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HomeMy WebLinkAbout16855-z FOltM~ NO. fJ TO~VN 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°l (~5~ Z Permission is hereby granted to: o ...~.~...~.,....~ ................................................. · ] . at premises located at .,/....,-~,. ~.J~.(~. ......... ~.~...~J~- .......... ~..f~/~- .liTe..........t~.- ~ ......... pursuont to opplication doted .,...'~.~'~.~ ..................... , 19..~...~.., c~nd opproved by the Building Inspector. Fee $ ............ Building Inspector Rev. 6/30/80 FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: LABS, INC. 7 0~.1;2 ~ 2 ~ LAB. NO. Environmental Testing Laboratories ,'36A 575 Broad Hollow Road, Melville, New York 11747-5076 · (516) 694-3040 FIELD NO Water/Waste Water Laboratory · Hazardous Waste Laboratory · Air Testing Laboratory TIME Pdot Plant Studies and Other Analytical Services COL BY C[JST, Il III ::1 L11 iJ.¶l,1 F~I k'rd I-'lP I l!-~11] l] :! ::!.'~ I[,_11 :l.1 COLLECTED RECEIVED ANALYSIS 04/t0/97 04/:1,0/87 HARRY B~L. OMAN WATER ANALYSIS I PREMISES 6F SAMPLING POINT I MATN RD ' fiR. 5]CA~' GRTENT CAtJS~AY E, MARION MATTITUCK ~ NY lt022 POINT OF COLLECTiON: DISTRIBUTION WELL OTHER (SPEC'i'FY) ROUTINE RE-SAMPLE SPECIAL COMPLAINT Ill APC/ml (<1) N~trates {mg/I N) (10.0) 0 ~ 0 Alkahmty (mg/J CaCO~) Coliform Bacteria Chemlca~ Oxygen Total Co~or (umts) Chlor,des (rog/I) ~ ~ ~ [ () ~ 0 O~ho Total Odor' HOt (3) pH ~ ~ Sultate (mg/I SO,) (250) 0 5 ~ Total Iron (rog/I) ~ 0 4 2 Total Amdgy 0 6 (0,3) I Sohds (rog/I) (mg/I CaCO3) Manganese (rog/I} 0 0 ~ Specd~c 4 ~ ~ Sodium (rog/I) 1 0 (0.3) Cond ~mhos) Free CO~ (rog/I) OeLergents (mg/~ ~s M~AS} ~l 0 0 4 Magnemum I 5 Nomograph ~ Tdrahon (rog/I) Fluoride (rog/I) (2,0) Oxygen (rog/I) Ammonia (mg/I N) ~ 0 O ~ 0 Aib. Calcium Ammonia (mg/I N) Hardness (mg/I as CaCO3) NdrHes (mg/I N) Temp COPIES TO: REMARKS: MR+ SICI311' E, MARION I T£$TS MARKED ~ EXCEED N,Y,S, I.:~i'iTT,~ FOR POTA~I.E WATER BUM OF IRON AHD HAN~ANE~[*: EXCEED~ 0~3 MG/L. )-MaximumContainmentLevel(MCL) NY, State Samtary Code LABORATORY DIRECTOR DATE REPORTED Regulatory Affairs Uni~ Bldg, 40. S~--P,O~ 219 Stony Bruit, ~T 11794 (~1~) n//oV A revte~ has been made of your proposal to: ~ev ~ork ~t~te 9e~arCman~ o~ [nviro~en~al ~onse~a~ion has found ~ha parc~l ~,~ proJec~ ~o be: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-~nade structure, ]"~/bc," greater than 1O0' in length constructed prior to September __Land~ard of 10' contour elevation above-can sea level on · gradual, n~tural slope. Landward of topo~raphical crest of bluff, cliff or dune in excess " of 10' in elevation above mean sea level. Taerefore, no per-it under Article 25 (Tidal ~etlande of the Envtro~ental Conse~ation LmO is required at this time since the current proposal ts beyond State ~ndated Jurisd~ctton put.ant ~o this act, }l~ever, any additional ~rk or modifications ~o the project ~y require a pe~it. ts your responsibility to notify this office, in ~itiut, If such addttto~l ~rk og ~difi~ti~us a~e cout~lated. Al~er~te Pe~t Administrator CI~tIDDRIeo~a April 6, 1987 Mr. and Mrs. John Sica 1602 Clifton Street Baldwin, New York 11510 Re: Health Dept. Covenants Dear Mr. and Mrs. Sica: Enclosed please find Covenants and Restrictions prepared by this office at your request. With your approval, please sign on the third page where indicated, before a notary public. The notary is to complete the acknowledgment of your signatures following our pencilled instrudtions. Use black ink only on this instrument. Also enclosed is our statement for services. We would prefer a separate check be made to Chicago Title Insurance Company for their $135.00 charge (copy of their statement enclosed). We enclose a self-addressed, stamped envelope for your convenience in returning the signed Covenants and your payments. Sincerely, Encs. SCHEDULE A DESCRIPTION OF PROPERTY DECLARANT JOHN T. SICA and LUCIA MARIA SICA, his wife H.D. REF. NO. 86-SO-30 ALL that certain plot, piece or parcel of land, situate, lying and being at East Marion, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at a point on the southerly side of the Main State Road, where the same is intersected by the westerly line of land of Miller, running thence South 24 degrees 51 minutes 10 seconds East, along the land of Miller, a distance of 235.00 feet to the shore line of Orient Harbor; thence along the shore line of Orient Harbor, on a tie line of South 35 degrees 40 minutes 00 seconds West a distance of 94.02 feet; thence North 28 degrees 34 minutes 00 seconds West a distance of 280.00 feet to the said southerly side of the Main State Road; thence easterly, along the southerly side of the Main State Road, North 64 degrees 05 minutes 80 seconds East a distance of 100.00 feet to the point or place of BEGINNING. DECLARATION OF COVENANTS AND RESTRICTIONS THIS DECLARATION made this day of April~, 1987, by JOHN T. SICA and LUCIA MARIA SICA, his wife, residing at 1602 Clifton Street, Baldwin, New York 11510, hereinafter referred to as the DECLARANT, as the owner of premises described in Schedule "A" annexed hereto (hereinafter referred to as the PREMISES) desires to restrict the use and enjoyment of said PREMISES and has for such purposes determined to impose on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following covenants and restrictions: DECLARANT has made application to the Suffolk County Department of Health Services (hereinafter referred to as the DEPARTMENT) for a permit to construct, approval of plans or approval of a sudivision or development on the PREMISES. WHEREAS, the test wells sampled for the PREMISES indicated groundwater supply that had contamination in excess of the minimum drinking water standard and/or guidelines of the State of New York and contained excess of the following: ; a WHEREAS, the County of Suffolk Department ~f Health Services has agreed to issue a permit only if the wellpoint is set at least 20 feet below grade and a reverse osmosis treatment unit acceptable to the department is installed to provide potable water, also that a record covenant be filed stating that the reverse osmosis unit was installed as required by the department, it is DECLARED and COVENANTED by DECLARANTS, their heirs or successors and assigns forever, that no residence upon the above-described property will be occupied prior to the installation of necessary water conditioning equipment so that the water, when conditioned, meets the said minimum quality standards.for drinking water of the State of New York and evidence of the same is furnished to the Suffolk County Department of Health Services for their written approval. The DECLARANT, its successor and/or assigns shall set forth these covenants, agreements and declarations in any and all leases to occupants, tenants and/or lessess of the above-described property and shall, by their terms, subject same to the covenants and restrictions contained herein. Failure of the DECLARANT, its successors'and/or assigns to so condition the leases shall not invalidate their automatic subjugation to the covenants and restrictions. Ail of the covenants and restrictions contained herein shall be construed to be in addition to and not in derogation or limitation upon any provisions of local, state, and federal laws, ordinances, and/or regulations in effect at the time of execution of this agreement, or at the time such laws, ordinances and/or regulations may thereafter be revised, amended, or promulgated. This document is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and they are deemed to be incorporated herein and made a part hereof, as though fully set forth. The aforementioned Restrictive Covenants shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or at law. The failure of said agencies or the ~ounty of Suffolk to enforce the same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the County of Suffolk or any officer or employee thereof. These covenants and restrictions shall run with the land and shall be binding upon the DECLARANT, its successor and assigns, and upon all persons or entities claiming under them, and may be terminated, revoked or amended by the owner of the premises only with the written consent of the DEPARTMENT. If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid, or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so adjudged to be illegal, unlawful, invalid ~or unconstitu- tional. STATE OF NEW YORK) ) COUNTY OF ~) Local Law #32-1980 - The DECLARANT represents and warrants that he has not offered or given any gratuity to any official, employee, or agent of Suffolk County, New York State, or of any political party, with the purpose or intent of securing favorable treatment with respect to the performance of an agreement, and that such person has read and is familiar with th~~~.~ Law #32-1980. J~~.S~a /~-"(~¢~'' / SS: On the ~ day of April, 1987, before me personally came John T. Sica and Lucia Maria Sica, his wife, to me known to be the individuals described in and who executed the foregoing instrument and acknow- ledged that they executed the same. FRANK A. KUJAWSKI, JR., President ALBERT J. KRUFSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 August 31, 1988 TELEPHONE (516) 765-1892 Mr. & Mrs. John Sica 1602 Clifton Street Baldwin, New York 11510 Re: 1000-031-14-9 Dear Mr. & Mrs. Sica: Please be advised that after our conversation today, an on site inspection was conducted for a determination on the need of a wetland permit for the above property. It was found that as proposed, your stakes are 58 feet to the bulkhead, thus this project would be within the Trustees jurisdiction. We would like to advise you that you can submit an application to this office and request a waiver from the Trustees for approval of this project. However, in addition to this office, please contact the Building Department for a determination on any other permits may be required for this project. that Should you wish to relocate your stakes 75 ft. back from the bulkhead, we advise you to be careful when excavating so that no disturbance occurs within the 75 ft. area. If you have any questions, or need additional information, please do not hesitate to contact me at 765-1932. The Trustees will meet on September 29, 1988. Should you request a waiver and the Board agrees, a determination will be rendered that evening. Very truly yours, Ilene Pfifferling, Clerk ip Attachment cc: Bldg. Dept. Board of Appeals file Board of Town Trustees For Frank A. Kujawski, President Jr o 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTtlOLD, N.Y. 11971 TEL.: 765-1803 )isapproved a/c ..................................... BLDG. DEPT. TOWN OF, SOUTHOLD Rece±ved ........... ,19... (Building Inspector) APPLICATION FOIl BUILDING PEIIMIT 2/$/88 Date ................... 19,., INSTRUCTIONS a. This application must be completely filled in by typewriter or in iuk and submitted to the Building Inspector, with 3 ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streeL, ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tbis appli. ation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon hpproval of this application, the Buildiug Inspector will issued a Building Permit to the applicant. Such permil hall 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 any purpose whatever until a Certificate of Occup,'mcy flail have beeu granted by the Building Inspector. APPLICATION IS ttEREBY MADE to the Bnilding Department for the issuance of a Building Permit pursuant to the hdlding Zone Ordinance of t'he Town of Southold, Suffolk County, New York, aud other applicable Laws. Ordinances at ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, audtc dmit authorized inspectors on premises and in building for vecessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) 3rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... ~:. :..:; . .- ..... ~lUi] d.c,~.~ ............................................... qame of owner of prenfises ..... d c)hn. T,..&. Lugia. M('~.ia. ,%i¢ a ...................................... (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... ,].5.~ ............. Phlmber's License No ........ ?.?~. 6.p ........... Electrician's Liceuse No ....................... Olber Trade's License No ...................... I. Location of land on which proposed work will be done...~'.:~?.~..5!a. 7.i?.n. ~.. !V.~. ............................ ...................... ................................................ l lonse Number Street tlamlet · ty T 1000 ti 9~3 .3.4 ~ Court ax Map No. Sec on ............... Block ... . .............................. Lot Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and inteuded use and occupancy of proposed construction: a. Existing ,se and occupancy ........................... ... ........... ..:' ~. ~.: ....................... b. Intended use and occupancy ....... ,:-q.~g.].o. . ?am.zig..(~.vl~'~ lJ~g ................................ ii i, .[ ~., (Description} 4. Estin~a_ted~C #'~t/2qO.: ........................ Fee .................................... ~ I " (to be paid on filing this application) 5. If dwelling; number of ' ' . ..... dwel!mg umts ..... ]-. .. Nnmber of dwelling units m~ each floor ............... If garage, number of cars . ~ ............ ~ ........................................................ 6. If business, comm. ercial or mixed o. ccupancy, specify na_}t.t~% and extent of e~e of use ....... 5.._..?ia~/,,.... 7. Dimensions of ex~sting structures, fishy: Front ..... ~ .... Rear .............. Deptll ~ .,.-7 ...... lleight . . ~ ........ Number nfStories ...................................................... I) me lslons of same stmctvre with alterations or additions: Front ................. Rear .............. De th . .,. P . , ... ...... ! .....Ile~ght ....... ;././., ........ Nmnbe,r.of Stones ........... 8. ,,,ens~onsg.o,~e.n}~renewc0nstruction: Front . .fi.K:.Rear ....q.~ / n.~,,. .~57/'/ ~ .... I. ,--,,- ,,, ~u~<,uae ........ [ ..................... Name of Fornler Owner ........................... Zone or use dislrict in whicll premises are situated AT.. ~ .IDa;'k 2 Does proposed constructiony~inte any zoning lawl ..... ' ............................ ' ordinalce or regulation' . I~ 3. Will lot be regraded :.ye~ ..... ~ .................... Will excess fill be removed from premise~: ' [} Yes X N, 4. Name of Owner of premises . d ....... $:. J ~,Fj, ~Li.c a. Address . .3. Name ofArchltect . .' . ; lressB/~.'l, .d¥~;L.n. ..... : ................... Adt ~ ........ Phone No ............... Locate clearly and distinctlyl roperty lines. Give street and bi, Iterior or corner lot. TATE OF NEW YORK, OIJNTY OF ................ PLOT DIAGRAM all buildings, whether e~isting or proposed, and. indicate all set-back dimensions fron ~ck number or description according to deed, and show street names and indicate whethc S.S .......................... ' ...................... being duly sworn deposes aud says that he is the applicant (Name .... ;ning contract) ' of mdlwdual s~ [)eve nanled. ie is the .................... ~ ................................ { (Contractor, agent, corporate officer, etc.) f said owner or ownels, and is duly ant ~orized to perform or bare performed the said work and to make and file this pplicat~on; that all statements co' ' · fits ned m th s a ~ ~hcat on are trt, e to the best of his knowledge aud belief; and that the fork will be performed in the man~er set forth in tho application filed therewith. worn to before me this ' /.Z day bf ~ 19 ~' ' ~ ~ Counly ~olal~ Public .... ............. ~EN K, DE ~E _ N0, 4707878, S~lk ~un~ ............................. ~ ~pir~ M~mh 30,1~ ~./ (Signature of applicant) .io . . . · 1 O~m 8 \ -/