HomeMy WebLinkAbout32837-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33432 Date: 12/11/08
T~IS C~TIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 500 WEST COVE RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~ap NO. 473889 Section 111 Block 2 Lot 8.1
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 21, 2007 pursuant to which
Building Permit No. 32837-Z dated MARCH 23, 2007
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 ADDITIONS AND ALTERATIONS, INCLUDING DECK AND TERRACE, TO AN EXISTING
ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #5473 DATED 5/6/04.
The certificate is issued to THOMAS R & MARIAN A CORNWELL
( OWNER )
of the aforesaid building.
SUFFOLK COLS~I~fDEPART~TOF~ALTHAPPROVAL N/A
ELB~-r~ICAL C~a~TIFICATE NO. 3054044 11/10/08
CERTIFICATION ~£~ 08/13/08
PECONIC PLUMBING & HEAT
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead
5. Commercial building, indostriaI building, nmltiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Plaming Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming nses, or buildings and "pre-existing" land uses:
I Accmate survey of plopetly showing all prope~y lines, streets, building and mmsual natural or topographic
features.
2. A properly completed application and cousent to inspect sigmed by the applicant. Ifa Certificate of Occupancy is
denied, the Boilding Inspector shall state the reasons therefor in writing to the applicanl.
C. Fees
I Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $2500, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. CertificateofOccupancyonPreexistmgBuildP,g~ $10000
3. Copy of Certificate of Occupancy- $.25
4 Updated Cetntificate of Occupancy $50.00
5 'Pempora y Ce~1ificate of Occupancy - Residential $15.00, Conmaercial $15.00
~ Old or Pre-existing Building:
I louse No Street
New Construction:
Locatiou of Propelty:
Suffolk C~/unty Tax Nlap No 1000, Section i I /
Subdivisiou
Date of Poi mit.
Pei,-lait No. 3~'~3~
Health Dept. Approval: _
Harming Board Approval:
Lot:
(check one)
Request for: TemporaO, Certificate
Fee Submitted: $
(check one)
Hamlet
B,oc ,g : ot ? ./
Filed Map.
Applicant:
Uuderwriters Approval:
Fioal Certificate: ~'/'~'~'
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-(1959
Fax (631) 765-9502
Telephone (631) 765-1802
BU1LDING DEPARTMENT
TovtrN OF SOUTHOLD
CERTIFICATION
Building Permit No. ~.2. ~>3 7
(please print)
Plumber: ,~'~r9 ff'~ ,'~.~ ~4~/ ~lease pfin~
I ce~ify that ~e solder used in the water supply s~tem con. ns less ~ 2/10 of 1%
lead.
Sworn to before me this
dayof ~ , 20(7~'
Sigmu
Notary Public, ,?c,. 3~oc°D///( County
I~lL L0~
N~I v/Public, State of N~ York
No. 01L06070081
Qualifi~ in
Commission Expires .. ~-/~'
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
PAUL R. BURNS THOMAS CORNWELL
PO BOX 1061 500 W. COVE RD.
SOUTHOLD, NY 11971-0932, SOUTHOLD, NY 11971
Located at 500 W. COVE RD. SOUTHOLD, NY 11971
Application Number: 3054044 Certificate Number: 3054044
Section: Block: Lot: Building Permit: 0 BDC: ns11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the loth Day of November, 2008.
Name QTY Rate Rating CircuiB Tvoe
Alarm and emergency equipment
Sensor 1 0 0 Smoke
Appliances and Accessories
Air Conditioner I 0 Above 1500 BTU
Dish Washer 2 0 1.2 K~N
Exhaust Fan 1 0 F.H.P
Furnace I 0 Gas
Oven 2 0 50 Amps
Wiring And Devices
Dimmer 6 0 120 V
Fixture 27 0 Incandescent
Outlet 27 0 Fixture
Outlet 35 0 Gen, Purpose
Receptacle 6 0 GFCI
Receptacle 20 0 Gen, Purpose
Switch 20 0 Gen, Purpose
seal
Continued on Next Page I of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
PAUL R. BURNS
PO BOX 1061
SOUTHOLD, NY 11971-0932,
THOMAS CORNWELL
500 W. COVE RD.
SOUTHOLD, NY 11971
Located at
500 W. COVE RD. SOUTHOLD, NY 11971
Application Number:
Certificate Number:
3054044 3054044
Section: Block: Lot: Building Permit: 0 BDC: ns11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 10th Day of November, 2008.
Name OTY Rate Rating (~ir~its Tv~e
2 of 2
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII~DING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32837 Z Date MARCH 23, 2007
Permission is hereby granted to:
THOMAS R CORNWELL
631 GLEN RIDGE RD
BRIDGEWATER,NJ 08807
for :
ADDITIONS AND ALTEP~ATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR PER ZBA, TRUSTEES AND DEC APPROVALS.
at premises located at 500 WEST COVE RD CUTCHOGUE
County Tax Map No. 473889 Section 111 Block 0002 Lot No. 008.001
pursuant to application dated MARCH 21, 2007 and approved by the
Building Inspector to expire on SEPTEMBER 23,
Fee $
2008.
200.00 ~
_gnature
ORIGINAL
Rev. /8/02
3a--g377-- ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE ~r-/o~'" 0 Z INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST [/~ROUGH PLBG.
[ ] FIREPLACE & CHIMNEY [
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
[ ] FIRE RESISTANT CONSTRUCTION [
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ]~GH PLBG.
[ ] FOUNDATION 2ND ["'] INSULATION
[ ]FRAMING / STRAPPING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~'~(~-~)r:('~_,'~/ ~ ~-_~'~'
DATE
INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDAT~L.2N_~ [ ] INSULATION
~'FRAMING ~ [ ]FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: .~ .--~':~'~~ ~ ~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
~, FOUNDATION 1ST
J~I, FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE /0-/-- 0 7
FOUNDATION (1ST)
~SULATION PER N. Y.
STATE E~RGY CODE
~D~ION~ COMMENTS
Albert J. Krupski, President
James 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
December 1,2003
Garrett A. Strang, Architect
1230 Traveler St.
Southold, NY 11971
RE:
THOMAS & MARIAN CORNWELL
5,.ql~ WEST COVE RD,, MA~TITUCK"
SCTM#111-2-8.1
Dear Mr. Strang:
The Southold Town Board of Trustees reviewed the site plan prepared by Garrett A.
Strang, Architect dated December 1,2003 and determined the proposed additions and
alterations to the existing single-family dwelling to be__oout of th_e, Wetland jurisdiction
under Chapter 97 of the Town Wetland Code and Chapter 37-Gf the Town Code.
Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the
Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised,
however, that no construction, sedimentation, or disturbance of any kind may take place
seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion
hazard area 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 jurisdiction and
Coastal Erosion Hazard Area, which may'result from your project. Such precautions
may include maintaining adequate work area between the tidal wetland jurisdictional
boundary and the coastal erosion hazard area and your project or erecting a temporary
fence, barrier, or hay bale berm.
However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion
Hazard Area would require permits from this office.
This determination is not a determination from any other agency.
if you have any further questions, please do not hesitate to call.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:lms
/
TOWN OF SOUTHOLD / BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT / Do you have or need the following, before applying ?
TOVffN HALL fi l ~(~03 B°ard °fHcalth
SOUTHOLD, NY 11971 / .' ~"" ~ ~ }S sets of Building Plans /
TEL: 765-1802 ~ ~I ..... Survey J
~epuo ~orm
N.Y.S.D.E.C. ,~
Contact:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This apphcation MUST be completely filled ia by typewriter or ia 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 let and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. Thc 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 ia whole or ia part for any purpose what-so-ever until a Certificate of Occupancy
is isaudd by the Building Inspector.
~, APPLICATION IS HERFRY 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.
ignatore of applicant or e, if a corporation)
(IVlsi]~ng address of applicant)
Name of owner of premises
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(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.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000
Subdivision
ame)
Section ///
Hamlet
Block d ~
Fried Map No.
Lot
2. State existing use and occupancy of premises and intende~ use and o~ccupancy o~fproposed construction:
a~ Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated'Cost ~/o o~ o o ~
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition ~'/ Alteration
Other Work
(Description)
(to be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 5'-.5-.~ Rear o'-~'-. 4z
Height 'Z~ Number of Stories Z*
Dimensions of same structure with alterations or additions: Front
Depth ,/: -7 Height z ~'
Depth
Rear
Dimensions of entire new construction: Front
Height Number of Stories
Number of Stories z --
Rear Depth
9. Size of lot: Front ?£5'('E ) .5-Z (~.) Rear
10. Date of Purchase ~/~/~ ,~-~ ,~ Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be re-graded
Will excess fill be removed from premises: YES
Addresst~/~-~'~, ~':Yo££~TPhone No.
Address ~tt/~l'2. f~,..7"*.v ,.~ Phone No 17 ~J'-- ~-~-~-~'
Address Phone No.
14. Names of Owner of premises
Name of Architect
Name of Contractor ~/'~
15. Is this property within 100 feet of a tidal wetland? *YES '/ NO
· IF YES, SOUTHOLD TOWN TRUSTEES 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 dtY~'~o/..r__ )
g,~/a r~ ~ rr ~-J~r~-'~ aJG being duly sworn~ deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
/
(S)He is the ~ ~ d t4 / '7-~ c r ///~
(Contractor, Agent, Corporate Officer, ~tc.)
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 tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth ill the application filed therewith.
Sworn to before me this
~l¢r dayof /d~ ~t ~/t~6-rc
20o$
/ Notary Publi~ ~
IO~rl~#r~ A, 8tr#ng
NOTARY PUBLIC, New York
No. 4730095
Qualified - Suffolk County
Comm. Expires July 31, -&otp Z,
Signature of Applicant
.,,PPE,~LS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard P. Goehringer ~'
Lydia A. Tortora
Vincent Orlando
James Dinizio, Jr.
http://southoldtown.northfork.net
Southold Town Hall
53095 Main Road
RO. Box 1179
Southold, NY 11971-0959
Tel. (631) 765-1809
Fax (631) 765-9064
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF MAY 6, 2004
ZBA #5473 ~ THOMAS CORNWELL
Property Location: 500 West Cove Road, Cutchogue; CTM 111-2-8.1.
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 62,576 sq. ft. lot has 125.35 frontage (along a
tie line) of West Cove Road, a lot depth of 366.62 ft. along the south side line, and 174.71 frontage
along the high water of Cutchogue Harbor. The property is improved with a two-story frame
residence and two accessory buildings.
BASIS OF APPLICATION: Building Department's December 1, 2003, Notice of Disapproval, citing
Code Section 100-30A in its denial of a building permit application concerning a single side yard at
less than 15 feet on a single side, noting that the setback will be +/-9.5 feet on the north side of the
house for new additions.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on February 26, 2004 and
April 22, 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: The Applicant wishes to construct a new addition, with
elevation 16+- feet to the top of the ridge, and proposed open deck addition to the existing dwelling,
portions of which will be less than 15 feet from the side lot line. At the closest points, the setback
from the north (side) line is 9.5 feet for a new two-story addition and 13 feet for the new deck
addition, as shown on the 12/8/03 site plan prepared by Garrett A. Strang, R.A.
ADDITIONAL INFORMATION: On the day of the February 23, 2004 public hearing, the Board
received communications from the northerly landowner who was not able to attend, requesting
information regarding elevations, height sketch, or landscape information, or, if the information was
not available, then a postponement to attend a future hearing in order to participate. After viewing a
copy of a photograph with sketched elevations made available for the ZBA record, and information
that indicated that the screening (stockade fence or similar) would not be removed from the affected
side yard, no other concerns were raised.
age, 2 - May 6, 2004
/ZBA No. 5743 - Tr~omas Comwell
CTM 111-2-8.1
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and
personal inspections, the Board makes the following findings:
1. Grant of the relief requested will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties. The reduction requested is only at the north side
yard, and requested within the restricted side yard are two triangular sections that will require a 2 ft.
and 4.5 ft. reduction from the code requirement. The purposes of the additions are for
kitchen/breakfast area and (open) deck addition, blended with the Cape Code design of the dwelling.
The addition is proposed one story with roof above. The new deck addition will be limited to the
area behind the retaining wall that presently exists.
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 existing single-family dwelling is angled
parallel to the property line bordering the high water line of Cutchogue Harbor, and has remained for
more than 50 years.
3. The variances granted herein are substantial with respect to the requested setbacks, resulting in
a 36% and 9% reduction from the code required 15 ft. minimum for the additions.
4. The difficulty was self-created when the new construction was planned without conformity to the
code provisions applicable to the site and zone district.
5. No evidence has been submitted to suggest that a variance in this community of single-family
dwellings will have an adverse impact on the physical or environmental conditions in the
neighborhood.
6. Grant of this relief is the minimum action necessary and adequate to enable the applicant to enjoy
the benefit of additions, while preserving and protecting the character of the neighborhood and the
health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing
test under New York Town Law 267-B, motion was offered by Member Goehringer, seconded by
Chairwoman Oliva, and duly carried, to
GRANT the variance as applied for, as shown on the 12/8/03 site plan and copy of a
photograph of the dwelling with hand-drawn sketch/elevation details, prepared by Garrett A.
Strang, R.A.
This action does not authorize or condone any current or future use, setback or other feature of the subject
· ~$-May6 2004
~A I'~o. 5743 - Thomas Cornwall
CTM 111-2-8.t
/
property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly
addressed in this action.
Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer, and Dinizio. (Members Todora
and Orlando were absent.) This Reso~uly adopted (3-0).
Ruth D. Oliva, Chairwoman 5//,/04
Approved for Filing
NEW YORK STATE
DEC PERMIT NUMBER
1-4738-03306/00001
FACI LITY/PROGRAM NUMBER(S)
DEPARTMENT OF ENVIRONMENTAL CONSERVATION
PERMIT
Under the Environmental
Conservation Law
EFFECTIVE DATE
Februa~ 9,2004
EXPIRATION DATE(S)
February 9, 2009
TYPE OF PERMIT · New D Renewal [] Modification [] Permit to Construct [] Permit to Operate
~- Article 15, Title 5: Protection of Waters
[] Article 15, Title 15: Water Supply
[] Article 15, TiSe 15: Water Transpor[
~ Article 15, Title 15: Long Island Wells
[] Article 15, Title 27: Wild, Scenic and
Recreational Rivers
~ 8NYCRR 608: Water Quality Certifica-
tion
[] Article 17, Titles 7, 8: SPDES
[] Article 19: Air Pollution Control
[] Article 23, Title 27: Mined Land
Reclamation
[] Article 24: Freshwater Wetlands
· Article 25: Tidal Wetlands
[] Article 27, Title 7; 6NYCRR 360:
Solid Waste Management
[] Article 27, Title 9; 6NYCRR 373:
Hazardous Waste Management
[] Article 34: Coastal Erosion
Management
[] Article 36: Floodplain Management
[] Articles 1, 3, 17, 19, 27, 37; 6NYCRR
380: Radiation Control
PERMIT ISSUED TO
Thomas Cornwell
TELEPHONE NUMBER
(631)765-5455
ADDRESS OF PERMrI~-EE
631 Glen Ridge Drive, Bridgewater, NJ 08807
CONTACT PERSON FOR PERMITTED WORK
Garrett Strang, Architect, P.O. Box 1412, Southold, NY
NAME AND ADDRESS OF PROJECT/FACILITY
11971-O938
TELEPHONE NUMBER
(631)765-5455
Cornwell property, 500 West Cove Road, Cutchogue, NY 11935
Suffolk Southold Cutchogue Harbor
DESCRIPTION OF AUTHORIZED ACTIVITY:
Construction of two story addition with deck and expansion of grade level terrace on north side of existing
single family dwelling. Addition of upper level deck on south side. All work must be done in accordance
with the attached plans stamped NYSDEC approval.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all
applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part
of this permit.
PERMI~ ~VIINISTRATOR: AD.,~
John/¢ ¢ieland (KPK) I R/~gip¢~ 1 Headquarters, Bldg. ¢~,0, SUNY, Stony Brook, NY 11790-2356
AU¢~IZED SIGNATURE // DATE ~
;~': ~ ~ ~ Februa~ 9, 2004~ Page 1 of 4
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
SPECIAL CONDITIONS
1~ During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix
trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas.
2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area
(upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or
protected buffer areas.
3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted
activity.
4. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion
or prior to permit expiration, whichever comes first. The approved methodologies are as follows:
a. Stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.).
5. The storage of construction equipment and materials shall be confined to existing driveway and parking areas.
6. Necessary erosion control measures i.e., haybales, silt fencing, etc. are to be placed on the downslope edge of
any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to
be maintained in good condition until thick vegetative cover is established.
7. Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure is
prohibited.
8. Roof runoff must be directed to drywells a minimum of 75 linear feet landward of the most landward edge of the
~idal wetland boundary, and must be installed a minimum of 2 feet above seasonal high groundwater.
9. This permit does not authorize any alteration, expansion or replacement of existing septic systems.
10. No fill is authorized by this permit.
DEC PERMIT NUMBER
1-4738-03306/00001
PAGE 2 of 4
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608
( TIDAL WETLANDS)
If future operations by the State of New York require an alteration in the position of the structure or work herein
authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable
obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the
people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered
by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense
to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other
modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to
the State, and to such extent and in such time and manner as the Department of Environmental Conservation may
require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the
navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on
account of any such removal or alteration.
The State of New York shall in no case be liable for any damage or injury to the structure or work herein
authorized which may be caused by or result from future operations undertaken by the State for the conservation
or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any
such damage.
Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission,
consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General
Services or local government which may be required.
All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended
solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other
environmentally deleterious materials associated with the project.
Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large
refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause
damage to navigable channels or to the banks of a waterway.
6 There shall be no unreasonable interference with navigation by the work herein authorized.
If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the
applicant shall, without expense to the State, and to such extent and in such time and manner as the Department
of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and
restore the site to its former condition. No claim shall be made against the State of New York on account of any
such removal or alteration.
If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the
subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302,
303,306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are
met.
9 At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top
portion of the enclosed notification form certifying that they are fully aware of and understand all terms and
conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be
signed and returned, along with photographs of the completed work and, if required, a survey.
10 All activities authorized by this permit must be in strict conformance with the approved plans submitted by the
applicant or his agent as part of the permit application.
Such approved plans were prepared by Garrett Stranq last revised on 12/8/03.
DEC PERMIT NUMBER
1-4738-03306/00001
PAGE 3 OF 4
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the
State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the
extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in
connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance
or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims,
suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any
claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or
any citizen suit or civil rights provision under federal or state laws
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of their
responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect
to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental
Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may
be required to carry out the activities that are authorized by this permit.
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights
of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real
or personal property held or vested in a person not a party to the permit.
GENERAL CONDITIONS
General Condition 1: Facility Inspection by the Department
The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by
an authorized representative of the Department of Environmental Conservation (the Department) to determine whether
the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant
to ECL 71-0301 and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection to the permit
area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection
by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a
Department representative is a violation of this permit.
General Condition 2: Relationship of this Permit to Other Department Orders and Determinations
Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any
order or determination previously issued by the Department or any of the terms, conditions or requirements contained
in such order or determination.
General Condition 3: Applications for Permit Renewals or Modifications
~ he permittee must submit a separate written application to the Department for renewal, modification or transfer of this
permit. Such application must include any forms or supplemental information the Department requires. Any renewal,
modification or transfer granted by the Department must be in writing.
The permittee must submit a renewal application at least:
a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous
Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management
Facilities (SWMF); and
~) 30 days before expiration of all other permit types.
Submission of applications for permit renewal or modification are to be submitted to:
NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356
General Condition 4: Permit Modifications, Suspensions and Revocations by the Department
The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds
, suspension or revocation include:
a) materially false or inaccurate statements in the permit application or supporting papers;
b) failure by the permittee to comply with any terms or conditions of the permit;
c) exceeding the scope of the project as described in the permit application;
d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable
law or regulations since the issuance of the existing permit;
noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental
e)
Conservation Law or regulations of the Department related to the permitted activity.
DECPERMITNUMBER PAGE 4 OF 4
1-4738-03306/00001
TOWN
OF SOUTHOLD PROPERTY
VILLAGE ,
co~,~,~, c~. ~cs.
RECORD CARD
'l D,ST./ su,~. ,.OT~ ,~,--~_~?
/?
~PE ~ BUI~DIN~
Mkt. MGlue
LAND IMP. TOTAL
j~-~ /~ /~,,~o~
ae P~
DATE
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
TRIM
M. Bldg.
Ext. Walls
Place
I~of
Heat
Ist Floor
Dinette
FIN. B
TOWN OF SOUTH
DWNER STREET VILLAGE
FORMER OWNER
N E
S W
DIST. J SUB. LO'~"~ ~,~e ~..) d,. ~. ~..~
ACR. ,
1,17~ ~
TYPE OF BUILDING
SEAS.
VL.
FARM
LAN D IMP. TOTAL DATE
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
~FARM
Ac re
'illabJe
Value Per Value
Acre
COMM. CB, MICS. Mkt. Value
/' ~_ r' g . - - ,..
FRONTAGE ON WATER
Voodland FRONTAGE ON ROAD
Aeadowland
louse Plot
,oral
DE~PTH
BULKHEAD
DOCK
Extension
Bath
Porch Basement Floors
Porch Ext. Walls
I &..Z) 5r:-..'.~ ~'; Interior Finish
Breezeway
Garage
Fire Place
TYpe Roof
!Recreation Room
Patio
Total
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
' ,~/ D nette I
BR.
OWNER !STREET VILLAGE
FORMER OWNER
W
ACREAGE
TYPE OF BUILDING
RES.
LAND
SEAS.
IMP.
VL.
TOTAL
FARM
DATE
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
COMM. [ IND. CB. t MISC.
Farm Acre Value Per Acre Value
Tillable , 0~'¥--~_- ~- / ~c~J--¥ ~-6,:""-
Tillable 2
Tillable 3
Woodland
Swampland
Brush lan~/~,
House Plot
Tara I
Extension Bas~me~ ~ U~4~. , Fl~rs
Extension Fire Place / He~ ~ ~
Porch Attic
~ Porch Rooms Ist Flor
Breezeway ~' Patio Rooms 2nd Flor
~ ~ Driveway
TO:
FORM NO. 3
NOTICE OF DISAPPROVAL
Garrett Strang A/C Comwell
1230 Traveler Street, PO Box 1412
Southold, NY 11971
Please take notice that your application dated November 21, 2003
DATE: December 1, 2003
For permit to construct an additions and alterations to an existing single family dwelling at
Location of property 500 West Cove Road, Cutchogue, NY
County Tax Map No. 1000 - Section 111 Block 2 Lot 8.1
Is returned herewith and disapproved on the following grounds:
The proposed construction, on this conforming 62,576 square foot lot in the Residential R-40 District,
is not permitted pursuant to Article iliA, Section 100-30A, which states,
"No building or premises shall be used and no building or part thereof shall be erected or
altered in the Low-Density Residential R-40 District unless the same conforms to the
requirements of the Bulk Schedule and of the Parking Schedule with the same force and effect
as if such regulations were set forth herein in full."
Bulk Schedule requires a single side yard setback of 15 feet. The proposed addition notes a single side
yard setback of+/- 9.5 feet.
Total lot coverage will be +/- 7 percent.
CC: file, Z.B.A.
Note to Applicant: Any change or deviation to the above referenced application may require
additional review from the Southold Town Building Department.
,36' 40" E ~
JJ~JS'
STOCKADE FENCE
2¸0'
NORTH HALF
OF
LOT 275
2 STORY
RES.
ORA VEL
CONC,
WALL
CONC.
STORY
RES.
20~'
38' W
436. 6 ?'
SOU TH HALF
OF
LOT 275
DR/VEWA Y
LOT 276
NORTH HALF
OF
LOT 277
CONC. RE;' WALL
SOUTH HALF
OF
LOT 277
Zip
N
TM 7000-111-02-008001
FM ,,4/ 75
FILED DEC 21, 1920
GUARAN fEED 70
THOMAS R. CORNW£LL
IIDELITY NADONAL II,IL INS CO
SUR VE Y OF
SOUTH l j2 LOT 275, LOT 276, NORTH 1~2 LOT 277
IN
MAP OF PROPOSED SUBDIVISTON
SECTION C
NASSAU POINT CLUB PROPERTIES, INC.
SI TUA TE
NAC~SAU POINI,
TO WN OF SOU THOLD
SUFFOLK COUNTY, N. %
SURVEYED FOR ?HOMAS R. CORNW£7L
SURVEYED 04 DECEMBER, 2000
SCALE ?"-40'
AREA= 5~ 576, J2 SF
OR
1.4J7 ACRES
SURVEYED B Y
oCTANtEY d. ISAKSEN, JR.
P.O. /~u,X 294