Loading...
HomeMy WebLinkAboutTR-6397A r,r c �•" �oard Trv-,rf s !03/ WoS GGy/ wfr' f letf 41f) -Fite,* t•'ae' that �r`Ue_rq lS cae 6 ojlI eliz. bvr'Ne-r �' r the Adtjj� 100rajr' ve- Perfrlr't- ,pars &-�' '-'he ef-0i tcl- c-4- /000 .5'ovrJd 6-eaeb 36, PI A-rf j T-t)c r , Z-� yov Need' AAJ other ir► jDxmq+1'0n p I eas -. eQ I/ m e, Orr ,4 home &ve, e 10 3 --�"33 - 3 o�� , ��1ctNlc �Q v C:?jiq M 7V 0,J/ y0 James F. King, President ��Ov so�ro Town Hall Jill M. Doherty,Vice-President �� y� 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen G C John Holzapfel '�� �� Telephone(631) 765-1892 Uf Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6397A Date of Receipt of Application: July 17, 2006 Applicant: Carol Witschieben and Janet Larsen SCTM#: 99-1-5 Project Location: 1000 Sound Beach Dr., Mattituck Date of Resolution/Issuance: July 19, 2006 Date of Expiration:July 19, 2008 Reviewed by: Board of Trustees Project Description: Complete emergency repairs to foundation of pre-existing den and repairs to foundation of existing family room. Also to rebuild, inkind, within the 15' setback, the existing den and cement patio, and to bury an oil tank, and all as per plans prepared by James Deerkoski dated July 16, 2006. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth by the Board of Trustees. Special Conditions: No disturbance to beach grass during construction. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth by the Board of Trustees, a Wetland Permit will be required. This is not a determination from any other agency. )APO" James F. King, President Board of Trustees James F. King, President OF so�ryo Town Hall Jill M. Doherty, Vice-President 53095 Route 25 Peggy A. Dickerson # P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen G Q John Holzapfel %� �0 Telephone(631) 765-1892 com Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction / '/2 constructed v Project complete, compliance inspection. James F. King, President �F so yo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen coo ac John Holzapfel '.20 �O Telephone(631) 765-1892 �yCOUNTI,�`� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTH�tO-LD TO: 1 (A 4 s(. , 6, Goa J Gn e � �cferd Please be advised that your application dated `l ( 1 1 ( 0 6 has been reviewed by this Board at the regular meeting of ( 1 q ( DE, and the following action was taken: �) Application Approved (see below) (_) Application Denied (see below) (_) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: SreC-k,6N �'�106 TOTAL FEES DUE: $ 5 o BY: James F. King, President Board of Trustees Southold Board Of Trustees Meeting July 19,2006 Application for Administrative Permit for Repairs and Rebuilding to Wibehieben-Larsen Residence 1000 Sound Beach Drive Mattituck, NY 11952 Suffolk County Tax Mao Number 18W99-1-5 Description for the Permit for the Administrative Application to proceed with emergency repairs to Witschieben-Larsen Residence. A " Stop Work Order" was issued on June 28, 2006 due to mistake by contractor during the excavation process for an extension for which the Town issued a Building Permit, by removing the existing den and foundation on the spot when contractor concluded the area required immediate repair to the foundation and rebuilding of that room. Because of this error, an opening has been left to the main home approximately 3' by 6', a large hole has been left by the excavation of the area and foundation to the existing family room has been exposed to the elements. Consequently foundation of that room is eroding and in need of immediate repair. As a result of this error, applicants for the Administrative Permit respectfully request the following as discussed during the site visit on July 13: 1. Immediate repair to the foundation of the existing family room due to exposure of the site and impact of the rains for safety reasons. 2. Approval to rebuild the pre-existing den "in kind" within the 15 foot set back, in order that the house can be closed and made more livable. 3. Approval to rebuild the pre-existing cement patio "in kind" that was removed by contractor at the same time the den was demolished, within the 15 foot set back. 4. Approval to bury oil tank behind the existing bedroom on the Cyprus side of the house where it was previously located. Additional Pending Permits (in progress): • Amended DEC Permit issued in 2004, expiring in 2009; • Board of Health Permit E JUL • Building Permit to be issued by Town upon receipt of Trustees Administrative Permit to repair existing family room foundation, rebuild foundation of den, den and cement patio (within 15 foot set back) and replacement of oil tank. • New Building Permit to be applied for by July 30th 2006 for newly revised smaller extension design. • Trustee's Permit to build newly revised extension—application to be filed by owners prior to July 30, 2006. Sincerely: d` u��0✓�l✓b Carol Anne Witschieben Janet Witschieben Larsen- Owners Permit# Permi[Dale REScheck Software Version 3.7.3 Compliance Certificate Report Date:07/16/06 Data filename:C:\Program Files\Check\REScheck\SOUND BEACH.rck Energy Code: New York State Energy Conservation Construction Code Location: Suffolk County,New York Construction Type: Detached 7 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 20% Heating Degree Days: 5750 Construction Site: Owner/Agent: Designer/Contractor: SOUND BEACH DRIVE JAMES DEERKOSKI MATTITUCK,NY 298-7116 Compliance Passes Maximum UA r Your Home UA 39 ,2.5% Better Than Code(UA) Ceiling 1:Flat Ceiling or Scissor Truss: 112 30.0 0.0 4 Wall 1:Wood Frame,16-o.c.: 240 15.0 0.0 15 Window 1:Wood Fmme:Double Pane with Low-E: 48 0.330 16 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 112 30.0 0.0 4 The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements.When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. �A✓r1�3 Lit - 1�1 b Builder/Designer Company Name 4D � 1'4 i Page 1 of 4 REScheck Software Version 3.7.3 Inspection Checklist Date:07/16/06 Ceilings: EJ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-15.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes_Frame Type Thermal Break?_Yes_No Comments: Floors: ❑ Floor 1:All-Wood JOISt/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. 0 Insulation R-values and glazing U-factors must be dearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in unconditioned attics or outside the building must be insulated to R-8. ❑ Return ducts in unconditioned attics or outside the building must be insulated to RA. ❑ Supply ducts in unconditioned spaces must be insulated to R-8. ❑ Return ducts in unconditioned spaces(except basements)must be insulated to R- ❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: L] All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), mastic-plus-embedded-fabric,or tapes.Tapes and mastics must be rated UL 181A or UL 181B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Page 2 of 4 ❑ Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: ❑ Separate electric meters are required for each dwelling unit. Fireplaces: LJ Fireplaces must be installed with tight fitting non-combusfible fireplace doors. ❑ Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: ❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is pan of a circulating system. Ll Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: All heated swimming pools must have an onloff heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time dock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. _.. ... Page 3of4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.6 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness In Inches by Pipe Sizes Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressurerfemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) _ ._ . .Page 4 of James F.King,President QF SO//r�o Town Hall Jill M.Doherty,Vice-President 53095 Route 25 - Peggy A. Dickerson 1 ,# P.O. Boa 1179 Dave Bergen G Southold,New York 11971-0959 Q John Holzapfel '�l i� Telephone(631)765-1592 �CO Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Name of Applicant: . Name of Agent: Property Location: SCTM# & Street - -� Brief Description of proposed action: ,. ,"A Typq of area to be impacted: �altwater Wetland Freshwater Wetland _Sound Front _Bay Front Distance of proposed work to edge of above: PartX Town Code proposed work falls under: hapt.97 _Chapt. 37 _other Type of Application: _Wetland_Coastal Erosion_Amendment Administrative _Emergency Info needed: Modifications: d S✓�y C4>�;d1�1 � 14 i ln40' aver j7 Url� Oi 4n k Conditions: Present Were: _J.King t`Doherty �ickerson. `-' Bergen �lzapfel _Other: Mailed/Faxed to: Date: M r i `, , ip - F =I •-�s�',=tea:. . . r . loft , AOL a '= 1.Agency [ Nision/Precind i't> } 3.OF[ 4. 5.Case No. 8.Incident No. i so / / Zt NY SuIPP ° ].Report Day 8.Data 9.Report 10.Day 11.Data 12 Time 13.Dey 14 Date f 5.Time � of. 0 4 4�i krk (o ` `� c 16.Incident Type 17.Business Name 18.Weapon(s) A. l owj co .4- 17v0 L4'tiuA,l 19.Incident Address(Street No.,Street Name,Bldg.No.,Apt.No.) 20.City,State,Zip(❑C ❑T ❑V) 21.Location Cade B. 22,OFF,NO. iAW I SECTION SUBT CL . CAT ;DE(#` ATT `J�AIitEOF OFFENS§:`- CTS 23.No.of Victims C. 2 24.No.of Suspects D. 3 ycq £. AIAfo4rs01.TyPa fb=CWdDfebreMl O? Oprer Plr.PifaM NkHlep(ejl'. P)T.�PafeWr =W1= d.Not- ,, b6ordrng= W(b1dM} ( v,VlsVletlrry+, 28 Victim also complainant ❑Y ❑N E. .= TyPE/NO NAME(LAST,FIRST,MIDDLE,TITLE} pj'pEET. zi NC StriEE rrgr yLDCC No..APT.NCL,C ' ATE.zIw ra#nfivaai3e., F. ee a F FJ G. 9 H. T C /1 O - i-`I ",�-i SiNb i-sit% F: 27.Date of Sim 28.Age 1 29.Sex 30.Race 31.Ethnic 32.Handicap 33.Residence Status ❑Temp Res.-Foreign Nat. J. ❑M ❑F ❑White [I Mack ❑Other ❑Hispanic ❑Unk. ❑Yes ❑Resident ❑Tourist ❑Student ❑Other ❑U ❑Indian ❑Aden ❑Unk. ❑Non-Hispanic ❑No ❑Commuter ❑Military ❑Homeless ❑Unk. ` 34.Type/No. 35.Name(Last,First,Middle) 36.Alias/Nickname/Maitlen Name(Lsd,Ron,Middle) 37.Apparent Condition K. ❑Impaired Drugs ❑Mental Dls. ❑Link. t S ❑Impaired Alco ❑Inj/III ❑App Norm *, 38 Address(Street No.,Street Name,Bldg.No.,Apt.No.,City,State,Zip) 39.Phone No. Q.Social Security No. L. ❑Home ❑Work 41.Date of Binh 41 Aga 43.Sez 44.Race 45.Ethnic 48.Skin 47.Occupation W ❑M ❑F ❑White 1181.a ❑Other ❑Hispanic [I Unk. ❑LigM ❑Dark ❑Unk. _ ❑U ❑Indian ❑Aden ❑Unk. ❑Non-Hispanic ❑Medium ❑Other -- 48.Height 49.Weight 50.Hair 51.Eyes 52.Glasses 53.Build 4.Employer/School 55.Address N. p'Lµiy ❑Vas ❑Contacts ❑Small ❑Large ^Z -. - -..: - :, ❑No ❑Medium 58 Scare/Marks/Tattoos(Describe) 57 Misc. �_5§..Nlcgmp PMp�R M a x smug 6 4 58 Vehicle 60.License Plate No. 81.Saw62.Exp.Yr. 63.Plate Type 84.Value Status Full❑ ' � Penial❑ 5 O. 65 Veh.Yr. 66.Make 67.Model 68.Style 69.VIN. 6 y: 70.Color(b) 71. 72.Vehicle Notes l._J ,.,' Towetl By: A -7 To: /73. P0gJ IU aL Pau J rr 8 Li `ram+ ..l 45 J, a 31 9 pRmrr1D '. 1 S S N srr "' Yy-}- s e S ti wou z z *e,4 r 13 "+ La W 74.Inquiries(Check all that apply) 75.NVSPIN Message No. 76.Complainant Signature p y ElDMV ❑Want/Warrant [IScofflaw U GElCrim.History ❑Stolen Property ❑Other 09 h�6f 7l. odi i e g tle R ]8.ID No. 79,Supervisor's Signature(Include Rank) 80.ID No. t Z cin 81.Status Open ❑Closed(If Closed,check box below) ❑Unfounded 82.Status Date 83.Notified/TOT of Q ❑Vict.Refused to Coop. ❑Arrest ❑Pros.Declined ❑Warrant Advised ❑CBI ❑Juv.-No Custody ❑Arrest-Juv. ❑Offender Dead ❑Eztred.Devlin. ❑Unknown Pages DCJS-3205(10/03) 'FALSE STATEMENTS ARE PUNISHABLE AS A CRIME, PURSUANT TO THE NEW YORK STATE PENAL LAW. Albert J.Krupaki,Presiden OF so • James King,Vice-President 0 y� Town Hall Artie Foster yy~ l0 53095 Route 25 T Ken Poliwoda 4 P.O. Box 1179 Peggy A. Dickerson CIO Southold,New York 11971-0959 %O • ^��� Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Appli _i Wetland Permit Applicatio ministrative Permit _Amendment/Transfer/Exten _Received Application: 110(n _Received Fee:$ _completed Application 17 _Incomplete SEQRA Cl _ assification: Type I Type II Unlisted f �� _Coordination:(date sent) !LWRP Consistency Assessment Form ? i __CAC Refer ectint �_ �JUL ] 2006 Hate of Inspection: ► `(� _Receipt of CAC Repo Lead Agency Determination: 5= Technical Review: —_ PILblic Hearing Held: _Resolution: Name of Applicant /',�/ Ej'�s��•?�� , ff Address /DDD e� sec � { AID J/ys Phone Number:Up) - , sopy Suffolk County Tax Map Number: 1000 Property Location: /e se o &!f G — uy, 9fZ — fAPIWsn/tT JiG ` �. (provldc LILCO Pole#,_distance to cross streets, and location) AGENT: iV q (If applicable) Address: Phone: �oard of Trustees Applica n GENERAL DATA Land Area (in square feet): .7 1*K (A - Area Zoning: 7 " c/O/ Previous use of property: /y Intended use of property: ��� 12 Prior permits/approvals for site improvements: Agency Date i99g - brU B 100.7 " F��tes'oD D eL .Tao/ - cal*wSoJ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No {/ Yes If yes, provide explanation: 1Tr"s I ]�pG — �w •c� �cy�t y Idis /�.P✓/ r/eA'd c /s.w e,�ys�..s /.a.,� r./w'n� �61PjWa44 Project Description(use attachments if necessary): /-oti q�M w a • - © G / C AM 1 .M Oi w A /s - �oy pf /re-g�t`sal o -e i kf PJ:c PM.vIf d 6�wy� y �s s �ib41��s✓,,�Lv,,,p`wAv:L 1,✓r vRst K3 /L o:i TAVK .7 / I. •ev: lr-t •d/"h fo.L P�[faas on k �kow.1,4Ws 1,te. Ao,*W, *war AA04 'tU b+ac,/ ) �oard of Trustees Applica0n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: A :& 1 cV.;s1'„d G� w► - � i �o �v,l� f , drn 14E C.t-V-04J /IA�'B �omD�'c�v/ n PrfOc fo��KaWon. Area of wetlands on lot: square feet 300 Aoko+ Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: /513 feet 7 Closest distance between nearest proposed structure and upland edge of wetlands: I7S feet 7 Does the project involve excavation or filling? No V yes If yes, how much material will be excavated?, Yo -S0_cubic yards How much material will be filled?_/3' o cubic yards (grlAa�-) 7 Depth of which material will be removed or deposited: y feet Proposed slope throughout the area of operations: .f//,g Manner in which material will be removed or deposited: fil � �PtarOil� 6��1C rrtu.s �%o,V Lou wwri i Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): moue ' PROJECT ID NUMBER 617.20 � SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1,APPLICANT/SPONSOR 2.PROJECT NAME CA.+v6 w.A(b. Pl - L -..7 1 3.PROJECT LOCATION: r /Oop 5oVnot A^b11 UIL-i✓a Municipality 161•11 4. SVff0 County 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map jlJ, 5*0-4- /FS Abou-C, JocgJ t );,ejy aloe 9i .rr/e7[wva' (ce.44:n �:rG✓��.eJ�s 5. IS PROPOSED ACTION: � New �Expansion otlifcation/alteration 6. DESCRIBE PROJECT BRIEFLY: 1'o 40b0./w 944" d e4;94#%f f�.In CA.pr.y/�j gcv�Louer�s�rraq /'l�relri� fe,14w.r- At ;,n PiC.Co�L TbLSe 7.e 44.er/Jrl Ora ,qn Fed D rne�(;oa5 QGI.Ii� ,fir Frvn o/,r�+'re �ildu®-oG�rlue �j�a �/ R� Ag c/wr0/;{.osf AOIZ !iWOW:�y 7.AMOUNT OF LAND AFFECTED: GG Initially acres Ultimately acres 8.WI PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes No If no,describe briefly: 9. AT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential Industrial Commercial ❑Agriculture 0Park/Forest/ ace Open Space P f-1O[her (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ElNo If yes, list agency name and permit / approval: bv;IJ;My At/,wJM�r,{ Pee-) u+411 m beloAa,iii 11.DO S ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes F-1No If yes, list agency name and permit / approval: 12, A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Signature 441V Date: y/6 D / 4 ® � /� If th��i Is�S Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • Board of Trustees Appliction County of 6uffbiic Ase State of*W Y-g;:k pAo T2cs101 C,4.jo I QgN.c lv'15j: .ej p✓ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS___L(p DAY OF �u 1 u� Zp p (o Notary Public DIANE M. GATES NOTARY FUB.UG OF NEW JERSEY 6Lt tTA'�SION E�IBiS r APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibIts conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible confli_c_t,.5 of interest and allow it to take whatever action i necessary to avoid same./ ^ YOUR NAME: l✓,BSc��t �N / U�! ,F and ,�srtr�y� sa,�.f/V,44.4,Ajru (Last name,first name,,piddle mitial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this forth and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thjs It oy f S��/ 200 6 / Signature �'-� ��L/�! Print Name fit/ l� r(• Form TS 1 ' S,anyy W I.argtu r- c�cv v/,9 ,u�06 / ,6r<L V�="� �t� ,e✓y /oao�su.,�ori ,�1re�,G N7..��G fa Y,uclJ� �t-�.icG dui W , izj u+��• 'f/-� Southold Board Of Trustees Site Visit July 13, 2006 Witschieben-Larsen Residence 1000 Sound Beach Drive Mattituck, NY 11952 Package Contents 1. Letter to Board of Trustees 2. Summary of Building Issues and Events 3. Copies of Certificate of Occupancy for Den and Cover to Deck 4. Copy of Property Survey as of March 2003 5. Copy of the Design of the Rock Abetment installed beach side in 1976 to protect property and beach 6. Draft - new construction plan as of July 12, 2006—addition to be constructed on pilings Carol Anne Witschieben & Janet Witschieben Larsen 1000 Sound Beach Drive Mattituck, NY 11952, Tel: 298-5009 July 13, 2006 To the Trustees of the Town of Southold: We wish to extend to all of you our sincere appreciation for fitting us into your busy schedule and taking the time to meet with us to resolve the construction issues that have developed over the past few days. Our family discovered the delights of the North Fork early in 1900 when our grandfather, a Civil Engineer dredged the modern Greenport harbor and Mattituck Inlet, spending summers m Southold Town from 1910 to the present. Our last 34 summers have been enjoyed in this home in Mattituck. Now, we are hopeful that the 5 h generation of our family will have the advantage of growing up in this wonderful home that rings with cherished memories of family and friends, just as my sister and I, her children and our parents and grandparents did. The " Stop Work Order" issued on our home has caused us considerable hardship, both emotional and financial (thousands of dollars have already spent on several building plans, excavation, septic and other costs), including the loss of the ability for us to reside in this home as we had planned towards the end of July. We are investing our savings in this home, because we both love this area and have always wanted to spend our retirement years in Mattituck. We are distraught over this situation and the wont'that my sister may not have a place to live until this is settled. There are limited funds remaining to complete our house, yet we are so anxious to begin living here. In this week since we have become aware of the building issues, we have done everything possible to set things right and to design a new building plan. We have learned a hard lesson and will not delegate oversight of the building of our home to anyone going forward. One of us will be present at all times during construction and remain fully involved. By your visit and upon completion of the"site"review of our property today, we respectfully ask you for your expedited and administrative approval and issuance of a Trustee's Permit to: 1. Rebuild our den"in kind", as soon as possible so that we can proceed with living in this home on a full time basis. 2. Proceed with the necessary repairs to the foundation on the side of the den area and under the family room as quickly as possible. The engineer and building department have indicated this can be accomplished easily by laying a strong concrete foundation. 3. Rebuild "in kind" cement patio, deck and deck roof. 4. Build our revised plan for the extension to our home. This plan provides for the construction to be on pilings to be flood compliant and meet required building codes upon approval and receipt of building permits issued by the Town. The draft of the new plan is attached and will be submitted to the Town for approval by the end of the week. The building department has indicated that they will expedite this process to the extent possible to help relieve the hardship and worry that has been imposed on us, due to no fault of our own. We understand the difficulties involved, but we ask your indulgence and approval to expedite this process so we can proceed with enjoying our lives in our wonderful and much loved home in Mattituck. With our warmest thanks and appreciation, Carol Anne Witschieben and Janet Witschieben Larsen Background 0iticalIssues 1. 2003, contractor obtained building permit for siding, windows and roof for existing home. 2003 1. Owners respectfully request approval of Trustees to through 2005, owners/contractor made several attempts to obtain a variance from the Town to rebuild den " in kind" and rebuild patio " in kind", build. Owners absorbed additional expenses for several plans submitted to the town, but variance despite the mistake made by the contractor and to was denied. Owners developed new design not requiring a variance in 2006. expedite the process to the extent possible. 2. Contractor/Engineer obtained approval/building permit from the Town of Southold for the new 2. Owners not aware of mistakes made resulting in building plan. Owners assumed all steps were taken and required information was provided to the violations during the completion of the excavation on Town,making the Town aware of all building details.Building preparation began on or before the June 28. Owners admit to relying too heavily upon week of June 20,2006. expertise of contractor/engineer knowledge of Town 3. June 28—9pm- Owners received a call from contractor advising of the construction issue with the building codes. existing den during excavation that day.Contractor,on the spot decided to take it down.Contractor 3 Contractor made mistake by not informing building said they would repair everything immediately. Owners not aware that this would be a problem or department immediately on June 29 when problem that any ordinances were violated. We just thought it was a routine construction issue. identified, before proceeding to remove foundation & 4. June 19 — 1:30om - owners received a call from contractor stating a complaint had been filed surrounding material from existing den area asserting that we were building without a permit & the police came to investigate. Owners informed that the building' department issued a verbal"S Work Order" on the 4. Due to "Stop Work Order", residence has opening to r asoaz� top project Owners existing structure, foundation requiring immediate were sd[I unaware ofthe reasons why the"Stop Work Order"was issued. repair. Owners Just retired, are selling homes and had 5. June 30, contractor/engineer met with building department to discuss the problem. planned to move to residence full time by end of July. 6. July 3. 2:00mn -Meeting with Town Suaervisor/ContractonZROneer. Owner J. Larsen arrives 5. Delays seriously impacts owners financially & from Virginia and C. Witschieben arrives from NJ to attend meeting. Again at this meeting personally as intention to live in home on a full time Owners were not made aware of the building departments contention that the den was taken down basis will be greatly delayed. without a permit and that work was done without approval Owners became aware of this at meeting on July 6,with the Town Supervisor and Building Department. 6. From the meeting on July 7, with the Town Supervisor 7. July 6. 2006, 2:30om - Meeting with Town Supervisor/Owner/Contractor/Engineer. From this and Building Depart. Owner understands mistakes meeting owners for the 1"time became aware what the real issues were resulting in violations and were made by the contractor and the building department (issuing permit build excess placed the summonses issued due to the contractors mistake of taking down the den area of the existing house. 50% rule without the extension in being ng placed on Following this meeting, C Witschieben visited the Trustees office to request an "On Site"visit, as pilings) Owner has incurred significant expense to suggested by the building department. On July 7, C. Witschieben, paid the fee and provided a written request for the visit. excavate construction site on the basis of this permit. 7. Rushed to develop new building plan. on pilings,to be 8. Trustees agreed to help us by including us on their "site visit" scheduled for July 13, when they flood compliant&meet building departments codes. heard that we were in the middle of construction and that part of the house was open and part of the foundation of the existing house needed to be repaired quickly. 8. Plans to be submitted to the Town for approval this week. Carol A. Witschieben and Janet Witschieben Larsen 1000 Sound Beach Drive Mattituck, NY 11952 Phone: 631-298-5009 July 7, 2006 Southold Town Trustees Southold Town Hall Annex Main Road, Southold NY 11971 Re: Witschieben — Larsen Residence - 1000 Sound Beach Drive, Mattituck, NY 11952 — STOP WORK ORDER issued June 29, 2006 - County Tax Map # 473889/Section 99Block 1/Lot 5 • Requesting APPROVAL to rebuild existing den"in kind" that was lost when contractor took town structure due to unforeseen foundation problems noted during the excavation process for the extension for which we had an approved permit from the town to build. Due to the problems resulting from the "Stop Work Order" issued June 29, 2006, during the completion of the excavation for the extension to said residence referenced above, we respectfully request that the Southold Town Trustees visit the work site at the residence at 1000 Sound Beach Drive to view the project on Wednesday, July 12, 2006. We request this visit to obtain your approval for an administrative trustee permit to expedite the repairs required to the building, since the east side of the house is partially exposed in addition to the foundation, According to the engineer, these repairs should be done promptly. We respectfully request that the Trustees do everything possible to expedite this process for us, and also the ability to proceed with the building of the extension of our home as soon as possible. My sister and I wish to thank you in advance for your time and kind consideration and cooperation in this matter. Very Truly Yours, Carol Anne Witschieben and Janet Witschieben Larsen FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19394 Date SEPTEMBER 27, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1000 SOUND BEACH ROAD MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 24 1978 pursuant to which Building Permit No. 10033-Z dated NOVEMBER 24, 1978 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 ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to DONALD G. & JESSIE A. WITSCHIEBEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-440051 - JULY 2 1979 PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 5-23270 Date OCTOBER 7, 1994 THIS CERTIFIES that the building ADDITION Location of Property 1000 SOUND BEACH DRIVE MATTITUCK, NY House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 1994 pursuant to which Building Permit No. 22245-X dated AUGUST 9, 1994 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 A PATIO ROOF COVER TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD G. WITSCHIEBEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 SURVEY OP ,ho 1P• P/0 LOT 44, 1,01' 45 & P/0 46 n�n 00BLOCK 2 00, AIAP OF r CAPTAIN KIDD LSTA,rGS J. FILE No. 1672 PILED JANUARY 19. 1949 Y� SITUATED AT � - N.oh MA'rTI'rUCK �� �`'�"hb/�h '•• s�o'�� TOWN OF SOUTHOLD O �z v o SUFFOLK COUNTY, NEW YORK / yet o� S.C. TAX No. 1000-99-01-OS ' Fp00-VE SCALE 1"=20' ardb 1 S MARCH 10, 2003 wY 45 .5 ImARCM 20. 06.19 1 D.66 Rc i B. OQ Ot �O. � NOTES: R=15, 1. ELEVATIONS ARE REFERENCED TO N G V D. 1929 DATUM L""00 EXISTING ELEVATIONS ARE SHOWN tHUS:v" \ ♦A/� %dfQy` �\ V' / a� EXISTING CONTOUR LINES ARE SHOWN THV3: �y 9 2. IRIS PROPERTY IS IN FLOOD ZONE. VE (EL 13) AS SHOWN ON y' ,? Cm) ^'. •'' •',{� ROOD INSURANCE RATE MAP No. 36103CO139 O \ LOW VE COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION); RASE ROOD ELEVATIONS DETERMINED ono q op efi \e . S `I i• Y r \ ID°s r J.. 61 •s K A 77 Joseph A. Ingegno 69a s� " `. . o "PGA, Land Surveyor - {MtlWYq 1Z' ,y �3TaN Ra.K ' 1 • I• • \E%tsTING LiE:>.cN GRADE ' _ I� \ P wAu- EME r •U; Sze ,\-.} ►b s�.�c\a�ac:t �caav�. �2D<n rtb .isppiLsc�z _�� caa E%�SCIN6341KMeAD .� __._.._.__ ; 546- 4z'i - 19TQ RIP- RAP %EV;-7 -"StrT i - DRR.Y1 :.1,S,CGS - TOP OF ERsrtttE, SHMD(x,NG f K1F(�ivRN � C`ji'2�tS i wtYt,c_N.�3tc\ �- �I i (r S LAN ,j6, E 454•,9// N 52-4118 E cn 56_ 5 ' —����� M �RHOWNER 1MRK C:)1711 5 I J1 I' I 6 I 6 � SANO BEACH , I a. S6 _ LAISNES�dWNN QNµFILE0E _ 1 U _ - \ OF O 0 1 I I o A o r .I 52,00 II \ �WDDD wALL CoASj A1_7 P ONON TO � FEN I TE A 1 1 f Dew, ti OD FENCE o ^9 t\1 _ 4 GE —0 \ 1 WOOD fENcE • 4 I 5 .� ...` O"1 OOV 0. QQ Qo• �� I 'JJv t5' II � ��.. •. ^Y I �EWNG CONC \ yl.� Ij � • at ` •CONG ftlA • I 41 HOUSE I woN � { STORY FRAM aoD II i f NOUSE N°- �� Y,J J 10.0 pe.1' • • PPOPANE�' _: .� ... TANKS .-, •. RC§ _. • f�v. 11W WODD COG •G Gp&S- � `1,O GOO V • PF C' N zF £,v s CdrG EOOINCPnP ��� a WKK c� GONC. CID •r5 I o • rn ,o s � � � I o .\ E I I N L e . I { tD n �p 1METER {� S WOO,41DLAN I I FOUND SPIKE � IBOK �6 POST k RNL FENCE - - i; i PIPE..• CDvERHUD WIRES-- UNllry 1 00.45' POLE Xe w I 5/ p *30'0o Y • Q. g_¢a ^ . EDGE OF PAVEMENT ... ✓