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HomeMy WebLinkAbout29588-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29821 Date: 11/07/03 T~IS CERTIFIES that the building ADDITION IK)cation of Property: 115 SUN LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 76 Block 1 Lot 2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Buildin~ Permit heretofore filed in this office dated JULY 17, 2003 pursuant to which Building Permit No. 29588-Z dated JULY 18, 2003 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #5309 DATED 6/19/03. The certificate is issued to NICHOLJkS & CLAUDIA BRUNO (OWNER) of the aforesaid building. SUFFOLK COUNT~ DEPARTMENT OF ~kI~T~ ;kPPROV;kL EL~C-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D/kr~ Rev. 1/81 N/A N/A N/A J ~ ~ut~orizgd Signatu~ v~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DBPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29588 Z Date JULY 18, 2003 Permission is hereby granted to: RICHARD S JR TESTUT 227 GROTON PLACE WEST HEMPSTEAD,NY 11552 for : CONSTRUCTION OF A 10X26 DECK ADDITION AS APPLIED FOR PER DEC, TRUSTEES A/qD DEC at premises located at County Tax Map No. 473889 Section 076 pursuant to application dated JULY Building Inspector to expire on JANUARY Fee $ 150.00 115 SLrN LA SOUTHOLD Block 0001 Lot No. 002 17, 2003 and approved by the 18, 2005. ~'~' ~ COPY Rev. 5/8/02 Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Buildir~g Department with the following: A. For new building or new use: I. Final survey of properly with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Itealth 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 thml 2/10 of 1% lead 5. Commercial building, industrial building, multiple residences and similar boildings and installalious, a certificate of Code Compliance from architect or engineer responsible for the building. 6 Submit Plmming Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-confm-nfing uses, or buildings and "pre-existing" land uses: 1. Accurate smwcy of property showing all property lines, streets, building and dnusua[ n~tural or topographic fcatules. C. Fees 3 Copy of Ce~tit]cale of'Occupancy - $25 New Constnidion: ~ _ Old or INc-cxisling Iluilding: . (check one) Sil'e~t Hamlet Owner or Ownei sot Pi opeHy: 1~ Block Off Lot Suftblk County Tax Map No i000, Section ~ ' Subdivision Permit No. J~_~J'g__ Date of Permit. Health Dept. Approval: Plam~ing Board Approval: Request for: Temporary Certificate Fee Submitted: $ · J ~' Filed Map. Lot: Undeiwvriters Approval: Final Certificate: (check one) Applicant Signature Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO DATE: .J~ly 24~. -.2002 ISSUED TO ..........H~.~.l~q!a~.,.4......Lglaudia A. Bt.uno ....................... Pursuant fo the provisions of Chapter 615 of the Laws of the State of New Yor[, 1893; and Chapter 404 of the Laws of fha State of New York 1952; and the Soufhold Town Ordinance en- titled "RECoULATINC= AND THE PLACINC= OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS end the REMOVAL OF SAND, E, RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS?: end in accordance with the Resolution of The Board adopted afa meeting held on July_ 2.4~ 2002 .., and in consideration of the sum of $ 200.,Q~ .... paid by Nicholad .O.. & Claudia A. Bruno of Huntington, N.Y. and subject fo the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct 20'x12' wood deck. all in accordance with fha detailed specifications es presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these p.resents fo be subscribed by a meiorlfy of fha sa,d Board es of th~s date. Tnvstees TERMS end CONDmONS Tbe Pecmictee ' - Ni~he]zs J. ~ Cia,~dia A. Bruno ~M~-g ~ llS Sun T,~. Seuthcld, N. Y~ ~ ~ of ~ c~fion for ~e ~ of ~e ~it ~ ~ ~ p~ to &e fol- 1~: 1. That the said Boaxd of Trustees sad the Town of ,Southold a.~ ~.le~-d from stay Idl d.m'~ 0£ ds~n~ for ~ of sdtJ llisia~ directly m indi~i~y I.~ · i'~ult of ~ o~- 24 2. ~t ~P~'~d f~a~of ~~to~ for ~ ~on may ~ ~ to ~ ~ at a 1~ da~ ~. That this Permit should be tttahx4 indefinitely, or ts long s~ the aid p~-mlttee ~bes to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtaine~L 4. That the work involved will be subject to the inspectio~ sad spproval of the ~ o~ its agents, and non-compliance with the provisions of the od~n~ting application, may be cause t~vocadon of this Permit by resolution of the said 5. That there will be no unreasonable interference with navigation as · result of the work herein au'thor/zed. 6. That tbe~e shall be no /ntefference wlr~ the right of ~ pubfic to pass and izpass aleag the beach between high and low water marks. 7. Thac if furore operations of the Town of Southold tec~ the a~n~vsl sad/or sdtet~ions in the location of the work herein aut~ or if, in the optnioa of the ~ of Ts'as~eess dine work shall cause unzeasonable obstxortmn to free navigadoa, the said Penn,tee ~ be teq~ ~ due nodce~ to remove or alter ~ work or project bereln stated ~idmu~ exl~.mes to the To~n 8. That the said Board will be no,ted by the Petmittee ot ~be con~lefioni0~ time wa~k m~th- odzed. 9- That the Permittee will c4xaln aU other petmks and comentx ~rat may be required mp- plemental to this permit which may be subject to revoke upon failure to obfadn san~ TO: FORM NO. 3 NOTICE OF DISAPPROVAL Peconic Building Solutions A/C Bruno PO Box 473 Southold, NY 11971 Please take notice that your application dated November 19, 2002 For permit to construct a deck addition at Location of property 115 Sun Lane, S outhold, NY County Tax Map No. 1000 - Section 76 Blockl Is returned herewith and disapproved on the following grounds: DATE: November 19, 2002 Lot 2 The proposed deck addition to a non-conforming single family dwelling, on this non-conformine 6,229 square foot property, is not permitted pursuant to Article XXIV, Section 100-242A, which states, "Nothing in this Article shall be deemed to prevent the remodeling, reconstruction or enlargement of a nonconforming building containing a conforming use, provided that such action does not create any new nonconformance or increase the de~ree of nonconformance with regard to the regulations pertaining to such buildings." The existing single family dwelling currently has a front yard setback of 11.8 feet and a rear yard setback of 4.8 feet. Following the proposed deck addition, the existing single family dwelling will have a front yard setback +/- 11.8 feet and a rear yard setback of+/- 5 feet. In addition, the proposed construction not permitted pursuant to Article XXIII Section 100-239.4B which states; "All buildings located on lots upon which a bulkhead, concrete wall, riprap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than seventy-five (75) feet from the bulkhead." Following the proposed construction, the single-family dwelling will have a setback of+/- 30 feet from the existiu e,-~yo oxlZmlk~ad. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. APPEALS BOARD MEMBERS Lydia A. Tortora, Chairwoman Gerard P. Goehringer George Horning Ruth D. Oliva Vincent Orlando Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JUNE 19, 2003 Appl. No. 5309 - Nick Bruno Property Location: 115 Sun Lane, Southold; Parcel 1000-76-1-2 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review fails under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's 4,520 sq. ft. parcel has 45 ft. frontage along the north side of Sun Lane and 100 feet along the west side of Bayberry Road in Southold. The property is waterfront and improved with a one-story frame house 24.7 feet from the southerly front property line facing Sun Lane and 11.7 feet from the easterly front property line facing Bayberry Road, as shown on the June 6, 2003 survey prepared by Peconic Surveyors, P.C. BASIS OF APPLICATION: Building Department's November 19, 2002 Notice of Disapproval, citing Sections 100-242A and 100-239.4B, in its denial of a building permit to construct an addition to the dwelling at less than 75 feet from the bulkhead and less than 35 feet from both the front and rear property lines. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on May 15, 2003, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: Applicant's original plan proposed a rear deck addition 12 ft. wide by 26'9" long with a setback of 25.7 from the bulkhead at its closest point (northwest corner along the high water mark on face of bulkhead; see 9-19-2001 survey prepared by Thomas Licurse, P.L.S. with builder's notations), and at +4 1.8 feet at its closest point to the easterly front line facing a 15 ft. wide private right-of- way. ADDITIONAL INFORMATION: The agent-contractor for the applicant agreed at the May 15, 2003 public hearing to reduce the size of the deck, increasing the setback from the bulkhead and rear property line. On June 12, 2003, a revised survey prepared June 6, 2003 by Peconic Surveyors, P.C. shows a proposed rear deck 10 feet by 26 feet long, at 5 ft. from the west side line and 25 feet on a tie line measured to the bulkhead, at its closest point (this point is measured over the adjacent Lot 2 on an angle). REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of alternative relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant wants to build a deck addition to a nonconforming single-family dwelling on a small 6,229 sq. ft. lot. The applicant originally planned a 12 ft. wide by 26.9 ft. long deck at the rear of the house, with a setback of +-11.8 feet from the front easterly lot line, and a setback from the westerly Page 2- June 19, 2003 Appl. No. 5309 - Nick Bruno 76-1-2 at Southold lot line at +-5 feet. The setback from the southwest corner of the dwelling is presently nonconforming at 4.8 feet to the westerly lot line, and nonconforming at 11.7 feet to the easterly lot line. The applicant agreed to reduce the size of the deck to 10 ft. by 26 ft. The June 6, 2003 survey confirmed the setbacks for the smaller deck at 25 feet, measured along an angle over the adjacent westerly lot from the corner of the deck to the adjacent bulkhead, and at +-27.7 feet to the applicant's bulkhead, at its closest point. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance because of the 6,299 sq. ft. nonconforming size and two front yards of the existing residence. 3. The relief requested is not substantial in relation to the 4,520 sq. ft. size of the property and +-624 sq. ft. size of the dwelling. 4. The difficulty was self-created when the applicant decided to add a deck. 5. No evidence has been submitted to suggest that the proposed deck will have an adverse impact on physical or environmental conditions in the neighborhood. 6. Grant of the requested variance is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a deck addition, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Oliva, seconded by Member Goehringer, and duly carried, to DENY the variance requested for a 12 ft. x 26'9" deck, and to GRANT ALTERNATIVE RELIEF as shown on the June 6, 2003 survey prepared by Peconic Surveyors, P.C. for a 10 ft. x 26 ft. deck (shown at 25 feet on an angle from the adjacent landowner's bulkhead at its closest point) and approximately 27.7 feet from the applicant's bulkhead). This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Tortora (Chairwoman), Goehringer, Horning, Orlando, and Oliva. This Resolution was duly adopted (5-0). Note: The above decision does not include lot coverage. Lot coverage was not addressed or referenced in the Building Inspector's November 19, 2002 Notice of Disapproval~....~~_ Lydia A. ToCCra, Chairwoman - Approved for Filing 6/,YO /03 New York State Department of Environmental Conservation Division of Environmental Permits Rm 121, Building 40-SUNY Stony Brook, New York 11790-2356 Telephone (631) 444-0365 Facsimile (631) 444-0360 Erin M. Crotty Commissioner October 16, 2002 Nicholas J. and Claudia A. Bruno 47 Alpine Way Huntington Station NY 11746 RE: Permit # 1-4738-03083/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6 NYCRR, 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, Matthew R.'Penski Encon Program Aide MRP Enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-03083/00001 PE IT Under the Environment&l Conservation Law EFFECTIVE DATE October 16, 2002 EXPIRATION DATE(S) October 15, 2007 I TYPE OF pERMIT · New ~ Article 15, Title 5: Pro tection of Waters ~ Article 15, Title 15: Water Supply [] Article 15, Title 15: Watei Transport ~ Article 15, Title 15: Long Island Wells ~ Article 15, Title 27: wild, Scenic and Recreational [] Modification [] Renewal Permit to Construct [] 6NYCRR 608: Water Quality Certification [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation ~ Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Permit TO Operate ~ Article 27, Title 7; 6NYCRR 360: Solid Waste Management [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Ere- sion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO Nicholas J. and Claudia A. Bruno TELEPHONE NUMBER (631) 385-4091 ADDRESS OF PERMITTEE 47 Alpine Way, Huntington Station NY 11746 CONTACT PERSON FOR pERMITTED WORK Peconic Building Solutions, Inc. P.O.rBox 473, Southold NY 11971 NA~E ARD PJ}DRESS OF PEOJECT/FACILITY Bruno Property, 115 Sun Lane, Southold N~f TELEPHONE LrUMBER (631} 765-6115 LOCATION OF PROJECT/FACILITY SCTM #1000-76-1 2 COUNTY TOWN WATERCOURSE I NYTM COORDINATES Suffolk Southold Goose Creek I E:715.7 N:4546.9 Description of Authorized Activity Construct a deck and stairs on the north side of the existing single-family dwelling. Ail work shall be performed in accordance with the attached plans stamped NYSDEC approved on 10/15/02. By acceptance Of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applioable regulations, the General Conditions specified (~ee page 2 & 3) and any Specl&l Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS John . eland MI{P ) A RI ED SIGNATURE / SI/NY, Stony Brook, NY 11790-2356 Page t of 4 DATE October 16, 2002 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any craims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Complywith Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights 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 work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region < > <street>, <city>, <state> <zip>, telephone: < > General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEOPERM, .UMBER I I PAGE 2 OF 4 1-4738-03083/00001 -- -- NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS ) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from 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. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by: Peconic Buildinq Solutions, Inc. on 10/7/02 DEC PERMIT NUMBER 1-4738-03083/00001 IPAGE3 Of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas on the landward side of the existing dwelling.. 2. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows: a. Stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.) 3. If seeding is impracticable due to the time of year, a temporary mulch must be applied and final seeding performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. ,4. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 5. 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. DEC PERMIT NUMBER I I PAGE 4 OF 4 1-4738-03083/00001 BUILDING PERMIT EXAMINER CHECKLIST APPLICANT: Z SCTM# DISTRICT: 1,000, SECTION: _~A _, BLOCK: __ BUILDING PER31ITS OPEN/EXPIRED: PRE CO: Y OR N BP V'~°~ _-Z / C/0 Z- c>Q I (o© INFO_kS/D /BP BP -Z / C/0 Z- __, 1NFO / BP , LOT: oq ZONING DISTR/CT: DATE REVIEWED: ~ / lcd/03 DATE SUBMITTED: ~ / I~/03 SUBDWISION: ~ CONFORMING? -Z / C/0 Z- , INFO -Z / C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED Mo NOTES: LOTS 40,000SF -100-24, Lot recognition (CREATED before June 30. 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/8 REQ. LOT SIZE: - ACT. LOT SIZE:~__Qd-'-'-'-'-'-'-'~q REQ. LOT COV. c¢O~¢")o ACT. LOTC~~ REQ. FRONT__ ?~ PROP. FROI~REQ SIDE_ (O~ A~T. SDE REQ. REAR~ __ PROP. REAt~'~'>~-*'''' REQ. HEIGHT__ PROP. PROJECT DESCRIPTION: dO ~¢, .~.~ [~ c~ck)~5~ i er>-- { C3_ ,¢ WATERFRONT? ~ D ESCRIPTIO~N: ( Al ~ ~--~q' ~2~I~.-PANEE#'/' 'd6/FLOODZON APPROVALS REQUIRED SUFFOLK COUNTY HEALTH [~T: YES No~ED #): TOWN SEPTIC RECEIPT: Y o~fN~J ~ NEW YORK STATE DEC: ea~-b'l~c 9a/75~ or NO _ SOUTHOLD TOWN TRUSTEES: /2~S or NO _ TOWN ZONING BOARD APPROVAI~__~S or~ TOWN PLAN. BOARD APPROVAL: YES o~kO/ - TOWN HISTORICAL PRE (SPLIA): YES o~ DTE: / / PERMIT #: DTE:(~7 16/~: PERMIT #: DTE:,~///~gd~/?, PERMIT #: -DTE: / (q / '~ PERMIT #: DTE: / / PERMIT #: NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2):(~r NO Od-4t~ ('/~5~--~ / NOTE S: FEESTRUCTURE:FOUNDATION: 1. ( _SF)- (__ 2. ( SF)- £ 3. ( SF)- ( SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: ~r~.~, ~SF FEE FEE FEE SF)= SF X $ =$ +$ +$ = $ SF)= SF X $ =$ +$ +$ = $ SF)= SF X $ =$ +$ +$ = $ FINAL TOTAL: $ / '5--0 765-1802 BUILDING DEPT. //INSPECTION [[ ]~//F;ouUNN:AA~:oONN 12SNTD [[ ]] iRNO;uGLHA. I~B;' [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. [ ] FOUNDATION I ST [ ] ROUGH/~.BG. [ ] FOUNDATION2ND [ .] IN/SOLATION/ [ ] FRAMING [/~"FINAL [ ] FIREPL&~.~,¥ DATE~ INSPECTION BUILDII~2G DF"PARTIMENT~-.. ~ TOWN HALL ! ~' SOUTHOLD, NY 1_19~1 ~/"" ~. TEL: (631) 765-1802 c ~ ~ FAX: (631) 765-9502 ...... www. northfork.net/Southold/ PERMIT NO. Examined Approved Disapproved a/c Expiration, JUl_ 7 2003 Butlding Inspecto~ BUILDING PERMIT APP~L.ICATION CHECKLIST Do yon have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees ~ Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date 1/hz INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ~. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. .c. The work covered by this application may not be conmaenced befbre issuance of Building Permit. d. Upon approval of this application, the Building haspector 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not comanenced within 12 months after the date of issum~ce or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the inter/m, the Building Inspector may authorize, in writing, the extension of the pemfit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department tbr 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 agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to adrmt authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is oxvner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /~/i -~ ~P (As on the tax roll or latest deed) 2 re of dutCh,:ed officer officef~ Builders License No. C~?.ff¢~ ~,/7/ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location. of land on which proposed work will be done: 115 House Number Street '--/(t:2 County Tax Map No. 1000 Section ~).~?(_p ,~f3~7) Subdivision (Name) Hamlet Block Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed constr~ction." a. Existing use and occupancy 5-~,,c.-~----- b. Intended use and occupancX 3. Nature of work (check which applicable): Ne~v Building_ Repair Removal Demolition 4. Estimated Cost o 5. If dwelling, number of dwelling units / If garage, number of cars Addition Other Work Fee J'~'~'~Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor / Depth 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions ofex. isting structures, if any: Front_ ¢~ ~ Rear ('~ Height / ~',' Number of Stories / of with alterations or additions: Front O''~---~ ' k/z Dimensions .~__stame structure _ 3 ~ Depth ? Height Number of Stories 8. Dimensions of entire new construction: Front C~(~' , ~ /t / ,,~/¢ Rear ~ Depth Height. 3' f Number of Stories 9. Size of lot:Front /'//,~ ~/ + 4f/ Rear ~(:>D. ~2'~ Depth fi?~ / 10. DateofPurchase ~/ /~/ Name ofFormer Owner Rear t ?. / 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES__ NO~ Will excess fill be removed from premises? YES NO, 14. Nannes of Owner of premises Address Phone No. Nan~e of Architect Address Phone No Name of Contractor ff/~'(-43~ ~' - Address qQ.~ Phone No. 15 a. Is this property within 100~ feet of a tidal wetland or a freshwater wetland? *YES ~ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES ~ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, xvith accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ss: .'1 // { ~t~"~ -'Z~--""~~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing c%ntract)~bove named, (S)He is the Cont~gent, Corporate Officer, etc.) of said owner or owners, and is~ul~uthorized to perform or have performed the said work and to make and file this application; that ali statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mariner set forth in the application filed therewith. Sworn to before me this /.O~2z~ dayof ./C.)O~c/) 20 c~O~ otary-Pub APPROVED AS NOTED 76S-180E ~ TO 4PM FOR ~E FOLL~ ~SPECT~S: 1. ~DA~N - ~O REQUIRED ~ ~RED CONCRETE Z ~H - F~ING & PLUMBI~ 3. INSU~TDN 4. FINAL - CON$T~UCTION MUST ~ COMPLETE FOR C.O. ~ COnTaGiON R~UIREMENTS YORK 8TAng NOT D~N OR',,~NSTRUCTION ER~S. DO NOT PROCEED WITH FRAMING UNTfL SURVEY OF FOUNDATION 'LOCATION NAS BEEN APPROVED, COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS ::{ED AND CONDITIONS OF SOb'THOLD TOWN ZBA SOUTHO~D TO~ ~ ',CUPANCY OR FIFICATE PREVENTION CODE, ALL CONSI'~, ,,UCTION SHALL MEET THE REOL~REMENTS CODES OF NEW YORK~TATE. BEAM LAYOUT CUSTOMER -- GENERIC CUSTOMER DATE 07/17/03 REF leigeybru RBS ROUTE 25 QREENPORT NY 6S1~477-1088 8' 1! 1/&~ SEAM BEAM POST LABEL LENGTH OOUNT A 26' 3" 4 Post sp~ci~§ is rr~(~su~ed center-to-cer~eL Dep[h of c¢,nc~e~e ~oote~$ --- 35 i~h~s. POST 8PAOING OUT LIST CUSTOMER -- GENERIC CUSTOMER DATE OT/IT/OS REF leigeybru RBS ROUTE 25 GREENPORT NY 63~-477-1038 LABEL LENCiTH BEVELB LABEL A joF_~ ~1'9, 9' 7 ],/2f' F cop ~ ledger 9' 7 ]/2" 5 C ~oSci,a ~6~ 6" F45 S45 0 section C ledger' ~' 2" H cop ~ Fos~ia ]0' F45 SO H section E ledger 26' 2~' [ section LENGTH BEVELS lO' 4 1/~" FO S45 IV 8 Z/~" F45 SO 5~ 4 11' 8 1,,'72' FO 245 5' 4 lO' 4 JIB" F45 SO 4'9" cREEK ( w~.sT ~ t~/ Z~ 8t'46'00' E. SURVEY OF PROPERTY A T B,4 YVlEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N K 1000-78-01-02 Scal~ I"=20' LOT NUMbErS ~ RE'F'~D TO'tIIE,CT CREEK J)EVELOPMENT' FILED W THE OFF'ICE OF THE SUFFOLK COUNTY CLERK ON ,Z. IL Y 6, 1937 AS MAP NO. IE...x~ / PECONIC SC~'E%'ORS, P. (6J,7,J) 765 5020 FAX (, P. O. BOX 909 IE'$O TRAVELER $OUTHOLD, N. Y. STREET 11971 03- 186