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Home My WebLink About50946-Z o�SUFFo��-�o. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE • � SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMIS S WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50946 Date: 7/15/2024 Permission is hereby granted to: L78 LLC . 169 Hendrickson Ave Rockville Centre, NY 11570 To: construct accessory gazebo as applied for per Trustees & DEC approvals. replaces bp#48125 At premises located at: 1500 Mason Dr, Cutchogue SCTM #473889 Sec/Block/Lot# 104.-7-9.1 Pursuant to application dated 5/31/2022 and approved by the Building Inspector. To expire on 111412026. Fees: PERMIT RENEWAL $133.00 Total: $133.00 Building Inspector FF01Ir TOWN OF SOUTHOLD �o BUILDING DEPARTMENT y 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#: 48125 Date: 7/27/2022 Permission is hereby granted to: L78 LLC 159 Hendrickson Ave Rockville Centre, NY 11570 To: construct accessory gazebo as applied for per Trustees & DEC approvals. At premises located at: 1500 Mason Dr, Cutchogue SCTM #473889 Sec/Block/Lot# 104.-7-9.1 Pursuant to application dated 7/27/2022 and approved by the Building Inspector. To expire on 1/2612024. Fees: ACCESSORY $216.00 CO-ACCESSORY BUELDING $50.00 Total: $266.00 Building Inspector OF SO(/1,��10 r # * TOWN: OF SOUTHOLD BUILDING DEPT. °ycouffm 631-765-1802 INSPECTI-ON [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] . FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ - ] FIRE SAFETY INSPECTION [ } FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [' ] -ELECTRICAL (ROUGH) [.. ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ -] RENTAL REMARKS: DATE b INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION (1ST) ------------------------------------ FOUNDATION (2ND) tCOD 0 C 1^1 O V 1, 0 C> ROUGH FRAMING& -� PLUMBING • y 1 1 t° INSULATION PER N.Y. STATE ENERGY CODE ANO FINAL ADDITIONAL COMMENTS CoLl W 00 '1.3 NO . aZ`( -7I15 , 1 r l o-7qgC.? f t 5 _b y x d ro y �osueFnc f�oG� TOWN OF SOUTHOLD—BUILDING DEPARTMENT z Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone.(631) 765-1802 Fax (631),765-9502 httns,//ww.w.souiholdtownny. ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: / ® (ll(�u MAY 3 1 2022 Applications and forms must be filled out in their entirety.,Incomplete application's will not be-accepted'. Where the Applicant is not the owner,an ,Ownees•Authoriiation form(Page 2)shall,be completed.' TOWN OF SOUTHOLD Date: (U�a 3 202Z OWNER(S)OF PR PERTY: Name - SCTM#1000- ItLi Project Address: Phone# �`�^� Email: Mailing Address: �S�_._�'�2f_)��L..�ol1-A�___.Ic-I�IFVC.�.I-e---Ce�!1�f'�____N_-_._ CONTACT'PERSON: Name: Mailing Address: Phone#: Email: --------- _ _ 30"1-- - _--_ _- ___—�Lew(S_-�c.K_Pace`S..nc.-Cor►-�__ DESIGN.PROFESSIONALINFORMATION: Name: Mailing Address: Phone#S s Email: CONTRACTOR INFORMATION: Name: Mailing Address: Q � Phone#: S Email: (y1`Q.1._C' '0._..C�__AQL-_�... �3 _--- . .___._._-.. .__.._.. ___ _ - DESCRIPTION OF PROPOSED CONSTRUCTION, XNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ IS ow_ r Will the lot be re-graded? ❑Yes KNo Will excess fill be removed from premises? ❑Yes No 1 i " PROPERTY INFORMATION ^. .. Existing use of property: Intended use of property:a-�_ _ - ___________ Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to X this property? ❑Yes No IF YES, PROVIDE A COPY. Check Box After Reading:'The.own§i/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, additions,alterations or for removal or demolition as herein described.The applicant,agrees to.iomply with,all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in buildings)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45:ofthe New York State Penal Law: Application Submitted By(pri t nam ❑Authorized Agent Owner Signature of Applicant: Date: S STATE OF NEW YORK) SS: COUNTY OF ) �t"Ina-kin— Q 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 day of , 20 Notary Public . 'PROPERTY-OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize 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 EEO �� ® UILDING DEPARTMENT- Electrical Inspector 1 4�05� l�C®G �� ' ®L� TOWN OF SOUTHOLD OAS® 16* Town Hall Annex- 54375 Main Road - PO Box 1179 o ` Southold, New York 11971-0959 41, Telephone (631) 765-1802 - FAX (631) 765-9502 Od ' rogerr southoldtownny.gov — sea nd(o)-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 3/15/23 Company Name: A Ruggiero Electric Inc Electrician's Name: Anthony Ruggiero License No.: ME-62287 Elec. email:maruggie@optonline.net Elec. Phone No: 631-484-2958 ❑1 request an email copy of Certificate of Compliance Elec. Address.: PO Box 1533 West Babylon, NY 11704 JOB SITE INFORMATION (All Information Required) Name: Jonathan Lewis Address: 1500 Mason Drive Cross Street: Phone No.: 917-363-3074 Bldg.Permit#: 48124, &Z,, 48126 email:jlewis@lkpartnersinc.com Tax Map District:"1(oq..Ilo. � ej.Qe Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Rough inspection of new home Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑✓ Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 0 H Frame D Pole Work done on Service? Y RN Additional Information: PAYMENT DUE WITH APPLICATION 00 eo �+l -� �� .��s�``_6ia-'�j F•L�:�:.<`a' ��C—..r'' t��b'� � '-..�,,'.`�.°ad,. Tt� sY. � •^�. _v�'x7i�.��?�Gl'.�'F l��e��* � * "3' '� \:.. c."_. r. - �"?a....,...'-�t0.I`..✓ .,Jlu"xc fiuS•�,'�L.'¢�>a,�+,t(!/�.1. ra,._n?-ar d m ,.1<.s-Yk..,...71 tsTa_Kt 1:*7X_ —�+1lXr L.t„'!1"ai^1h.3...,47.'itc�lt .,»fir. z ,.t7%i,c:,F•u'^4.v:x�+Re_5�d_fi F.Y7V "S ' f 1 BOARD F S 'll UTHOLD TOWN TRUSTEES � p '. J OU HOLD, NEW YORK S PERMIT NO. 10009 DATE: OCTOBER 20,2021 ; l " ISSUED TO: L78,LLC c/o JONATHAN LEWIS f PROPERTY ADDRESS: 1500 MASON DRIVE, CUTCHOGUE .w•f SCTM41000-104-7-9.1 1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ;y-`I . , accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 20,2021, and in consideration of application fee. in the sum of$250.00 paid by L78, LLC and subject to the Terms and r Conditions as stated in the Resolution, the Southold Town, Board of Trustees authorizes and permits the following: Wetland Permit to demolish existing single-story bungalow and construct a new two and one- half story dwelling with a basement(t6,675sq.ft.) that includes a 345sq.ft. front entrance,a 138s .ft. balcony off master suite and a 3 n .q y 33sq.ft. second balcony off guest suite; install 660sq.ft of proposed patios and walkway at the rear and side of the proposed dwelling; a proposed 8'x8' b L hat tub; a proposed 10'x11' outdoor shower enclosure that includes a 6'x10' shower and a Rh 15'x10' changing area connected to a drywell,and the shower is open below and above; a 171x17 octagonal shaped gazebo; and to abandon existing sanitary system and install a new I/A ` R onsite wastewater system: with the condition that any trees that are removed are to be replaced j with native hardwood trees at a minimum of six (6) having a minimum of a 2"caliper; and as depicted on the site plan prepared by Denise N1. Bradley,RA,last dated October 5,2021,and =� stamped approved on October 20,2021. k{ 1N WITNESS WHEREOF, the said Board of Trustees herebycauses its Corporate Seal to be affixed and these ''• - F,\ F a�i• i , i Y +�•C+1 a" q presents to be subscribed by a majority of the said Board as of the 20th day of October,2021. r�. 1 r_ O I !,'Y^'°� ♦ -._�`Li,...'�.2(v3K33a„f�.ttiaiu'ZT '^aw^�iu"�.. fw3aiT' Lt�rut'YfEr�c 5 isiZ'+w.�."w3a�.�`Ao"Yt"Yu�,."nvu'.' Ai -,:�ir7iL.akT'.�k"5F�a araii7,....�.`"�ix�'t�"•3Ya'S�w�ie aS;hbnPl.dY ,i£.uv7 elfSa ��` Yy �y_ \ a �'''t+.,, ice.';'�`j�`S". ��"'L'_"„'%" •'��'".�'�� ,R�(•"7 1„./i �-F. � i f�� ,:�� ,'` 9 , •..;,so r t'v,� e,'.+tt ia., S , vvga .5 4 g^ ,a --��--'��y�,fe a�`t` e v` a :4 v pv�"ta NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility. DEC ID 1-4138-04072 PERMIT Under the Environmental Conservation.Law ECL F_ Permittee and Facility Information Permit Issued To: Facility: JONATHAN LEWIS LEWIS.PROPERTY 159 HENDRICKSON AVE 1500 MASON DRISCTM# 1000-104-7-9.1 .ROCKVILLE CENTRE,NY 11570 CUTCHOGUE,NY 11935 Facility Application.Contact: TAHIR QURESHI 27 CASEY LN MOUNT SINAI,NY 11766 (631) 732=31.50 Facility Location: in SOUTHOLD in.SUFFOLK COUNTY Village: CUTCHOGUE Facility Principal Reference Point: NYTM-E: 714.081 NYTM:X: 4543.328 Latitude: 41°.00'47.0" Longitude: 72°27'14.8" Project Location:: 1500 MASON DRIVE WATERCOURSE: HAY WATERS COVE Authorized Activity: Demolish the existing,single family dwelling(SFD)and accessory structures. Construct a new 2.5 story SFD with.stormwater roof runoff drywells,accessory structures and install'a pervious driveway. Abandon the existing system and install a new I%A OWTS sanitary system. All authorized activities shall be done in strict conformance with the.attached plans stamped"NYSDEC Approved"on 3/31/2022. (GRZ) Permit Authorizations Tidal Wetlands-Under Article 15 Permit ID I-473.8-04072/00002 New Permit Effective Date:.3/31/2022 Expiration Date: 3/30/2027 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:SUSAN ACKERMAN,Regional Permit Administrator Address:. NYSDEC Regi n 1 Headquarters SUNY @ Ston B Z150 Cirole.Rd Stony Brook, 1 790-3409 Authorized Signature: Date 3/ )1 /=lk Page 1 of 7 NEW YORK STATE.DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC W 1-4738-04072 .Distribution List TAHIR QURESHI Bureau.:of.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 -Apply to the Following Permits: TIDAL WETLANDS 1. Notice of Commencement At least 48 hours prior to.commencement.of the project,the permitted and contractor shall.sign and return.the top portion of the enclosed:notification form certifying that the 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 worksite and.adequately protected from the.weather. .3. Concrete Leachate During construction,.no wet or fresh concrete or.leachate shall be allowed to escape into.any wetlands or waters of New Yor'.k 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. 4.: 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. 5. 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 adiacent;area. 6. No Disturbance to Vegetated Tidal Wetlands There shall be.no disturbance to vegetated tidal wetlands or protected buffer-areas as a result ofthe permitted activities. Page 2 of 7 NEW YORK.STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04072 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 feet from 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 theproject 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. 9. No Unauthorized Fill No fill or backfill is authorized by this permit without further written approval from the department(permit;modification, amendment). 10. 'Establish Vegetated Buffer To protect the values of the tidal wetlands,a.permanent.vegetated buffer zone shall be established. There.shall be no disturbance to the natural.vegetation or topography within.an area extending.3.0 linear feetlandward of the tidal wetland boundary. 11. 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 ofthe buffer area 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. 12.. 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. 13. Driveway/Parking Area of Pervious Material .Driveway and parking areas shall be constructed of. NYSDEC-approved pervious materials. 14. 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. 15.. 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(SCIN-18). .IfSCDHS 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. The list of I/A OWTS systems which have received approval by SCDHS are found on.the Suffolk County,-Website under.the Reclaim Our Water-Homeowner section at: Overview ofProvisionally Approve..d Technologies. 16. 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: Page 3.of 7 NEW YORK STATE.DEPARTMENT OF ENVIRONMENTAL'CONSERVATION Facility DEC ID 14738-04072 n. 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 BrookJ50 Circle Rd Stony Brook,NY11790-3409 Attn: Compliance 18. Contain Exposed, Stockpiled Soils All disturbed,areas where soil will be temporarily exposed or stockpiled for longer.than 4.8 hours shall be contained by a continuous line of staked.haybal'es/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.. 19: 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. 20. State Not.Liable.for Damage The State.of New York shall.in nu 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. 21. 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 mariner 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. 22. 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. Page 4 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION' Facility DEC ID 1-4738-04072 23. 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 Tahir M. Qureshi P.E., last revised on 1/8/2022 and the plan. prepared by Michael J. Scalise I,.S.,last.revised.on 10/27/2021. 24. 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 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 penmittee 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 pre j ect 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 determination. 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. 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 Permit 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. Page 5 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 95 Facility DEC.ID 1-4738-04072 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 perniittee to comply with any terms or conditions of the permit; c. :exceeding the scope of the projeetas 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 statutes:regulation or another permit condition. Applications for.permit'transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER,PERNIITTEE 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 Q 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: Page..6 of 7 is NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 'qW Facility DEC ID 1-4739-04072 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 Vestedi a person not'.a party to the permit. Page 7 of 7 NOTICE COVENANT TO THE DEED DECLARATION THIS DECLARATION, dated day-of 120-2 is made by 2 (hereinafter the "Declarant"),who sie.address-is WITNESSETH WHEREAS.,the Declarant is the owner of certainreal property. located in the Town of County.of State of New York,Tax Map#Distiict Section. Block `Lot(s) which real property is more particularly described in Exhibit A annexed hereto (hereinafter referred.to as the "Property"); and WHEREAS,the Property is situated in or adjacent to.regulated tidal wetlands which.have been inventoried and.mapped by the New-York StateDepartment.of Environmental Conservation(hereinafter ADepartment@. ),putsuaht:to Environmental Conservation Law(hereinafter."ECU)Article.25(also known as the"Tidal Wetlands Act")and Part 661 of Title 6-of the New York Code of Rules and Regulations (hereinafter"6 NYCI&');and WHEREAS,various-activities conducted both.in and adjacentto tidal wetlands are regulated.by the Department pursuant to ECL Article 25 and Part 661 of 6NYC RR and require written authorization from the Department prior to being conducted; NOW, THEREFORE,in recognition of the Department's, urisdiction as set forth above,it is the responsibility of a part right- Property,y having any title,.or interest in the P erty,to obtain from the Department or any successor organization,a current description of all activities which are regulated pursuant to ECL Article 25 and Part.661 of 6 NYCRR,.and to obtain-written authorization from the.Department prior to.such regulated activities being-conducted on the Property. Regulated activities include, but are not limited to -clearing of vegetation; application of chemicals; excavation; grading and filling;dredging; erection of structure's; construction or reconstruction of shoreline erosion structures;andconstruction and reconstruction of docks and bulkheads. By: STATE OF NEW YORK ) ss. COUNTY OF On the day of in the year 20 _, before me,the undersigned,.a Notary Public in and for said state,personally appeared personally known to me or pfoVed.to- me on the basis of satisfactory evidence to be the person-whose name is subscribed to the within instrument and acknowledged to,me that he executed the same in his-capacity,and that by his signature on the instrument,the person or entity upon behalf of which the person acted, executed the instrument. NOTARY PUBLIC i 95-20-1(Mn-9d New York State Department of Environmen'ta'l Conservation Now NOTICE 2. 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 Permit Number 1-4738-04072/00002 Susan Ackerman Expiration Date 3/30/2027 NOTE: This notice is NOT a permit ALL ELEVATIONS REFER TO NAVD88'DATUM MA -'ON DRIVE SYMBOL LEGEND JD MjY4 mon"D -a END Co (50 WIDE) --- ------------ 0 L. C- S�L--- V ELEVADC44S —i"N ,r24 um N7 --i UTLV?PDE /U:4T SION FIFE VrC VIT low 3.r aVC FENCE jl4C) s- =4si TENGE Is-,) 0�"'LNX FENIX(CLF to "'PE FENCE VA'nCu 'A".NLET _'N"E7 E, Z. "—7j A/c Grcrr rl rLECTI.;C U--,ER TE' Q) M CAS`ALOE ,':K 'Ar,,q VALLE 421 rs nu TREE I STORY D.1'a FRAUE RESDENCE VL:LAQ FLG -:-ESSED 'o TAX PLOT to C.C." O24 'o. 7E,FENCE 7.,V, 29.0' FFL.I�W Fl.�Vciu I STORY, FRAMERESIDENCE R/w y E� w.'Doo' Pdgw" C ra. 911C Rw C"'ER ANT. F'st,C C'.C-GMEW-1 vll LINE =4't CUT oil ON UIE TAX WT 9-1 91 GRAPHIC SCALE t'Ll 1 110 30 0 15 30 8 10. 00"w , ar 73 67' IN FEET I N- I inch = 30 IL III1 TO: COJ GUARANTEED 0.4! 'o L78 LLC. Co -A 9, FIDELITY NATIONAL TITLE INSURANCE COMPANY S L"BROADWATER COVE N OM, NO VISIBLE WETLANDS WITH IN 300' NO VISIBLE WELLS WITH IN 150' OF SUBJECT PROPERTY OF SUBJECT PROPERTY (FOR HEALTH DEPARTMENT USE ONLY) 14YSDEC APPROVED AS PER TERMS AND CONDITIONS QF PERMITNOMHP7 DATE__�� TEST HOLE NOT TO SCALE 0. GRADE ELEV.7. L BROWN 511 SAND(SM) ORANGE BROWN SAND(SP) BROWN SAND (SP) WET BROWN SAND(SP) LOT AREA WATER ENCOUNTERED AT 7.5' 4 )IO/27/2028RE%eSED TEST HOLE 2 0.IROY K.REISSIG �H 9,50 1 S.F.F. P.E. 0.68 AC. 04-10-2021 I 4EV I DATE DESCRIPTION OF NEV,,r SCA L I C E SURVEY OF PROPERTY )V V land surveying SITUATE mjslandsurvey.com P:631-957-2400 CUTCHOGUE, TOWN OF SOUTHOLD 410-05060' DR.:MC I CREW.:AL SCALE.1" - 30' TAX MAP NO. SUFFOLK COUNTY, NEW YORK LAND !DATE SURVEYED:07/08/2019 JOB No.S19-1393 1000-104.00-07,00-009.001 U- SURVEY OF: PROPERTY LOCATED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C.T.M. # 1000-104-7-9.1 AREA = 29,506.4 SF. SCALE: 1"=40' NOTE: THE EXISTENCE OF RIGHT OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD IF ANY. NOT SHOWN ARE NOT GUARANTEED. ELEVATIONS REFER TO 1988 NAVD ELEVATIONS SHOWN THUS +�+ NO WELLS WITHIN 150' OF SUBJECT PARCEL FEMA: TOWN OF SOUTHOLD 360613 MAP No. 36103COi64H t 'v L1' MAP REVISED 9/25/2009 Q 1 As o N vT ) 5p wi � 0� CONC. O 6a, MON. P nVSMEN•t Cp N �2 Zr 00 (P O 'tr? Oyer r m 00 epF`� TEST cz HOLE . 4h ... . w... 4h 20 0' 0 P mlg0 1a.5 17•�' LAND N/F 6 in 11.5 ci 03 1 0 0 ALFRED SILBER PLANTER 23'S PRD SjD E p In & RANDI SILBER 2 ESIDENC ro m Z 03 GARAGE FRAFF EL 10.99 A2g v 10.E 0% N 57.5' R10DE EL (O rn m , EXISTING HOUSE 32.5 OUTSIDE O W TO BE ABANDONED e , In w_.• . TO1�.0 . AND REMOVED s m SHOWER /� 6 m 4' 10.0 GAZE60 p1?IO h� d 31.5' 0h' BALCONY UB N 52.5 neovE --I 'h0 Ul ' CV0 PORORCH / x c �► % Lyi ABOVE �+ m LA 01 h hA y 0• P• m "w 9 U�x m 1 4 6 •• .... / ... h �9 0 mix 3 51 ;20 / 1 Zmo S 12033'15".E 9.55' of E Y ti• m RYL (0 CIO 4 o NO) g' * 3• 3 S / SHORELINE 1-12-2022 TEST HOLE DATA (NOT TO SCALE) BROAD WA TER S BY: ROY K. REISSIG. PE q(O APRIL 10, 2021 a 9:00 AM CO V E 0.0'-0.2' TOP SOIL PT D: — w 02.'-2.0' BROWN SILTY SAND SM F- = in Q o r` 3 2.0'-6.0' ORANGE BROWN SAND SP L6 — 0 BROWN SAND SP WATER 7.5'-15.0' WET BROWN SAND SP SURVEYED BY: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION P A U L B A R Y L S K I LAND A N D SURVEYING OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. P A T C H O G U E N Y 11772 COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. PHONE 6 31—2 9 4-6 9 8 5 GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO FAX 6 31-6 2 7-316 6 THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. P A U L B A R,Y L S K I'Q Y A H O O.C O M GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL J A N U A R Y 12, 2 2'2 INSTITUTIONS OR SUBSEQUENT OWNERS. 5-25-2022: PROPOSED RESIDENCE 4992-P-1 7-12-2022: REVISED SURVEY W I 1 i E DETAIL 1 -MONOLITHIC FOUNDATI04 BUILDING ZONE ORDI CE Bradley SCALE:NONE 17'-0'D S-0' � . ��S0MNSON *7.7 cWIDE Y Architect P.C. 50 ) I 0 `� SIIB ,T�""" STY ArchiteCtuIre 1111� *8.0 PAVEMENT ( Design EDGE OF R-40 1500 MASON DRIVE *9.0 = r GRAW(1E TOP o y • TAX MAP - I M104.00-07.00 110 North Park Avenue 24, 10'REAISTONE LIMN 72� L} _ _ ---- 82 Mom - - Wes- - Rockville Centre,NY 11570 __ _ _ _ - - 1�uESTorvE�� SUB1ECf PROPERTY REQUIRED PROVIDID Phone- (516)536-8585 w caxrE supLOT SIZE 40,000 SF 29,508.4 SF Fax- (516) 764-7507 W16X6WWM .. 4'X41ACQ POSTWI - LITHIC JR�AR TIE ��a _ POURED CONCRETE LOT WIDTH 150' 150.68' Denise M Bradley R.A. *8,8 akv%m o o FOUNDATION t 6' ; -o o 4' : CONCRETE SLAB w/ LOT DEPTH 176 225.73 / ° •:. :14,i : / \�� 6X6 WWM ABOVE SEE DETAILI/AA 6' LOT AREA OCCUPIED 20.0% 16.6% o 61 i.VAPOR g° :: o :®" :.� FRONT YARD SETBACK 50.9 60.21' BARRIER Q '.. ' j W wFRONT YARD SETBACK 50.V 57.6 ftpsedFor rNONOI.rrHIC r 6- v��Py FOMTION 0 I a�� tu -��' SIDE YARD 15' 5Dff REAR YARD 59 20.V DRIVEWAY a - Lewis Residence LTA*7.9 % 5'-0' 51-0' f-o' 51-U ROOF HEIGHT 35.0' 35.0' I �'-°' Building Lot Area : 29 508.4 s.f. 0.68 ac. 1- - - - - 9 ) *7.9 PLANTER o COVERED PORCH �? G 15M Dive FOUNDATION PLAN Main Structure 4323 s f - 14 7/o Cutchogue, NY 23.5' 0 19.0' 0 18.5' OO • • . Q 4 STORY- - I 4 STORY �, r-- , - , Accessory Structures - 588 s.f.. - 1.9% SCALE: 0 w � I DRIVEWAY I I � - - - - - ~ 11.5' 20.0'1 STORY BURRICANBQIl' Total Lot Occupied : 4,911 s.f. - 16.6% PW O I I I I_ 1CrXLVM (9- tFL LU EACCOMMANSHMP T-0' I - - - - - -� PROPOSED RIDER GRON > 57.5 21I2 STORY PROPArE L J E AYM 40 M)REAL STONE - - CLI)BIVT' a *6.1 p 11j HALF WALL®42' / - - - - - - � I, ^^ o M I WTH T GRANITE TOP 1� ftha F--� o - - - - - - - o � I F.F.EL.40.9' / 9.83' p i - - - (51�Cdft NY w 79 S®E N �' \ (Z 2X10 ACQ BEAM ,\ �� cwtlw w- o * WER Ott t o ' \ �� o x I I ( k O W 7.0' co �' a ' >o v' ' �' PROJECT DESIGNER: 4.0' 325' ��,o Q ,� ,� �. � 11ONadhPnkA e 0 4STORY ( GAZEBO - - - - - - I _ _ _ CI�,NY 115710 110 _ 3129 / s COVERED PORCH ABV PATIO I BALCONY ABV. I I I - Sl S3 •SSES I \ / Dew HC'O PLATB I � \ / WI i I- ! -- -- -I *7.0� O / 5221' 70' 15.0 _ L - �- *5.9 HOOT 7U�B S'�+.�ON 3TR'Of�TE �, o I � I � \ / - � I �;� ' r, z, I I Q 1*71 / *6.5 / 6.5 HCP4-4•X . SM j i o I � � � � \ I o f � I I I - Pt�,' t N , / i I /, ,\ I , ►- - - -- *6.4 NEW CONSTRUCTION *6�0-- � � � � � � ' 2112 STORY RESIDENCE PPRO ED AS NOTED j - - n �qc w `, `� DATE: B.P.# ( NON-DISTURBANCE . Y .n Lo \ BUFFER -► / (2)WO ACQ BEAM \ I I I FEE: BY:_ o \ _ _ // NOTIF BUILDING 1:`u=PARTMENT AT r 765-18 2 8 AM TO 4 PM FOR THE ZONE AREA , 45 I / 2'X 40'HIP RAFTER(TYP) FOLLOWING INSPECTIONS: #5.4 � � � � 1. FOU DATION - TVIO REQUIRED I b -- - 5.0 2 X 10 MP RAFTER - . HALF WALL 142 5'-0" T-0' FOR POURED CONCRETE 1 / 50 WOOD BULKHEAD " __ WITH T GRANITE TOP TX 6'JACK RAFTER(TYP) 2. RO 3H - FRAr liNIG & PLUMPING •5.6 ' 3. INS LATION i / \ _ * 47-0 W -T WF1 r *5.0 - --- 1 �.5� 4 X 4 ACQ POST TO a. FIN PI - CON.. ;r. MUST - _ W S74009 00 W CONCRETE FOUNDATIONBE OMPLET ALL C NSTRUCT;.:,!' 'LL MEET THE / / BELOW(TYPO L REQUi =EM' NTS Or HE CODES OF NEW - BROADWATERS -{/MEAN NIGH WATER {� J�N - YORK TATE. NOT RESPONSIBLE FOR *13 c> i"L1`�I T GOOF FAME PLAN �, AS OF JULY 2T,2041 DESIGNOR CONSTRUCTION ERRORS. I PER.pECON1CrSURVEYORS O " = '- " _ n r` �' N COVE SCALE: 1 0 SCALE: 1 0 , . -r WETLAND / �` L" CWl) FINIAL *4.0- _ - -� n .J s KEY BLOCK W/ 1 � V GAF 40 YR-ARCH.ASPHALT COPPER FINISHING FINIAL ROOFING , 30#ROOFING FLAT - - - - (2)2 X 6 ACQ BEAM - - - - - - - 1T� RE - 37 & J� 1/2 EXTERIOR PLYWOOD * ,' i p �� 0 TX 4'R.R.W/HURRICANE CLIPS GAF 40 YR.ARCH.ASPHALT 3 016'O.G.(TYPO ROOFING 30#ROOFING FLAT 3/4'EXTERIOR PLYWOOD CUPOLA *g 0/ 0 2'X 10'ACQ BEAM 12 2'X6'M W/HIRRICANE CLIPS - -1 6 »16'O.C.(TYPO �Q COMPLY WITH ALL CODES OF: / NEVI YORI< STATE & TOWN CODES /> /� ALUMINUM GUTTER AS EQURRFD AND CONDITIONS OF 1'BY-FASCIA TRIM 111H17 D TOWN ZBA 3 (2)T X 10'ACQ BEAM W/ - - SO"7W ' PIANNINN_BOARD , STEEL U-PLATE CONNECTION - U T H TOWN TRUSTEES RETAIN STORM WATER RUNOFF / Q I Z I 6' 6'TURNCRAFT COL m DM DBSCRIP'IiON D 6 PURSUANT TO CHAPTER 236 / U I _ I DECORATION N.Y.S.IEE OF THE TOWN CODE. / / c 4'X4'ACQ POST TO Issue revision / I I FOUNDATION BELOW rn •o �Q�� '� I I 7 GRANITE TOP 1120MME PLOT PLAN � - _ _ _ GAZEBO CONSTRUCTION / - - - - - - - - - - - - - - 40'REAL STONE WAl1 - - - - - - - - - - - - - - -- - - - - - - - - - - - - _ PLANS $ ELEVATIONS BLUE STONE FLOOR _ -- _ _ _ - " - - - - - SECTION 9 DETAILS PLOT PLAN ZONING CODE L� OCCUPANCY OR CONCRETE MONOLITHIC DRARiNBY CH 1SE IS UNLAWFUL SECTION 4-4 SEE FOUNDATION I/a1� FRONT ELEVATION REAR / SIDE ELEVATION DATE 5-25-2022 JITHOUT CERTIFICAT, SCALE: 114' = T-0' SCALE: 414' = T-0' SCALE: 1/4'= T-0' SCAIE 414'=1'-0' DF OCCUPANCY PROR7NO. 2014 Ael DWG.NO. G.C.D.