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TOWN OF SOUTHOLD 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#: 51878 Date: 04/29/2025 Permission is hereby granted to: David Vogel 44 Browning Rd Short Hills, NJ 07078 To: Construct a single-family dwelling with outdoor shower and hot tub additions as applied for per Trustees, DEC,ZBA and SCHD approvals. Project requires a floodplain development permit. Premises Located at: 230 Wiggins Ln, Greenport, NY 11944 SCTM# 35.-4-28.41 Pursuant to application dated 02/12/2025 and approved by the Building Inspector, To expire on 04/29/2027. Contractors: Required Inspections: Fees: Singh Family Dwelling-NEW $3,204.50 HL*Tub/ SWIMMING POOLS-ABOVE-GROUND $300.00 CO Single Family Dwelling-New $100.00 Flood Permit $150.00 Total $3,754.50 Building Inspector TOWN OF SOUTHOLD —BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Sox 1179 Southold,NY 11971-0959 Telephone 631 765-1802 Pax 631 765-9502,1'u IL66, southol�.��.wnn .° Yx¢ Date Received APPLiCA-riON F::::OR BUR DING PERMIT"' For Office Use Only V PERMIT NO. Building Inspector ,,,, ..�� Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an bullcilng Departmisfo Owner's Authorization form(Page 2)shall be completed. T A of$o t1old Date:September 30, 2024 OWNER(S)OF PROPERTY: Name:David Vogel SCTM#1000-35.-4-28.41 Project Address:230 Wiggins Street Greenport Phone#:914-589-9546 1 Email:david@drainc.net MailingAddress:44 Browning Rd. Short Hills NJ 07078 CONTACT PERSON: Name:Joan Chambers Mailing Address:PO Box 49 Southold NY 11971 Phone#: 631-294-4241 Email:joanchambersl O@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:Lou Schwartz Mailing Address: 7 Ridgewood St, Bay Shore, NY 11706 Phone#:(631) 410-6838 Email:tiderunnereng@gmail.com CONTRACTOR INFORMATION: Name:peter Torklesen & Company LLC i MailingAddress:1800 Summer Lane Southold Phone#:516-807-2265 Email:peter.torkelsen@gmail.com DESCRIPTION OF PROPOSED CONSTRUCTION lgNewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other i, Will the lot be re-graded? WYes ❑No Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of property:Vacant Intended use of property:Single family residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes W No IF YES, PROVIDE A COPY. W Check Poe After,IIII1eedhng: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPUCATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,ordinances or Regulations,for the construction of buildings, additions,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 buildingis)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210A5 of the New York State Penal Law. Application Submitted By(print name):Joan Chambers WAuthorized Agent ❑Owner Signature of Applicant: Date: CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) WV No. 01 BU6185050 SS: Qualified In Suffolk County COUNTY OF ) Commission Expires April 14,2�0—q Joan Chambers being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the agent (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 day of r -�' ... , 20 n"d J� Notary Public I IIIII° IIII''IIIII I ""'IIII"'"Y OWNER At JTHORIZA 1IIII 0'II (Where the applicant is not the owner) I, David Vogel residing at44 Browning Rd. do hereby authorize Joan Chambers to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 uM Generated by REScheck- e,b Software Compliance Certificate Project Vogel Energy Code: 2018 IECC Location: Greenport, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area:, 1,940 ft2 Glazing Area 18% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: All Electric false Is Renewable false Has Charger false Has Battery: false Has Heat Pump: false Construction Site: Owner/Agent: Designer/Contractor: 230 Wiggins Lan Greenport, NY 11944 Compliance: 0.9%Better Than Code Maximum UA: 435 Your UA: 431 Maximum SHGC: 0.40 Your SHGC: 0.30 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. Envelope Assemblies Prop.Gross Area Cavity Cont. Prop. Perimeter 2nd Floor Ceiling: Flat Ceiling or Scissor Truss 1,571 30.0 1.5 0.033 0.026 52 41 1st Floor Ceiling: Flat Ceiling or Scissor Truss 202 30.0 1.5 0.033 0.026 7 5 2nd Floor Wall: Wood Frame, 16" D.C. 1,443 15.0 1.0 0.070 0.060 84 72 WIC 4 Win 1: Vinyl Frame 7 0.280 0.320 2 2 SHGC: 0.31 Bed 3 Win 1: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Bed 3 Win 2: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Bed 3 Win 3: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Bed 3 Win 4: Vinyl Frame it 0.280 0.320 3 3 SHGC: 0.32 ............................. ........................ ................ Project Title Vogel Report date: 10/01/24 Data filename: Page 1 of 3 Gross Area Cavity Cont. Prop. Req. Prop. Req. Perimeter Bed 3 Win 5: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Bed 3 Win 6: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Laundry Room Win 1: Vinyl Frame 7 0.280 0.320 2 2 SHGC: 0.31 Hallway Win 1: Vinyl Frame 7 0.280 0.320 2 2 SHGC: 0.31 WIC 2 Win 1: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 WIC 2 Win 2: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 WIC 2 Win 3: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 WIC 2 Win 4:Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Bath 1 Win 1: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Bath 1 Win 2: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Bath 1 Win 3: Vinyl Frame 15 0.280 0.320 4 5 SHGC: 0.32 Bath 1 Win 4: Vinyl Frame 15 0.280 0.320 4 5 SHGC: 0.32 Bed 1 Win 1: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Bed 1 Win 2: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Bed 1 Win 3: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Bed 1 Win 4: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Sitting Room Win 1: Vinyl Frame 15 0.280 0.320 4 5 SHGC: 0.32 Sitting Room Win 2: Vinyl Frame 15 0.280 0.320 4 5 SHGC: 0.32 Bed 2 Win 1: Vinyl Frame 15 0.280 0.320 4 5 SHGC: 0.32 Bed 2 Win 2: Vinyl Frame 15 0.280 0.320 4 5 SHGC: 0.32 Bath 2 Win 1:Vinyl Frame 8 0.280 0.320 2 3 SHGC: 0.32 Bath 3 Win 1:Vinyl Frame 8 0.280 0.320 2 3 SHGC: 0.32 1st Floor Wall: Wood Frame, 16" o.c. 1,467 15.0 1.0 0.070 0.060 82 70 Door to Entry: Glass Door(over 50%glazing) 72 0.300 0.320 22 23 SHGC: 0.24 Door to Living Room: Glass Door(over 50%glazing) 94 0.300 0.320 28 30 SHGC: 0.27 Bed 4 Win 1: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Bed 4 Win 2: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Bed 4 Win 3: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Bed 4 Win 4: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Project Title _ : Vogel ..................... Report date: 10/01/24 Data filename: Page 2 of 3 Gross Area Prop. Req. Prop. Office Win 1: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Office Win 2: Vinyl Frame 4 0.280 0.320 1 1 SHGC: 0.31 Office Win 3: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Office Win 4: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Kit Win 1: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Kit Win 2: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Kit Win 3: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Kit Win 4: Vinyl Frame 11 0.280 0.320 3 3 SHGC: 0.32 Living Room Window 1:Vinyl Frame 15 0.280 0.320 4 5 SHGC: 0.32 Living Room Window 2:Vinyl Frame 15 0.280 0.320 4 5 SHGC: 0.32 Floor: All-Wood Joist/Truss 1,793 30.0 1.5 0.031 0.047 56 84 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposed building has n designee to meet the 2018 IECC requirements in REScheck Version : REScheck-Web and to comply with the mandato quire e listed i `'fie REScheck Inspection Checklist. ry r Louis Schwartz 10/3/24 Name-Title Sigraatu Date ,rjf NEw ' S SCHW4 Project Title: Vogel Report date: 10/01/24 Data filename: Page 3 of 3 S.C.T.M.# DISTRICT 1000 SECTION 35 BLOCK 4 LOT 28.41 #R-24-1299 / � %f� I ��f f"n Hgi 0 I 9�f,�1P alr,yit G' tl✓�iG NORTH ROAD Nx�:•�w'r�DI Nl°D I'2o"E IYvw aYr.I 2'RAINFALL DRAINAGE CALCAAPON DNEILNG W/C04 PORCN62229 222e•M6-]70 CF.RE¢ (2)IDFIYb ORYNEL.S-41D GF.PRDWOED Al" ur],w'Rm s PPNwNAAS DIEDEWAv,X82D:s✓r: L 1 r p"' (1)1 w.11DEEP D C.F. A (I)1W N1FP ORYNf11-J42 FF. Y)d. NAA JKX COWMdf»4002 TEE. 41 6 nW-- srta�PX. IP, ..4� Xar laa'^ REAR," afro ar 11 Y AwNT r.esr r P b I l�r I aru ewnwn I sn(eWA7 "T9 uanw R afi �� d A MTAL 24M SF. It- d mw DWELLING WfCGNTfLD .:'222B PoGAW ODC7X W'SA N u MONT k 90E DECM 216 SF. PAVER WALKWAYS k APRON:03 SF.W SNORER:M IF. W TOTAL]I1 S.F.a 17.OSx SANITARY DESIGN BY: # q RICHARD M,.MATOAI.A. 'N' ,rxwG+rs I µr PO BOX EGGU NY 11 S3 1 PHONE 0 ,9d1"9 E H7AOAMAILk NITE CT@GMAILCOM Nf ti^I{4u°9Ma'FN' I+koi rUprN�Ia ° D"Y'4 �yv�„TM1,d IY ARC y.,,. IDr 20 gX061 T,ll: `.%� I ME .A.�.� �`S �a� y�" Y�1CQ"; DEPARTMENT OF HEALTH SERVICES r " Oa 906 EXCAVATION INSPECTION REQUIRED f���'� � PERMIT FOR APPROVAL OF CONSTRUCTION FOR A INGLE FAMILY RESIDENCE ONLY wcluno U.wm A1A FOR SANITARY SYSTEM I��� ���"����� � ppr ! � usgFo�eel P r➢ 1 � � DATE 21t' ...... 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ADD ADKIINFAS W/RFAR YARD LINE 11 27 24 '1 '�� `ro P.O.Ho:1S9 Aquelw`ne,New York SSB91 SECTIONA-AVIEW .M.,..... ':0.T.5TAIIL'S 1S»0S*•24 pBolx 1em YAI aaz UPDATED 1B-16-24 RLL•220-116 SCA1E•1'=30 GATE:SEPT.20,2020yA �. (mL)aae- ( )>w-Eem 2/12/25,9:29 AM Voge1004.jpg BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10704 DATE:DECEMBER 18 2024 ISSUED TO: DAVID&RANDI VOGEL PROPERTY ADDRESS: 230 WIGGINS LANE, GREENPORT SCTM#1000-35-4-28.41 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on Pecei ea $.�'�Q 4 and in consideration of application fee in the sum of 1�51j000 paid by David&Raandi Vo and subject to the Terms and Conditions as stated in the Resolution,the Southold-Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a two-story dwelling with 1,785sq.ft.on the first floor and 1,563sq.ft.on the second toor,a 533sq.ft.partially covered deck on seaward side,281s.ft. covered front porch and 55sq.ft.open deck, 140sq.ft.northerly open deck(a total of 1,009sq.ft. raised decks with 421sq.ft.of that total deck under porch roofs);a hot tub on seaward deck;a new 11A OWTS system landward of the dwelling;three window wells for basement egress windows;install 518sq.ft. of eco-permeable pavers in gravel beds;install an 8'z5' outdoor against side of dwelling;place approx.250 cubic yards of fill to raise the center of the property, install a f1,620sq.ft.pervious driveway;and to install and perpetually maintain a 15'wide vegetated non-turf buffer along the landward side of the bulkhead;with the conditions of preservation of trees.seaward of the leeching field on the Southeast portion of the property; and the drywell being tucked in within 15' of the house;and as depicted on the site plan prepared by Creative Environmental Design,received on January 8,2025,and stamped approved on January 23,2025. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year written above. 1 L https://mail.google.com/maiVu/0/?ogbl#labeiNOGEL°/`2C+DAV ID?projector-1 1/1 2/12/25,9:30 AM Voge1005.jpg Glenn Goldsmith,President , f'304 rr Town Hall Annex b4376 Route 26 A.Nicholas KrupsKi Vice President �� P.O.Boa 1179 Eric SepenoskipI Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 24, 2025 Joan Chambers PO Box 49 ° Southold, NY 11971 RE: DAVID &RAND[ VOGEL 230 WIGGINS LANE, GREENPORT SCTM#1000-35-4-28.41 Dear Ms: Chambers: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 18, 2024 regarding the above matter: WHEREAS, Joan Chambers on behalf of DAVID & RAND] VOGEL applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated August 30, 2024, 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 Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 4 of the Local Waterfront Revitalization Program to the greatest extent possible'through the imposition of the following Best Management Practice requirements:the Trustees feel this is at the far end on the inside of the canal which is less subject to the most dramatic storms and reinforced with a bulkhead. The Trustees deemed this consistent with neighboring properties, thereby bringing it into consistency with the LWRP;,and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 13, 2024, and again on December 18, 2024, at which time all interested persons were given an opportunity to be heard, and, https://mail.google.comtmaiVu/0/?ogbl#labeiNOGEL%2C+DAVID?projector-1 1/1 2/12/25,9:31 AM V6ge1006.jpg 2 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, WHEREAS, the project 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 i5f 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 DAVID & RANDI VOGEL to construct a two-story dwelling with 1,785sq.ft. on the first floor and 1,563sq.ft. on the second floor, a 533sq.ft.partially covered deck on seaward side, 281 s.ft. covered front porch and 55sq.ft. open deck, 140sq.ft. northerly open deck (a total of 1,009sq.ft. raised.decks with 421sq.ft. of that total deck under porch roofs); a hot tub on seaward deck; a new I/A OWTS system landward of the dwelling; three window wells for basement egress windows; install 518sq.ft. of eco-permeable pavers in gravel beds; install an 8'x5' outdoor against side of dwelling; place approx. 250 cubic yards of fill to raise the center of the property; install a t1,620sq.ft. pervious driveway; and to install and perpetually,maintain a 15' wide vegetated non-turf buffer along the landward side of the bulkhead; with the conditions of preservation of trees seaward of the leeching field on the-Southeast portion of the property; and the drywell being tucked in within 15' of the house; and depicted on the site plan prepared by Creative Environmental Design, received on January 8, 2025, and stamped approved on January 23, 2025. Permit to construct and complete project will expire three years 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, Glenn Goldsrhith President, Board of Trustees I https:Hmail.google.com/maiVu/0/?ogbt#labeINOGEL°/a2C+DAVID?projector-1 1/1 KATHY aocauL YNOIW =101 t fttt Governor Nr T EAN MAHAR Conservation Interim Commissioner February 4, 2025 David Vogel 44 Browning Road Short Hills, NJ 07078 Re: Permit ID 1-4738-03112/00007 Vogel Property 230 Wiggins Lane Greenport SCTM # 1000-35-4-28.41 Expiration Date: 2/3/2030 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 carefully read all 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 below address. Also enclosed is a sample Notice Covenant to the Deed, a permit sign which is to be conspicuously posted at the project site and protected from the weather, and a Notice of Commencement/ Completion of Construction form. Please be advised that this permit does not relieve you of the responsibility of obtaining any necessary permits or approvals from local municipalities or other agencies. Sincerely, Oew i*ni Environmental Analyst Distribution List: Joan Chambers BMHP File Division of Environmental Permits,Region 1 SUNY @ Stony Brook,50 Circle Road,Stony Brook, NY 11790-3409 dec.ny.gov I Email:matthew.penski@dec.ny.gov I Ph:(631)444-0365 ift NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03112 PERMIT Under the Environmental Conservation Law(ECG . .. _ _..._._ .. Permittee and Facility Information._. ............m.P.� Permit Issued To: Facility: DAVID VOGEL VOGEL PROPERTY 44 BROWING RD 230 WIGGINS LN11000-35-4-28.41 SHORT HILLS,NJ 07078 GREENPORT,NY 11944 Facility Application Contact: JOAN CHAMBERS PO BOX 49 SOUTHOLD,NY 11971-0049 (631)294-4241 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 722.059 NYTM-N: 4555.188 Latitude: 41°07'03.5" Longitude: 72°21'18.2" Project Location: Adjacent to Fordham Canal Authorized Activity: Construct a two story single family dwelling, covered porch, decks, spa,paver walks, , I/A OWTS, pervious gravel driveway, drywells, utilities, clean fill, and establish a 15' wide naturally vegetated, non-disturbance, non-turf buffer. All work shall be done in confonnance with the survey Kenneth M. Woychuk Land Surveying, PLLC last revised 01-29-25, and stamped NYSDEC Approved on 2/4/2025. Permit Authorizations .. ,. _ _�_....... A_._. .._. .. Tidal Wetlands - Under Article 25 Permit ID 1-473 8-03112/00007 New Permit Effective Date: 2/4/2025 Expiration Date: 2/3/2030 _..._. NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL,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 Brook150 Circle Rd Stony Brook,NY 11790 -3409 Authorized Signature: Date Page 1 of 7 Am NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03112 Distribution List JOAN CHAMBERS Marine Habitat Protection Environmental Permits Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS�mm�mmm� �...�.....,.�w��.�._.. �.��.__ ��._........ _. _._....... _....�_..._. - Apply to the Following Permits: TIDAL WETLANDS 1. 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. 2. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the work-site and adequately protected from the weather. 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 Kenneth M. Woychuk Land Surveying, PLLC last revised 01-29- 25, and stamped NYSDEC Approved on 2/4/2025. 4. Tidal Wetland Covenant The permittee shall incorporate the attached Covenant(or similar Department-approved language) to the deed for the property where the project will be conducted and file it with the Clerk of SUFFOLK County within 30 days of the effective date of this permit. This deed covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be submitted within 90 days of the effective date of this permit to Marine Habitat Protection NYSDEC Region 1 Headquarters SUNY @ Stony Brook150 Circle Rd Stony Brook, NY11790 -3409 Attn: Compliance Page 2 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03112 5. Establish Vegetated Buffer To protect the values of the tidal wetlands, a permanent 15' wide naturally vegetated, non-disturbance, non-turf buffer zone shall be established. 6. One Residence Per Lot This pen-nit does not authorize subdivision or more than one residence on the existing lot. 7. Tree Clearing Prohibition for Long-eared Bats Due to the proximity of a known northern long- eared bat summer occurrence,tree clearing is prohibited between March 1 and November 30, inclusive, of any calendar year. 8. Install, Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 9. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. 10. Area of Disturbance for Structures Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited. 11. Department Jurisdiction The department retains jurisdiction of all regulated lands where fill has been permitted. Placement of fill shall not be used to alter the department's Tidal Wetland jurisdictional area at the project site. The area remains a regulated area subject to Tidal Wetland Land Use restrictions of 6 NYCRR Part 661. 12. Runoff Directed to Upland Drywells Roof runoff shall be directed to drywells a minimum of 40 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 13. No Spa Discharges to Wetland There shall be no draining of spa water directly or indirectly into wetlands or protected buffer areas. Spa water may be discharged into a drywell a minimum of 50 feet landward of the tidal wetland boundary. 14. Driveway/Parking Area of Pervious Material Driveway and parking areas shall be constructed of NYSDEC-approved pervious materials. 15. Direct Runoff Away from Tidal Wetland and Buffer Roads, driveways, and parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 16. 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 (SCDHS). If SCDHS rescinds its approval of one or more of these models during the terns of this permit,DEC will no longer approve new installations of that model. The list of VA OWTS systems which have received approval by p r SCDHS are four on we site- htt S //reclaimouwater.info'_ 17. Maintenance of Installed Innovative/Alternative Onsite Wastewater Treatment Systems (I/A OWTS) The pennittee 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. Page 3 of 7 AlIft NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03112 18. No Structures on Bulkhead No pennanent structures shall be installed on the authorized bulkhead without first obtaining written department approval (permit, modification, amendment). 19. 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. 20. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 21. 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. 22. 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 or jute matting until weather conditions favor germination. 23. 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. 24. 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. 25. No Construction Debris in Wetland or Adjacent Area 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 wetlands and/or protected buffer areas. 26. State Not Liable for Damage 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. Page 4 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03112 27. 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, 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. 28. 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. 29. 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. GENERAL CONDITIONS Apply to ALL Authorized P �� .� Permits 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. 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 detenmination. Page 5 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03112 3. Applications For Permit Renewals, Modifications or Transfers The pennittee must submit a separate written application to the Department for permit 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. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Pernlit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee 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 environinental 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 pen-nit transfer should be submitted prior to actual transfer of ownership. 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RMED al—zs-25 TQWR M.SOUTHOLD N u a r, REMMSED 12-04 is UFFOLK COUNTY, NEW YORrc Ma Yea "E Nk:Y�A7 R . ...4. .4JI1.,.'I hAa.r�.G a REND 4 °Yrytnp mlaa oww,ul' OW ADD 4ANIINEF6 18fREAR YARD UME It-27-2A P.O.1 163 eb.gi N..York t1911 -- .•....,.".-...— ,,,,... 5Ef STAXFS ii_D5-24 SEPT..20,2O2D taaRs(sstlere-Icro ru(®II aae-ticee SECTION A-A VIEW UPOATEU a&-16-24 r2T0-Lie scaL&t°=50' DarE, '►� CERTIFICATE OF LIABILITY INSURANCE °ATE(MM 09/23/2024YY' 2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER rA014 , Aiyana Cafarella Roy H Reeve Agency,Inc. PHONE (631)298-4700 A.IC (631)298-3850 AIC N Ext: .No: PO Box 54 E4AAlLss: aaafarella@royreeve.com ADD13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC4 Mattituck NY 11952 INSURERA: Southwest Marine and General Insurance Compa INSURED INSURER B, Peter Torkelsen&Company LLC INSURER C: 800 Summer Lane INSURER D: INSURER E r Southold NY 11971 INSURER F COVERAGES CERTIFICATE NUMBER: CL2491321749 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF NSURANCE INSO WVD POLICY NUMBER (MMID (MMIDD= LIMITS h COMMERCIAL GENERAL LIABILITY '.EACH OCCURRENCE $ 1,0D0,000 DAUXUBoa ' 100,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,000 A Y GL2024LHBOO239 07/26/2024 07/26/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LOAIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLVCY E]JET ❑LOIN 2,000,000 PRODUCTS-GOMPIOP AGG $ OTHER. Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLELIMIT $ �92 accldenl ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ � AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per sodden[ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LU1B CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Certificate holder is included as additional insured with respect to General Liability per the terms and conditions of form#CG201 0-Additional Insured- Owners,Lessees,or Contractors-Scheduled Person or Organization as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN David Vogel ACCORDANCE WITH THE POLICY PROVISIONS. 230 Wiggins Ln - AUTHORIZED REPRESENTATIVE Greenport NY 11944 t ' @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD IWNWorkers' Certificate of Attestation of Exemption ATE Compensation from New York State Workers' Compensation and/or Board Disability and Paid Family Leave Benefits Insurance Coverage "This form cannot he used to waive the workers'compensation rights or obligations of any party.** The applicant may use this Certificate of Attestation of Exemption ONLY to show a government entity that New York State specific workers'compensation and/or disability and paid family leave benefits insurance is not required. The applicant may NOT use this form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which you are requesting a permit,license or contract. This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Building Permit Peter Torkelsen&Company lie From:Town of Southold 800 Summer Ln Southold,NY 11971-2143 PHONE:516-807-2265 FEIN:XXXXX9314 The location of where work will be performed is 230 Wiggins Ln,Greenport,NY 11944. Estimated dates necessary to complete work associated with the building permit are from November 1,2024 to September 1,2025. The estimated dollar amount of project is over$100,000 Workers'Com ensation Exem tion Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The applicant is acting as a general contractor with no employees, day laborers,leased employees,borrowed employees,part-time employees,unpaid volunteers and only has independent contractors that meet the standards of the New York Construction Industry Fair Play Act(Section 861 of the New York State Labor Law). Disabillty avid Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: 1) owned by one individual; OR 2) is a partnership(including LLC,LLP,PLLP,RLLP,or LP)under the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation,with those individuals owning all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own at least one share of stock); OR 4) is a business with no NYS location. In addition,the business does not require disability and paid family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (Independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law.) T,Peter Torkelsen,am the Member with the above-named legal entity. T affirm that due to my position with the above-named business T have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true,that I have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that I understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,the above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disability and paid family leave benefits coverage and also immediately furnish proof of that coverage on forms approved by the Chair of the Workers'Compensation Board to the government entity listed above. SIGN Signature: Date: HERE . Exemption Certificate Number Received 2024-073018 September 24 2024 NYS°Workers'Compensation Board CE-200 01/2018