspector • ~~ew York State Department of Environmental Conservation Budding 40-SONY, Stony Brook, New York ~ 11790-2356 x(516) 751-7900 Thomas C. Jotting Commissioner January 17, 1990 Ms. Irene R. Miller RECEIVED 38-09 211 Street Bayside, PJew York 11361 ~t~N ~ 1,10 J.E. FITZGERALD Re: 10-89-0258 Dear Ms. Miller: 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, Susan V. Ackerman ,~~a,at" Senior Environmental Analyst SVA:mw Enclosure - ; l SUPPLEMENTARY SPECIAL CONDITIONS ~ . The following conditions apply to all permits: A. If any of the permit conditions are unclear the permittee shall con= tact the Division of Regulatory Affairs at the address and telephone noted below. B. A copy of this permit or approval and supplementary conditions shall be available at the project site whenever authorized work is in progress. C. The permit sign enclosed with the permit or a copy of letter of approval shall be protected from the weather and posted in a con- spicuous location at the work site until completion of authorized work. D. At least 48 hours prior to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and understands all provisions and conditions of this permit. Within one week of completion of the permitted work, the bottom portion of that form shall also be com- pleted and returned. E. For projects involving activities to be accomplished over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to the commencement of resumption of work each year. F. If project design modifications take place after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modi- fications. The permittee is advised that substantial modification may require submission of a new application for permit. G. All necessary precautions shall be taken to preclude contamination of any wetlands or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project work. H. 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. I. The permittee is advised to obtain any permits or approvals that may be required from the U.S. Department of Army Corps of Engineers, NY District, 26 Federal Plaza, New York, NY 10278, (Attention: Regulatory FUnCt1OnS__~IanCh) Orinr to nnmmanraman4- of o,nr4 =++t-Y+c+.-: 1+...-~.. 9s-zo6a nla6t-zse Freshwater Wetlands ADDITIONAL GENERAL CONDITIONS FOR ARTICLES TS (Title 5), 24, 25, 34, 36 and 6 NYCRR Part 608 ( j T0. 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 structure or work herein authorized, or project. if, in the opinion of the Department of Environmental Conservation tq Any material dredged in the prosecution of the work herein permiteed 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 State, the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused TS There shall be no unreasonable interference with navigation by the work thereby without expense to the State, and if, upon the expiration or herein authorized. revocation of this permit, the structure, fill, excavation, or other 16. If upon the expiration or revocation of this permit, the protect hereby modification of the watercourse hereby authorized shall not be com- authorized has not been completed, the applicant shall, without expense pleted, the owners, Shall, without expense to the State, and to such to the State, and to such extent and in such time and manner as the extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require, remove al I or Conservation may require, remove all or any portion of the uncompleted any portion of the uncompleted structure or fill and restore the site structure or fill and restore to its former condition the navigable to its former condition. No claim shall be made against the State of and flood capacity of the watercourse. No claim shall be made against New York on account of any such removal or alteration. the State of New York on account of any such removal or alteration. 17 If granted under Article 36, this permit does not signify in any way T1 That the State of New York shall in no case be liable for any damage that the project will be free from flooding. or injury to the structure or work herein authorized which may be caused Tg, If granted under 6 NYCRR Part 608, the NYS Department of Environ- by or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not conservation or improvement of navigation, or for ocher purposes, and contravene effluent limitations or other limitations or standards under no claim or right to compensation shall accrue from any such damage. Sections 30T, 302, 303, 306 and 307 of the Clean Water Act of 1977 12 Granting of this permit does not relieve the applicant of the responsi- (PL 95-2T7) provided that all of the conditions listed herein are met. bility of obtaining any other permission, consent or approval from 19 All activities authorized by this permit must be in strict conformance the U.S. Army Corps of Engineers, U.S. Coast Guard, Ndw York State with the.approved plans submitted by the applicant or his agent as part Office of General Services or local government which may be required. of the permit application. 13. All necessary precautions shall be taken to preclude contamination Jose of any wetland or waterway by suspended solids, sediments, fuels, Such approved plans were prepared by p1T Inge QnO solvents, lubricants, epoxy coatings, paints, concrete, leachate or any on ~1 9/f3~. , SPECIAL CONDITIONS 1. Any future construction of structures seaward of the crest of the bluff will require a tidal wetlands permit from this Department. 2. A 75-foot buffer of undisturbed natural vegetation shall be maintained around the wetland, except where driveway crosses buffer area. 3. Hay bales Shall be staked end to end on the downslope edge of any areas of filling, grading or excavation. They shall be maintained in place until all disturbed areas are permanently vegetated. Trapped sediments shall be removed to a suitable upland site before the bales themselves are removed. 4. Disturbance to the wetland and its adjacent area shall be strictly limited to the work area identified in the approved plan. 5. During construction, no wet or fresh concrete or leachate shall be allowed to escape into the wetland or its buffer zone nor shall washings from redi-mix trucks, mixers or other devices be allowed to enter the protected area. 6. The permittee shall allow access to Department personnel at all reasonable times during normal business hours on normal business days, and after reasonable notification to the permittee and proper identification as Department employees, for the purpose of conducting inspections or investigations in the regular course of their duties pursuant to the Environmental Conservation Law, notwithstanding signs or other notices purporting to limit access to the property. Supplementary Special Conditions (A) through (J) attached. DEC PERMIT NUMBER PROGRAM/FACILITY NUMBER Page ~ of 3 v5~'O61`bHh)-?Ss NEN' 10RK STAIE OF PARTME NI U( INbIRONMEN TAI CONSCRVATI(?N UfC PL Kn«T NUhtf4tR ® Frl ks iiVC DATE . 10-89-0258 . 1/17/90 I Al it I I)IPKU(,R A.M ~N Uh1R( HI+I PERMIT f VI'IH-' 11t IN ILi i E;+. Under the Environmental Conservation Law 1/31/93 Artlcle 15, Title 3; 6NYCRR 327, ~ 6NYCRR 608 ~ Artlcle 25: 328, 329: Aquatic Pesticides rr~~ Water Ouahty Certification Tltlal Wetlands Proltelctlon ofltWa[er u SPDESI7, Titles 7, 8: ~ S lid Waste IMa a~geme iRR 360: r~ Article 15, Title 15: ~ Article 19: ~ Article 27, Title 9; 6NYCRR 373: u Water Supply Air Pollution Control` Hazardous Waste Management i Article 15, Title 15: ~ Article 23, Title 27: ~ Article 34: ~_J Water Transport Mined Land Reclamation Coastal Erosion Management Long elslandTlWellsS ~ Frelshwat r Wetlands ~ Floodplan Management Article 15, Title 27: N-New, R-Renewal, M-Modification, ~ Artcles 1, 3, 17, 19, 27, 37; Wild, Scenic and Recreational C-Construct ('only), 0-Operate ('only) 6NYCRR 380: Radiation Control Revers PEwMn rest,LO to _ Ms_ Irerle.R. Mi11Pr nl R)RI Ss i it I'k H,btl i I 1 t i_ 3f;-nA 211 _ _ _ A(,1NI ItIH YL H.Mlf I11'CONIACI PL KSON Tf LEPI10N7 NUMRLR Ii1 ' i ^~AMk1 !vU ADDRESS UE PROIECTjfACILITV (If drfteren[ from permittee) i H B LOLAIION UE PKOIEx gEACILITV CUUNTY TOWN/CITYSVIL LADE UTM COORDINATES ! Suffolk Southold I DE SI HIPf I(JN OF AVIHUKILED A~IIVIIy ~ Construction of sin le famil home well and se tics stem as er NYSDEC a oved ions attached. GENERAL CONDITIONS BY acceptance of this permit the permittee agrees that the permit is contingent upon strict compli- ance with the EC L, all applicable regulations and the conditions specibed herein or attached hereto. 1 Ihr luanvu rr .boll lily in Ihr ul hr r n1 Ihr nppmpn.ilr mginnal prrmrt odmnsi+l r.uor, or other ofbu• deHgna(rA in the .pre ial r'ondmom, n nohr r of m«•nbon to cnmmenre work n1 IraN aH boon m nJv.vu c ui Ihr time of commememenl and shall aAo polity hnnlher pnunptly m wnbng o1 the i ompletion of Ihr work the prnnitnd work shall he +ubµ¢t to my+euion by an authorised reprr+rntatrvr of Ihr Drpa« meat of Enviromnvn4d l'onst•rvelion which mey order the work suspended it the pubhr mterert so reguues pwsu ant to kCt §]t-03UT and SAPA §i01(3) 1 Ihr Vvnninre h.u m i rPlyd rxpn•asly bV the eu•tubun m the nppluabon, the lull Iegnl n•gxinsibJity for all dimagrs, diu•i 1 ur mdura, of who«•ver nature, and by whomever sufrertd, uumg out of the protect described heron and has agreed to indemnify and save harmless the State from scats, actiom, damages and costs of every name and descnp~ tion resullinR from the Bald protect d The Ucpnrtmrnl n•srrvrs Ihr right sn mndis Y, suNV•nd or invoke Ihn prrmrt .rt any time after due noUre, and, it n•qurerd hold .i hranng when al Iha scope os the proieu n exceeded or a iolauon of any condition os the permn or provisions of the kCL and pertinent rrgulaboro err sound, of b) the permit was obtained by misrepresentation or failure to disclose relevent facts, or ' c) newly discovered information or sigmh<ant physical changes are discovered since the permn was issued 5 The permittee is responsble for keeping the permn active by submitting a renewal application, including any forms, fees or supplemental miormation which may be regwred by the Department, no Iatnr than TU days (180 days for SPDE$ or Solid or Hazarduous Waste Management permits) poor to the expiration date n 7 his prnnil .hall nut he comtrued as mnveyrng m the aPPbcant anY right to tn•+pn++ upon the (ands or mtrderr wnh the npanan righn of olhen in order In prrinrm Ihr ' permmed work or as authorizing the impartment of any rights, title or interest in real or personal property held or vested m a person not a party [o the permn The permittee a responsible for obtaining anv other permits, approvals, lands, easements and rights-oi~way wh¢h may be regwred for this protect H Issuance of this permn by the Department does not, unless expressly provided ior, modrfy, supersede or rescind an order on consent or determination by the Commissioner usued heretofore by the Department or any os the terms, conditions, or requuements coots fined msuch order or determination 9 Any modni[ation of this permn gra ed by he D partrpent m st be in canting and attached hereto. I PERMIr ISSUANCE DATE PERMIT DMINI TRATOR ADDRESS ' 1/17/90 hristine Costopoulos AUTHON11E0 SIGN 47URE •i _ ~ ~tiW) lJ~v~_ ~(?V`.~ Page 1 of ~ 765-1802 BUILDING DEPT. lNSPECTIQN [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: i f r DATE INSPECTOR ~i z ~~r~~ 765-1802 BUILDING DEPT. INSPECTION [ ] F NDATION 1ST [ ~ ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: r 11 DATE a' INSPECTO 1~La~' 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL R MARKS: ~/L.9iQ ~ ~ J`S .~-v ~ ~K ~ DATE ~ L/ INSPECTOR _ l 765.1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ J FOUNDATION ZND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: r 3 - _ E DATE r2- S ~ INSPECTOR ?65.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING FhN~A/L REMARKS: ~ ~~~~-a~d~%c~ 1~ ~ DATE ® d'~ ~ INSPECTOR 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ NSULATION [)FRAMING [ ]FINAL REMARKS: ~ -c- o~~~ ~ ~rJ `ir~. - i i s DATE ~ ~ INSPECTOR 1 ~~o~ 7'65.1802 BUILDING DEPT. INSPECTION [ )FOUNDATION i5T [ OUCH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ~MiNG [ ]FINAL REM RKS: C 4 - f DATE INSPECTOR v~ BOARD OF HEALTH i 3 SETS OF PLANS FORM N0. 1 SURVEY . TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC FORM • TOWN HALL 2 ~g~ SOUTEOLD65-18021971 NOCALL . / MAIL T0: Examined 19~P. / ' . Approved . ~~1 19 Permit No. 9.~. ~y// ~ s~ Disapproved a/c ?J , .5?~~~~~ ~ 9 ~9~ JUL uildi n ector APPLIC TION FOR BUILDING PERMIT Date JuIS'..1.9....> 1999. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 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 ~on, as herein described. The applicant agrees to comply with all applicable laws, ordinance wild' code, h s' ,end-regul o 's and to admit authorized inspectors on premises and in building for necessary msp s. ~ ,71G PROPER-T SERVICEr~ (S~>n ture of applicant, or' me, if a~ orp aeon) Jame: E. Pihtgsrold, Jr. P.Q. Box 617, Cutchogue, NY 11935 . • Phone: (S16) 734.5800 (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Agent Name of owner of premises .,Irene R. Miller (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . f~l~ ~ ~ 1. Location of land on which proposed work will be done. ....~~J:-lof ~o/~. , . y~Nt-rY-n . • ~nr.-!~ No Number . • , , bake , View, Avenue, ,(,pri.ya,t@ ,road) , , , . , , Peconic• , , , , • , , , , House Number Street Hamlet County Tax Map No. I OOG Section 68• • • • • • • • • • • Block Lot 10, , , , , , , , • , • . Subdivision Filed Map No. Lot............... (Name) 2. Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: t.4. ~ a. Existing use and occupancy Urfd~yeloped • • • „ • • • • • • • b. Intended use and occupancy .....Rx'ivate . res•idenae ;~~~w„•,4a'l . • • • • • • • • • • • • • • • ' ' ' ' • ' ,~r h.. n a n y,aroa"t 3. Repui of work check whiRem ~hcable): New Building . X. , Addition Alteration . ( P val . Demolition Other 1Vork . a (Description) 4. Estimated Cost ~.~.5.x000 Fee ..~iw`~. Ti.~jC}C........................ (to be paid on filing this application) 5. If dwelling, number of dwelling units . ,One . • , ; ~ , , Number of dwelling units on each floor . If garage, number of cars ~`K4. AF .~.@SS..... t ' . 6. If business, comtne{~,' or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of ek'i~tih~ y ,ettije~; if any: Front ~ , , Rear Depth . Height IV~umlber of Stories . Dimensions of•sa , e structure with alterations or additions: Front Rear , . Depth Height ..~o i......... , . Number~8>; Stories .~Or....... . ' 8. Dimensions of entire new construction: Front .Rear ........Depth . Height .3.5! . Px .~.eSs Number of Stories . ~or 'less 9. Size of lot: Front ~ 15 ~ Rear 94' 1 g e thh 422' yar 10. Date of Purchase ....9~2~.~~6 • • . • Name of Former Owner ,~u~i11:e Aririe Matthew: ; 11. Zone or use district in which premises are situated....~'.4,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,• 12. Does proposed construction violate any zoning law, ordinance or regulation Yes . . . 13. Will lot be regraded Y?S ...................Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . zx~ri~, Miller, Address ,See below , , , ,phone No . Name of Architect .......Address ...................Phone No. . Name of Contractor . Eugene.',.Csicsak . • • , , ,Address . , , .Phone No.. . . . . IS.Is this property located within 100 feet of a tidal wetland? *YES.$..NO.... *If yes, Southold Towne Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all (buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. I Irene R. Miller Eugene Csicsak 38-09 211th Street P.0. Box 429 Bayside, IVY 11361 ~ Mattituck', NY 11952 See attached survey Construction detail, Health Department app~'oval,,,DEC non-jurisdiction, and Trustee waiver will be submitted afte>^.;uariance is received from ZBA. i - I ~ . i !i I STATE OF NEW OR $.S r-•- COUNTY OF _ _ v,~Q~ • • • • • • • I t• I•~ ~ being duly sworn, deposes and says that he is the applicant (Name of i~nd^ivid.l_ ssi~g7ni~l• ~`I%'X/~~ g contract) above named. He is the ....../~°(/li~......j / (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 knowledge and belief; and that the work will be performed in the manner,set fortJt in the application filed therewith. Sworn to before me this ..........1~~~ .....day of .............19~C7 Notary public, . i:<~. ' , , , • , , , , , County `~AOY Pub90. 8WU of Nww Yank 119M!1t No. 4898}36 ~ 8u9o1kCoa^d (Signature of applicant) ExphN 1Ay Q9, 19x! 1 ~ 0 \O\~ \ \ DO ~ \ ice. r~- a\U P ~ 20 ~ v 'r ~ ~ ~ ~ \ \ ~ . s0~ ti • \ J. 3B~ ~ O oo~e 00.E ~ n T \ • \ O~ Ni ~ ~ 26 S .1 o is 4p ~ ~ / m ~ ; a ' . °a ~ ~ ~~=o. 2 y? ~e+\ r4 ~ , • rti ~ - 3S 0~ ~ ~ ~ ~ ~ 3m ~ V ~ 5 O. `~6 ~ 75 \m \\,JO me xo~\, o^> `?B. ,a,~, vy 0 °$0 O• '~~i4a~ O r yin + 'HNE•~Y "'~t~i ~ 2 c ~ ~ ?°m ~~d~ G~ ~ aid r R pQ po~~ 1~do oy~ o~ "9L/~ 9A r~0 9O O n 0 ~4