HomeMy WebLinkAbout27894-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28096 Date: 11/30/01
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1610 PARADISE POINT RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 81 Block 3 Lot 19.4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 12, 2001 pursuant to which
Building Permit No_ 27894-Z dated NOVEMBER 13, 2001
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 PLATFORM WITH MONUMENT AS APPLIED FOR.
The certificate is issued to JAMES & BARBARA MILLER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
AuthoiKized Sigrgure
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 27894 Z Date NOVEMBER 13 , 2001
Permission is hereby granted to:
JAMES & BARBARA MILLER
PO BOX 610
CALVERTON,NY 11933
for
CONSTRUCTION OF 60 SQ. FT. PLATFORM, LOCATED 20 ' FROM THE APPARENT
HIGH WATER FOR A MONUMENT AND TO THE CONDITIONS OF THE DEC AND TRUSTEES
at premises located at 1610 PARADISE POINT RD SOUTHOLD
County Tax Map No. 473889 Section 081 Block 0003 Lot No. 019 . 004
pursuant to application dated OCTOBER 12 , 2001 and approved by the
Building Inspector.
Fee $ 75 . 00
Authorize ignat e
ORIGINAL
Rev. 2/19/98
Form No.6
TOWN OF SOUTHOLD Q �(
BUILDING DEPARTM
TOWN HALL .
765-1802
APPLICATION FOR CERTIFICATE O C
This application must be filled in by typewriter or ink and submitted to the epartment with the following:
A. 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 1% 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- $100.00
3. Photocopy of Certificate of Occupancy-$ 0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00
Date.
New Construction: ✓ Old or Pre-existing Building: (check one)
Location of Property:. \�0 0 Q(1(a Use �n toad
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block 3 Lot 9.
Subdivision Filed Map. Lot:
Permit No. ��j Date of Permit. 1\ \ _Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
cS
I' V�► 3 Applicant Signature
170
./ `Qs�f fU(KCO
APPEALS BOARD MEMBERS Southold Town Hall
h�0 Gyp 53095 Main Road
P.O.Box 1179
Gerard P.Goehringer,Chairman y
James Dinizio,Jr. • �� Southold,New York 11971
�
Lydia A.Tortora ZBA Fax(516)765-9064
Lora S.Collins tido( �aTelephone(516)765-1809
George Horning
BOARD OF APPEALS
TOWN OF SOUTHOLD
BOARD OF APPEALS DETERMINATION
MEETING OF MARCH 3, 1998
App
l. No. 4537 - BUILDING DEPARTMENT by Edward Forrester,
Director of Code Enforcement, uthold
T wn Wide,of o Town of Southold
Location of Property: February 26, 1998
Date of Public Hearing:
Section of Code Interpreted: Section 100-13 (Definitions)
A lication No. 4537 is a request for an
WHEREAS, PP Code Article I, Section 100-13
y Interpretation of the Zoning ,
_ (Definitions) of a "building," to determine whether or not a vision
high sculpture is a building
within the language of said provision;
and if it is a building, whether or not it is subject to the height
limitations of Section 100-33 of the Zoning Code; and
fi
WHEREAS, after due notice a public hearing was held by the
-
Board of Appeals on February 26, 1998 in the Assembly Room, Town
Hall, 53095 Main Road, Southold, New York to consider this
application; and
those. who desired to be heard
WHEREAS, at said hearing all
were heard and their testimony recorded; and
WHEREAS, all testimony has been carefully considered and the
following pertinent facts noted:
t 1. The definition of a "building" in Section 100-13 of the
Zoning Code reads as follows:
�
"BUILDING - Any structure.having a roof supported by such
s, posts, piers, walls or air intended for the
things as column
shelter, business, housing or enclosing of persons, animals,
property or other materials; Qa1so any combination of materials
forming any construction, except where entirely underground so
ound above the same as if no
as to permit the use f the gr " shall include the
building was present The term "building
term "structure" as well as the following:
(1) signs
(2) fences
(3) walls
(4) radio, television, receive-only satellite dish antennas,
amateur radio antennas and wireless communication facility
receiving and transmitting antennas, except for radio,
television, receive-only satellite dish antennas, amateur radio
gs: Page 2 - March 3, 1998
171
Re: ZBA Appl. No. 4537
i Request for Interpretation
antennas installed on the roof of a building and extending not
more than 20 feet above the highest level of the roof of such
building'.
(5) porches, outdoor bins and other similar structures. .. .
2. Section 100-33 of the Zoning Code limits the height of
accessory buildings and structures at a mean height of 18 feet, and
which section specifically reads as follows:
Article III, Section 100-33 at pages 10052-10053 reads:
100-33... accessory buildings and structures or other accessory
uses shall be located in the required rear yard, subject to the
following requirements:
A. Such buildings shall not exceed eighteen (18) feet in
height... .
3. Also, Section 100-230 of the Zoning Code provides certain
exemptions from the height limitations.
4. The Board of Appeals is not in a position at this time (and
is unable) to respond to the request for an interpretation as to
whether or not such as building is subject to the height limitations
because such a determination must be made on the basis of specific
facts pertaining to a specific building, and no such facts were
submitted to the Board in this interpretive proceeding.
On motion offered by Chairman Goehringer, seconded
Member Dinaz io,
IT IS RESOLVED by the Board 'of Appeals that the application
of Southold Town Building Department, requesting an Interpretation,
Is hereby ANSWERED as follows: '
A 40 ft. high sculpture is a building as defined in the Zoning;
Code under Section 100-13.
VOTE OF THE BOARD: MEMBERS GOEHRINGER, DINIZIO and
COLLINS. (Absent were: Members To and This
resolution was duly ADOPTED (3-0).
GERARD P. GOEHRINQ MAN
Approved for Filing
PLCIST}�--I) AND 'i r J BY
Tru. aOli?:_..]L-,D TL*..._' t. :..:z:s
, .
ITown
-2-1
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ j FOUNDATION 2ND [ j 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
,DATE ///�8 a/ INSPECTOR /� (/�
mu INSPECTION RX3POYtT t1AT$ - COMMENTS •
a.•
• I` F
ter
FOUNDATION ( 1 STY .p
[LONDATION . (2ND)
ROUGH FRAME &
PLUMBING C)
ERSULMON PER N. T.
STATS ENBRGY
CODE -
ri
' f
cuWAL
m /
APDITIORAL CONMRNTS. rh
t
A.
TONW OF SOUTHOI D BUILDING PERMIT APPLICATION CHECKL E
BUILDING DEPARTMENT Do you have or need the following,before apply =
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Bur'lding Plans
TEL: 765.-1802 -�--S„rey
PERNIIT NO. 2 7 - Check a
Septic Fotm
N Y.S.D.E.C.
Trustees
E coned L -t- '20 Conte Harvey A. Arnoff, Esq.
Approved�N'- .20_0 Mail to:P.O. Box 329
q
Disapproved a/c Riverhead, NY 11901
Phone: ( 6 31 ) 72-7-3c)()4
�8 pector
A UG 3 ?QO! i J+ APPLICATION FOR BUILDING PERN=
J
{.. Date.August 2 ,2001
INSTRUCTIONS�IZJ
a.This applion be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
SM of plans,accurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on p w2ises,relationship to adjoining premises or public streets or
areas,and waterways.
c.The work covered by this application may not be commenced before issuance of Building Permit.
d Upon approval of this application,the Building Iuspector will issue a Building Permit to the applicant. Such a 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 what so-ever until a Certificate of Occupant;
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department.for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or
Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The
aPPlicant ag1ees to comply with all applicable laws,ordinances,building code,housing code and regulations,and to admit
authorized inspectors-on picmises and in building for necessary'inspections. --�
P n Es - or
(Signature of applicant or name,if a corporation)
The Law Offices of Harvey A. Arnof:
P.O. Box 329, Riverhead, NY 11901
(Mailing address of apphoaut)
State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Agent
i
Name of owner of premises James Miller WIMM ASIGID
(as on the tax roll or latest d o
If applicant is a corporation, signature of duly authorized officer NOTIFY0 pEpA TAT
(Name and title of corporate officer) 785-1802 0 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION • TWO REauIRED
Builders License No. 4C�C11paNCY OR FOR POURED CONCRETE
Plumbers License No. USE IS,UNLAWFUL a INSINSULATIONSULATIRAMINa i PLUMBING
FINAL -
Electricians License No. WITHoUTCERTI F ICF�TBECOMPLETE SFOR C.O.ON MUST
-ORIMPANCY ALL CONSTRUCTION..SHALL MEET
Other Trade's License No. THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION ! ENERGY
1. Location of land on which proposed work will be done: CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
1610 Pa adise Point Road, Snilthnld
House Number Street Hamlet
County Tax Map No. 1000 Section 81 Block 3 '�
Subdivision Filed Map No. :I,ot
(Name)
Mate ex><sting use and occupancy of premia
es and intended use and occupancy of proposed
a. Existing use and occupancy Private Residence
Monument-no occupancy
b. Intended use and occupancy
applicable •New Building Addition Alteration
Nature ofwork(check whichapp • )' Demolition Other work monument installation
Repair Removal (Description)
Estimated Cost $5, 000. 00 Fee
(to be paid on filing this application)
If dwelling,number of dwelling units
n/a Number of dwelling units on each floor n/a
If garage, number of cars ja
ercial or mixed occupancy, specify nature and extent of each type of use. n/a
If business, comm
.
Dimensions of existing structures,if any: Front n/a Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Rear
Height Number of Stories.
8 Re
Dimensions of entire new construction:Front
' ar g ' Depth 8 '
Height -Ag _Number of Stories
Size of lot:Front 231 ' Rear 2 a2 ' � Depth s s nVa r_
0.Date of Purchase Name of Former Owner
1.Zone or use district in which premises are situated R-80
.2.Does proposed construction violate any zoning law, ordinance or regulation:
• No ..
.3. Will lot be re-graded
No Will excess fill be removed from premises: YES NO xxx
4.Names of Owner of premises James _Miller Address 1610 Paradise Phone No.
Name of Architect Address Point Road Phone No
Name of Contractor Address Phone No.
l5. Is this property within 100 feet of a tidal wetland? *YES xxx NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey,to scale,with accurate foundation plan and distances to properly lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
iTATE Ojff YORK)
Y being duly sworn;deposes and says that(s)he is the applicant
°c i4 t)above named,
S)Heas
n, Uj .lir tNVDYiin/e': w k.; # _ws
9-said owner or owners, dply a orized to perform or have performed the said work and to make and file this application;
hat aIle fid$ apjication are true to the best of his knowledge and belief; and that the work will be
iet . m the application-filed therewith.
1.
ry�
A �R i
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Notar3l Publi ignatine of ApplicalA
DIANE REILLY
OMM Public.State of New York
No,01 RE4718016
Ad iv,Suffolk county
IWOOOWQn.Expires July 31, Q OC6X",
Julio B=6
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BASE PLATE
81 6t. 3/811 2x12 Box JOISTS
FLANGE PLATES
2x
JOIST. 6x6 STRINGERS
3/4" GALVANIZED
BOLTS
3x10 JOISTS d
LEG PLATES
SCULPTURE FLANGE PLATES
FRAME (SEE
DETAIL) 3/4" GALVANIZED BOLTS
'I
6x6 STRINGERS
4� ± 12" d. x 161 ±
PILES
III GRADE
SCALE: 1/211 s 1 '
SCULPTURE PLATFORM
TYPICAL CONSTRUCTION DETAILS
App ication r d' the tro y of
James Miller,�TM I00 gy 3.19.4
'nnriC. �r GrV1RUn9tVirll. 1,unJtlwil�lUN
/ DEC PERMIT NUMBER
1-4738-01661/00001EFFECTIVE GATE
FACILITY/PROGRAM NUMBER10/9/97
S) P ERRMIT
EXPIRATION DATE(S)
10/30/98
Under the Environmental
Conservation Law
TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct 13 Permit to Operate
I I
❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality
of Waters Certification ❑ Article 27, Title 7; 6NYCRR
360: Solid Waste Management
❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES
Supply ❑ Article 27„Title 9; 6NYCRR
❑ Article 19• Air Pollution 373: Hazardous Waste Management
❑ Article 15, Title 15: Water Control
Transport ❑ Article 34: Coastal Erosion
❑ Article 23, Title 27: Mined Management
❑ Article 15, Title 15: Long Land Reclamation
Island Wells ❑ Article 36: Floodplain
❑ Article 24: Freshwater Wetlands Management
❑ Article 15, Title 27: Wild,
❑ Articles 0 R 17, 19, 27, 37;
Scenic and Recreational Rivers
■ Article 25: Tidal Wetlands
6NYCRR 380: Radiation Control
Other:
PERMIT ISSUED TO
TELEPHONE NUMBER
James Miller 516-369-4900
ADDRESS OF PERMITTEE
PO Box 610
Calverton NY 11933
CONTACT PERSON FOR PERMITTED WORK
James Fitzgerald 1516-7734-5800
E NUMBER
PO Box 617 Cutchogue NY 11933
NAME AND ADDRESS OF PROJECT/FACILITY
Miller Property
1610 Paradise Point Road
I LOCATION OF PROJECT/FACILITY
Calverton
COUNTY TOWN WATERCOURSE
Suffolk Southold Shelter Island Sound NYTM COORDINATES
DESCRIPTION OF AUTHORIZED ACTIVITY
Construct 60 square foot platform above apparent high water (APHW) to support 35' X 6' Heron art sculpture in accordance
with attached NYSOEC approved plans.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
_CL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of
.his permit.
PERMIT ADMINISTRATOR: ADDRESS
I Charles T. Hamilton
Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356
AUTHORIZED SIGNATURE DATE
10/10/97
J �
Page I Of 4
New York State Department of Environmental Conservation
Division of Environmental Permits
Building 40 - SUNY, Stony Brook, New York 11790-2356
Ah
Telephone (516) 444-0365
Facsimile (516) 444-0360 Abow
John P. Cahill
Commissioner
October 10, 1997
Mr. James Miller
PO Box 610
Calverton, NY 11933
RE : 1-4738-01661/00001
Dear Permittee :
In conformance with the requirements of the State Uniform
Procedures Act (Article 70, ECL) and its implementing regulations
(6NYCRR, Part 621) we are enclosing your permit . Please read all
conditions carefully. If you are unable to comply with any
conditions, please contact us at the above address .
Also enclosed is a permit sign which is to be conspicuously
posted at the project site and protected from the weather.
Very truly yours,
t
1, �L
Charles T. Hamilton
Environmental Analyst I
CTH/j r
enclosure
File
LuNJtt(VA!IuN
DEC PERMIT NUMBER
1-4738-01661/00001 ■ EFFECTIVE DATE
FACILITY/PROGRAM NUMBER(S) 10/9/97
P E RM I T EXPIRATION DATE(S)
Under the Environmental 10/30/98
Conservation Law
TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate
I
❑ Article 15, Title 5: Protection
❑ 6NYCRR 608: Water Quality
of Waters Certification ❑ Article 27, Title 7; 6NYCRR
360: Solid Waste Management
❑ Article 15, Title 15: Water ❑ Article 17, Tittes 7, 8: SPDES
Supply ❑ Article 27„Title 9; 6NYCRR
❑ Article 19: Air Pollution 373' Hazardous Waste Management
❑ Article 15, Title 15: Water Control
Transport ❑ Article 34: Coastal Erosion
❑ Article 23, Title 27: Mined Management
❑ Article 15, Title 15: Long Land Reclamation
Island Wells ❑ Article 36: Floodplain
-1 Article 15, Title 27: Wild, 13Article 24: Freshwater Wetlands Management
Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands ❑ Articles 1, 3, 17, 19, 27, 37;
Other: 6NYCRR 380: Radiation Control
F
MIT ISSUED TO
7TELEPHONE NUMBER
es Miller 516-369-4900
RESS OF PERMITTEEBox 610
Calverton, NY 11933
CONTACT PERSON FOR PERMITTED WORK
James Fitzgerald E516-734-75800
MBER
PO Box 617, Cutchogue, NY 11933
NAME AND ADDRESS OF PROJECT/FACILITY
Miller Property
1610 Paradise Point Road
LOCATION OF PROJECT/FACILITY
Calverton
COUNTY =TOWNSuffolk WATERCOURSE NYTM COORDINATES
! Shelter Island Sound
DESCRIPTION OF AUTHORIZED ACTIVITY
Construct 60 square foot platform above apparent high water (APHW) to support 35, X 61 Heron art sculpture in accordance
I with attached NYSDEC approved plans.
1
I
i
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
=CL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of
-his permit.
PERMIT ADMINISTRATOR: ADDRESS
Charle-c T. Hamilton
Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356
1 AUTHORIZED SIGNATURE
j _^ DATE
10/10/97
Page 1 of 4
Inspections
1 . The permitted site or facility, including relevant records, is subject to in-
spection at reasonable hours and intervals by an authorized representative of
the Depa r trent of Env i romenta I Conservation (the Depa rmmnt) to determine
v%hether the permittee is corrplying with this permit and the ECL. Such represen-
tative rray order the vAork suspended pursuant to ECL 71-0301 and SARA 401 (3) .
copy of this permit, including al referenced craps, draivings and special
conditions, rrust be ava i I ab I e for inspection by the Department at a I I t irTes at
the project site. Failure to produce a copy of the permit upon request by a
Department representative is a violation of this permit.
Permit Changes and AeneAels
2. The Department reserves the right to cd i fy, suspend or revoke this permit vu
rren:
a) the supe of the permitted activity is exceeded or a violation of any
conditicn' of the permit or provisions of the Ei3L and pertinent regula-
tions is found;
b) the permit vias obtained by misrepresentation or failure to disclose
relevant facts;
c) newvrraterial information is discovered; or
d) environ ental conditions, relevant technology, or applicable lav or
regulation have materially changed since the permit utas issued.
3. The permittee rrust sutmit a separate written application to the Department for
reneAel , modification or transfer of this permit. Such application must include
any forms, fees or suppleTmntal information the Departmnt requires. Any
renege l , modification or transfer granted by the Cepa rtrrent rrust be in wr i t i ng.
4. The permittee rrust submit a renenel application at ieast:
a) 180 days before expiration of permits for State Pollutant Discharge
E i imi nat i on System (SMIM) , Fiaza rdcus V%ste Nbnage-rent Fac H i t i es
(1•'V'SVF) , rre j o r Ai r Po I I ut i on Cont ro I (APC) and So I i d V%ste Nbnage mnt
Fac iIities (SMF) ; and
b) 30 days before expiration of all other permit types.
5. LhIess expressly provided for by the Department, issuance of this permit does
not modify, supersede or rescind any order or determination perviously issued by
the Department or any of the teras, conditions or requirarents contained in such
order or determination.
Other Lega I Cb i i gat i ons of Perry ttee
6. The permittee has accepted expressly, by the execution of the application, the
full legal responsibility for all darages, direct or indirect, of whatever
nature and by vvwrever suffered, arising out of the project described in this
permit and has agreed to indamify and save harmless the State frcrT suits,
actions, darages and costs of every naTa and description resulting fro-n this
project .
7. This permit does not convey to the permittee any right to trespass upon the
lands or interfere with the riparian rights of others in order to perform the
permitted vAcrk nor does it authorize the irrpa i ment of any rights, title, or
interest in real or personal property held or vested in a person not a party to
the permit .
8. The permittee is responsible for obtaining any other permits, approvals, lands,
easeTants and rights-of-v\ay that rray be required for this project.
Page 2 of
t7 a�l__;c
-ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( Tldal Wetlands`� That it tuture operations by the State of New York require an al- other environmentally deleterious materials associated with )
teration in the position of the structure or work herein authorized, or the
project.
it, in the opinion of the Department of Environmental Conservation
it shall cause unreasonable obstruction to the free navigation of said 1' env material dredged in the prosecution of the work herein permitted
waters or tlood flows or endanger the health, safety or welfare of hall be removed evenly,without leaving large refuse piles,ridges across
the people of the State, or cause loss or destruction of the natural the bed of a waterway or floodplain or deep holes that may have a
re+ources of the State. the owner may be ordered by the Department to tendency to cause damage to navigable channels or to the banks of
remove or alter the structural work, obstructions, or hazards caused a waterway.
therebc without expense to the State, and if, upon the expiration or 14 T^ere shall be no unreasonable interference with navigation by the work
revocation of this permit, the structure, fill, excavation, or other herein authorized.
modification or the watercourse hereby authorized shall not be com- 15 If upon the expiration or revocation of this permit,the project hereby
pleted. the owners, shall. without expense to the State, and to such authorized has not been completed,the applicant shall,without expense
extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the
Conservation may require,remove all or any portion of the uncompleted Cepartment of Environmental Conservation may require,remove all or
structure or till and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site
and flood capacity of the watercourse.No claim shall be made against to its former condition. No claim shall be made against the State of
the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration.
That the State of New York shall in no case be liable for any damage 16 It granted under 6 NYCRR Part 608, the NYS Department of Environ-,
or injury to the structure or work herein authorized which may be caused
mental Conservation hereby certifies that the subject project will not
by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under
conservation or improvement of navigation,or for other purposes,and
no claim or right to compensation shall accrue from any such dams e. ections 301, 302. 303, 306 and 307 of the Clean Water Act of 197,'
g P1_ 95-217) provided that all of the conditions listed herein are met.
Granting of this permit does not relieve the applicant of the responsi- 17 All activities authorized by this permit must be in strict conformance
bility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part
the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State
Office of General Services or local government which may be required. et the permit application.
All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by Prnrx�rT Sri-pori
of any wetland or waterway by suspended solids, sediments, fuels, 7 5 JOP-/97
solvents. lubricants,epoxv coatings,paints,concrete, leachate or any on
SPECIAL CONDITIONS
l. 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 and or protected buffer areas.
2. Permittee is responsible to maintain sculpture in a safe condition after it is installed on the
approved platform.
Supplementary Special Conditions A thru F Attached
i
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UEC PER-MIT Nt..MBER
l�si.�o"1J�1�W1.
PROCR.xm FAC1t.'TY :NL:,,�ABER
Page! of 4
SUPPLEVENTARY 'SPECIAL CONDITIONS
The following conditions apply to all Tidal Wetlands; Freshwat
Wetlands; Coastal Erosion Management; and Wild Scenic er
Recreational Rivers Permits: • and
A. A copy of this permit, includingall
approved plans, shall be ava; conditions and
a
whenever authorized work is in progress.
at the project site
sign enclosed with the permit shallrbes The permit
the weather and posted in a conspicuous attected thework site until all authorized work has been completgd.
B. The permittee shall require that any contractor,
project engineer, or other person responsible for the
overall supervision of this project reads, understands,
and complies with this permit and all its general,
special, and supplementary special conditions. Any
failure to comply precisely with all of the terms and
conditions of this permit, unless authorized in
writing, shall be treated as a violation of the
Environmental Conservation Law. If any of thepermit
conditions are unclear, the ermit-e contact Division of Regulatory Affairs at the address the
one or telephone (516) 444-0365 , Paa ge
C. If project design modifications beccme necessary after
permit issuance, the permittee shall submit the
appropriate plan changes for approval by the Regional
Permit Administrator prior to undertaking any such
modifications. The permittee is advised that
substantial modification may require submission of a
new application for permit.
D. At least 48 hours prior to commencement of the
Proect
the permittee and contractor shall sign and returnjthe,
top portion of the enclosed notification form
certifying that they are fully aware of and understand
all terns and conditions of this permit. Within 30
days of completion of the permitted work, the bottom
Portion of that form shall also be signed and returned,
along with photographs of the completed work and, if
required, a survey.
E. For projects involving activities to be undertaken in
phases over a' period of more than one year, the
Permittee shawl notify the Regional Permit
Administrator in writir. at leas--
=accmmencin work i g T st 43 hours prier to
9 rJt n subset-se_.= years.
T
r • =he c:anting of this ; t c
c: perm_ d es not relieve the permittee
e responsibility of ch-ai_n4 - a rart, easement, or
necessary approval -
ion, Office cf Genera,+ �mD-vision of Land
= --=a State ?? Tower Buil
Plaza, AlAlbany, :i =3242 - ding.
may re r?c_uired f or ani _c 16) 474-2-95 which
e gat enc- ^�e:: u-- '
i-d - ar ��-�' j Caza-owned lands
Page -1 of
1J l L 1-N -11�L�1 W—L I I I N. J-4
Applicant/ Date
Owners Name: Reviewed:
Architect/ Date
Engineer: Submitted:
SCTM fl:
District: 1.000 Sec0n: JQ / Block: Lot:
Project / n ®� Subdivision
I..ocation: (/ '� at�i +'� Name:
Single&, separate Required
certification: (Yes/No)
Rey. Req. L ,L
Zoning District _�� 11,0(size: _�0 Actual: �/���1 (Lot coverage ,0"—/40Propoied
a7
Req. Req. Req.
(Front Yard Proposed:�J (Side Yard Proposed: J (Rear Yard Proposed l
Project Description:
AGENCUERMITS Permit
REQUIRED FOR REVIEW N.A. / NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation??? � 7
Flood Zone:
to • .
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UNAUTHORIZED ALTERATION OP ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION]iUK SUBDIVISION 3-THE NEW YORK STATE EDUCATION lAW
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY
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THE )FFSET3 OR DIMENSIONS SHOWN HEREON,FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THE'ARE NOT INTENDED TO MONVMENT THE MWPERTY
xA [� LINE I OR tO GUIDE'HE ERECTION OF FENCES ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT
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SITUATED AT
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Sou"f'H o l_D,
TOWN OF U to SUFFOLK CO., N.V. --
L ,Ne AT PRHSE.YT
BOND / 7I0W
KENNETH M. 110YCHUK L.S. mamtRiaial( the ree0rdt Df Robert J. Ramses)
Land Surveying and Design (6 3/
Calvert0n, New York1193933 ///
SCALE—_..L• 40� -- FILE NO_-G_t�R— .�-0 _ DATE MTI'ME GP.I1tf..I4.gG N. Y. S. LIC N0. 50227