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Home My WebLink About31295-ZFORM 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. 31295 Z Permission is hereby granted to: JOHN A LINDAHL 211 MAIN ST SAG HARBOR,NY 11963 for Date JULY 20, 20 CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE, COVERED FRONT ENTRY & REAR DECK AS APPLIED FOR at premises located at NINTH ST GREENPORT County Tax Map No. 473889 Section 045 Block 0006 Lot No. 009.001 pursuant to application dated JULY 5, 2005 and approved by the Building Inspector to expire on JANUARY 20, 2007. Fee $ 2,212.80 Rev. 5/8/02 10 Authorized Signature ORIGINAL g, 4 fc Trustes Board Of Southold Town e SOUTHOLD, NEW YORK a PERMIT No. ....15 .... DATE: Ap:r�i.l ..... 2-0 ....... �905 .. ..... ...... .. ISSUED TO .... ...... C-.HO.LA.S .... C.AS.S S ............ ......................... .................................. ............. . Aut-40raution 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 eft- 44led "REGULATING AND THE --PLACING.. OF. OBSTRIX.T.10. _ ICIPQ NS . IN AND ON TOWN WATERS AND PUBLIC - LANDS and -the REM6VAL OF SAND, GRAVEL- OR OTHER MATERIALS -MOM LANDS ,UNDER TOWN "WATERS:!,q. and in accordance with 'the Resolution of The Board adopted at a meeting held on APKiL.2Q 2005 and in consideration of the sum of- $ �:t.qp ... .... Paid by Nichol* Cassis...............:......... ... . ........................... ........................... ........ .......................................... .. ........ Jericho -the of . .......................................................................................... N. Y. and. subject to: Terms and Conditions listed on the reverse side hereof, of Southold Town'Trustees authorizes and permits- the following:. Wetland Permit to construct a single-family dwelling with the condition.that a 50' buffer area is maintained between the wetlands landward, to the existing I O'contour berm,. landward of the concrete shed, and all as depicted on the plan surveyed by Hawkins Webb Jaeger PLLC dated January 2005. all ln'accordance with the detailed specifications as presented in Ahe 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. - - , - � Aiiia- - 7 __ i'm - .;�: TEAMS and C®NDMQNS Nicholas Cassis T� Permittee Jericho N. Y, as..._ . putt• of the coasi&Mdon for the assuSam of the Permit does vaderstaad and perscrOx to the fol- 'Lowing: i i. That the said Bond of Trustees and the Town of. Southold are released -from any and all damages, or Claims for -damages, of wits arising. directly or indirediy'as a tosult of any oper- sdoiiperformed ..putsiiuitis . pstt l,..tind, ;the paid Pamit#e .wllr:!?is or iter owes else, ' defend -any and all such sults'inidated :by dtW ipastie ; and the said Permittee, ass; full liability with respect thereto, 'wtbe_- plete :exclusion of the, Board of Trustees. of the Town of Soa"d. 2. That this Penhit is valid for A of - 24 - — -Ms. which- is ftsiderbd to be tht estimated time - required to complete the work involved, but -should care mstw= warrant, request: ' for an exutision .may be made to the Board at a later 40e: - G - i 3. That this Permit should be retained indefinitely, or as long as the said Petmittee wishes ' to-nWntain the strucwre or project involved, to provide evidence to anyone concerned that audL- i *cb*don was originally obtained. 4. That the work involved will :be subject to the inspecdoa and approval of the Board or j Its agents, and non-compliance with the provisions of the of giaating applicadoa, maybe cause for revocation of this Permit by resolution of the said Board. � 5. 'That there will be no unreasonable interference with navigation as a result of the work herSn authorized. 6. That there shall be no interference with the right. of the public. to pass and repass along the beach between bighh-and low water Marim 7. That if future operations of the Town of Southold require the removal and/or alteradons in the location of the work 4iereia-audwthed, or if, in the opinion of •the. Board of Twstees, the. wodc. shall cause unreasonable obstruction to fixe savigadon, the said Permittee will be requi A tipoaAw nodce, to remove or niter this wodc or project herds staoed without Upenses to the Town' �. of $wthold.. i 8. That the said Board will be notified by the Permittte of the oompletim' of the work au& r orized. 9. That the •Permittee will vbtala all other permits and consents that tray be required sup- plemeatal to this permit which may -be Subject to revoke apoiY failu t to obtain same. 11 New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11 7902356 Phone: (631) 444-0365 FAX: (631) 444-0360 Letter of Non -Jurisdiction- Freshwater Wetlands Act & Tidal Wetlands Act May 12, 2005 Nicholas Cassis 500 North Broadway Jericho, NY 11753 Re:1-4738-03460/00001 9`h Street, Greenport SCTM # 1000-45-6-9.1 Dear Mr Cassis, Am 12600 Now Denise Sheehan Acting Commissioner Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The parcel listed above is located greater than 100 linear -feet from a NYSDEC regulated Freshwater Wetland (SO-12)and the project as shown on the survey by William L Jaeger dated January 2005 is landward of the 12 foot contour on a natural, gradual.slope. The 12 foot contour has been determined to be the limit of NYSDEC Tidal Wetland jurisdiction oiiIths property. Therefore, in accordance with. the. current Tidal Wetlands Land Use Regulations (6NYCRR Part 66 1) and Freshwater Wetland Regulations (6NYCRR Part 663) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place within the Tidal or Freshwater jurisdictional boundaries, as indicated -above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or.disturbance to the ground surface or vegetation within Tidal Wetlands or Freshwater Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area). NOTE: A row of staked haybales to control silts, and a temporary fence or barrier which clearly limits the area of construction must be installed and maintained along the 12 ft contour line until all construction Is complete and disturbed areas have been revegetated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. 5�t1� cc:BOH BMHP Hawkins Webb & Jaeger Very'truly;yours1-09, Ro r Evans De ty Regional. Permit Administrator TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL . SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX:':(1S31) 765-9502 WWW:.,qirthfork.net/Southold/ Examined 1 , 20� Approved' 120 PUV Disapproved a/c Expiration , 200_ q ; t Jul. _ 5 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health •/ 4 sets of Building Plans Planning Board approval Survey ✓ PERMIT NO. 3l I S Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone:6 21 L 34 7 r�) 41a, - C,?(*112 Building Inspector CATION FOR BUILDING PERMIT Date/30 , 20S5 INSTRUCTIONS a. T is�cation MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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. 4)!,(�,iCls�- �- (Signature o licant or name, if a corporation) 3131 1oLrM /lz 3LP6 8 WE // .uet cl�,'vi (Mailing address of applicant) 1/443 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder `AN Name of owner of premises Jcy&&AX (.*Gx/S (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. e -4•5e0 hTL41-pit+c aFACA Immbbe ws Plumbers License No. Vb } - P Electricians License No. &q,7 L — r -- Other Trade's License No. Location of land on which proposed work will be done: rW 57 - House Number Street Hamlet County Tax Map No. 1000 Section y r Block Subdivision e-p-1ey L4 -me- Esus Filed Map o'wi�� - 'Lot "Id"�, (> ,.; ` „.. (Name)} 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancyvs,,1 r Lo-yt o 1CF Ibr---44 77 NIC, DIS rWJCT 91 b. Intended use and occupancy U3oa tl z /z stwpI MsIDA4er Nature of work (check which applicable): New Building ' _ Addition Repair Removal Demolition Other Work 4. Estimated Cost Fee Alteration (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor ,1s7- F(.oAc : l If garage, number of cars 2. 2.J -D FL,ot ; 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front G �- G Rear h 4 = G Depth Height 37.'- G " Number of Stories i ' z, two ; '-&W */ 11z s, F. DSCk 9. Size of lot: Front 1 S"f' Rear. / I o Depth 10. Date of Purchase ame of Former Owner 5o thj 'L 1 Pj C%14 -L 11. Zone or use district in which premises are situated 12- 12. o- 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re -graded? YES NO I'll, Will excess fill be removed from premises? YES NO 14. Names of Owner of remises 1G 3e 4" h (SY&) q,$/ -,mob p � 1�t�S��s7t Address ��te.a'1a ce � Phone No. Name of Architect M1GNWL, A4x,Q.8ju6 Addresss2m grE In- NLrDr-aaa hone No :;3z - ?- x //z Name of ContractorcAaw--Lo 4 -I.OWnc. &EAca- AddressGab 4 Rgohpw" sls Lkwne No. "%-I ) Ist- SGtm L. tic 3)--[ac-06 "f 11;LS"3 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ' NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey., to scale, 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<.Ppm<- WILA44M Dy9-qE44- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 4 (Contractor, Agent, Corporal -e 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 knowledge and belief; and -that the work will be performed in the manner set forth in the application filed therewith. met v of Notary Public ets� JOSEPHINE A4 MUQDOCCO NOTARY PUBLIC, STATE OF NEW YORK Qualified In Suffolk County a�.Ad•" OIMU4950882 My Comm. Exp. May 8, 20� 20 0 o) Signature W Applicant