HomeMy WebLinkAbout25979-ZFORM 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. 25979 Z
Date SEPTEMBER 10~ 1999
Permission is hereby granted to:
for :
JAY P. MANDELBAUM
825 KIMBERLY LANE
SOUTHOLD~NY 11971
DEMOLISH AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
at premises located at 825
County Tax Map No. 473889 Section 070
pursuant to application dated AUGUST
Building Inspector.
KIMBERLY LA
Block
31 1999
SOUTHOLD
0013 Lot No. 020.005
and approved by the
Fee $ 229.70
/ AutO, zed Signature
ORIGINAL
Rev. 2/19/98
New York State Department of Environmental Conservation
Division of Environmental Permits
Rm 121, Building 40-SUNY
Stony Brook, New York 11790-2356
Telephone (516) 444-0365
Facsimile (516) 444-0360
John P. Cahill
Commissioner
LETTER OF NON-JURISDICTION
Laurie Gordon and Jay Mandelbaum
40 East 89th Street
Apartment 14D
New York, N.Y. 10128
Date: August 26, 1999
Re:1-4738-02389/00001
Gordon and Mandelbaum Property
825 Kimberly Lane
Southold, N.Y. 11971
SCTM # 1000-70-13-20.5
Dear Ms. Gordon and Mr. Mandelbaum:
Based on the information you have submitted, the New York State Department of
Environmental Conservation has determined that:
The property landward of the topographic crest of the bank, shown as the 13
foot contour interval on the survey prepared by Joseph A. Ingegno on 7/14/99,
is beyond the jurisdiction of Article 25 (Tidal Wetlands).
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations
(6NYCRR Part 661} no permit is required under the Tidal Wetlands Act . Please
be advised, however, that no construction, sedimentation, or disturbance of any
kind may take place seaward of the tidal wetlands jurisdictional boundary, as
indicated above, without a permit. It is your responsibility to ensure that
all necessary precautions are taken to prevent any sedimentation or other
alteration or disturbance to the ground surface or vegetation within Tidal
Wetlands jurisdiction which may result from your project. Such precautions may
include maintaining adequate work area between the tidal wetland jurisdictional
boundary and your project (i.e. a 15' to 20' wide construction area) or
erecting a temporary fence, barrier, or hay bale berm.
Please be further advised that
responsibility of obtaining any
agencies.
cc: Samuels & Steelman
BMHP
File
this letter does not relieve you of the
necessary permits or approvals from other
Ve,ry truly you~
John A. Wieland
~eputy Permit Administrator
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Fester
Ken Poliwoda
Town Hail
53095 Main Road
P.O. Box 1179
S~uihold, New York 11971
Telephone (516) 765-18~{2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DETERMINATION OF NON-JURISDICTION
DATE: August 19, 1999
AGENT: Samuels & Steelman
ADDRESS: 25235 Main Rd.
Cutchogue, -NY
APPLICANT:
ADDRESS:
Gordon / Mandelbaum
825 Kimberly Lane
Southold, NY
PHONE: 734-6407 PHONE:
RE: SCTM# 70-13-20.5
The Southold Town Board of Trustees reviewed the survey dated and received in our
office on Aug. 6, 1999 and determined that your proposal to
Demolish existing residence and construct new residence in the
same location
to be out of the Trustee Wetland Jurisdiction under Chapter 97.
However, any activity within 75' of the Wetland line requires a permit from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to call.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJKJlms
IlO^RD OF III~AL'I'H ...............
3 SETS OF PLANS ...............
SURI/EY .......................
CIIECK .........................
SEF'TIC FOEH ...................
NOTIFY:
CAI.! ...................
HAll. TO: ....................
I~.x~ni.ed ................. , 19 ....
^,,..~,~,... ~.1.:~ ........ ,97..~. ~,,,t ,~..~.~.27.!-. .....................................
1)i~)~ n/~ ..' ....... '. ........ ~. ...... ' ....:': ......................................
n. 'lids n~lleati~l ~mt I~ ~letely fillml in by ty~rlter or in ink a~l m)lmltt~ to O~ Ikdldlng lnsl~c~or wit
3 ~ts o~ plm~s, ncmr~te plot plnn to ~le. F~ ~ccordh~ to sd~de.
b. Plot plm~ ~i~ l~atim of lot ~1 of I~dldi~s m prmi~, relstlon~dp to ~l]oini~ prmises or ~blle
~tr~t~ or areas, n~l ~ivi~ a s~tnil~l ~ripti~ o~ l~y~t o~ pro~rty ~t I~ dr~ ~ tl~ di~ ~dch is I~rt of
lids nl~l icnti~.
c. '11~ ~rk c~r~ by this nl~lic~tim
d. lJl~ n~r~al off this ~lic~ti~, tl~ I~dldi~ hm~ctor ~ill is~ a ~ildi~ Pe~it to the ~llcan~. ~h
I~ fl~al~ I~ ~pt ~ tl~ ff~l~ ~ilIHe 'F~{ insl~ti~ thr~t the ~rk.
e. ~ I~ildi~ d~all I~ ~i~l or u~l in ~le or tn ~rt for mff ~ ~at~er ~il n ~rtlflc~te of
AP~.~C~'FI~ IS IE~ ~ to tie l~dldi~ ~r~nt for fl~e is~e o~ a ~dldlng Pemlt Fir~nt to the'
I~fildi~ 7~ ~di~m~e of tl~ ~ of
~Hsti~s, for tl~ ~st~ti~ o~ hfildi~s, ~iti~s or ~lter~ti~s~ or for r~l or ~littou, ~s I~rein
1'
(Fig~ture o~ ~ mant, or ~, if ~ co~rati~O
(~ili~B ~ress of a~l ie~t) /
Stat:e ~d~etber al~licanL is ~er, les.see, ,'~ent, a!'chit~ en~,ineer, 8e,~eral contractor~ el~ctrleion, plt~i~er or I~dhle
Na~ oF ~r o[ premises ......
(as on the tax ~oll or late~t
(~ansa ns~l title o1: corporate o[ficer) .
ltdlde_rs l.lcense No ..........................
l']mi)ers 1.icen.~ No ..........................
Ir, lectriei~:,.~ l.ice~w.e lt~ ......................
Otl~er 'l¥.mle's l.icense No .....................
I. ' I~x:ati~ of lard on std~-h piOlX)se<l ~ork ~ill ~ (~: ......... ;: .............................
..... g~ ..................... ~~.~ .........................
Ik~ ~sd~r Strut l~let
~..,,~ ~. ~. ~.. ,,~, ~,-~, ..... 7~ ....... ,,,~ .... /~ ........ ,~, ...~.&7...
~,,~,,~,.~,., .... ~~.e~<~.. ~,,~.~, ~. ~.~ ...... ,~, ..... ~ ......
/
2. State exi~tis~ u~ al~ ~os~y of ~i~s ar~t intet~ uae m~l
. . ' ..................................... ~ .......... ; ......
Ib~l.~i r ............ l~[~al ............. I~1~1 J Li~ .... · ....... Other T~k ....................
~l~r~r i pt i(x~) ,,
I[Sl in~t~l (~sl: . . ~ ........ [~ ..............................................
(to I~ ~id ~vm fill.il this alibi
II i~.lnl~e, I~l~l~r of c~:~ ....... ~ .......... : .............
~ui~,, . ..... ~ ............. ~,,~ oe st,,~i~, ..... ~ .........
I~q~lh .................... I~i~1: .................... N~imr of 5to~ies ...............
I)'hl~n'~ of'ent itc ~ c(~sl~l h~:' Fr~l" I~r ............... l~plh ..............
~ ,,~ ,,,,:: ,,,,,,~ ..... ~.¢.Z. ........ ~ .................. ~ ,~,,,, ...~.~...~ .......
~ill lot I~ ~esr~ .................... ~ill e~:ess fill le ros~ol f~on ~oni~:
~~...
~.,~ ,,~ ~..,,,~,,,~ ..~~ ................... ?~,,~, ~"~ ~,~ ............ ,,~ ~ ......... ~.~
15. Is Ihi~ I.Ol~ty ~ithln ~1 f~t of a ti~l ~tlm~l? ~l~g .......... fi) ..........
"']~:~fle ~[early o~1 disti~tly all I~ihling~, ~tlmr exlstlug or propel, m~l i~licate all ~t-I~k di~mnsi~s
fr~u p~oi~ty li~s. ~i~ st~t ~1 bilk ~dmr or ~scr~p:i~ ~ccording to ~1~ mfl fl~ strut ~m~ a~l i~licote
~dmll~r ii~terior or cori~r lot.