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19848-z
FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20763 Date JUNE 1, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 960 WILLIS CREEK DRIVE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 10 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 7, 1991 pursuant to which Building Permit No. 19848-Z dated MAY 10, 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 ATTACHED DECKS ~ GARAGE IN BARRMRFPP AS APPLIED FOR. The certificate is issued to PANAGLOTTS J. & PATRICZA GAZOUT,FAR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-13-SAN. 10, 1992 UNDERWRITERS CERTIFICATE N0. N-232833 - APRIL ZI, 1992 PLUMBERS CERTIFICATION DATED APRIL 28, 1992 - BERTSAND PLUMB.&HEATING Bui ding Inspector Rev. 1/81 r ~ 108aS NO, 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° 1 9 8 4 8 Z Date 19.x.` Permission is Nereby granted o: ~f~ i{`t`" ~ / ~ to ~ , c~ - at premises located of ....'Y...•T•vr•~ County Tax Map No. 1000 Section Block ...1~............,Lot No........f pursuant to application dated ........~f..~ 19. and approved by the Building Inspector. /l ~4 I Fee S••~aT. ~Iding I for Rev.6/30/80 ~'/~,(~1 _~uj~f~h'Lflr9 Form No. 6 , .~.~~,`%_1 ~ _ i r , aP-~. ~'I~ TowN or sooTUOLD MAY 2 7 l~~~ ; BUILDING DEPARTMENT TOIJN BALL - _ 765-1802 6 APPLICATION POR CERTIFICATE OP OCCUPANCY 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.~P".. ~/d:~............ New Construction......... Old Or Pre-existing Building....... Location of Property .........................~:.~.4~s„ ' ' .~.22:4~.~ .,~~.......I~d9.T,T.:.%~.GIG.. House No.' Street Hamlet , Onwer or Owners of Property. P/~i1/;9 ~Q„'f S,,,,(D„q,~dHy~„y~ County Tax M,,a//p No 1000, Section.,,IO'3,:..,,,Block..~,~ ,,,,,,,,,,,Lot... Ql , Subdivision!!.'9,~!jost,dr,f „y. H,T>-~k GY Sl'L~.Filed Map............Lot...,~:5........... Permit No. 1.l g.......Date OC Permit ................Applicant............................. I[calth Dept. Approval S°.~ 3,,,,,,,,,,,,,,,,Uiiderwritcrs Approval......................... Planning Board Approval Request for: Temporary Certificate........... final Certicate.JZ vv i'ee Submitted: $,c?,-, 0.~ ,~~~~1 tee. ~ ~as~..r ~ _ ~ a~7~ APPLICANT O 0~0 ~a ~ SCOTT L. HARRIS TRUSTEES z John M. Bredemeyer, Ill, President ~,1, .cam Supervisor Henry P. Smith, Vice President .A`~~ Albert J. Krupski, Jr. Town Hall, 53095 Main Road John L. Bednoski, Jr. P.O. Box I (79 John B. Tuthill Southold, New York i 1971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 February 15, 1991 Tanya Lachenmeyer 2576 Sound Avenue Baiting Hollow, NY 11933 Re: Panagiotis Gazouleas llear Ms. Lachenmeyer: The following action was taken by the Board of Town Trustees during its regular meeting held on Thursday, February 14, 1991 regarding the above matter: ' WHEREAS, IN BEHALF OF applied to the Southold Town Trustees for a • permit under the provisions'"of the Wetland'Ordinance of the Town of Southold, application dated December 11, 1990 and, - 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 February 14, 1991 at which time all interested persons were given an opportunity to be heard, and, - WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will ' not affect the health, safety and general welfare of the people of the town, ~~TOW, THEREFORE BE IT RESOLVED THAT LAND USE COMPANX ON BEHALF OF PANAGIOTIS GAZOULEAS BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: construct a single family dwelling, attached decking and associated sanitary system a minimum of 75' from the landward limits of TWL. House construction will require approximately 300 c.y. of clean fill to meet flood plain regulations and SCDHS requirements. This 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. Please return to the Building Aepartment for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: No fees are due Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jt cc: Bldg. Dept. Conservation Advisory Council file b z ~ ~ s ® a ® z PN ~ ~ ~ ~ ® m W ~ t- Z ~ ~ ~ c~ H ~aP~ _ yi l /i/n.~ ~ rg.;a'..r'/(~. ~ l v' isy/G. u /\\tA~ /p~ u ~s I ify.. y ~ w / D~ `(l;n. ~ ~ qr, W~ 'vW`3G/6 y 4~rdzx ~ ® ~`v D~, I~~ x ~ ~~v~'' Y / / s - /li ..n•'~$'ryi!'y^7~i~"iS~+`P~s~ l`4i °aF~.. r1 i'r 8rv a~'n'.,~""'i' e~"x,""~r y'nSs~y v'>'r,',~,.'..Y"yn~6">~°~ e~ Y. 'fl^~y~a" r ~n - - I ~ Board Of Southold Town Trustees 'k~ - - e{~ SOUTHOLD, NEW YORK b{ ' ~c~i• ~ ; i~i, ~j~ .v~ PERMIT NO. 38.9.0. DATE:.F.ebruar 15> 19~ Y A a, I • ~ ISSUED TO k'ax~ tas azau eas ,F~ . ail I~: ; aLt~~.~~tZ ~t~tD~t Ai , h Irt ' 1~ Pursuant to the provisions of Chapter 615 of the Laws of ban i ' ~ the State of New York, 1893; and Chapter 404 of the Laws of the ~ < ' ~ State of New York 1952; and the Southold Town Ordinance en- II'z 1 'y''"'; ti+led "REGULATING AND THE PLACING OF OBSTRUCTIONS ~ . ' ~ ;L~j REMOVALOOFTSOAND, GRAVEL OR OTHERIMA ERIALS FROM Fps ~ r z~' LANDS UNDER TOWN WATERS;" and in accordance with the ~ t y Resolution of The Board adopted at a meeting held on February, 14 ~ .1. II Fry \ / ~ ;l / T 1 ~ , :;ll 19. 91, and in consideration of the sum of $ 150,.00 .paid by i4; ~ ~ ."'I Land..Use..Go.. on bel1alf of, Pena,giotis Gazouleas I; ~ , N. Y. and subject to the ~s'•'e' a~ t~ Terms and Conditions listed on the reverse side hereof, ~~r. y/ , _,i of Southold Town Trustees authorizes and permits the following: o- r~ Cf~l To construct a single family dwelling, attached decking & i~ ti "ll associated sanitary system a minimum of 75~ from the land- jpt ward limits of TWL. House construction will require approx. ~ ` 300 c,y, of clean fill to meet flood plain regulations and 5CD , may` ~h' , `'1 all in accordance with the detailed specifications as presented in ~ , - ~ ` the on inatin application. !P~ ' .y <i requir~ment~s. ~ ~ \ c a? IN WITNESS WHEREOF, The said Board of Trustees here- ' I 1~4 \z i , 1; by causes its Corporate Seal to be affixed, and these presents to ~~e i ~F ~al 6e subscribed by a majority of the 'd Board as of this date. j~w~ x i' o, ~ ' ~,I ~5~'FFO(/~ ~k Qom, ~~G ~ i,b Y ~ ail Z ~ ia" r a 1> ~ ` v3w'C i 4.,.u, .f.LK ~'rd.~.c''.w ez"..w?`wi-..sLL 'vs~ 'w?~ix xyi,~n r~. ~wY c. ~u,d"'w•Z"'o~s L° y)?\ ~'I ~ Ili / / /h~ t~ ~~~/jjj~ / ~ v aBY.u.. / A~, ,tea E ~ ~ A y/ W ,typo. ~ A,, a ,yrma, p ra ~L-- ~ . - I •amES uFe7gb of amTTe; uodn a>(onax of i~algns aq SEm yacgm i?ucxad sTgi of TesuauraTd •dtu paxmbax aq 6ECU ;eqx sioasuoa pue siTmxad xagio TTE uTeigo TTTm aauTurxad aqi sEgy '6 'pazrxo _ -ginE iTrom aqi ;o aop'~Tduroa aqi ro aaiiTwxad aqi ,fq par;uou aq TIIm pxeog pies aqi sEgy 'S ~ •pToginog ;o umoy aqi of sasoadxa ~inoysim pasEis uraxaq saafoxd xo >jxom sTgi xaiTe so anourax of 'a~pou anp uodn 'paiTnGax aq TTT^s aaiir~uxad pies ayi 'UOTIE~IAEU aax; of uouanxisgo aTgeuoseaxun asnea TTEgs iTxom ~ acTi 'saaiscuy ;o pxeog aqi ;o aoTuTdo aqi ur xo 'pazuogine uraxaq iTxom aqi ;o uoriEaoT aqi ur suopexaxTE xo/pae Tenoarax aqi annUax pioginog ;o umoy aqi ;o suopExado axnin; ;T sEgy 'L ~ •s>iaEru xasEm moT pue gSTq uaamiaq gaeaq aqi `duops ssedax puE ssed of aTTgnd aqi ;o igBTx aqi girm a~uaxa;xasur ou aq TTeys axagi segy '9 ' •pazTxocpne uraxaq xTxom aqi ;o iprsax E sE uogE3rnEU girm aauaxa;xasuT aTgeuosraxun ou aq TTTm axagi segy •5 'pxeog pies aqi ;o uopnTosax ,fq iTuuad sTyi ;o vopEaonax xo; asnea aq ,feat `uori~a?Tdde $uTieuTSwo aqi;o suoTscnoxd aqi girm aauErTdmoa-uou puE 'siua9E siT xo pseog aqi•;o Tenoxdde puE uoruadsuT aqi of i~afgns aq TTrm panionuT >(xom aqi' ;eq.L 'y •pauTeigo 6peut3go sEm vonEZrxo , -give iegr pauxaauoa auofae of aauaprna apcnoxd of 'panTonuT saafoxd xo axnixnxis aqi uTESUTew of sagsra aauTuixad pTES Magi se SuoT sE xo `.iTai?uT3apuT paucESax aq pTnoys i?arxa~T slip sECTy - •asep xasET a se pxeog aqi of apEUr aq .fem uoTsuaixa ue xo; isanbax huExxEm saaueisamaxo pinogs 3nq 'panionur iTxom aqi asaTdaroa of paxrn6az aunt paseurTisa aqi aq of paxappmoa $T gaTgm •soai ;o poTxad a xo3 Pr.TEn n iTcaxad srgi xEgy •Z pToginog ;o umoy aqi ;o saaiscuy ;o pxeog aqx ;o uoTSnTaxa ataTduroa aqi ox 'osaxagi saadsax girm 61TTTgeTT TTn3 saumsse aaitzmxad pTES aqi pue 'saTixed pxTgi .fq pasepTuT siTns Bans TTE puE ,fue pua;ap `asuadxa umo xaq xo §cq 3e 'TTTm aaiirmxad pies aqi pae 'irauad sTgi of sucnsxnd paurxo;xad uoga -xado .fue ;o iTiuax a IsE 6TiaaxTpuT xo STiaaxtp BaTsrrn siTns ;o `saJEansp xo; sageTx xo 'sa8eureP TIE puE ,foE mox; Pa~T i~ axe ploginog ;o umoy aqi puE saaisnxy 3o Preofi PTES ayi segy 'i ' : `duTmoT -To; aqi of agrxasaxd p~ae pueisxapun swop inxuaa aqx ;o a~rrenssT aqi xo; uoTiexapTsuoa ayi ;o uEd se •H xe $mpTsax _ I aasarcuxad aqy i i SNOl110NOJ PUe SfN213.1 i o~~gUFFO~,PCO TRUSTEES ti~ Gy John M. Bredemeyer, III, President o ~ SUPERVISOR Henry P. Smith, Vice President yy, ~ SCOTT L. HARRIS Albert J. Krupski, Jr. ~ ~ John L. Bednoski, Jr. G'tlp~ ,~.a~~ Town Hall John B. Tuthill ~ 53095 Main Road P.O. Box 1179 Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES Southold, New York 11971 Fax (516) 765-1823 - -Tn~x~w. nF gQi 1THt7I,j~ _ TO: Victor Lessa ~Y~. oC.Or~~~'~~~-t~-Aa~~-~'~ Q~ or FROM: John M. Bred ~ '~'"~''T~`° ~ Board of Tru DATE: September 3; RE: Panagiotis C ~ ~ y~ SCTM #1000-1 On Thursday, August 2~ 'rustees inspected the above re .he re-vegetation plan rec The Trustees feels that tl is sufficient and recomm~..__ _ ~e lifted as far as the Trustees are concerned. cc: Land Use Bay Constable I I ~ L~U lJ ~V~j „ SAP - 3199f ~ ~ i j _~.%p. lil: ~.J~ ~.~O ld) ~.'.L;i~[:~f HUC.`e:- iih. 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Doug nuicle Sip, `S ":i+1 1lJ:k.4.t lii 7itJ!1 .'t!i~i{i': .9i_!:9='~=. illr_ TEL 2+1;'uL l:.i F'. 4 rP, .,u iihh. f.At` ~ r+a D~~t~1Hi r„ TCJ F~.t~h ld -,Ga ~ ~~Y`.. i 1 ~ g ~ S$~.~ g r ' ' i~a !ct~- ~ ~~~t~!'.`, P'srw Yot?; 91874 ~ (~16y 5U9-~6Y9+ n c~ , l ~b~~-3 i r ~ ±.y~k r ~ a i e5d9PVf$~!OP: ~ ~i; ~ L.€tGit41C}11: +"'~C+.f;9<L4; f_'.~ , t ~ ~ gg~~ M}' dY!t~.~ ~~i~~~k~. r ~d ~~i'41f91W¢ ~3~+~YI*EtQl6i4; 1.~~ s i~ ~,i ' 9 sr f .'.u~t i '~-dn}yr~ 1.e~~,n?c. iM3r`-~xr ~ ~ _ 1;y,#y a v,-^.~- ,i 1,~,4+~, ~ ~ a 0 v y e w r,. ~ ~ r"„ . ~q~ ~ m~~~s~ J 4 1 , r; } ,,a ' ~ T'F.1~],ri L)x°orrd~ -~71+? C~?~L'~~3~" °~AXk~ 1 .,S , , '.l~s4z..sht+ :ir, ~as.~,~ fax, C`kYa~ tis ~~c.t~~~tc~ A ' ,,,,,,n,..,... ~ _ ~ ~ ' ' s ~ ~ dj, __.Y„_, ru..,~_.~ Wx:~.t;rx~ irz s~s"my ~~y:~y c~t_a;~ (~Y~ix. ~a r,~' ate: ~ F > °I r 1 i. s o r', i i ~ > W€~d:~I" y,.`+~ v~Y>~Y~ I',~S?k3 ¢dC? txat~r~s~ ~Y:~lr.~ ~ . ~ "`d~.i;, „ ~.ti p 1 ~ W .,.e..,.....-.,-....-. J ~7 ~ ~ 'u ~ tJllmm®1Y18: _ s' • ~s n _ _ C. t. 1 t_C l i°: i)5~'!; it'~~ _~[i~~ 1:-{'._ 5ii li'jt-'_ 1 I A_ i cL. c'~ ~b~ 11 i I'. N>~p'„ls^~ U':; i..; Ff'ieri hi[7~~8~2 - :,:gr'F i,:. ..~.e t~l ~ X7'1 , .b jai ~ v ' i . ~ .'a ~ i . ittfis 3pv{hsa~, Fi~rn~ YnIA 318:1 ®lWY~j 7G~3fl7Y ~ '•"~i';I~ ~ ~urvrs~at: ~.a~+'>s~tiart. I~'~`kl~rztt3~ ~ ~ ~ ~ ~ ~ "`y' ~ ~ s i ' t ~ r; i - ~ r~~ d t. f a_ _ F"siJ.~ bt'+Te~tl f~kt~ t~> CrtaFat~€t~+ E3tat'zc4 i 3 { } h as ~ 1f'q 'r ' ~ , r o ' ~ x.r..~m.~n..r.,Y.va ~)1 .ln' ~ T !pJ [1 ~ ' l/1" 6 ~.w r}b 1 1~, ~ ~ w~azk~ar ~_ra ~x~a~~, ~zz, t~pze, t,c~ s.c~a°~Ni e~ _ -F.. ~~14:: +s _ v : ~ w ~ ~ , < n-ra v i~^ ~ r' _ ..n,,, w~...,.,....~ n ' , ~ P a ~ ~ifYln'Igrti~: ~ 7 i~ ~ {Y i3 ' k~;~i~l.~a~; ic~;:etfi,~~~ t,,y <t'y?a~t n~~zat2lrzcz ~~R~~~s + =ty _ 2 i, i f p' o-~ ,Jt ~ ~'y~wf~M..i' t x St h ~ ' ~ r y~ Pay }er' ~ ~ d5'w t 1 u_ .~,.ij r, n ~ a'+' Q ?j l., ~ t ` s ~ ~ i i;` i t 77Y , ~ K'F'F~tP~ ~t spy e r 6 b ~ 1 ? 1a SS ~ 1+ ~R q C a' t ~ i ' s~)j `in ~ ff F - °:i- ' DONALD A. DI+;NIS n a c e i 1 e c r s ~ Aquebogue Square Route 25 / P.0. Box 565 Aquebogue, New York 11931 (516)722-3511 FAX: 516-722-3859 Donald A. Denis, A.LA. Frederick R. Weber, R.A. Januazy 13, 1992 Town of Southold Building Dept. Town Hall Main Road Southold, New York 11971 Re: P. Gazouleas Residence, Willis Creek Drive Mattituck, New York Gentlemen: Mr. Jack Monahan of Zodiac Homes has requested that we send this letter to your attention with reference to the omission of the double floor joists between the master bath and bedroom #2 for the second floor framing. This was omitted to provide space to bring down the plumbing stack from above. The contractor has blocked between the 2 x 12's and the 3 X 12's of the floor system and we find that the installation is acceptable. If there are any questions on the above, please feel free to ca e ~ ruly yours, ONALD A. DENI , .I.A. DAD:dmh cc: Mr. Jack Monahan, Zodiac Homes )~i TBL. 76,5-1 S02 o~S~FFOLk~~~ TOWDi O~ SOZJ'1`SOLD < OFFICE OF BUILDING INSPECTOR ~ P.O. BOX T28 ~~1 ~ ~a0~ SOUT OLD NAY. 11971 C E R T I F I C A T I O N Date y - a P - 5'a- Building Permit No. / 9 ~'yJ? , Owner GAZ o~.~Fi~s (please print) Flwaber~F,eTSAti i~ IJLLI 3 N G ~ ~,~/a,,nl G ANC' ' ` (please print) I certify that the solder used in the water qupply gygtbm contains lass than 2/10 of 18 lead. plumger'q aignatur®) Sworn to before me this day of Fa ~.e . ~ , Notary Public Notary Public, s u ~~o~,~ County EILEEN M. ROAC11£ (~btery publlo, State of NewYprlt Quallfledoin Suffolk Coumy Commission Expires January 31,19~.5~ - _ _ ~ a THE NEW YORK BOARD OF FIRE UNDERWRITERS 1'Aft~E 1P/~0060 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 Date AE'kIX, ~~It19'D2 Application No. on file a~ar9991(~~. N ~a~a~~ THIS CERTIFIES THAT only the electrical equipment as deacrihed below and irotroduced 6y the applicant Homed on the o(rove'opplication number in the premises of &UDIAf; i{UMNBt YNf;., WJS WEt~Gia Ck61kR D€2„ NA1'fEY`fICKr N.Y. in thefollowinq location; ® Basement ® /st Fl. ®2nd F1. GAk (AS`~'1'C/OUT Section BI«;k Lot uos examined on ~ ~ k 16 + ~ 4J Z and fourzd W be in correpliance with the requirements of URis Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUORESCENi OTHER AMT. K W. AMT. K W. AMT N.W. AM1 K.W AMT H P. ~s ae, •r~ ~s DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RF.C'PT TIME CLOCKS BELL UNIT NEATERS MULTI-OUTLET DIMMERS PMT. K. W. OIL H P GAS H. P AMT. NO. A. W. G. AMT. AMP qMT. AMPS TRANS. AMT. H. P S'tSTEMS AMT. WATTS NO.OF FEET 6 P 7.0 - 1 3U 1 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP riPE METER 1W +,0' 3W 3 9 ~W 3 jf 4w NO.OF CC COND A. W O NO OF HIiFG A. w. NO. OF NEUTRALS A W. Q EQUIP. PEF b' OR/ CC. COND OF HblEO OF NEUTRAL E ~ ly~ ~~D ~ ~ ~ ~ ~l~ 7 OTNER APPARATUS: ~7 FRAr,T.ATk I{ANNLRGa-~ F1UY'Uk;7 e 1-Fi. 50 ll. P. G,T'.C.Tr-9 SNU~tE DE7'ECTUP,t-2 BR@iD 6Ak:7Cft LIC.~2555-f; G/~~~ 21GA N. f;UUNTkY kD WADING k"tVL"kr NYt 11797. - OENERAI MANAGER 11 ~ m Per This certificate must not be altered in any manner; return to the office of tfie Board if incorrect. lnspec9ars may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT $E ALTERED IN ANY MANNER. ~ New York State Department of Environmental Conservation ~G~~ Building 40-SUNY, Stony Brook, New Yorlc 11790-2356 1516) 751-7900 Thomas C. Jorling Commissioner January 29, 1991 Panagiotis J. Gazouleas 1374 Midland Avenue Bronxville, NY 10708 RE: 1-4738-00234/00001-0 near Mr. Gazouleas In conformance with the requirements of the State Uniform Procedures Act (Article 70,ECL) and its implementing regulations (6NYC)tR.,.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, - Roger Evans Environmental Analyst ' RE:slc enclosure /I 95.2P6~, i DEC I ~ - AL CONSERVATION f ~ 7-417 38-002 34/0 0 0 01-0 COPY ~ EfreenveDAte FACILITY/PROGRAM NUM6ER(s) January 29, 1991 Under the environ PERMoTervatinn Law (ECL) EXPiRATiON DATE February 28, 1994 TYIN-E~.OF PERMIT (Check All Appbcable poxes) L.?New ?Renewai ?MOarficahon ?permrt to ConsGUCt Article 15, Title 5: ~I'ermn to operate R Protection of Water a SPOES 17, Titles 7, 8: Article 27, Title 9; 6NYCRR 373: WatereSupplyitle 15: Article 19: ~ Hazardous Waste Management Air Pollution Control Article 34: Article 15, Title 15: ~ Coastal Erosion Management b Water Transport ~ Article 23, Title 27: Mined t_antl Reclamation ~ Floodplain• Management Lon(glslandTWellsS~ freshwater Wetlands ~ Articles 1, 3, 17, 19, 27, 37• Article 15, Title 27: 6NYCRR 380: Radiation Control Wild, Scenic and Recreational ~ Tidal We lands Rivers ~ Other: , 6NYCRR 608: Article 27, Title 7; 6NYCRR 360: X Water Quality Certification Solid Waste Management I'CRMIT ISSUFU TO Panel i0tls J, GdZOUleas rELepFIOAeNUmaeR ADDRESS OF PLRMITTkE ( ) 1374 Midland Avenue Bronxville NY 10708 CONTACT PLRSON pOli PLKMITTED WORK Land Use Co. - 2576 Sound Avenue Bai tin 7ELEPHONC NUM6ER NAME AND ADDRESS OF PRO)CCT/fACILITY Nol low NY ( ) Wi11is Creek Drive Matti tuck NY 1952 LOCATION OF PROJECT/FACILITY Matti tuck COUNTY TOWN/CITY/VILLAGE Suff WATERCOURSE/WETLAND NO NYTM COORDINATES DESCRIPTION OP AUTHORIZED ACTIVITY E N4___ _ walk, ramp and float assemble. 300 cubic yards of clean fill ma be area of the sanitary system and the dwellin y p1 aced in the 9• A71 work shall be in accordance with the attached NYSDEC a roved lap, By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR David DeRi elder ADDRESS AUTHORIZED SIGNATURE ////JJ~y~~' /~/wv % 'i ) DATE ~C~j~/ 7/2 g/91 Page 1 of 5 _ . s w ~ to Z abed II •loe(oad s!yi aoi paa!nbaa aq ~(ew leyl RBM•lo -siy6la pue siuawasea'spuel's!eagadde'si!waad aaylo Sue fiululeigo aoi aiq!suodsaa s! eaii!waad ayl •8 •i!waad ayl of bled a lou uosaad a u! palsan ao pjay Rlaedoad !euosaad ao !eaa u! lsaaalu! ao `4!3!3 `siy6!a ~(ue to luaw -a!edw! ayi az!aoyine 3! saop aou ~!loM paiilwaad ayi waolaad of .rapao u! saaylo;o siy6!a ue!aed!a ayi yi!M aaalaalu! ao spue! ayi uodn s$edsaai of ly6!a ~(ue aaii!waad ayi of ~(anuoo lou saop i!waad s!yl 'L •loafoad s!yi wai 6u!ilnsaa ubµd!aosap pue aweu ~(aana }o sisoo pue sa6ewep `suo!loe 'sl!ns woai aleiS ayi ssa!waey enes pue'i~Ci!uwapu! of paaa6e say pue ilwaad s!yi u! paq!aosap loafoad ayi to ino 6u!s!ae `pace}ins aanawoyM .(q pue aanieu aanaleyM lo'loaa!pu! ao looa!p'sa6ewep !le aoi ~i -lllglsuodsaa 1e6a11!ni ayi 'uo!leopgde ayi to uo!inoaxa ayi ~(q `R!ssaadxa peidaooe say aaii!waad ayy •g ~eayilw~ad ;o suolie611gO 1¢6x7 jay8O •u'olieulwaalep ao aepao yons u! pau!eluoo siuawaa!nbaa ao suo!ilp -uoo 'swaai ayl to ~(ue ao luawiaedaO ayi ~(q penssl ~(isnolne.~d uo!leulw~alap ao aapao bue pulosaa ao epesaedns'I(i!pow lou saop i!waed s!yi to aouenss!'luawlaedea ayi ~(q aoi pap!nad ~(!ssaadxa ssa!u(1 •g •sadRi i!waad aaylo !le to uo!lea!dxa aaolaq s~(ep OE (q ' pue `.(~W/Ng) se!1!I!oe3 luawa6euelnt aiseM p!IoS Pue (Odtl) loaluoO uo!in!!od'u!y ao(ew `(~WMH) se!;!I!oe~ luawa6eueW alseM snopaezeH `(S34dS) wais~(g uo!leu!w!!3 a6aeios!t] luelnllod a3elS aoi si!waad to uo!lea!dxa aaolaq s~(ep Ogl (e :iseal le uo!leo!idde lennaua.~ a i!wgns isnw aali!waad ayl •4 •6u!3!aM u! eq isnw luawiaedaO ayl /q peluea6 aaisueai ao uo!leo!i!pow gennauaa ~(uy •saa!nbaa luawiaeda4 ayl uo!lew -aolu! !eluawa!ddns ao saai `swao# ~(ue apniou! isnw uo!leo!Idde yong •i!waad s!yl to aaisueai ao uo!i -eo!;!pow '!eMauaa aoi luawiaedeQ ayi of uo!leo!!dde uaii!aM ale~edas a i!wgns isnw aail!waad eyl •E •panss! seM ilwaed ayi aou!s pa6ueyo ~Ile!aelew aney uolieln6aa ~o Mel e!geo!!dde ao'~S6o!ouyoei luene!ea'suo!i!puoo leluawuoa!nus (p ao `.paaenoos!p s! uo!lewaolu! lelaalew Mau (o sioei luenalaa asoloslpl of aanl!ei ao uo!leluasaadaas!w ~(q pau!eigo seM,i!waad ayl (q `punoi s! suo!le!n6aa luau!laad pue "103 ayi'lo suo!s!noad ao 3!waad ayi to uo!3!puoo ~(ue to ua!lelo!n a ao papaaoxa s! ~3!n!loe pall!waad ayi to adoos ayi (e :uayM i!waad s!yija~onaa ao puadsns `/}!pow of ly6!a ayi sanaasaa luawiaedap ayl •Z I, sleMauay pue sa6ueyO ilwaed •i!waad sjyi to uo!le!o!n a s! an!leluasaadaa luawiaeda4 a ~(q isanbaa uodn 3!w~ad ayi to ~(doo a aonpoad of ejn!!e~ •ai!s loafoad eyl le saw!i Ile le luawlaedad ayl ~q uo!laadsu! aoi s!ge1!ene aq isnw 'suoµ!puoq !e!oads pue s6u!Meap 'sdew paouaaalaa !!e 6u!pniou! `i!waad s!yl to ~(doo y •(E)LOV tldtlS pue 10E0j1L "103 0l luensand papuadsns >IaoM ayl aapao dew anµeluasaadaa 4onS 'lO3 ayl pue i!waad s!yi U3!M 6u1~(ldwoo s! aaii!waed ayi aeylayM au!w.~alap of (luawiaedaQ ayi) uolienaasuoO !eluawuoa!nu3l,lo luawiaeda4 ayi to an!leluasaadaa paz!aoylne ue ~(q s!enaalu! pue sanoy aigeuoseaa le uo!loadsu! of loa(gns s!'spaooaa luenalaa 6u!pn!ou! 'Ri!1!oei ao ai!s paii!waad ayl • 3 ~ saoliaadsul I' SNOIlIQNOOItlkl3N3J i , 95-2~-6a (1019n)-z5c ~ V ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34, 36 and G NYCRR Part 608 ( ) 9. That if future operations by the State of New York require an al- other environmentally deleterious materials associated wikh the teratian in the position of the structure or work herein authorized, or project. If, in the opinion of the Department of Environmental Conservation 13. Any material dredged in the prosecution of [he work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly, without leaving large refuse piles, ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage [o 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 14. 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 15. If upon the expiration or revocation of this permit, the project hereby modification of the watercourse hereby authorized shall no[ be com- authorized has not been completed, the applicant shall, without expense pleted, the owners, shall, without expense to the Stare, 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 all 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. 16. If granted under Article 36, this permit does not signify in any way 10. 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 17 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 other purposes, and contravene effluent limitations or other limitations or standards under _ no claim or right to compensation shall accrue from any such damage. Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 11 . Granting of this permit does not relieve [he applicant of the responsi- (PL 95-217) provided that all of [he conditions Irsted herein are met. bilify of obtaining any other perinlssion, consent or approval from 18 All activities authorized by this permit must be in strict conformance the U.S. Army Corps of Engineers, U.S. Coast Guard, New 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. 12 All necessary precautions shall be taken to preclude contamination Such a LdFld Use l,Ompoll-Y/ of any wetland or waterway by suspended solids, sediments, fuels, PProved plans were prepared by solvents,lubricants, epoxy coatings, paints, concrete, leachate or any J.T. Metzger 12/5/90 on SPECIAL CONDITIONS 1. All necessary precautions shall be taken to prevent contamination of the tidal wetlands and or waters of New York by silt, sediment, fuels, solvent, lubricants, epoxy coatings, concrete leachate and any other pollutant associated with project work. 2, Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands. 3, A row of staked hay bales or approvable erosion control devices shall be placed ~0'~-sea~ard'of the:building~rrv~lope:, at ,comrr~eq~emerzt ~uf°i.regu]ated activities - , and remain in place until project is completed and all disturbed areas stabilized with vegetation, 4. To protect the values of the tidal wt=tland, a permanent vegetated buffer zgnt'- sha11 be established. There shall be no disturbance to the natural vegetation or tgpggraphy within an area extending 50 linear feet landward of the tidal wetland boundary. 5. Driveway and parking areas shall be constructed of pervious material, 6. Rqof runoff shall be directed tq drywel1s a minimum of 7S~landward of the tidal wetland bqundary for immediate on-site recharge, 7. No decks, accessory structures, or additions will be permitted withqut further approval of the Department. DEC PERMIT NUMBER 1-4738-00234/00001-0 PROGRAM/FACILITY NUMOCR Page -3 of , ~ Copy 95-20-6f (71071 -25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article ( ) All fill shall consist of "clean" gravel and soil (not asphalt, slag, flyash, broken concrete or demolition debris). 9. Dock or timber catwalk shall not be greater than 4 feet in width and be a minimum of feet above grade* over vegetated tidal wetlands distance is measured from ground to bottom of dock sheathing). 10. Floats and ramps may not rest on vegetated tidal wetlands. 11. No permanent structures may be built on dock without first obtaining Department approval. 12. Sanitary system shall be a minimum of 2' above the seasonal ground water. 13. No fill shall be placed within the 75' buffer zone. Supplementary special conditions (a) thru (j) attached. 1 D~c7P~$MQ~u~3~~00001-0 FACILITY ID NUMBER PROGRAM NUMBER Page of ~ ~ P SUPPLEMENTARY SPECIAL CONDITIONS ' The following conditions apply to all permits: A. If any of the permit conditions are unclear,the permittee shall con- t--act the Division of Regulatory Affairs at the address and telephone noted below. L3.i P. copy of this permit with supplementary conditions and approved plans shall be available at t-he project site cahenever 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 t`o 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 we el: of completion of the permitted work, the bottom portion of that form shall also be com- pleted and returned. E. Por projects involving activities to be, accomplished over a period of more than on,e year, the permittee shall notify the Regional Permit Administrator in-writing at. least 9B 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. Aii 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 uroject work. I?. 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. /7.00 765-1802 BUILDING DEPT. ~ NSPECTION [ ]FOUNDATION iST [ } RAUGH PLBG. [ }FOUNDATION 2ND [ ]INSULATION [ FRAMING [ l FINAL ~~c~ /td~ T' ~'ql ~ c~ G ~R,E/MARKS: ~ ~ rf~ ~ ~ DATE' INSPECTaI~F ~r' _t~~ =1cLD it:SPEC:iU;J ~~UATE ~ CUaKMENTS ~ a _ y '•U FOUtdDATION (1st) FOUNDATIOIJ (2nd) rn _ 2. 9 ~ r ~ z f --T o ~ P,OUGH FRAME & O PLUMBING H 3. ~ ~ ~ IIISULATIOPI PER N. Y. , STATE ENERGY CODE x ii ~ r 4. ~ y ~ _ FIiJAL / c ` ~Lr4 O~ . DDITIONAL COM NT x .~.~`p` d ` i~ . ro \ H 9 _ H~ V ~ o `\~~J\ x rn \ • r ~ y _ x "'fl c~ Q m ro • _ H W I` T65-1802 BUILDING DEPT. INSPECTION [ FOU ATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: < < DATE INSPECTOR 4 ~ ~ ~ r Q c C~ o l~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ] OUNDAT 15T ROUGH BG. ] FO DATION 2ND [ ] I CATION FRAMIN FINAL REMARKS: ~ ~ ~ ~ k f ~ U (~~i' ~ 1201! L . DATE INSPECTOR i l/ ~ I/ / ~ / rsS-1802 ~ ~~BUILDING DEPT. C(~l INSPECTION- [ ]FOUNDATION 1ST [ ] ROUGH PLBG. ~~L~tit~~ [ ]FOUNDATION 2ND [ ] INSU TION [ ]FRAMING INAL ~ REMARKS: ~ ~ i I f C ~ DATE ~ ~ v INSPECTOR f • SENDER: 1. DETACH YELLOW COPY. 2. SEND WHITE AND PINK COPIES TO PERSON ADDRESSED THIS IS FORM #3-08753 RECIPIENT: 1~. WRITE REPLY AT BOTTOM. 2. RETAIN WHITE COPY, RETURN PINK COPY TO SENDER. ReoROeR FROM: STREAMLINERS-800-544-5779 (In PA 800-257-6800) REPLY MESSAGE ~ ZODIAC HOMES INC. To: 3k L c. I~.r~-~~ ~t i 4'r% (J~ L~ ort 34 SARAH DRIVE DIX HILLS, NY 11746 (mw..~ ~I< So~Trla~~.._ 516-242-1515 SAX: 516-243-6013 S o ~-rT rJ o t.~~b(( ~ / - ~ . 'F6 REPLY SUBJECT ~!G _ / r g NECessnRY YES ?NO DATE ~ l-""" MESSAGE ~(pp LtJ.~L.~~ S C.R{e.IC i7,i. ~9')pr'TiTve-~ W G L O /i! .4 V (S ~M S /-E n~ ~ W-0' t K. ---..~Q S-7t1 w 4i I d rr~-_ _ ~ L/ t L~ t - SIGNED I~ C.! REPLY ~Yt .w.e~ 11,m 7 ~I - - I ~1, ~ t1Ci' I d'~96 - - - - SIGNED DATE C. 0 ~ r r • e • • • • e • • - • e United States Army Corps of Engineers January 14, 1 9 91 Install anon-co+mnercial mooring structure in Deep Hole A permit t0 Creek J•Jattituck Creek at Southold, Suffolk County, fJesv York has been issued to Fanagiotis J. Gazouleas on lan~19 19~- Address of Permittee _ ls~n r0;dland Avenue. J3ronxv;ne, NY 10764 Permit Number Jt.rt. Danielson 15990 ~ Colonel, Corps of Er+gineers District Commander ENG FORM 4338 ,Jul 81 ~ (ER i ia52~aoa~ EDITION OF JUL 70 MAV BE USED )Propbnenf DAEN CWO) / w .,1__; l p pEPAR'fMEfdT ~?F Ti1E ARMY NEW YORK DISTRICT CORPS OF ENGINEERS ~ ~ ~ I JAC08 K. JA VITS FEDERAL BUILDIN (i I\'~~ i NEW YORK, N.Y. 10278-0080 ~NEP~„o January 14, 1991 2LiCNigN OF Regulatory Branch SUBJECT: Permit No. lOGP- 15990 Mr. Panagiotis J. Gazouleas c/o Tanya Lachenmeyer " Land Use Company 2576 Sound Avenue , Baiting Hollow, NY 11933 Dear Mr. Gazouleas: We have completed our review of the above application. From the information submitted it appears that the proposed timber pier assembly is authorized by our General Permit for Non-Commerical Mooring Structures (NYDGP-l0) a copy of which is enclosed. Your work should be performed according to the conditions of this General Permit. Please display the enclosed Notice of Authorization sign at your work site. A-copy is enclosed for your records. You are required to submit to this office the dates of commencement and completion of your work. Enclosed are two forms for you to use to submit the required dates. i Notice is hereby given that the permittee should recognize that a possibility exists that the structure permitted herein may be subject to wave wash from passing vessels. The issuance of this permit does not relieve the permittee from taking all proper steps to insure the integrity of the structure ,permitted herein and the safety of boats moored thereto from damage by. wave wash and the permittee shall not hold the United States liable for any such damage. It should ,be noted that this permit does not relieve you of the obligation to obtain any State or local approvals for your work. If, for any reason, a change in your plans or construction methods is found necessary, please contact us immediately to discuss modification of your permit. Any change must be approved before it is undertaken. Sincerely, Enclosures ,N~ r~ J mes W. Haggert C ief, Eastern Permits Section y DEPARTMENT OF THE ARMY PERMIT Panagiotis J. Gazouleas Permittee~J,~~,~.~;,~ai7d.-Aygpue,. BrOnxville, New York 10708 (212) 628-2590 Permit No.70(;P- 15990 Issuing Office New York District, Corps of Engineers NOTE: The term "you" and its derivatives, ne used in this permit, means the permittee or any future transferee. The term "this office" refers to the appropriate district or division office of the Corps of Engineers having jurisdiction over the permitted activity or the appropriate official of that office acting under the authority of the commanding officer. You are authorized to perform work in accordance witt, the terms and conditions specified below. Project lJeaer;ption: Construction of timber piers, ramps, floats and/or mooring piles for non-commercial purposes, as shown in the attached drawing(s), subject to the General Conditions of this document and Special Conditions attached herewith. Project l,oeacion: In navigable waters of the United States within the geographic boundaries of Nassau and Suffolk Counties, in the State of New York Permit Conditions: General Conditions: 1. The time limit for completing the work authorized ends on .ltekgp 2Q. 7995 , If you find that you need more time to complete the authorized activity, submit your request for a time extension to this office for consideration at least one month before the above date is reached, 2. You must maintain the activity authorized by tlrie permit in good condition and in conformance with the terms and condi- bons of this permit. You ere not relioved of this requirement if you abandon the ponnitted activity, although you may make s good faith transfer to a third party in compliance with General Condition 4 below, Should you wish to cease to maintain the authorized activity or should you desire to abandon it without a good faith transfer, you moat obtain a modification of this permit from this office, which may require restoration of the area. 3. If you diacovar any previously unknown historic or archeological remains while accomplishing the activity authorized by this permit, you must immediately notify this office of what you have found. We will initiate the Federal and state coordina• tion required to determine if the remains warrant a recovery effort or if the site is eligible for listing in the National Register of Historic Places. ENG FORM 1721, Nev gG EDITION OF SCP 82 Ia OBSO BETE. (3 FR 20-33 1145-2-303b (Nattituck CReek -Gazouleas, Panagiotis, pier, ramp, t~~oat' and'piles) 1 4. If you sell the property assocfated with this permit, you must obtain the signature of the new owner in the space provided and forward a copy of the peralit to this office to validate the transfer of this authorization. 6, If a conditioned water quel~ty certification has been issued for your project, you must comply with the conditions specified in the certification u special conditions to this permit, For your convenience, a copy of the certification is attached if it con• twine such conditions, 8. You moat show repreaontstivee from this office to Inspect rho authorized activity at any time deemod necessary to ensure that it is being or has been accompllehed in accordance with the terms and conditions of your permit. i 8peclal Conditions; SEE ATTACHED SHEETS fiDR SPECIAL CONDITIONS Further Information: ~ 1. Cong:'aaeional Authorities: You have been authorized to undertake the activity descrihed above pursuant to: (X) Section 10 of the Rivers, and Harbors Act of 1899 (33 U.S,C. 403). , a OSection 404 of the Cleap Water Act (33 U.S.C. 1344). ' ( )Section 103 of the Meri~re Protection, Research and Sanctuaries Act of 1972 (33 U.S.C, 1419). 2. Limits of this euthorization.'~i ' a. This permit does not obviate the need to obtain other Federal, elate, or local authorizations required by law. ' b. This permit does not grerjt any property righfa or exclusive privileges, i o. This permit does not autt4oxize any Injury to the property or rights of others. d, Thia permit does not authorize Interference with any existing or proposed Fodaral project. 9, Limits of Federal Liability. (n issuing this permit, the Federal Government does not assume any liability for the following: a. Damages to the permitted project or uses thereof as a result of other permitted or unpermitted activities or from natural causes. I b. Damages to Ehe permitted project or uses thereof as a result of current or future activities undertaken by or on behalf of the United States in the pubic interest. c. Damages to persons, pc~,operty, or to other permitted or unpermitted activities or structures caused by the activity ' authorized by this permit. i d. Design or construction deficiencies associated with the permitted work. 2 li / ~ , e. Damage claims associated with any future modification, suspension, or revocation of Ghia permit, 4, Reliance on Applicant's Data: The determination of this office that iseunnce of this permit ie not contrary to the public interest was made in re]iance on the information you provided. 5. Reevaluation of Permit Decision. This office may reevaluate its decision on this permit at any time the circumstances warrant. Circumstances that could require a reevaluation include, but are not limited to, the following: a. You fail to comply with the terms end conditions of this permit. b, The information provided by you in support of your permit application proves to have been false, incomplete, or inaccurate (gee 4 shove). ` c. Significant new information eurfabee which this office did not conelder In reaching the original public interest decision. Such a reevaluation may result in a determination that it is appropriate to use the suspension, modification, and revocation . procedures contained in 33 CFR 326,7 or enforcement procedures such as those contained in 33 CFR 326.4 and 328,6, The referenced enforcement procedures provide for the issuance of an administrative order requiring you to comply with the terms end conditions of your permit and Cor the initiation of legnl action where appropriate. You will be required to pay for any corrective measures ordered by this office, and it you Cni] to comply with such direct[ve, this office may in certain situations (each ae those specified in 33 CFR 209.170) accomplish the corrective measures by contract or otherwise and bill you for the coat. 6. Extensions. General condition 1 establishes a time limit for the completion of the activity authorized by this permit. Unlew there are circumstances requiring either a prompt completion of the authorized activity or a reevaluation of the public interest decision, the Corps will normally give favorable consideration to a raqueat for an extension of thin time omit. 4 This permit becomes effective when the Federal official, designated to act for the Secretary of the Army, has signed below. ~ _ (DISTRICT ENGINEER) (DATE) R. M. DANIELSON Colonel, Corps of Engineers When the structures or work authorized by this permit are still in existence at the time the property ie ttanaferred, the terms and conditions of this permit will continue to be binding on the new owner(s) of Lhe property. To validate the transfer of this permit and the associated liabilities associated with compliance with its terms and conditions, have the transferee sign and date below. (TRANSFEREE) (DATE) 3 Qu.s. cvo: isee-sso-aza l . ~J, SECTION SC~.1F: 1"=20' y 4 Propceed 9'x30' fixed dock to be~ 1 20 30 ; , 3' 10' Ramp - ~ levate Fi~:2(1' ~l.oat.. _~1iSW ~a minimum of 4' ~H, ' over c_rade _ D rratook~Pl $bttom 51 E WILLIS CREEK 72° 21'/41° 07' Ei I'iE SuffolK Count 'PLAN Hac*~trom 24 Scale: 1"=60' Sc~ale:l~=?00 ' p 300 0 30 60 9 ' FURPOSE: Frivate mooring of a recreationa vessel ~ DATUM: MSL 0 ~ ~ ~ iIDA%. RANGE: 1.7' '~I / 0 1 Ij k ? \~y// ' 0.b F ? \ r~ ~ ph u. u ~ y ~b ~ u r r s r F ,n0. . y . r ;a ~ • ,c !f// . \o ~ 66.0.- ~ ~ _ ~ p. Q~ / y~-~~ FropoaFd dock installati r in Deep Hole Creek at 1-- ~ Mattituck, ~EEp Torm of Southold, ~Widt _ County of Suffolk, ~[E or W/[[/S h'200') State of New York E1°od Ch'EEK Application ly: E-3 Panagiotis J. Gazouleas Dated: 12/05/90 Land Use 2576 Sand Avenue • Baitirip FlGlow, N.Y.11933 (516) 727 2400 FAX (516) 727-260.5 SHEET 1 OF 1 ~ ~ • • ~ a o o e e - o • - v United States Army Corps of Engineers ` • January 14, 1 9 4~ Install anon-commercial mooring structure in Deep Hole - A permit t0 Creek i•7attituck Creels _ at Southold, Suffolk County, flew York Panagiotis J. Gazouleas C'n lan ig ~ 9_~1- has been issued to Address of ~Permittee ~_.l n r~;dia~d Avenue Sronxville NY lows . ~ Permit Number R.t1. Danielson Colonel, Corps of Engineers 15990 District Commander ENG FORM 4336 ,Jul 81 DER 7145~2~303) EDITION OF JUL 70 MAY BE USED )P/Oponent OA6N CWO) 1.~, v QO ' NYD6P-10 DEPARTMENT OF THE ARMY REGIONAL GENERAL PERMIT FOR ' NONCOMMERCIAL MOORING STRUCTURES This general permit authorizes the performance of work in or affecting waters of the. United States, upon the recommendation of the Chief of Engineers pursuant to Section 10 of the Rivers & Harbors Act of March 3, 1899 (Title 33, U.S. Code Part 403). ' This general permit authorizes the construction of timber piers and _ mooring piles for noncommercial purposes in navigable waters of the ~ United States under the regulatory jurisdiction of the New York District, Corps of Engineers located within Nassau and Suffolk Counties in the State of New York. Activities authorized~by this general permit do not require further authorization under the provisions contained in Title 33 of the Code of Federal Regulations, Parts 320-330, Department of Defense Regulation Entitled: Corps of Engineers, Department of the Army, Regulatory Programs of the Corps of Engineers; Final Rule, published in the Federal Register on November 13, 1986 unless the District Engineer determines, on a case-by-case basis, that additional processing is in the public interest. The structures authorized by this general permit .must conform with all of the following conditions, as well as the General Conditions of ENG Form 1721, revised November 1986. ~ SPECIAL REQUIREMENTS ~ CONDITIONS i Piers. Docks and loa 1. The proposed piers and any floats may be straight, T, L, or U-shaped. 2. The combined total surface area of a pier and any floats shall not exceed 1200 square feet. 3. Extensions to existing piers/floats may be authorized under this ~ general permit, provided the entire structure meets of the conditions outlined herein and that the existing structure was either previously authorized by the Corps of Engineers or constructed prior to December 18, 1968. 4. Only one pier or similar use structure may be constructed per lot ' under the authorization of this general permit. Sucri construction may only take place on lots where no previously constructed serviceable piers or similar use structures exist, except for extensions as ' provided in Condition No. 3. 5. All piers and walk ramps shall be limited to a maximum width of four feet. { 6. All floats shall be limited to a maximum width of eight feet. -1- _ _...._~..._........_....._..w......,,........._._.. . i , 7. Any section of pier or walk ramp crossing wetlands or submerged vegetation must be a. Elevated four feet above the existing grade of the wetlands or area of submerged ~legetation, and; b. Constructed so that the structure will not cross more than 50 linear feet of wetlands. Structures crossing more than 50 linear feet of wetlands are Z1q~', authorized by this general permit. As stated in the "E~ederal Manual for Identifying and Delineating ti Jurisdictional Wetlands", wetlands are defined as areas that are inundated or saturated by surface or groundwater at a frequency and duration sufficienf~ to support, and that under normal circumstances do. support, a prevalence of vegetation typically adapted for life in saturated soil conditions. The majority of wetland areas in Nassau and Suffolk counties wriic]r are under the jurisdiction of the New York District are saltm~rshes, defined as areas which are periodically inundated by saline or brackish waters and which are normally characterized by the prevalence of salt or brackish water vegetation capable of growth end reproduction in saturated soil conditions, such as Spartina alterniflora (saltmarsh cordgrass) and Spartina ens (saltmeadow cordgrass). j 8. All floats must~ibe positioned waterward of the line of mean low 'water and of any wetlands or mudflats. 9. All floats must.l;be anchored, held by piles or made fast to the shore ' or a pier, but in all cases must be adequately secured so as to prevent, substantial change$ in their positions. Floats may be installed and removed on a seasonal basis. ~IOOrina Piles 10. A maximum of four (4) mooring piles may be installed. conditions Related',t~ ~atgrwav h 11. For this general permit no structure may be placed in a waterway less than 15 feet wide, measured from the mean ~Qw water lines on each bank. 12. No structure shall extend waterward inure than 100 feet, measured perpendicular to the shore from the mean ~iah water line, or one-fifth (200) of distance to the opposite shore (measured from the mean ,~pw water perpendicular to the centerline of the waterway), whichever is lesser. i 13. For waterway Tess than 50 feet wide (measured from the mean low water lines on eac~ bank), no structure shall be placed within 20 feet upstream or downst~seam of the centerline of an existing pier on the opposite bank, measured by projecting the centerline of the existing -2- I it pier toward the bank of the proposed pier. 14. The combined total surface area o£ a pier, walk ramp and floats in waterways less than 50 feet wide {measured from the mean low water lines on each bank) sriall not exceed 400 square feet. Special Conditions 15. All piers shall either be open pile-supported, float-supported or cantilevered. Piles shall be driven to a depth sufficient to provide adequate stability. No structures shall impede the flow of waters beneath the structure or in the littoral zone. , 16. All construction materials and design of the structures shall be determined by appropriate engineering practices and judgements. 17. The structures shall be designed to be stable against the forces of ice buildup, flowing water and wave action. Those authorized to perform work under this general permit must recognize that permitted structures may be subject to damage by ice and by wave wash from passing vessels. This authorization does not relieve those authorized from taking all proper steps to ensure the integrity of the structure 'permitted herein, and the safety of the boats moored thereto, from damage by ice._.and by wave wash. Trie United States of America shall not be held liable for any such damage. ~ " 18. All construction equipment working in wetlands shall be placed on " mats. Any wetlands disturbed during construction shall be restored to pre-project conditions by the permittee. 19. That the proposed structures may be used for non-commercial purposes only. The term "non-commercial purposes", when used in the text of this general permit, shall mean that the intended use would provide only personal benefits and have no connection with a commercial enterprise that charges for the production, distribution or sale of goods or services. 20. That an individual Department of the Army permit will be required for work proposed in any of the following areas: a. Historic, cultural, or archaeological sites as identified in the latest published version of Appendix B of the National Register of ~ Historic Places, or sites eligible for inclusion in this register. b. Sites included in the latest published version of the National Registry of Historic Landmarks which are published periodically in the rederal Register. c. Areas named in Acts of Congress or Presidential proclamations, such as Wild & Scenic Rivers or those rivers listed in the Nationwide Rivers Inventory, National Wilderness Areas, National Seashores, National Recreation Areas, National Lakeshores, National Parks, -3- v i National Monuments, Federally designated maritime sanctuaries (Section 302 of the Marine'~,Protection, Research & Sanctuaries Act of 1972, as amended [Public Law 92-532, 86 Stat. 1052]), and such areas as may be established under~Federal law for similar and related purposes. d. Waterbodil'es designated by the New York State Department of Environmental Conservation as a "wild, scenic or recreational river" under Article 15 'iof the New York State Environmental Conservation Law. Presently, portions of the Connetquot, Carmans and Nissequogue Rivers in Suffolk Countyi~ have been designated as scenic and recreational rivers. Studies are ongoing to determine whether additional rivers should be included. 2l. The structure's subject to this general permit shall be constructed a minimum of 50 feet outside of any Federal channels and Federal , anchorages/turning basins. 22. No structure~;or.any vessel to be moored at it may extend into any channel normally ',used for navigation. 23. All structures shall maintain a clearance of at least l5 feet froffi the property ling on each side, as extended into. the waterway,~or any such greater disf,ance needed to allow reasonable vessel access to any adjacent waterfront properties and structures. 24. That all work performed under the authorization of this general permit in areas designated as Significant Coast Fish &,Wildlife Habitats under tl}e New York State Coastal Zone Management Policy No: 7 must be certified as being in compliance with the approved State Coastal Zone Management Program. A statement from the New York State Department of State concurring with the applicant's consistency certification must be submitted with any request for formal Department of the Army concurrence to proceed with work under this general permit (see General Condition No. 48). i 25. That the Department of the Army retains discretionary authority to • require a propos 1 to undergo an individual permit process in those cases where it is determined that such a review would be in the public interest. 26. If it is discovered that an individual is performing or has completed work u}~der the pretense that it is authorized by this general permit, and in fct it is not, he/she may be required t4 undertake remedial action and/or be subject to civil and/or criminal penalties. The individual may then be allowed to apply for an individual _ Department of th,e Army permit to perform the work. If the Department of the Army permit is denied, the applicant shall restore the waterway to its former condition, as set forth more specifically in General Condition No. 46' of this permit. If an individual Department of the Army permit is gjranted, the permittee may be required to modify the structure(s) toiconform with the provisions contained in the general permit. ~ -4_ , 27. The General Permit will not apply if the District Engineer determines that the proposed work may jeopardize the continued existence of species listed at threatened or endangered under the Endangered Species Act of 1973, as amended, or result in the likelihood of the destruction or adverse modification of habitat is determined by the Secretary of the Interior or Commerce, as appropriate to be a Critical habitat of such a species under the Act, as amended. General Conditions 28. That prior to commencing any work under this general permit, the permittee should contact the various utility authorities and companies (i.e. electric, gas, water, sewage, etc.) in order to prevent personal injury and/or damage-to property during construction work. 29. That this general permit is not applicable for work directly related to another activity requiring an individual Department of the Army permit application and approval by the District Engineer. 30. No buildings or other structures, including fuel storage or dispensing facilities, shall be constructed on structures authorized ~iy this general permit. 31. Pollution~~of the waterway with harmful chemicals, fuels, oils, greases, bituminous materials, acid, waste washings, and/or harmful materials, shall be prevented. • 32. During construction activities, all public and private property, including all existing vegetation, existing landscape features and monuments within, along and adjacent to the work area, shall be protected and preserved to the maximum degree possible. This shall include, but not be limited to, precautions being taken to minimize damage, injury, pollution of destruction; protection of all trees and other woody plants which are•to remain; special care being taken to protect the natural vegetation and surroundings, including all natural drainageways and storm swales, ponds, lakes, swamps, woods and fields; and storage of materials in such a manner so as to prevent leaching, which would be injurious to soils and to plants. 33. Each individual activity performed under the authorization of this general permit must receive all other Federal, state and local approvals, including permits from the New York State Department of Environmental Conservation Law: Article 15, Title 5 (Protection of Waters); Article 15, Title 27 (Wild, Scenic and Recreational Rivers); Article 24 (Freshwater Wetlands); and Article 25 (Tidal Wetlands) as applicable, or waiver therefrom, prior to Commencement of work. 34. That all activities identified and authorized herein shall be consistent with the terms and conditions of this general permit; and that any activities not specifically identified and authorized herein shall constitute a violation of the terms and conditions of this general permit which may result in the modification, suspension or -5- I , revocation of this general permit, in whole or in part, as set forth more specifically iii ENG Form 1721, revised November 1986, and in the institution of suchlegal proceedings as the United State Government may consider appropriate, whether or not this, general permit has been previously modified, suspended or revoked in whole or in part. 35. That all activities authorized herein shall, if they involve during their construction or operation, any discharge of pollutants into waters of the United States or ocean waters, be at all times consistent with applicable water quality standards, effluent limitations and standards and management practices established pursuant to the Clean Water Act (Title 33i, U.S. Code Part 1344), the Marine Protection, . Research and Sanctuaries Act of 1972 (Public Law 92-532, 86 Stat. 1052), or pursuant to applicable state and local law. 36. That structured,authorized under this general permit will not destroy a threatened or endangered species as identified under the Endangered Species pct, or endanger the critical habitat of such species. ' - 37. That the permittee agrees to make every reasonable effort to ~ prosecute the construction or operations of the work authorized herein in a manner so as too minimize any adverse impact upon fish, wildlife, and natural environmental values. 38. That the permittee agrees that he/she will prosecute the construction of wo~'k authorized herein in a manner so as to minimize any degradation ofiwater^quality. 39. If the activity authorized herein is not completed on or before five (5) years from the date of issuance, this general permit, if not previously revokedlor specifically extended, shall automatically expire. 40. That this general permit does not authorize or approve the construction of particular structures, the authorization or approval of which may require authorization by Congress or other agencies of the Federal Government,. 41. That if the recording of this general permit is possible under applicable state o'r local law, the permittee shall take such action as may be necessary too record this general permit with the Register of Deeds or other appropriate official charged with the responsibility of maintaining records of title to and interests in real property. 42. That there shall be no unreasonable interference with navigation by the existence or use of the activity authorized herein. 43. That if the d}splay of lights and signals on any structure or work authorized hereiniis not otherwise provided by law, such lights and signals as may be'iprescribed by the United States Coast Guard shall be installed and maintained by and at the expense of the permittee. ~ -6- i 44. That the permittee, upon receipt of a notice of revocation of this general permit or upon its expiration before completion of the authorized structure or work, shall, without expense to the United States o£ America and in such time and manner as the Secretary of the Army of his authorized representative may direct, restore the waterway to its former conditions. Tf the permittee fails to comply with the directive of the Secretary of the Army or his authorized representative, the Secretary or his designee may restore trie waterway to its former Condition, by contract or otherwise, and recover the cost thereof from the permittee. 45. That if the permittee, during prosecution of the work authorized herein, encounters a previously unidentified archaeological or other cultural resource within the area subject to Department of the Army jurisdiction triat might be eligible for listing in the National Register of Historic Places, he/she shall immediately notify the District Engineer and other appropriate state and local authorities. 46. Those desiring to perform work under the provisions of the general permit should make application to the New York District, Corps of Engineers as soon as a project is contemplated, with sufficient information so that compliance may be validated with the terms and conditions of this general permit. The application must include completed forms (ENG Form 4345 and MANY Form 201), photographs and project drawings which generally follow the format of the sample drawings attached to the general permit.' No work may be performed under this general permit until written authorization has been received from the New York District, Corps of Engineers. -7- ~ • v _ REGIONAL GENERAL PERMIT-SAMPLE D®RAWINGS ~~~1 • M. ~N A 4 ~p .1170• : ~ 4~ PLAN VIEW ee N ~ a~tn VICINITY A4AP j ~ I x~.~ o u oe 1 sxe a aeiss OM1W. 4K1 OwC E.KCt (ouiu~l ~tat~a C~ 0 30 60 ` Spartina Alterniflora / ` HI,W, _ - 4'x40' Ramp i 4'x16' Ramp vidth of vatervay: 400' ~ (2)6'x20' Floats Note: pier elevated 4' above ~ ~ grade of marsh Float 4'x40' Ram Ramp x s fi r Icros sec ion hrou h o ose i r U 10 20 P P P SECTION VIEW ' Purpose: Private pier Proposed Docking Assembly Datum: Hean Sea Level In: Cay Creek ' Adjacent Propertq Ovnera: At: Harman, Suffolk County, Robert Button Nev York 2. Kathryn L. Shannon Application By: Ralph Henry Sheet 1 of 1 Date: 4/16/83 j REGIONAL GENERN: PERMIT-SAM~'LE DRAWINGS . V~~Y 6~~ I. /T ~ e cewp Orc~ ?r0'DItD ui[II Ir11µ lIrC3 3`x1 Ramp o ~,~.4~, ~ O"'-15 30 6'x20' Float rr ~I.: Miw MaYSh Area 4~ tick V(C(NITY MAP r4 M~~ d'~ 1 ~ rest Substrate rw a nr SECTION VIEW rDw wwtr:un r:rtr rarrt+na. c~.~: a. F o' ' 6'x2D' Float 3'xlb' Ramp width of waterway: Ebb I 300 feet ~I ~ 4'x60' Fixed Picr MLW y, I Marsh ~ f 0 ~ 25 50 private residence .PLAN VIEW i N Purpose: Private Pier Proposed Rocking Assembly Datum: Mesh Sea Level In: Cumberland River ildjaetnt Property Owners: At: Olive, Ulster County 1.. -Edmund Demaar New York 2.'Cart Calloway Application Ry: Johtt Martin it - .ro>vlvs~kr.4.v<~.-.rq•re....;.,..~...-via.^M.xrt~I•:..,~,•.w.:,:.w.~.. n...ww..~n...,o,.v~«.,.onv..vM*+mMUrexas+++a~m•'+.P~~Im+~aF.an........vnmc-m..r~.mmvm~+.m.'.n:•.vn:....•we...•.1... I RECION.4L GENERAL PER`fIT-SA.*IPLE DRAWINGS SAMPLE 1 MNW MLW 2.5'~$' Ramp r\/ J Project Site r • L ng s 7th River hors Roa Existing ast Hi! 1 ~Floo Bulkhead Mooring g'xg' - Piles Float Ebb Waterway width: 170 fee[ ~ ' PLAN VIEW N VICINITY MAP L 22' Dn F 1G' Mooring Pier 0" • ~ ~ z i r ~ I~ I~ ' ' ~ r, ~ i i1 \ 'i " • ' 11 Existing Existing ~i \ ~ Bulkhead Ground j ~ ~ r I SECTION VIEW r,' ri ~r Purpose: Private Pier Proposed Docking Assembly Datum: Mean Sea Level In: East Mill River Adjacent Property Owners: At: Carmel, Putnam County, 1.-David Karbowsky New York 2: Matthew Corliss Applicatinn By: Fr-d Shelton Sheet 1 of 1 Da'e: 7)2)81 v REGIONAL GENE: PERMIT-SAMPLE DRAWINGS ~~a*J11 ~ l..G Scale 72°37' ~i {?6~ 1"=3000 4DLocu~~L 1 Float reat ~/I Ramp South Bay -i°--~ ~ , J ' ` I may` Existi g . Substr to Atlantic Ocean ' Existing VICIi:ITT ' Bulkhead i 10' piles SECTION~'~ VIEW 1 I Ebb i 3.5' depth 6~ , 6'x16' Float v \l1 ( ' I Flood ~ "','4'x12` Ramp N waterway width: 375 feet k'x55' Pier 1.5' depth i ~'W ! I feet ' PLAN VIEW I 0 15 30 I I private residence Purpose: Pl,rivate Pier Proposed Docking Assembly Datum:.Me~n Sea Level In: Great South Bay Adjacent Property Owners: At: Knox, Albany County, 1. Leo~iiHoban New York 2. Geot,ge Beck Application by: Don Jones Sheet~l of 1 Aate: 3/7 83. ~ - _ ~ _ r.. r...~~..~ iorvi v.~.nnr . Ire;°' ~a ~,„"i~, ~ I _ BOARD OE IiEALTH . ~~~~(Cfq( (_~~~'I~ ,~a ~ 3 SETS OF PLANS 1i ~ ~_.m_~._.. ~ , FOftM NO.1 SURVEY MAY ' 71991 i+p TOWN OF SOUTHOLD CuECK : ,r~, . • • t ~ BUILDING DEPARTMENT SIiPTIC FORM S ' ~ TOWN HALL ISLC!=a-tat-~~i, SOUTFIOLD,N.Y.11971 NOTIrY Jqc~ /'~o..i~~ie.? TC1VtCIV (~~t?!tThttSiJ;i,.w ~ TEL.: 7G5-1802 CALL .`~.~~.:.~':~'?.:/,-F~/5.... C•xatnined-1 l~ 1~~. ~ MALL T0: Approved 199 Pcnnit No~~a J. G% Disapproveda(c C~ . uildin~ Spector) APPLICATION FOR BUILDING PERMIT March 29, 91 Date ...................15... INSTRUCTIONS r 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. Pee 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, dre Building htspcctor (vill issued a Iuilding 1'crrnit to the applicant. Sy~~ r shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in art for an p y purpose whatever until a Certitcate of Occupancy shallltave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the [iuilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Rcculations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. flte applicant agrees to comply with all applicable laws, ordinances, building code, housin, code, and regulations, and to rdmit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) 1374 Midland Avenue, Bronxville, N.Y. 10708 (Mailing address of applicant) hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plutnber or builder. Oamer Jame of owner of premises Panagiotis J. and Patricia Gazouleas .•..•.•..•.••~~•....•.•.(asonthetaxrollorlatestdeed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . , To Be Determined , , , , , , Plumber's License No. To Be peteepliA~d , , , , , , Electrician's License No. To Be Determined , , , , , Other Trade's License No. To Be Deternined , • Location of land on whigch proposed work will be done. -no~c--ram-.......F ~I...... Willi Creek,Drive 6. Mattituck House Number Street Hamlet County Tax hlap No. 1000 Section , 123, 00 , , , , , , Blbck , 10 :00 , , , , , Lot . 001 :000 Subdivision .Harbor View. At Mattituck, , , , , , , , , , , , Filed Alap No. 8377 Lot . .(Na»te) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , , , Vacant• _ • • , , . , , ' ' • • . • W~l~ ~ ~8i61.f8 tlmY vr+ii+t tta ~ ~r:x? alitlsrV+Ceutoht b. Intended use and occupancy , ,Single Family Residence , . YJnu"'~' ~°";'f~: trr"t'Ir'" . • r••r$tt~uxtzr:~a~Cl~e.~.;,r:;lracr; ~1n~ama'1• t r i 3. Nature of work (check which ap'plicable): New !)wilding , . Addition . Repair Removal, Alteration . • • • • • _ . , . Demolition . Other lY~~~ , 4. Estimated Cost . , $300. 000: 00 rip ° (Dcsc~nption) . L Pee.. T ,~y~~ 5. if dwelling, number of dwelling Ynits .~e, ~1~, (to be paid on filing this application) ifgaragc,numberofcars •Th'ree,(3). Numbcrofdwelling~unitsoncachfloot.N/A 6. Tf business, commercial ormixec~ occupancy, specify nature and extent of each type of use •1V%A• • • • • ' ' ' ' ' ' ' ' ' 7. Dimensions of existing structure;;, if any: Front , • • • • • • • • • • , . Hciglrt Number of Stories . . , Rear Depth . Dimensions of same structure with alterations or additions• Front • • • • • • ~ • • • ' ' ' ' ' ' ' ' ' ' Depth ' . IIcight . , , Rear . Dimensions of entire new constrtction: Front . • • • ~ ' ' ' ' ' • • • • Number of Stories . . . . . . . Height . , 3Q; , , , , , . Number of Stories . , ,?~o, (2) • • Rear ....~QQ:....... Depth ..5$:........ • . 9. Size of lot: Front.. 66'.....r.,........ Rear. 330 10. Date ofl'urchase 1988 ` Depth :,237' 11. Zone or use district in which premises are situated , .A Carne of Former Ocvner Harbor View At .Mattituckt .Assoc. 12. Does proposed construction violate any zoning law, ordinance or regulation: No • • • ~ • • • • • • • ' ~ ' ' ' ' ' ' ' ' ' ' ' ' ' 13. Will lot be regraded ...Y@$ , , ~ .Will excess (ill be removed fro t remises: • 14. Name of Owner of premises P ; ,Gazouleas ~ ~ • • , , , ,Address ~ p X3i~ No Name of Architect ,1)4rl~I.rd ,Q : D~ni,~„ ,t),,)s :A., , , , Address FO 56 ' .A .....Phone No. 91.`~ , Name of Contractor .Zodiac Homes $ • • q~~bO•~? • Phonr. No. 516-Z22 :3511.. , IS.Is this property loca ed within •Address .Phone No.S>~242;1,$],5,,, q 300 feet of a tidal wetland? *YL+S. •NO.... *If yes, Southold TownlTrusCees PermiC may be required. PLOT DIAGRAM Locate clearly and distinctly all ~uildings, whether existing or proposed, and,indicatc all set-back dimensions from property (fines. Give street and block number or description according to decd, and show street names and indicate whether interior or corner lot. j~2~ !I I , i l i , iSTATfi OP Nfi1 RI: ,COUNTY OF 0 ' • • • • • • • • • • • • • • . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) about named. He is the ...........~;G;,~!j (Contractor, agent, ebrporate 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 tpplicadon; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,vork will be pcrfomicd in the manner sot forth in the application filed therewith. iworn to before me tht` ~s~ I ,day of • a. • ) 19~ +'otary Publ~~ l . . ~RBLQ~ County Nopry Pubtla, Slats of NawY~Orlt No. 4878608 QualNkd Ire SuHdk . • • • . Commleelon Explrsa December ' 18... 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