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HomeMy WebLinkAbout29856-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31817 Date: 09/14/06 THIS CERTIFIES that the building ISP Location of Property: 360 WIGGINS LA GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 4 Lot 28.33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 5, 2003 pursuant to which Building Permit No. 29856-Z dated NOVEMBER 6, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE SIDE YARD AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5378 DATED 10/9/03 . The certificate is issued to JOHN J & PATRICIA CASILLO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4045 05/07/04 PLUMBERS CERTIFICATION DATED N/A A h ize Sign ture Rev. 1/81 Form No.6 — TOWN OF SOUTHOLD BUILDING DEPARTMENT i TOWN HALL 765-1802 n APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. 9,— / - 0 6 New Construction: �_Old or Pre-existing Building: (check one) —{ Location of Property: 3 C O t q q (P L Rnl F House No. /I Street Hamlet Owner or Owners of Property: Jo CSS �/0 Suffolk County TaxMapNo 10010, Section 3.(_ Block t Lot v2 1', 13 Subdivision r r a m rf C S S Filed Map. Lot: -2 (� D, y g.c 6 Z Permit No. A%bow Date of Permit. /- d d•.z o 03 Applicant: _T,-s 14,j Cq r do Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ -. 'Id (!�& av licant Sigdature C,C) i� FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29856 Z Date NOVEMBER 6, 2003 Permission is hereby granted to: JOHN J CASILLO 31 SHENANDOAH BLVD CORAM,NY 11727 for CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE SIDE YARD AS PER CONDITIONS OF THE ZBA, TRUSTEES AND DEC AS APPLIED FOR at premises located at 360 WIGGINS LA GREENPORT County Tax Map No. 473889 Section 035 Block 0004 Lot No. 028 . 033 pursuant to application dated NOVEMBER 5, 2003 and approved by the Building Inspector to expire on MAY 6, 2005 . Fee $ 150 . 00 uth rized Signaure �+� oN PL�L L � S ORIGINAL Rev. 5/8/02 Albert J. Krupski,President O�pSUFFO(�C o Town Hall James King,Vice-President =� Ito Route 25 Artie Foster P.O. Box 1179 Ken Poliwoda ca Southold, New York 11971-0959 Peggy A. Dickerson 5 Telephone(631) 765-1892 Fax(631) 765-1366 `t L f{ - BOARD OF TOWN TRUSTEES L iAAPR 1 5 2Aj L TOWN OF SOUTHOLD tl 7:, CERTIFICATE OF COMPLIANCE # 0033C Date April 18, 2005 THIS CERTIFIES that the in-ground swimming pool and fence At 360 Wiggins Lane, Greenport Suffolk County Tax Map # 35-4-24 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 12/18/02pursuant to which Trustees Permit# 5690 Dated 1/22/03 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for an in-ground swimming pool and fence The certificate is issued to John & Patti Casillo owner of the aforesaid property. Authorized Signature i i f Nassau Suffolk Electrical Inspections, Inc_ SA Canal Street Caner Moridles,New York 11934 a Tel:631-878-3500 •Fax: 631-878-3764 Application: 4045 Date. 5/7/04 Issued to: Casillo Address:. 360 Wiggens Lane Village: Greenport Introduced By: Bethel Electric Lick 2880-ME was examined and approved up to the above date and was in compliance with the NEC j Attic 1st Hear plod® Det G aW i Sam," 21d flw Cam6rdal M Tib Pd6tion j Switches Receptacles FiNweas G.F.I. Timecbek Neale( 2 2 1 1 7 1 Oven Carbon Fane Dishwasher WasherlAmps Dryer/Amps RenpelAmps monoalde Smoke Bell Furnace Oil Gas Nasl2onea Defectors Transformers Nefor Amps Phase motors 1 ther Equipment: Inpround Pool ut,Res This certificate must not be altered in any manner L35 Block: 4 Lot:24 T00/T00Z OIIUD313 13HJZS tOOZ SOZ TCB Xvd OT:ZO SOOZ/TC/SO APPEALS BOARD MEMBERS OGy Southold Town Hall Lydia A. Tortora, Chairwoman 53095 Main Road Gerard P. Goehringer h Z P.O. Box 1179 George Homing O .te Southold,New York 11971-0959 Ruth D. Oliva y'�Ol ,tom �a0� ZBA Fax(631)765-9064 Vincent Orlando T Telephone (631)765-1809 http://southoldtown.northfork.net BOARD OF APPEALS O 2003 TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF OCTOBER 9, 2003 ZBA#5378 - JOHN CASILLO Property Location: 360 Wiggins Lane, Greenport CTM #1000-35-4-28.33. SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's +/- 21,900 sq. ft. parcel, shown as Lot 20 on the Map of Fordham Acres, Section 2, has 135 ft. frontage along the north side of Wiggins Lane and 157.25 frontage along the existing bulkhead (at Fordham Canal). The lot is improved with a variable 1'/z story/1-story frame dwelling with garage with the following setbacks: (a) +/-52 feet from the bulkhead along Fordham Canal, (b) 51 feet from the front lot line along Wiggins Lane, (c) 26.1 feet on the northerly side line; (d) 40 feet from the southerly side line, as shown on the December 12, 1999 survey prepared by Rampart Surveying, P.C. BASIS OF APPLICATION: Building, Department's December 29, 2002 Notice of Disapproval, citing Sections 100-30A.4 and 100-33C, in its denial of a building permit application to locate a proposed swimming pool in a yard other than the code required rear yard. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on September 25, 2003, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: Applicant wishes to locate an in-ground, 16' x 32' vinyl pool in the westerly side yard next to the dwelling. The swimming pool is proposed 12 feet and 17 feet at the opposite end, at its closest points to the west side lot line, and 53 feet from the front lot line along Wiggins Lane. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the relief requested will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The swimming pool will be ' r Page 2—October 9,2003 ZB#5378—John Casillo 35.4-28.33 at Greenport centered between the side property line and the house, with setback variables from the westerly side between 12 and 17 feet. The pool will be located at least 64 feet from Fordham Canal, and a sandy beach area exists in the yard area between Fordham Canal and the applicants' house. The house is 53 feet from the town street, which would not allow enough room for a swimming pool. The location request for the pool will be fenced and substantially screened in accordance with the Wilcenski landscape plan dated 4-11-03. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The house has a front yard setback of 53 feet, and limited yard area at the rear of the house which contains a bulkhead and sandy beach area. These yards do not provide an available space to fit a swimming pool structure. 3. The variance requested is substantial because accessory buildings are not authorized under the provisions of the zoning code in a side yard area. 4. The difficulty was self-created when the swimming pool was planned in a yard location that does not conform to the current Town Code requirements. 5. There is no evidence that the grant of the relief requested will have an adverse effect or impact on physical or environmental conditions in the neighborhood or district. The pool will be located at least 64.5 feet from Fordham Canal. The applicants have obtained authorization dated January 22, 2003 from the Southold Town Board of Trustees (Permit #5690) and from the NYS Department of Environmental Conservation dated December 18, 2002 under the Wetland Ordinances pertaining to the proposed swimming pool (Permit#1-4738-02887/00004). 6. Grant of the relief requested is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a swimming pool, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Orlando, seconded by Member Oliva, and duly carried, to GRANT the variance as applied for, and landscaped in accordance with the 4-11- 2003 Landscape Plan prepared by Susan W. Wilcenski. ` Page 3—October 9,2003 ZB#5378—John Casillo 35.4-28.33 at Greenport This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Tortora (Chairwoman), Orlando and Oliva. Nay: Member Goehringer stating that in his opinion a bulkhead should be placed between the pool and the sandy beach area which is south of the existing canal-front bulkhead). This Resolution was duly adopted (3-1). (Absent was Member Horning, of Fishers Island.) Lydia A. ToOra 10116103 Approved for Filing Albert J. Krupski, President Town Hall James King,Vice-President �0�0$UFFU(I�'C� 53095 Route 25 Artie Foster P.O.Box 1179 Ken PoliwodaSouthold, New York 11971-0959 Peggy A. Dickerson y y. Telephone(631) 765-1892 • 'F Fax(631) 765-1366 4,ol BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 27, 2003 Specht-Tacular Pools 2 Quiet Court Miller Place, NY 11764 RE: SCTM#35-4-24 John&Patti Casillo 360 Wiggins Lane, Greenport, NY Gentlemen: The Board of Town Trustees took the following action during a Regular Meeting, held on January 22, 2003 regarding the above matter. WHEREAS, Specht-Tacular Pools on behalf of John & Patti Casillo: applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 18th, 2002. WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 22, 2003 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, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code. 2 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 the Board of Trustees approved the application of John & Patti Casillo Wetland Permit to install a in-ground swimming pool 16x32 with a fence to code with the gqondition of haybales during construction between the bulkhead and pool .c ywrll for pool gackcwash. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Fee must be paid, if applicable and permit issued within six months of the date of this notification. If inspections are required, at a fee of$5.00 per inspection(See attached schedule). FEES: $10.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/cjc cc DEC Building Department rr Board Of Southold Town Trustees -h SOUTHOLD, NEW YORK r r PERMIT NO. . 64f,. DATE: January...Z2,. 200 . JOHN & PATTI CASILLO ISSUEDTO ...................................................................................................................................... � ., • � ,�u#l�nrt�tt#inn .e Pursuant to the provisions of Chapter 615 of the Laws of ; the State of New York, 1893; and Chapter 404 of the Laws of the .� State of New York 1952; and the Southold Town Ordinance en- At < titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;•..'. and in accordance with the Resolution of The Board adopted at a meeting held on ...January._22, 2003:, and in consideration of the sum of $. _ 2.o0.00-.. paid by <. _...._........................................................................ , of ......Miller Place .. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: s' ix. Wetland Permit to install a in-ground pool 16x32 with a fence to �. Code with the conditions of haybales during construction between' the bulkhead and: poo•1' drywell for pool backwash. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. , ; Ln Ln X101 , y� rriteer - 4 s' P ,fid ., TERMS and CONDITIONS ti.4t The Permittee lohn & RaW 6asille — residing at 'AU Wigglar Lane r 6reevrgerk, N. Y., as part of the consideration for the issuance of the Permit does uaderstand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold aft released from any and ail damages, or claims for damages, of arks arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Petmittee will, at his or her own expense, defend any and all such suis'inidated 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 mos. which is considered to be the estimated time required to eompL:te the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. i 3. That this Permit sh Add 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 anrh- orization was originally obtained 4. That the work involved win be subject to the inspection and approval of the Board or is 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 interferetwe 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 ifs in the opinion of the Board of Trustees, the. work shall muse unreasonable obstrucnon to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold 8. Thar the said Board will be notified by the Permittee of the completion of the work auth- orkzed. 9. That the Permittee will obtain all other permits and Consents that nay be required sup- plemental applemental to this permit which may be subject to revoke upon failure to obtain same. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-02887/00004 December 18, 2002 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental December 31,2007 Conservation Law TYPE OF PERMIT■New Cl Renewal ❑Modification❑Permit to Construct ❑ Permit to Operate ❑ Article 15,Title 5: Protection of Waters ❑ Article 17,Titles 7,8:SPDES ❑ Article 27,Title 9; 6NYCRR 373: Hazardous-Waste Management 11Article 15,Title 15:Water Supply ❑ Article 19:Air Pollution Control ❑ Article 34: Coastal Erosion ❑ Article 15,Title 15:Water Transport ❑ Article 23,Title 27: Mined Land Management Reclamation ❑ Article 15,Title 15: Long Island Wells ❑ Article 36: Floodplain Management ❑ Article 24:Freshwater Wetlands ❑ Article 15,Title 27: Wild,Scenic and ❑ Articles 1, 3, 17, 19, 27, 37;6NYCRR Recreational Rivers ■ Article 25:Tidal Wetlands 380: Radiation Control ❑ 6NYCRR 608:Water Quality Certification ❑ Article 27,Title 7; 6NYCRR 360: Solid Waste Management PERMIT ISSUED TO TELEPHONE NUMBER Mr. & Mrs. John Casillo 631 477-1622 ADDRESS OF PERMITTEE 31 Shennandoah Boulevard, Coram, NY 11727 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER S echt-Tacular Pool Inc., 2 Quiet Court, Miller Place, NY 11764 631 696-3900 NAME AND ADDRESS OF PROJECT/FACILITY Casillo rro ert , 360 Wig ins Lane, Greenport SCTM #1000-35-4-28.3 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffulk I Southold Fordham Canal DESCRIPTION OF AUTHORIZED ACTIVITY: Construct 32' x 16' in ground swimming pool located a maximum of 3 feet seaward of the front of the existing dwelling. All work must be done in accordance with the attached plans by Specht-Tacular Pools, 7/11/2002 and stamped NYSDEC approved on 12/18/2002. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 &3)and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Roger Evans SVA Region 1 Headquarters, Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNAT E DATE Page 1 of 4 December 19, 2002 New York State Department of Environmental Conservation Division of Environmental Permits 4 Building 40 - SUNY, Stony Brook, NY 11790-2356 AM Telephone (631) 444-0365 Facsimile (631) 444-0360 NEW Erin M. Crotty Commissioner December 19, 2002 Mr. & Mrs. John Casillo 31 Shennandoah Boulevard Coram, NY 11727 RE: 1-4738-02887/00004 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 read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, Susan V. Ackerman Environmental Analyst SVA/Is Enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York,its representatives,employees,and agents("DEC")for all claims,suits,actions, and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with,or operation and maintenance of,the facility or facilities authorized by the permitwhether 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 agentwith respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits,approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA401(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, mpst be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System(SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg#40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify,suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions,orders of the commissioner,any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMIT NUMBER PAGE 2 OF 4 1-4738-02887100004 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15(TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 (TIDAL WETLANDS) 1. 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 oralterthe structural work,obstructions,or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall,without expense to the State,and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation,or for other purposes,and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S.Army Corps of Engineers, U.S.Coast Guard, New York State Office of General Services or local government which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly,without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall,without expense to the State,and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 8. If granted under 6NYCRR Part 608,the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977(PL 95-217)provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Specht-Tacular Pools on 7/11/2002. DEC PERMIT NUMBER PAGE 3 OF 4 1-4738-02887/00004 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 3. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows: a. Stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.). 4. The storage of construction equipment and materials shall be confined to the existing driveway. 5. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than one (1) week shall be contained by a continuous line of staked hay bales/silt curtain (or other NYSDEC approved method) placed on the seaward side between the fill and wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 6. Dry wells for pool filter backwash shall be located landward side of pool. 7. There shall be no draining of swimming pool water directly or indirectly into tidal wetlands or protected buffer areas. DEC PERMIT NUMBER PAGE 4 of 4 1-4738-02887/00004 12/12/2002 12:08 FAX 831 924 2883 Thrifty Electronics LLd @002 `o4- iWtoaPea'A' - i\` �V9S�}�tfifr,,, t 3yts1' `�UIlC NSI' \�. :. ' r � _ ALL 4 .Vft wa`t ' �.a2 ' ( �1 h - � , TorbHsa fbbr�- fn c /td5 A�ormrown<i ' ^ 3 K ' �kt6 S 194(QN xs w r LA -441 t 1 Gy�f SLp,nIF--WK._ 1 .ff� Y, t 0VA 77 it! S CAVE . t ti7rcyn.+'ed � jPeCK4- 1 tU1Ar POO-$ 'Proy"30,* 10n a Chink C� • Tsairnry1Re D:q� ` .J�kSt@%jea M)\1er'91AVL Oy wlu1 u (��t) L' 4-39 ou ?GO W t ins L4nG GreenpoO NY Y t j. SC*rMAI WD-35A-71,33 A-6; {lernt dcx�<c<.r S4-,oe)u',1 ::�. -::i 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ] FRAMING [ ' INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 1v2 INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REM/A�RKS: 1 DATE INSPECTOR d F[ELDINSPWnONRLFORT DATE COI�YffiVTS ' b FOUNDATION(1ST) C m FOUNDATION(2ND) z _ c «3 ROUGH FRA1t WG& PLUMONG INSULATION PER N.Y. STATE ENERGY CODE -4 FINAL IP MIN ADDITIONAL COldMMJTS r z. m z 3 ' o z I � d , . 33 t. OWNOF SOUTHOLD PROPERTY RECORD CARD OWNER STREETVILLAGE DIST. SUB. LOT ` {�4 / nJ dne 1-f'e� ® % 'r !� 1 � a �t FORMER OWNER N E ACR. S W TYPE OF BUILDING , J RES. SEAS. VL FARM COMM. CB. MICS.z Mkt. Value sbpd� LAND IMP. TOTAL DATE REMARKS h _ r 04 F a - -a 1/ o o --Zu o Q. 7 Y 76 aao — ° p a Ta Ji'/fuer �. f i-f 6.19 f> l '- P ,: 3 {L; * loon O6 9 7op � 2S� � 9 �z soo �} 40 -LIZIia 9 89©- Srlyczv� 4zs,ocZ a SG q G AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value - Acre �d Tillable FRONTAGE ON WATER 1jr—,i Z Woodland FRONTAGE ON ROAD Meadowland DEPTH 441, —` House PfW BULKHEAD � 5, R Total DOCK h 4 mss, MEN■■■■■■N■■■■■N■■■■■■■■■ ■ ■■■■■■■■■■■■■■■■u■SEEM N■■ ' ■■■■■■■■■I■■■■■■■■■■NMEN ■■■■ No 0 0 so MEN■ ■■■■■■■■!�■■I�IOUSE■■■■ ■■■■■ ■■■■■■■mom ®■t1MORD ■■■■■ M ME 10MMON mom ■■■■ ■■I�■■�!1■■IQ!■ :EI■■ff ailMI■■■■■■ uu■ ■■■I�■�0■■1N■ZU EMM ■■■/��c■■■■■■■ ■H■!!s�®ses�■��i_ii�ii�I ■®fir®:������■■■ ■ ■■N■■m■■u■■N■m■■■N■■■��■ , ,� , . Recreation Room RoomsFloor TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. aq g5 �' Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20� Contact: Approved 20___3- Ma//ilJJto: 6,�ec�l ' I eo Al - IOal/S Disapproved a/c 3U[ ( lttlrSC�dr1C�1 [1 �ce � Phone: V nJ 7o? Expiration �+ 1207-) ` Yh-( �its''J A)y g Inspector 5 2003 ;APPLICATION FOR BUILDING PERMIT Date ) 0/00 2063 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale.Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. vechl �ar0)&7?0U� s�� � (Signature of applicant or name,if a corporation) 4(-Y-Se blwy-K� j3/df IL (Mailing address of app cant) lJf��+CIrZ t4y I I 'i G 3 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 6Ui Name of owner of premises � As1i I�U (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer 9,01�W- Of&;d4.,I- ;L))_;1-r110 3 (Nafne and title of corporate officer)) !/ Builders License No. of 7Is - Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 15670 JI&&10 1�,kvv r ;rza41'rWr House Number Street / Hamlet County Tax M�a No. 1000 Section 55 Block Lot Z Subdivision 9 02Df r(M gc po Filed Map No. O 5 Lot Zc9 (Name) 2. State existing use and occupancy of prepses and intended use and occupancy of proposed construction: a. Existing use and occupancy he5jcl nin( �l U lrn n,',nr ro d b. Intended use and occupancyQ n�I 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work GPov,JD pvct� 4. Estimated Cost a, 06D Fee 701j5o (Description) 5. If dwelling, number of dwellingunits_•� (To be paid on filing this application) N Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Y es`/Q" - 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height NumberofStories__: r-�ol 1(,, 32 c„/ </x- 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_ 13. Will lot be re-graded?YESy—NO—Will excess fill be removed from premises? YESX–NO 14. Names of Owner of premises LAS r �l.6Address 3Go l,th /r\tt n_ Ghone ne No�Lf 73 - / �� Name of Architect Address Phone No Name of Contractor Al S veil a Address `3LG l { e Ir �lr Phone No. S" • Q2 r--ee.t -(4 W 1i7&3 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES_,�O NO IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF� . �7v h being duly sworn,deposes and says that(s)he is the applicant (Name of mdtiid signing contract)above named, (S)He is the _5Ce0kt'Q P '2V 'Tool (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; :hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be ierformed in the manner set forth in the application filed therewith. �wom o be e me this �� y- � � � D day of fes20_p� Notary Public signature oll'Applicant ANNE ,Notary FOR" CALof Nw York No. 4854021 Qualified in Suffolk county // - ;St.��� lwAr ° SURVEYED FOR:- –/oA/c/ 1 ,aje/G'14 LOCATED AT CjQjff,5A-lpOe7- TOWN OF SUFFOLK COUNTY N.Y, LOT 20 a MAP OF 1�0,eC?,L14/✓/ �GQ�S/ SSC, Z / CO. CLK. NO. p fJLED SCALE 1 /�2/G lni 19(orD SUFFOLK CO. TAX MAP DATA.- f1(p(o p/ DIST./O00 . SEC p3=,c,Op gip• J / /-17. /6 BLK 04t pp LOT CYC I �(1 — ��6. /5 �•3 \ Jb QK ,t 4. of /0.7 1 V0 �on��ru T �+BSTPcTc TP OJ Q , ` oC � 1 .:� S �cF--rE wic N 1- ��'p Q 39,8 � f SSA . s 901 e , u t`) -jr ' 4°y V SURVEYED OEC, /� 19 BY 55�.35 �o` VJ 2t 99 o.l� L p r /� RAMPART SURVEYtNO P.C. 111 -57"35 / f P/O BOX 340 S .. 20 EAST MORICHES, L.I., N.Y. 11948 . 5 L� FILE NO. 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