The URL can be used to link to this page

Home My WebLink About51027-Z TOWN OF SOUTHOLD Nk BUILDING DEPARTMENT TOWN CLERK'S OFFICE ` SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51027 Date: 8/2/2024 Permission is hereby granted to: Lubin JF Living Trt 24 Tower Ct S osset, NY 11791 To: demolish (as per Town Code definition) and reconstruct a single-family dwelling as applied for per DEC, Trustees & SCHD approvals. At premises located at: 2766 Wells Rd, Peconic SCTM # 473889 Sec/Block/Lot# 86.-2-2 Pursuant to application dated 12/13/2023 and approved by the Building Inspector. To expire on 2/1/2026. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,950.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $2,050.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT ° Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 o Telephone (631) 765-1802 Fax (631) 765-9502 l��s://www.sot�it.lioldtowiin,10s�mo , Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO, Building Inspector. D E , 23 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. W Date: OWNER(S)OF PROPERTY: Name:Jim Lubin SCTM # 1000-86-02-002 Project Address:2765 Wells Road, Peconic, NY 11958 Phone#:2014527595 Email-flm@beaconhillpwm.com Mailing Address:2765 Wells Road, Peconic, NY 11958 CONTACT PERSON: Name:Mathew Smith Mailing Address: PO Box 152, Mattituck, NY 11952 Phone#:631 603 9092 Email:msmith@amparchitect.com DESIGN PROFESSIONAL INFORMATION: Name:Anthony Portillo Mailing Address: PO Box 152, Mattituck, N.Y. 11952 Phone#:631 603 9092 Email:aportillo@amparchitect.com CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ®Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? Dyes iRNo Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of property:Single Family Residential Intended use of property:Single Family Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes ❑No IF YES, PROVIDE A COPY. The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. 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, additlons,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 admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By(print me):AMP ARCHITECTURE RAuthorized Agent Downer Signature of Applicant: Date: /a, ) ?j• 71D a3 STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this IBARBARA H.TANDY Notary Public,state Of Now York l day of 200�3 No. Cin Suffolk CI Qualified In Suffolk�u ty,�/ �d Ex ire t3 1 Notary Public 0 (Where the applicant is not the owner) IA Jinn Lubin residing at 2765 Wells Road, Peconic, NY 11958 do hereby authorize AMP Architecture to apply on �- PP Y behalf to t miv Southold Building Department for approval as describ herei �0o c-2— Owner's Signature Date Print Owner's Name 2 n Generated by REScheck-Web Software Compliance Certificate LVJ Project 2765 Wells Rd Energy Code: 2018 IECC Location: New York, New York L Construction Type: Single-family Project Type: New Construction `\'. faces 270 deg. from North g �e � ID) � µ, Orientation: Bld Conditioned Floor Area: 3,580 ft2 .�d.. Glazing Area 20% Climate Zone: 4 (5362 HDD) BUILDING Permit Date: OJ .w Permit Number: All Electric false Is Renewable false Has Charger false Has Battery: false Has Heat Pump: false Construction Site: Owner/Agent: Designer/Contractor: 2765 Wells Rd Peconic, NY 11958 Compliance: 10.3%Better Than Code Maximum UA: 556 Your ILIA: 499 Maximum SHGC: 0.40 Your SHGC: 0.40 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on-grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements. Enve]OPQ Assemblies Gross Area Assembly or Cavity Cont. Prop. Req. Prop. Req. Ceiling: Flat Ceiling or Scissor Truss 2,443 49.0 0.0 0.026 0.026 64 64 Wall-front:Wood Frame, 16" o.c. 888 25.0 0.0 0.053 0.060 39 45 Orientation: Front Door: Solid Door(under 50%glazing) 20 0.200 0.320 4 6 Orientation: Front Windows-front: Wood Frame SHGC: 0.40 125 0.320 0.320 40 40 Orientation: Front Wall-rear: Wood Frame, 16" D.C. 888 25.0 0.0 0.053 0.060 27 30 Orientation: Back Windows-rear: Wood Frame SHGC: 0.40 384 0.320 0.320 123 123 Orientation: Back Project Title: 2765 Wells Rd Report date: 07/11/24 Data filename: Page 1 of 2 Gross Area Assembly or Cavity Cont. Prop. Req. Prop. Req. Perimeter Wall-left: Wood Frame, 16" o.c. 754 25.0 0.0 0.053 0.060 36 41 Orientation: Left side Windows- left: Wood Frame SHGC: 0.40 73 0.320 0.320 23 23 Orientation: Left side Wall -right: Wood Frame, 16" o.c. 754 25.0 0.0 0.053 0.060 35 40 Orientation: Right side Door: Solid Door(under 50%glazing) 20 0.200 0.320 4 6 Orientation: Right side Windows- right: Wood Frame SHGC: 0.40 73 0.320 0.320 23 23 Orientation: Right side Floor:All-Wood Joist/Truss 2,443 30.0 0.0 0.033 0.047 81 115 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposep 4 is has been designed to meet the 2018 IECC requirements in REScheck Version : REScheck-Web and to comply with the n meats listed in the REScheck Inspection Checklist. Matthew Wynne 7-10-24 Aflame-Title 0 Sr neat urre� Date . ............................. ..... ..........._......... Project Title: 2765 Wells Rd Report date: 07/11/24 Data filename: Page 2 of 2 it NEW YORK S FAI E DEI.W.:z wEhf'r OF ENVIRONNIEN MI.. CONSERVATION DMsuon of 1:.J iviroi nn ontifl I a ri Wts,IRe=inion I SLAY 6 S ony Bcook,50 Orde Road,Stc)ny Brook,NY 11790 Fl�(631)444 0-365 1 F;(631)444-0360 www dec'ny'oov April 26, 2023 James Lubin 2765 Wells Rd. Peconic, NY 11958 Re: Application #1-4738-04823/00001 Lubin Property: 2765 Wells Road SCTM# 1000-86-2-2 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 carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. 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. Sincerely, El 'sa Scott Environmental Analyst cc: E. Wingate BMHP Wildlife File y 6�Ov' Department of STATE Environtnental i-1. Conservation Aft NEW YORK STATE: DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC 11) 1-4738-04823 PERMIT _. _ Under the Environmental Conse�vatlon Law_( _) Permittee and Facility Information Permit Issued To: Facility: JAMES LUBIN LUBIN PROPERTY 2765 WELLS RD 2765 WELLS RDI 1000-86-2-2 PL'CONIC. NY 11958 PECONIC, NY 11958 Facility Application Contact: EILEEN WINGATE 2805 W MILL RD MATTIT UCK. NY 11952 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 714.509 NYTM-N: 4545.937 Latitude: 41°02'11.1" Longitude: 72°26'53.2" Authorized Activity: Reconstruction of a deck and walkway, and the addition of a porch and outdoor shower. All work must be done according to the plans prepared by AMP Architecture, last revised 12/21/2022 and stamped NYSDEC approved 4/26/2023. EES. -------------------------- . uthorizati PermitAuthorizations onsm�.__.. .. rM. .. . .e_.... _ .ee. _..„ . .�..... Tidal Wetlands - Under Article 25 Permit ID 1-4738-04823/00001 New Permit Effective Date: 4/26/2023 Expiration Date: 4/ .5/2028 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the CCL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: KEVIN A KISPERT, Deputy Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook. NY 11790 3409 l\uthorized Signature: _.....n....._ w m...m. Date 4 / w Page I of 6 a Aft MONO NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04823 n Li_""."_''__`, st .._ ... _ . .... w .._.. m _, l."I'-,"Distributio.._ _ ....e ... . ...,.� EiLEEN WINGATE Bureau of Marine Habitat Protection Wildlife Elyssa E Scott Permit Components NATURAL RESOURCE PERMIT CONDITIONS 1 GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS ..._... NATURAL---RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement 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. 3. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by AMP Architecture, last revised 12/21/2022. 4. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 5. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. G. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. Page 2 of 6 Alft NEW YORK STATE DEPARTMENT OP ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04823 7. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feel h•om the tidal wetland boundary. 8. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch o►- jute matting until weather conditions favor germination. 9. No Unauthorized Fill No fill or backfill is authorized by this permit without further written approval from the department (permit, modification, amendment). Io. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 75 linear feet from the tidal wetland boundary, or as per the NYSDEC-approved plan, prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 11. Runoff Directed to Upland Drywells Roof runoff shall be directed to drywells a minimum of 75 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 12. Authorized Innovative/Alternative Onsite Wastewater Treatment Systems (I/A OWTS) Septic Systems This permit authorizes the installation of any models of I/A OWTS septic system which have received the approval of the Suffolk County Department of Health Services (SCDI-IS). If SCDHS rescinds its approval of one or more of these models during the term of this permit, DEC will no longer approve new installations of that model. "file list of I/A OWTS systems which have receivecl approval by SCDHS are found on the Suffolk County Website under the Reclaim Our Water-Homeowner section at: Overview of Provisionally Approved Technologies. 13. Maintenance of Installed Innovative/Alternative Onsite Wastewater Treatment Systems (I/A OWTS) The permittee must maintain, service and repair the installed I/A OWTS in accordance with the maintenance schedule set forth in the Suffolk County Department of Health Services (SCDHS) permit issued for the system. 14. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 1-s. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 16. Precautions Against Contamination of Waters 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. Page 3 of 6 Agh tubloo NEW YORKSTATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04823 17. State Not Liable for Damage "file State of New York shall in no case be liable for any clamage or injury to the structure or work herein authorized which may be caused by Or result lrOnl 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. Is. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if', 111 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. 19. State May Require Site Restoration 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 lawfully 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. o ALL Authorized Permits GENERAL CONDITIONS Apply t _m_.... _._ _ ._ I. 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 SAP 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 ofthis permit. 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 regUil-CrilentS contained in such order or determination. Page 4 of 6 AM NEW Yom< STATE DEPARTMENT OF ENVIRONMF..NTAL CONSERVATION F,icili(y DEC 11) 1-4738-04823 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department For permit renewal. modification or transfer of this permit. SUCK application must I11CILide any f61'1115 01- Supplemental information the Department requires, Any renewal, modification or transfer granted by the Department Must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY a, Stony BrookJ50 Circle Rd Stony Brook, NY] 1 790 -3409 4. Submission of Renewal Application The pernittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. 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. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page 5 of 6 Aft lobwo NEW YORK STATE DEI'ARTMEN'I'OF I?NVIItONMF:N'i'AL CONSERVA"I'ION Facility DEC ID 1-4738-04823 [- 1-11-111111,1111,1,1111,11.-- I'll'Il-I',, , ,, ,. "" ,"",--",., """,,---,,,, . --,.....................--, ..............—--------— NOTIFICATION I ION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, 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 claims, 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 Comply with 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. Page 6 of 6 g NEW Department o ! - YOR STOATE Environmental Conservation NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator SHERRI AICHER zin i Permit Number. . NYSDEC Region 1 Environmental Permits 50 Circle Road Stony Brook, NY 11790-3409 Expiration Date: Email: dep.rl@dec.ny.gov 3 Note: This notice is NOT a permit n NOTICE OF COMMENCEMENT OF CONSTRU TION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail:dec.sm.R1MHP-BEH@dec.ny.gov SUNY at Stony Brook 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: ww .. _. EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Dear DEC: Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign, and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITTEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. CLjt_A!9n.g this line X X X _,X X . X NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail: dec.sm.R1MHP-BEH@dec.ny.gov 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER:. _EXPIRATION DATE:w-...._ PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required) PERMITTEE: DATE CONTRACTOR: . THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. � d 3 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK 'x DATE:,.JUNE 12,2024 u � � PERMIT N0. 10587 � t , ISSUED TO: JAMES LUBIN i PROPERTY ADDRESS: 2765 WELLS ROAD,PECONIC !� � SCTM# 1000-86-2-220, AUTHORIZATION RUILDINGDEM TO ` '.& w O 1 Pursuant to the provisions of Chapter 275 of the Town Cade of the Town of Southold and in x accordance with the Resolution of the Board of Trustees adopted at the meeting held on,fune 12,2C124'„and in ;a ' consideration of application fee in the sum of 1 -5i1 00 paid by Barnes'Lubin and subject to the Terms and Conditions as stated in the Resolution,the Southold Town.Board of Trustees authorizes and permits the ` w, following: ., € Wetland Permit to demolish existing two-story dwelling with the existing full basement, b' first floor structural members, select-interior wvalls and garage to remain; construct s. additions and alterations to two-story dwelling including new sun room with crawl space below,rear covered porch/deck,front covered porch,outdoor shower,and M1 second floor balcony; new IJA OWTS system; and to establish and perpetually ryY i. maintain a proposed increased 20' wide vegetated non-turf buffer area relocated to align with and run landward of the wetland line; all trees to retnain; all as depicted on the revised site plan prepared by AMP Architecture, received on June 17,2024,and stamped approved on June 20,2024. IIIN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, ; Y and these presents to be subscribed by a majority of the said Board as of the day and year written above. i L , r w eP6x,;.�. ,� .: , ,+�i' �tak�r5.i e�,i �.rvn �,^u,—rv�u,�,-�r'ra• wn rrT¢�r �^av G�cr�'r ,.��y � ,�w�� +� „"" ��, TERMS AND CONDITIONS The Permittee lames-Lubin.1765 Welhis Road eco—iC.-Ne—W)LoLk as part of the consideration for LT the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said,Pennittee will,at his or her Own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 1 That this Permit should be retained indefinitely, or as long as the said Perinittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5, That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,,or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Pennittee will be,required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9, That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. 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. UTHOLD R Nil No. 10 � I R P, E' ' 1sued T � �� , �� Date e AdJress, PaoaL a-Con:C- THIS NOTICE MUST BE DISJOi ►YED DURING CONSTRUCTION TOWN TRUSTEES OFFICEaTOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 f • t�Nn,'fi ny�a 'i � x3�� "_ _.�,....... .... .. a T.� "P4 *+nSw+ Yrw�":Y,�p�'"Ru'r YBrM� Ma i.oa w•.Yn+� ema h11.w+>arcr�xzmr^,r"n.P,g,�rr :a 1m^" v .,. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK 1:� PERMIT NO.9983 DATE: SEPTEMBER 15 2021 µ e ISSUED TO: .TAMES LU13IN a PROPERTY ADDRESS: 2765 WELLS ROAD PECONIC SCTM# 1000-86-2-2 AUTHORIZATION " Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ii accordance with the Resolution of the Board'of Trustees adopted at the meetiog held on tee m er 15��'a � and in consideration of'application fire in the sunn of 5250.00 paid by fames Lubin and subject to the Terms and 1 Conditions as stated in the Resolution, the Southold Town board of Trustees authorizes and permits the following: a q p g q Wetland Permit for the existing dwelling..with a 1,70s .ft.footprint,existing attached.678s i.ft. � x i garage,existing 21aq.ft.front entry deck to be removed,and existing 325sq»ft. rear deck to be removed for a total of 2,729sq.ft.of existing structures; construct onto existing dwelling a rt 14'9"x38'2" 562sq.ft.)rear screen porch; construct a 23'3"x7'8"(178sq.ft.) rear covered ti porch/deck; construct a 1010"x38'f"(380sq.ft.)front covered porch; construct a 4'x6'(24sq.ft.) outdoor shower;construct a 12'x7'5"(89sq.ft.)second floor balcony for a total lot coverage of 3,572sq.ft; and as depicted on the site plan prepared by AMP Architecture LLC,dated August 11,2021,and stamped approved on September 15,2021. , M IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these P presents to be subscribed by a majority of the said Board as of the 15th day of September,2021. It„p M 9•,q � yp „ ' + ► ' " t i ��" °a•n+,�F.�mrvr�„^^",� A .: �+•a'.•,"V�7�"",.+, �� „�, ".�!;",.,,, ``.^-»-. aA..•�.rJwt.'�r"�^.„.� ""^ ,...r—''^ a X 1 TERMS AND CONDITIONS The Permittee James Lubin residing at 2765 W l s Road Peconic New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if,in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. I0. No right to trespass or interfere with riparian rights. This permit does not convey to the pennittee 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. Glenn Goldsmith, President asof�ia'% Town Hall Annex + + 54375 Route 25 A.Nicholas Krupski,Vice President AL P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J.Domino Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES ' TOWN OF SOUTHOLD September 17, 2021 Eileen Wingate Quiet Man Studio 2805 West Mill Road Mattituck, NY 11952 RE: JAMES LUBIN 2765 WELLS ROAD, PECONIC SCTM# 1000-86-2-2 Dear Ms. Wingate: The Board of-Town Trustees-took the following,action during its'regular meeting held on Wednesday, September 15, 2021 regarding the above matter: WHEREAS, Quiet Mari Studio, oh behalf of JAMES LUBIN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Torn Code, the Wetland Ordinance of the Town of Southold, application dated.July 2, 2021, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Consistent with the LWRP, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 15, 2021, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JAMES L-UBIN for the existing dwelling with a 1,705sq.ft.. footprint, existing attached 678sq.ft. garage, existing 21sq.,ft, front entry deck to be removed, and existing 325sq.ft. rear deck to be removed for a total of 2,729sq.ft. of existing structures; construct onto existing dwelling a 14m9"x38'2" (562sq.ft.) rear screen porch; construct a 23'3"x7'8" (178sq.ft.) rear - covered porch/deck construct a 10'0"x38'1" (380sq.1t.)front covered porch; construct a 4'x6' (24sq.ft.) outdoor shower•, construct a 12'05" (89sq.ft.) second floor balcony for a total lot coverage of 3,572sq.ft and as depicted on the site plan prepared by AMP Architecture LLC, dated August 11, 2021, and stamped approved on September 15, 2021. Permit to construct and complete project will expire two_yars from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this, notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, XnnGolds4ith&�-� President, Board of Trustees GG:dd dosign hoe been eertlPled o N,;H nark Licensed ProfeeWoriol rb.ln5pect'lan for leakage of the force main fittings wiia ae m 5ngoacr as compl?ing �¢Ith all opproprlote repulrernents for thin durin o, tho pump test procedure. mall constructlon. All Nolls, bottorn and tap shall contoln ream=orcing to resist an oppiied force of 500 pounds per spuore foot (psf). 5. Pre-cast concrete sections shall be sealed with one (1) Inch butyl rubber Joint sealant which conforms to A5TM G-910. . Ali sewer pipes 5iroil penetrate the vertNcol s6dewoll of the tonk and hall be sealed wlth grout ar other moons aooeptabNe to the epartmant such oe watertight sealed flexible Joint and the pipe gasket forstenod to the pipe w'Ith stolnless steell retroctable clomp(`s). 5. All Joints :hold be sealed so that the tank: is watertight, See section 5-1N ,'S.10, Ton", that are cost in place r ccpvlre prior ,Opprovol from the Pcpartment and crust be certified, by o Llrensed P'rofessEonol Engineer. At o mlr murn, the floor and wolls of a concrete tank must be monallthlcOH9 poured.. . Hhenever proctlool, concrete [/A C.rNT5 sholl not, be 9ocated KUM g roundwoter. For InsLoBortions thot are placed within ortlons a to V Inches obove groundwater, the bottom and side p p highest recorded/expected groundwoter elevotfon, of the VA ONT5 unit shoil be, monolithicolly constructed. in coses shore this Is not praoticable„the I/A ONT5 unNt shoes be motor-proofed Grp to 1_5 inches above: the highest, recorded /expected groundwater e9evatlon and leak tested to ensure tightness prior to operotlon. T. lr, cases when concrete tanks ore InstcHcd tin groundwoter, the deeler professNonol sholl subnjit buoyancy coVcuVotkons to prove the weight of the tank (wYth or PAhout onchoMng or the oddltNon of ballast) n,O be ,at least N.a tNmas more than the weight of the �sater displaced. The buoyancy colculotlons sholl be done using highest expected/recorded groundwoter elevotlon with the tonk empty. 5011 cover on top of the tonk(s) shoes not be considered when ,det,erNning the oirnaunt of onchoring or bollost weight reet,ui'red. I .— .. HEALTH EFART IENT AFFRO'VAL H.S. REFEREN(fE NO. : —0 SUFFOLK CUN EF TIDE OF HEALTH SERVICE PERMITFORAPPROVAL OF CONSTRUCTIONFORA, SINGLE IL E IDE E L DA T E 2/25/2022 _ 22-0082 APPROVED FOR MAXI MU F 5 ..- BEDROOMS EXPIRESTDATE OFAPPROVA