HomeMy WebLinkAbout31713-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 07/11/07
No: Z-32457
f
THIS CERTIFIES that the building DWELLING
Location of Property: 4630 BLUE
(HOUSE NO.)
County Tax Map No. 473889 Section 74
HORIZON BLUFFS
(STREET)
Block 1
PECONIC
(HAMLET)
35.51
Lot
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
JANUARY 6, 2006 pursuant to which
filed in this office dated
Building Permit No. 31713-Z
dated
JANUARY 6, 2006
was issued, and conforms to all of the requirements of the applicable
:i"
provisions of the law. The occupancy for which this certificate is issued
is RELOCATE AN EXISTING SEASONAL DWELLING AS APPLIED FOR & AS PER
CONDITIONS OF ZBA #5616 DATED 12/29/04.
The certificate is issued to CHARLOTTE DICKERSON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
07/03/07
ELECTRICAL CERTIFICATE NO.
2081483
PLUMBERS CERTIFICATION DATED
05/11/07 CUTCHOGUE EAST PLUMB &HEAT
~.o:!:!:::-
Rev. 1/81
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.
31713 Z
Date JANUARY
6, 2006
Permission is hereby granted to:
CHARLOTTE DICKERSON
460 PADDOCK WAY
MATTITUCK,NY 11952
for :
RELOCATE AN EXISTING SEASONAL DWELLING AS APPLIED FOR PER ZBA,
TRUSTEES AND DEC. THIS PERMIT REPLACES 29907.
at premises located at
4630 BLUE HORIZON BLUFFS
PECONIC
County Tax Map No. 473889 Section 074
Block 0001
Lot No. 035.051
pursuant to application dated JANUARY
6, 2006 and approved by the
Building Inspector to expire on JULY
Fee $
211.80
.
ORIGINAL
Rev. 5/8/02
,;(rg~ '1156
~_._._--- -......--.)
, c' [' n WI k i-'" FormNo.6
:J' ~,. IS I:!: TOWN OF SOUTHOLD
i ~J' ~ .. 3101 10J BUlLD~~E~TMEN[
, 765-1802
L_2Q.\,.,,~t&~~11kllO PPLICATION 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:
I, 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 2/1 0 of I % 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.
~ (;f\J T\lA.~t-e€ !'rPOrovvJ
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
:/.. 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.
~ ~ 07
New Construction:
b 0 Old or pre-existig \::in: ~
House No. Street
Owner or Owners of Property: c:: ~ e 'D i (. h Y1. 6l\....
Suffolk County Tax Map No 1000, Section ~ Block ()OO \
(check one)
Kcw\l~
Hamlet
Location of Property:
Lot
65(: Dr-I
SUbdlViSi~ $t: r~73;
PermIt N I'd 3 1 -:f
Health Dept. Approval:
Date of Permit.
N!~
I
I'),. - {- oJ.
\- -DID
Filed Map,
Applicant:
Lot:
CiAM{O'ffe.. ,b,Je.sY\-.
Underwriters Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
x
( check one)
Fee Submitted: $ ~ 5" ,00
~ {! kcvJilliz- t:J :~
Applicant Signature
au.. jY6't?
c O-z-3 J.Lj 5 7
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0208C
Date June 11. 2007
THIS CERTIFIES that the single-family dwelling landward of the CEHA
At 4630 Blue Horizon Bluffs. Peconic,
Suffolk County Tax Map # 74-1-35.51
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 3/27/02 pursuant to which Trustees Permit # 55l9Dated 4/25/02
Was issued, and conforms to all of the requirements and conditions of the applicable
proyisions of law. The project for which this certificate is being issued
is for a single-family dwelling landward ofthe CEHA.
The certificate is issued to CHARLOTTE DICKERSON owner of the
aforesaid property.
~O?'~
Authorized Signature
Jul. 5. 2007 12:57PM Brookhaven Nal ionai laboralory
· 67/65/2667 16:47 17184946829
No. 2453 P i
PAGE 91
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS:
BUREAU OF ELECTRICITY
40 FUI.. TON STREET . NEW YORK, NY 10038
~
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Iil Located at
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CERTIFIES THAT
UpOn the application of
upon premises owned by
SABAT ELECTRIC
50 PAT LANE
MATTITUCK, NY 11952,
ALLEN DICKERSON
4630 BLUE HORIZON BLUFFS
PECONIC, NY 11958
4630 BLUE HORIZON BLUFFS PECONIC, NY 11QS6
2081483
Certificate Number,
2061463
Applicalilln Number:
Building Permit, 29907Z
Section,
Block;
soc: na1.1.p
Lot
Described as a R..ido.ti.I6Q0.1199 ,qua", fl. occupancy, wherein the premises electncal system conSlstini oj=
electrical devices and wiring, described ~w. located inion the premises at: ' .
I
Basemenl. First floor, Outside, Anic1
A visual inspection of the premises electncal system, limited to electncal devices and wiring to the e~tent det'lifu1t:_
herein, was conducted in accordance with the requirements of the appliceble cOde endlor stel1lJl.rd,,~
p'~muI8ated by the Stete of New York, Department of State Cllde Enforcement end Administration, or olhe< .: .
authority having jurisdiction, and found to be in compliance therewith on the 3rd Day of July, 2007.
Name m l!III IlIIiIII ~ 1m
~
~
I
I
I
i
"'arm end f.mergel1ey f.Qlllpmel1l
S.a.or 1 ()
~enSOf 7 0
Appllll1UI Ind """,otle..
rump MalO' I 0
Exhaust Faa I ()
Elcclfie H...., Unit 3 0
Water Heater I ()
WlrI", IIId Devl...
Outle. 27 0
Fixturr; ~7 0
Outlet SO 0
Receptacle 32 0
Swileh 33 0
Re,eptacle I 0
Re.ceptacle: I 0
Piddle ran I 0
Reeeptacl. 4 0
OFCI
Carbon Monoxide
Smoke
H.P,
F.R.P.
20
4.S
Amps
KW
Fixture
faeandesoent
20.
30.
Gent:ral Purpose
Oeneral Purpo..
(leneral Purpose
Laundry
Dryer
seal
(.~Ontlnued 0.., Ncx\ Paso
I or 2
This certificate may not be altered in any ~ and is validllted only I7j the DreseOCI of a raised SIll It the loolltlon Indicated:
- - - ~'='-=- ___.._. _n_ IS _ ~___ ,
---
. .,
. ,.
. .,
Jul. 5. 2007 12:58PM Brookhaven Nalional laboratory
07/05/2007 10:47 17184~4&82~
No. 2453 P. 2
~AIit. 02
BY TH" CBRTlFICAtt OF COMPLIANCE THE .,
NEW YORK BOARD OF FIRE UNDERWRITERS:
BUREAU OF ELECTRICITV
40 FULTON STRIllIll' - NEW YORK. NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
SAttAT ELiCTRIC
50 PAT LANE
MATTlTUCK. NY 11952.
AllEN DlCKERSOIII
41130 BLUE HORIZON BLUFFS
PECONIC. NY 11958
. looated lit
4630 BlUE HORIZON-BLUFFS PECONIC. N'ftt958'
~ NuMlleft 2081483
CertItlta.. N.....boo.. 2081483
. Section:
Lot.
8ultClh\f P'ermJt, 29907Z
BDC: netT:
alOCkl
d 'w
OttcribtO IS e 1'-....11'1600' I 199 squire It occ:upency. wherein the prem._ elec:tric:al system c:onsistirli of : - .
electtltal devices and w'.;ng, descrlbeCl btloW,lOcatecl Inlolllhe premises ell . .. .w .
8anmot.1, first f'-; ~ "'*.
/Ii visuar inspectIon of the premiltS erectrical &ystem, IImiteO to. eJtcC,ic:a1 dIP/ices and wfri"8 to the extent .~.
herein. was conducted in ac:co<<anc:e with tI\t requirements of 1/1. applf"ble c:ode lIIdIor ~'1<l8rct
. promUlgated by the Stale of 1(.., 'fork. Department 01 Sfale CoOe Enforeemenl and Admini'lrarion, or other ._.
autllori1y havln, Juriscflc:tion, anG found to be in c:omptlallce tIIerewitfi on tft. 3rd [Jay of July. z007. .. . .
~ mY l(ak !l!JnI ~ In! .. 'P
S.rvlce
I ~ 3W Sel\lic.R'~RB 200 Arnpen:s
Service Disconnecl: 200 cb
Mal"': I
2/1f
2 of 2
This cenilicate IllIy 110\ be aIler~h\ atlfWrtJ 1M ~valiclalW~ llr Ille presenc:e of a ra.sed seelat thlHe.aticrt lndle~' .:-
...1,
.. .).
. .
.,
Town Hall. 53095 Maln Road
P. O. Box' 179
Soul hold. New York 1 '971
Fax (5'6) 765-1/;'23
Telephone (516)765-'802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R ~ 1 F I C ^
TD:~::N (I (( )0/
I I
Building Permit No. :311) '3 ~
Owner: L.l~\1\ -I- C~A{\O~~ JJCvb~'J(IA
(please print)
Plumber: 5 G (Sf~'}-'~'C' C c/+o{~ c/c- E
(please print)
p_ ~ I fl C
I certify that the solder used in the water supply syscem
contains les8 than 2/10 of 1t lead.
/)J
lumbers signature)
Sworn to before me this
/8 day Of~
N~t.ar:y Public. ~
~9?d((
~?
~~AN J. NAGY
No. 4~~~~c State of New York
Qualnled in SuffOlt Co
Commission Exolres M~~~O~
county
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER
DIST.
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VILLAGE
SUB.
LOT
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ACR.
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TYPE OF BUILDING
He
N
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S
W
FARM COMHI. CB.' MICS.' Mkt. Value
LAND
TOTAL
DATE
REMARKS
2 See
3 \00
20!
FRONTAGE ON WATER
FRONTAGE ON ROAD
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Q0<
1"7
3QO
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226 ,:',
(3.,v' 'C.rE" " ..
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Tillable
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Woodland
Hause Plot
O ,Cl/ /".."/,, c,J?')
'~-'<..?"~I'-~"'"j../ I
27G,'
DEPTH
BULKHEAD
8
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Meadowland
{TV
Total
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Extension ~- l:;r~ 9'~-
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Exten-;lo.J 8''{~61 l~ Y I v 1 ( ,
r-- LA. I' -l E '" I I I
Extension .-1 ~,l('C-!! 0"'"" " " Ie u ;..;:" Y?'
r Foundation Bath I Dinette
l.en. \'2.-<"'2o=2Llo ........."Ia2 ~ . ~ la.e
Porch ~'(l2-~ <{it> "-'2 ~lq21 ,~ r Basement 'C~ Floors K.
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P~~'iL tOlC. '-ll- '" 2-'tO , 0." .... Ext. Walls Interior Finish LR. ,
,,,,_~i1 ",2"'" 't- "', c: #-" I.- cl&;j;,..J,
. Fire Place ( Heat , Y -es. DR.
~'ltf!." tPlI- f;p ;>'2- , -
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Garage (~A"'" Ln-I-" 2<;-': \I!>'")J.~\ z.::;- Type Roof Rooms 1 st Floor BR.
Patio L ~ Recreation Room Rooms 2nd Floor FIN. B
,
O. B. ~-,~r ) Dormer Driveway i
Total ~/
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r;..... ~ APPEALS BOARD MEMBERS
YJ Ruth D. Oliva, Chairwoman
Gerard P. Goehringer
Cl>..' 1. Lydia A. Tortora
\ J Vincent Orlando
~J.l1~mes Dinizio, Jr.
frR
\\ JAN I I r,~~r:
~
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Tel. (631) 765-1809
Fax (631) 765-9064
W;:)t') 001
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
,
1
FINDINGS,-rrELlBERATIONS AND DETERMINATION
MEETING OF DECEMBER 29, 2004
ZB Ref. 5616 - Charlotte Dickerson
Property Location: 4630 Blue Horison Bluffs, Peconic; CTM 74-1-35.51
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 73,629 sq. ft. parcel has 48.64 ft. along a
private right-of-way, extending 4332.44 feet from Middle Road (C.R. 48) in Peconic. The property is
improved with a concrete foundation (for a dwelling replacing a former cottage), and accessory shed
at +-30 feet from the top of the bluff to the north, and 15+- feet from the easterly (side) property line.
BASIS OF APPLICATION: Building Department's August 12, 2004 Notice of Disapproval, amended
November 22,2004, citing Section 100-239.4 and 100-33C and variance #5256 issued on April 17,
2004 by the Board of Appeals which allowed a 36 ft. setback from the top of the bluff. The reason
stated in the denial is that submission of the required foundation location shows that the house has
been located 34 feet from the top of the bluff instead of 36 feet.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on December 16, 2004 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 is requesting to utilize the location of the as-
built foundation, confirmed on the July 12, 2004 amended survey, at 34 feet from the top of the bluff,
at its closest point.
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. Applicant's cottage is being relocated landward
from the top of the bluff on this somewhat small, uniquely shaped parcel fronting along the Long
Island Sound. During the 2003 hearings, testimony was taken regarding the re-Iocation of the
Pl!ge 2 - December 29, 2004
ZB Ref. 5616 - Charlotte Dickerson
CTM Id: 74-1-35.51
.":
cottage farther back from the top of the bluff than had existed. During the December 16, 2004
hearing, the applicant stated that the mason contractor assured it would be 36 feet from the top of
the bluff, however, when the surveyor measured and a foundation survey was prepared and
submitted to the Building Department (under building permit file #29907-z), the setback was noted to
be 34, feet instead of 36 feet. This resulted in a two-ft. reduction in the setback from the top of the
bluff.
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 applicant relied on the mason contractor to
mark the offsets for the excavation around and construction of the foundation.
3. The amount of relief is substantial based upon present code requirements, in that the code
requires a 100 ft. setback from the top of the bluff.
4. The difficulty is self-created based upon the present location of the foundation for the dwelling
(replacing the former cottage) at 34 feet from the top of the bluff, instead of the required 36 feet.
5. No evidence has been submitted to suggest that the two ft. reduction of the required setback of
will have an adverse impact on physical or environmental conditions in the neighborhood.
6. Grant of the requested variance is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of utilizing the as-built foundation, 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 Acting Chairman Orlando, seconded
by Member Goehringer, and duly carried, to
GRANT the variance, as applied for, as shown on the 7-12-04 Map prepared by John C.
Ehlers, L.S.
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.
(Absent
Vote of the Board: Ayes: Members Orlando (A I
were: Chairwoman Oliva and Member Tortora. Thi
'?
Vincent . rlando, Cling Chairman
Approved for Filing
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-5506
, ,-
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idD[-;29~- b
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I ~LDC. DEPT '
L_IQl1.{LQF s.."'.',-HQ! )_--1
To: Town of Southold Building Dept.
Re: Framing! StrappingIPlumbing Inspection
Charlie Dickerson
4630 Bluffs Horizon
Peconic, NY
Permit #29907-z
To Whom It May Concern:
A Framing, Strapping, and Rough Plumbing inspection was preformed on the above
property. All framing and wind strapping was done as per plan lffid meets all state and
local codes. A pressure test was performed on the plumbing system, and vent stack
filled. Any other questions please feel free to call.
317/3:2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
~ FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENElRATION
~
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b~/'I-07
DATE
.
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INSPECTOR ~ ~
Y17tJ7is
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765.1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~
r
~
DATE r; II ~ ! Dr INSPECTOR
)if 9<07c &
~
765.1802
BUILDING DEPT.
INSPECTION
[ ] F9U'NDATION 1 ST [
[ ...yfOUNDATION 2ND [
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS:
DATE tf<Jf't)"^
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST (XJ ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
1)<1 FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
o , - ~
~~~'~~
DATE l- }O-o S
INSPECTOR~'~
31713;Z
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND 01NSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
~
~! Cd- e.k:. '
DATE 1- r ..-() ~
INSPECTOR ~~
mELD:iNs1"Ecn:ONRll:I!ORT I~~O v (,,)~. .J ~ L ~C:.= .. ~- J,' :r. . L 7::, ~~
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FOUNDATION (lST) i . ,.."
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'A 11...... -;..- ,/~ d/ IJ~'.." "
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TOWN OF.~UTHOLD
BUILDIN~EPARTMENT
TOWN HALL
SOUTaOLDj~ 11971
TEL: 765-1802
..........-
Examined
Approved
Disapproved alc
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BUILDING PERMIT APPLICATION CHECKLlSI
Do you have or need the following, before applying .
. "3. (113 _Ii Board of Health
r~ 3 sets ofBui1ding Plans
PERMIT NO. J I ~ 0 '? :z ~e: .
Septic FOIIIl
N.Y.s.D.E.C.
Trustees
Contact:
Mail to:
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I~JJULtI;)5~ln!!
! I, ~<: \ .. . ? 9 2002.; . \ APPLICATION FOR BUILDING PERMIT
i -.. L--;;;~;:[;:c;:::;-_--1 I Date
L-:rL"~"'[';"":::''''[)-- 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 BlliJding 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 a Certificate of Occupanc)
is issued by the Building Inspector.
n
Phone:
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,20
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. fJJJ
Wl'e.JJJM~
,/ (Sigruiture of applicant or name, if a corporation)
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(Mailing
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State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
S~~ o~ O~Y\(!f
Name of owner ofpreniises Ck~,y[ Ot\f. 1) '\L~e(~t'M.
. , (as on the tax roll or latest deed)
If applicant is a corpQration, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Lo ti n ofland on whi
o ~I
House Number Street
County Tax Map ~o. lOOp, Section 14 ~ I
Subdivision I~) lIlt !ju] \~~ If
(Name)
~(GV Ie
Hamlet
Block ~~,,(\
Filed Map No.
Lot ~I
1q1~ Lot ~ r
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2 s_.,m;,g "",""" _'" 01_""""'::' ""'""" _Ofprop<>""......l
a. Existing use and occupancy ~ f Ii. <; 61\ A I . (lUll a tAM e.-
. ,.
b. Intended use and occupancy 3 ell ';(,1'\ jl \ -{ e sid ~ v-c ~
3. Nahrre of work (check which applicable): New Building
Repair 1-. l( Removal Demolition
.
Addition
Other Work
Alteration
(Description)
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
(to be paid on filing this application)
Number of dwelling units on each floor ,
4. Estimated Cost
6. Ifbusiness, co=ercial or mixed occupancy, specify nature and extent of each type of use.
'(.0' Rear ;(0/
7. Dimensions of existing structures, if any: Front I-l ':I
Height Number of Stories
Depth~ '
Dimensio; pf same structure with alterations o~ additions: Front
Depth '2 4'- Height \ 1. Number of Stories
8. Dimensions ofentireoow ~=etien: Front ~o Rear-.(O
Height Number of Stories
.11 \-1: ,r (. \ -t
9. Size of lot: Front . Rear 't'b
Piu
..,' Rear
Depth :z q ,
Depth -1J~ I i
10. Date of Purchase 'i v.~ ~ . Z 000 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:
13. Will lot be re-,graded No. .. Will excess fill be removed fr\?m premises: YES @
01 l u.f..A\.\f" " () ,~{rtt.'\....t"'})J !\4S'"v
14. Names of Owner of premises [1\1\( Il\ll, j).'l~~ddress '('i'OI(AJdO<lw~. PhonbNo. b31'Z.~~,~q{,
Name of Architect C:;.e.MP Address Sk,\\f Phone No <;A\iY\(.
Name of Contractor ~ Address SMW- Phone No. <;~
15. Is this property within 100 feet ofa tidal wetland? *YES ( ~~ ~Ole, ~ 100' -h""- l\;q~ WA~a)
. IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED I
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'
COUNfYOF~ .
A \~Av.. C. .ht~{l10~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)Heisthe OV hAc~~(
ontractor, Agent, COtporate Officer, etc.)
of said owner or owners, and is d11ly 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. .
Sworn to before me this
'I- day of .::r JuJ 20.Qb
/J/(Of/JA :A'~
Notary Public .
MARK T. GAGEN
NOTARY PUBLIC, Stale of N<>w York
No. 4695650
Qualified," Scltulk County _ .
Commission expires May 31,~
~~f,JPili-
Signature of Applicant
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Permit Number
REScheck Compliance Certificate Checked BylDate
New York State Energy Conservation Construction Code
REScheckSoftware Version 35 Release Id
Data filename: Untitled.rck
PROJECT TITLE: DICKERSON
COUNTY: Suffolk
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached I or 2 Family
HEATING TYPE: Non-Electric
DATE: 12/01103
DATE OF PLANS: SEPT. 2003
PROJECT DESCRIPTION:
PECONIC, NY
COMPLIANCE: Passes
Maximum UA = 238
Your Home UA = 238
0.0% Better Than Code (UA)
Ceiling I: Flat Ceiling or Scissor Truss
Skylight 1:
Metal Frame with Thermal Break:Double Pane with Low-E
Ceiling 2: Cathedral Ceiling (no attic)
Wall 1 : Wood Frame, 16" o.c.
Window I: Wood Frame:Double Pane with Low-E
Window 2: Wood Frame:Double Pane with Low-E
Window 3: Wood Frame:Double Pane with Low-E
Door 1: Solid
Floor 1: All-Wood Joist!Truss:Over Unconditioned Space
Gross Glazing
Area or Cavity ConI. or Door
Perimeter R-Value R-Value U-Factor UA
438 30.0 0.0 14
27 0-440 12
480 30.0 0.0 16
1285 15.0 0.0 78
58 0350 20
128 0.330 42
32 0.290 9
60 0.280 17
918 30.0 0.0 30
,/
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications, and other calculations subntitted 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 hislher knowledge, belief, and professional judgment, such plans or
specifications are in compliance with this Code.
Builder!Designer -::::s;l(y)E;& ))EfU<..1W5AA- Date il-I-O 3
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release Id
DATE: 12/01103
PROJECT TITLE: DICKERSON
Bldg.
Dept.
Use
Ceilings:
I. Ceiling I: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[] I. Wall I: Wood Frame, 16" O.c., R-15.0 cavity insulation
Comments:
Windows:
[] I. Window I: Wood Frame:Double Pane with Low-E, U-factor: 0.350
For windows without labeled U-factors, describe features:
# Panes_ Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[] 2. Window 2: 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:
[] 3. Window 3: Wood Frame:Double Pane with Low-E, U-factor: 0.290
For windows without labeled U-factors, describe features:
# Panes_ Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Skyligbts:
[] I. Skylight I: Metal Frame with Thermal Break:Double Pane with Low-E,
U-factor: 0.440
For skylights without labeled U-factors, describe features:
# Panes_ Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Doors:
[] I. Door I: Solid, U-factor: 0.280
Comments:
Floors:
[] I. Floor I: 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 I) Type IC rated, or 2) iustalled 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 wann-in-winter side of all non-vented framed ceilings, walls, and floors.
Materials Identification:
] Materials and equipment must be instaJled in accordance with the manufacturer's installation instructions.
] Materials and equipment must be identified so that compliance can be determined.
] Manufacturer manuals for all instaJled heating and cooling equipment and service water heating
equipment must be provided.
Insulation R-vaIues and glazing U-faetors must be clearly marlced on the building plans or specifications.
Duct Insulation:
Supply duets in unconditioned attics or outside the building must be insulated to R-8.
Return ducts in unconditioned attics or outside the building must be insu1ated to R-4.
Supply ducts in unconditioned spaces must be insu1ated to R-8.
Return duets in unconditioned spaces (except basements) must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duet Construction:
[] All joints, seams, and connections must be securely fastened with welds, gaskets, mastics
(adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted.
Exception: Continuously welded and locking-type longitudinal joints and seams on duets
operating at less than 2 in. w.g. (500 Pa).
Ducts shall be supported every 10 feet or in accordance with the manufacturer's iustructions.
Cooling duets with exterior insulation must be covered with a vapor retarder.
Air filters are required in the return air system.
The HV AC system must provide a means for balancing air and water systems.
Temperature Controls:
[] 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:
Fireplaces must be instaJled with tight fitting non-combustible 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 part of a circnJating system.
lnsu1ate circnlating hot water pipes to the levels in Table I.
Circulating Hot Water Systems:
[] Insnlate circn1ating hot water pipes to the levels in Table I.
Swimming Pools:
[] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[] HVAC piping conveying fluids above 105 "F or chilled fluids below 55 "F must be insnlated to the
levels in Table 2.
Heated Water
Temperature ( F)
170-180
140-160
100-130
Table J: Minimum Insulation Thickness for Circulating Hot Woter Pipes.
1nsu1ation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Up to I" Up to 1.25" 1.5" to 2.0" Over 2"
0.5 1.0 1.5 2.0
0.5 0.5 1.0 1.5
0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness ill Inches by Pipe Sizes
Piping Svstem Types Range (F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressureffemperature
Low Temperature
Steam Condensate (for feed water)
Cooling Systems
Chilled Water, Refrigerant,
and Brine
201-250 1.0 1.5 1.5 2.0
120-200 0.5 1.0 1.0 1.5
Any 1.0 1.0 1.5 2.0
40-55 0.5 0.5 0.75 1.0
Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
DEPARTMENT OF THE ARMY
NEW YORK DISTRICT, CORPS OF ENGINEERS
JACOB K. JAVlTS FEDERAL BUILDING
NEW YORK, N.Y. 10278-0090
REPLY TO
ATIENTION OF"
Eastern Permits Section
May 11, 2001
SUBJECT: Application No. 2001-00632-L2 by Charlotte Dickerson
Charlotte Dickerson
c/o En-Consultants, Inc.
1329 North Sea Road
Southampton, New York 11968-2015
Dear Ms. Dickerson:
On May 1, 2001, the New York District, U.S. Army Corps of
Engineers, received a request for Department of the Army
authorization to construct approximately 138 linear feet of timber
revetment' landward of the spring high water line of Long Island
Sound. The project is in peconic, the Town of Southold, Suffolk
County, New York.
Our review indicates that since the proposed work does not
appear to include dredging or construction activities in or over
any navigable waters of the United States, the placement of any
dredged or fill material in any waters of the United States
(including coastal or inland wetlands) or the accomplishment of any
work affecting the course, location, condition or capacity of such
areas, a Department of the Army permit, in accordance with 33 CFR
320-330, will not be required provided the proposed work is
executed in accordance with the referenced material.
Care should be taken so that any fill or construction
materials, including debris, do not enter the waterway to become a
drift or pollution hazard. You are to contact appropriate state
and local government officials to ensure that the subject work is
performed in compliance with their requirements.
If any questions should.arise concerning this matter, please
contact Mary Ann Miller, of my staff, at (212) 264-6730.
Sincerely,
&~f/K.
James W. Haggerty
Chief, Eastern Permits Section
Enclosure
~
EN-CONSULTANTS, INC.
1329 North Sea Road
Southampton, New York 11968
631-283-6360
Fax: 631-283-6136
E-mail: encon@peconic.net
www.enconsultants.com
ENVIRONMENTAL SERVICES
February 13, 2002
Bruno Semon
Building Department
Town of South old
53095 Main Road
Southold, NY 11971
Re: Charlotte and Alan Dickerson. SCTM No. 1000-74-1-35.51
Dear Mr. Semon:
As promised, I have enclosed a copy of my response to the New York State Department of
Environmental Conservation's request that as part of their application to construct a retaining
wall at the toe of the bluff, the Dickersons propose to relocate their dwelling landward to the
maximum extent possible. A copy of a project plan revised accordingly is also enclosed for your
reference.
As soon as we receive a response from the DEC, I can advise you of what our next step can be.
Ideally, if we can obtain a DEC approval for this site plan, we would subsequently obtain a
Coastal Erosion Hazard Area Permit from the Town Trustees to relocate the house. The
Dickersons could then deal directly with your Department will all other environmental approvals
in hand.
Should you have any questions in the mean time, please do not hesitate to contact me, and I
thank you for your cooperation and professionalism.
Re.S s~~~e, t. fu. lly yours,
~\
1Vk-
Robert E. HJrrmann
Coastal Management Specialist
Enclosures
cc: Michael Verity, Building Department
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EN-CONSULTANTS INC,
1329 NORTH SEA RD,
SOUTHAMPTON, N,Y, 11968
631-283-6360
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PROPOSftl RrfAlNINC1 WAl.-l ANti
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EN-CONSULTANTS, INC.
1329 North Sea Road
Southampton, New York 11969
631-283-6360
Fax: 631-283-6136
E-rr.aj/: "ncon@peconic.net
www.enconsultants.com
ENVIRONMENTAL SERVICES
1....'
It''\
.-.-.--.,
Jariuar}' 4, 2002
Albert Krupski, Chairman !. .
Board of Trustees
.Jlll! - '.
Town of Southold ."c'
53095 Main Road ! .
Southold, NY 11971 {L'i:~>,,, .
Re: Charlotte Dickerson. 385 Grathwohl Road. New Suffolk
Dear Mr. Krupski:
As yeu are aware, the Board approved the wetland permit application of Charlotte Dickerson
during its regular meeting of 29 August 2001, conditioned upon receipt of revised project pIam:
from En-Consultants, Inc. depicting the relocation of the proposed retaining wall and an armored
retum. Such plans were delivered to your office on or about September 23, 2001.
The application fee has been paid in full and any and all other obligations required by Chapter 97
of the Southold Town Code have been satisiied to the best of my knowledge. To date, however,
~Lc ';,.eiland permit has not been issued, and your office has advised me on scveml ')ccasions thal
~!1e =,,;:rmit's issUll1J.ce is now contingent in ;eme way upon the TO""'-t Atie",t.":"s :lppw-,ral.
/uti:';I.lg.~ I was unaware '1fany such requireme.nt, I explained the situation to m:' c!i":lt several
~O;::jl~ :;go and mggc;;ted that we wait patiently fill' the permit.
As more than three months have now passed since we supplied you w;.lh the revised plans,
r,,,we"f'l'. we must respectfully request that the permit be releasd ;:lfmr.ptly. Shou)o;: :he permit's
;'(;le'.1:;f: ;..e 1I continued problem, kindly have your office tiJl~~arG me u written elCpl:a!llltioll of the
pr~.t;cm, which I can torvvard to Mrs. DickefSGn. J thank you in aJvanc<: tor )Ic''lr lInti,cipded
cooperatIon and look torward to hearing frum you.
,
Resp~~fullY yours,
, .j----i
/lA-l
~I;~--
Robert E. Het'EDlann
Coastal Management Specialist
cc: Charlotte and Alan Dickerson
. .
.. ;"
- NeW York State Department of Environmental Conservation
Division of Environmental Permits
Building 40 - SUNY, Stony Brook, New York 11790-2356
Telephone (631) 444-0365
Facsimile (631) 444-0360
e
~
Erin M. Crotty
Commissioner
March 14, 2001..
Charlotte Dickerson
460 Paddock Way
Mattituck, NY 11952
RE: 1-4738-02873/00001
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,
o~
Carol A. Farkas
Environmental Analyst
CAF /ls
Enclosure
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER
1-4738-02873/00001
FACILITY/PROGRAM NUMBER(S)
.
PERMIT
Under the Environmental
Conservation Law
EFFECTIVE DATE
March 14, 2002
EXPIRATION DATE(S)
March 31, 2005
I' TYPE OF PERMI T. New
o RenewaL 0 Modification
I
o Article 15, Title 5: Protection
of Waters
o Permit to Construct 0 Permit to Operate II
,
o Article 27, Title 7; 6NYCRR
360: Solid Waste Management
0 Article 15, Title 15: Water
Supply
0 Article 15, Title 15: Water
Transport
0 Article 15, Title 15: Long
Island Wells
0 Article 15, Title 27: Wild,
Scenic and Recreational Rivers
0 6NYCRR 608: Water Quality
Certification
0 Article 17, Titles 7, 8: SPDES
0 Article 19: Air Pollution
Cont ro 1
0 Article 23, Title 27: Mined
Land Reclamation
0 Article 24: Freshwater Wetlands
. Article 25: Tidal Wetlands
o Article 27, Title 9; 6NYCRR
373: Hazardous Waste Management
o Article 34: Coastal Erosion
Management
o Article 36: Floodplain
Management
o Articles 1, 3, 17, 19, 27, 37:
6NYCRR 380: Radiation ControL
PERMIT ISSUED TO TELEPHONE NUMBER
CharLotte Dickerson (631) 298-4956
ADDRESS OF PERMITTEE
460 Paddock Way. Mattituck NY 11952
CONTACT PERSON FOR PERMITTEO WORK TELEPHONE NUMBER
EntonsuLtants Inc. 1329 North Sea Road SouthalJ'lJton NY 11968 (631) 283-6360
NAME AND ADDRESS OF PROJECT/FACILITY
Dickerson nro~rtv- 4630 BLue Horizon Bluffs
LOCATION OF PROJECT/FACILITY
Peconic
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffolk Southold Long IsLand Sound
DESCRIPTION OF AUTHORIZED ACTIVITY:
Conslruct 117 linear feet of bulkhead with 10' and 13' returns, armored with 1-3 ton stones and place 500 cubic yards of clean fill and
planted. All work must be done in accordance with the attached plans stamped NYSDEC approved.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
EeL, all applicabLe regulations, the GeneraL Conditions specified (see page 2 & 3) and any SpeciaL Conditions included as
part of this permit.
PERMIT ADMINISTRATOR: ADORESS
Georae W. Hammarth (CAF) Bldg. #40, SUNY Stony Brook NY 11790-2356
AUjlLRIZEO SIGNA~ DATE
/). March 14 2002 Page 1 of 4
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EN-CONSULTANTS INC.
1329 NORTH SEA RD. '
SOUTHAMPTON, N.Y. 11968
631-283-6360
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_ .Albe'1!!. Krupski, President
Jame~ King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Han
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
April 25, 2002
Mr. Robert E. Hemnann
En-Consultants, Inc.
1329 North Sea Rd.
Southampton, NY 11968
RE: CHARLOTTE DICKERSON
4630 Blue Horizon Bluffs, Peconic
SCTM#74-1-35.51
Dear Mr. Hemnann:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, April 24, 2002:
/
/
RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit
#5409 to include bluff plantings and bluff crest re-grading.
This is not a determination from any other agency.
If you have any questions, please call our office at (631) 765-1892.
Sincerely,
~.I ~ /&../~~'~"
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:lms
. ,AlpeJ;/; J. Krupski, President
Jame;'King, Vice-President
, Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
COASTAL EROSION MANAGEMENT PERMIT
Permit #5519
Date: April 25, 2002
SCTM#74-l-35.5l
Name of Applicant/Agent: Robert E. Herrmann-En-Consultants, Inc.
Name of Permittee: CHARLOTTE DICKERSON
Address of Permittee: 460 Paddock Way, Mattituck, NY
Property Located: 4630 Blue Horizon Bl~ffs, Peconic, NY
/
I
DESCRIPTION OF ACTIVITY: Relocate the existing dwelling landward ofthe Coastal
Erosion Hazard Area boundary.
Permit will expire April 24, 2004.
SPECIAL CONDITIONS: (apply if marked)
_ Bluff restoration through a re-vegetation plan is a necessary special condition ofthis permit.
_ A relocation agreement is attached hereto and is a necessary special condition of this permit.
_ A maintenance agreement is attached with application and is a necessary special condition of
this permit.
~~ /~~'a.
/ I.,,,
Albert J. Krupski, Jr.
President, Board of Trustees