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HomeMy WebLinkAbout37868-Z ti,;~=;~~~:°~~ Town of Southold Annex 10/3/2013 's49 P.O. Box 1179 54375 Main Road ~'0 E' Southold, New York 11971 :,'~1 ~ CERTIFICATE OF OCCUPANCY No: 36549 Date: 10/3/2013 THIS CERTIFIES that the building RESIDENTIAL REPAIRS Location of Property: 610 Park Ave Ext, Mattituck, SCTM 473889 Sec/Block/Lot: 123.-8-28.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/14/2012 pursuant to which Building Permit No. 37868 dated 3/15/2013 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: repair & replace "in kind" storm dama e as applied for. The certificate is issued to Drum Henry W Shelter Trust & Drum, Mary (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ~i,c.~..~ J-- Aut rizbd Signature + TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ p TOWN CLERK'S OFFICE SOUTHOLD, NY ' ~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37868 Date: 3/15/2013 Permission is hereby granted to: Drum Henry W Shelter Trust & Drum, Mary _ _ _ - 2615 E Mill Rd Mattituck, NY 11952 To: repair & replace "in kind" the storm damage per Trustees & DEC permits as applied for; Septic permit not included At premises located at: 610 Park Ave Ext, Mattituck SCTM # 473889 Sec/Block/Lot # 123.-8-28.6 Pursuant to application dated 11/14/2012 and approved by the Building Inspector. To expire on 9/14/2014. Fees: Total $0.00 Building Inspector 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 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees L Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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. - l~ J New Construction:.- Old or Pre-existing Building: (check one) Location of Property: ~ ~ ~~P1 IZ ~ V ~ ~ ~ f ~ l ~ L1 C % L House No. ~ Street Hamlet Owner or Owners of Property: A ~ lJ 1C f J JN( Suffolk County Tax Map No 1000, Section r ~ 3 Block ~ Lot a 8 . (o Subdivision Filed Map. Lot: PennitNo. Date of Permit. ~-JS ~~3 Applicant: L1.k~"2 ~~YL~Sf~~~GL-G~l~~ Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ ~ , l ~ 1 Appl ant Sigriatwe ~o~~,OF SOUlyo~i TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ] FOU DATION 1ST [ ]ROUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION [ FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: lam/ ~ ~7' ` c.~/l~ ~ DATE © :.7 INSPECTOR FIELD IIQSPECl'~ON ItEPOItT D COMIVIENTS ` w b ~ to FOUNDATION (1ST) , ~ FOUNDATION (2ND) ~ o . ROUGH FRAMING & ~ ct°" PLUMBIlVG G7 T ~ H INSULATION PER N. Y. STATE ENERGY CODE ~ 3 FINAL ADDTTIONAL CONIMENTS O z S °z ~ ~ d ra TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you hove or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets ofBuilding Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 7659502 ~ p~ p p survey SoutholdTown.NorthFork.net PERMIT NO. ,}7 p l0 0 check Septic Form N. Y.S. D.E C. lYUStees ~ Plood Permit _ Examined ~ ~ ,20~~ Storm-Water Assessment Form Contact: Approved l ~ 20 ~ Mail to: Disapproved a/c _ _ _ ~ Phone f f ~l , r~ ~ ~ _ Building Inspecror 3 ~ APPLICATION FOR BUILDING PERMIT Date tiG~• 1~ ,2012 311?G C:PL INSTRUCTIONS a. This application Mt1ST he completely filled in by typewriter or in ink and submitted to the Building Inspecror with 4 sets of plans, accurate plot plan to scale. Fee acwrding to schedule. b_ Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterwavs- c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Ouilding Permit to the applicara. Such a permit shall be kept on [he premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Huilding Inspector issues a Certificate of Occupancy. f Every building permit shall expire it[he work authorized has not wmmenced within 12 months after the date of issuance or has not been completed within 18 months tiom such date. I f no zoning amendments or other regulations affecting the property have been enacted in the interim, [he building Inspector may authorize, in writing, the extension ofthe permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADF, to the Building Department Ibr the issuance of a Building Permit pursuant to the Building /one Ordinance of the Town of Southold. SuOblk County, New Ynrk, and other applicable Laws, Ordinances or Regulations, tix the construction of buildings, additions', or alterations or tur removal or demolition as herein described. 'fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit auhorized inspectors on premises and in building for necessary inspections. (Signature ofapplieanl or name, ifa corporation) (Mailing addreaz of applirant I State whether applicant is owner, lessee, agent, architect engineer, general eontracWr, electrician, plumber or builder 1 ~-~,e ~~tQ ~.,_~~r~-~'C~ ~~r--- - Name of owner of premises _ ~Q~) ~ (AS on the tax roll or latest deed) Ifapplicant is a eot7wration, signature of duly authorized officer ( me and title of cor rate ol7icer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work ~+~ill be done: house Number Street lamlet County Tax Map No. 1000 Seclion~~ Block ~ Lot 2~, l0 Subdivision Filed Map No. I,ot 4 J 2. State existing use and occupancy of premises and intended use and ccupancy of proposed conswction: a Existing use and occupancy 0 b. Intended use and occupancy (Z Sit C~ t_~ 3. Nature of work (check which applicable): New t3uilding___ Addition Alt~etr~a~tion rw Repair,_Z~ Removal Demolition Other Work f10~uu l3~Arl-QC~O ~ Yl~~ 04 r Q-bu', Id ty cl~Q (3t„~ oh, r,° _((,lescriptio 4. Estimated Cost CO~l7C~ Fee s^^~~ (To be paid on filing this application) 5. If dwelling, number of dwelling units \ Number of dwelling units on each Floor_ If garage, number of cars r~ 6. If business, wmmercial or mixed occupancy, specify nature and extent of each type of use. Z Dimensions of existing stmctures, il'any: Front Rear Depth Height Number of Stones Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front \ Rear ~ Depth ~ Height \ Number of Stories ~ 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner I I .Zone or use district in which premises arc situated ~ (t ~t ~ P ,Vl~ 12. Does proposed construction violate any zoning law. ordinance or regulation? YES NO~ 13. Will lot be re-graded? YES NOW ill excess fill be removed from premises? YES NO 2ece5 i~C»-Safe,,.: 14. Names of Owner of premises f.~1 r>l, ~ a'v,»Address kJ.Cn,6,4i 1.a...1~ Phone No. 2~t~ - S~a 2 Name of Architect Address Phone No Name of Contractor Address Phone No. I S a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES~NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE RF,QUIRF,D. b. Is this property within 300 feet of a tidal wetland? * YES_~ NO ' IF YP.S, D.G.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. l7. If elevation at any point on property is at 10 feet or below, must provide topographical data nn survey. 18. Are [here any covenants and restrictions with respect to this propeny? " YF,S_ NO • ff YES, PROVIDE A COPY. STATE OF NEW Y((~~OnnR~~K$$)~~S COUNTY OF~t~'11Rx'r}- _ being duly sworn, deposes ~.~`tif5lL~s~r9t~ applicant (Name of individual signing contract) above named, Notst'y Public, State Of New York (S)He is the °~70. OS f3UB1850g0 (ContraclnL Agent, Corpom[e Officer etc.)-~(3fYlr (Tri ~Xp1i2S April 14, _ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file [his application that all statements contained in this application are true to the best of his knowledge and belie}; and that [he work will be performed in the manner set forth in the application filed therewith. Sy',o{n {$before met t 1 `L~T't day of~~~'/?1- 1 20~ ) _ t~«C, ~ Notary Public Signature of Applicant i ~ BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT N0.8008 DATE: JANUARY 23.2013 ' ISSUED TO: MARY DRUM PROPERTY ADDRESS: 610 PARK AVENUE. MATTITUCK SCTM# 123-8-28.6 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with [he Resolution of the Board oClrustees adopted at the meeting held nn 23.2013, and in considerarirn oCapplicalimt fee in the sum of $250.~Q paid by Bureer Construction and subject to the Temrs and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to rebuild floor, southern wall, side deck, stairs and sanitary ~ system of existing dwelling in-kind aad as per original layout due to damages caused by Hurricane Sandy; with the condition that a detailed licensed plan that is in accordance w~U? the Health DeQartment for the sanitary system be reviewed and as depicted on ~ the site plan prepared by Burger Construction, Inc., last dated November 15, 2012, and stamped approved on January 23, 2013. IN Wl77JESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Roard as of this date, ~byFFp~~.c B r - - - - 1 _ James F. King, President ~QF S~VTy Town Hall Annex ~ 54375 Main Road Bob Ghosio, Jr., Vice-President ~O l0 P.O. Box 1179 Dave Bergen l~( l~ Southold, New York 11971-0959 John Bredemeyer N ~ G ~ p~ Telephone (631) 765-1892 Michael J. Domino '~0 ~ Fax (631) 765-6641 ~'~OOUNTI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD HURRICANE SANDY EAAERGENCY APPLICATION Valid thru June 1, 2013 Property Owner Name: Permanent Mailing Address: 2~ t~ ~ 1-~a~``~~-~ Phone Number(s): 2°I ~ - ~`~~12 Property Address: ~t ~ E~cT . .~I,~c~`~ Suffolk County Tax Map Number: 1000 - ),25 - - 4: Agent (if applicable) - ~ ~ Address: v ~~u~! ~ C:.~~kC,~n~'~~L IN~~ Phone Number(s): ~ 3`-f - `~21 "l Board of Trustee Permit Number(s): Will any part of this project require a Building Permit How much fill will be required? Project Description: ~ _ ( ~ ~C--cis c~t~u . -~"u-car--~`v~it L ~~~1'~~Y~ 5~~9'(~-~ ~ l~Y1LQ Q `7 James F. King, President DoE soars Town Hall Annex O~ Q 54375 Main Road Bob Ghosio, Jr., Vice•President ti ~y P.O. Box 1179 Dave Bergen # T Southold, New York 11971-0959 John Bredemeyer ~ Telephone (631) 76b-1892 Michael J. Domino Fex (631) 765-6641 °~/UII I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0872C Date: July 8.2013 THIS CERTIFIES that the rebuild floor southern wall side deck stairs and sanitary stem of existine dwelling in-kind and as oer ori¢mal lavout. At 610 Park Avenue Mattituck New York Suffolk County Tsx Map # 123-8-28.6 Conforms to the application for a Trustees Permit heretofore filed in dris office Dated November 19.2012 pursuant to which Trustees Wetland Permit #8~ Dated January 23.2013 was issued and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for the rebuild floor southern wall side deck stairs and sanitary system of existirtg dwelline in kind and as Der orieinal lavout. The certificate is issued to MARY DRUM owner of the aforesaid property. Authorized Signature 1 NYS DEPARTMENT OF ENVIRONMENTAL CONSERVATION Notice of Intent for General Permit GP-0-12-006 -Hurricane Sandy General Permit Pursuant to Environmental Conservation Law Article 70 DEC use only DEC use only DEC Permit No. v Effective Date: October 31, 2012 - Expiration Date: October 31, 2013 Name of Applicant: ~y~.c-.E,R-- COr.JS~-vc,1~i~J Contact: ,,VC-,~t~?C: r3..~LC-~C:R- Address: Wit, ~ Gi 3%j Phone: CV'' , 3`~ '521 ~ City: C:~:TVI-kOC-a~;l Email: ~~~,kZrCa;ni~lrvc.~E cc~•~*~ State: NY Zip: ~ac%y3~~ Project Location: ~ t~ ~~e'~-- f'~~~ "=x~ ~ t~ ~~~T`-~`-k- Townof: SCU~-Forr7 County of: ~JF~L~ Authorization Tvoe Tidal Wetlands, Article 25, 6 NYCRR 661 Excavation & Fill in Navigable Waters, Article 15, Title 5,6 NYCRR 608 Water Quality Certification, Section 401 Clean Water Act, 6 NYCRR 608 Coastal Erosion Management, Article 34, 6 NYCRR 505 Proiect Descriotion ~(ZJV i r _,i~[',~ 1,-~ t; T~ t PcTF Q~:~~i k 5.~~t \ IiYZ,T `ETA i 1..1 ~f1'rlii~; r'~~ ~C TE,(Z.lc7\L ~~1A1 1 Tvoe of Proiect Stabilization of existing functional storm-damaged dwellings, decks and walkways with temporary bracing and pilings. ? Construction of a single 4' wide access walkway to access damaged dwellings. ® Installation of up to four rows of sandbags or 1 cubic yard sand cubes at the toe of storm damaged structures or eroded escarpments. ® Placement of sand and/or material equivalent to existing material at the toe of eroded escarpments. B Repair or reconstruction of stairways that were functional before Hurricane Sandy. m Re-grade eroded dunes. ® In-kind/in-place repair or reconstruction of bulkheads and shoreline erosion structures that were functional before Hurricane Sandy ? Repair or reconstruction of existing public roads, bridges, utilities and other public infrastructure. Certification: I have read this permit and will construct this project in compliance with the terms and conditions of this permit and the Environmental Conservation Law and applicable regulations. I understand that any false or inaccurate statements made in the application for this permit are punishable as a Class A misdemeanor. As a condition of this permit, I accept full legal responsibility for alf damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agree to indemnify and save harmless the state from suits, actions, damages, and costs of every name and description resulting from this project. C~ n Applican St ignature Name Date By checking this box, I certify that I am the responsible Applicant for this NOI. Page 1 of 1 Subject: Re: General Permit GP-0-12-006 From: SandyR1 Date Tuesday, November 06, 2012 1:03 PM To: burgerconstruct@aol.com Subiect: General Permit GP-0-12-006 -Hurricane Sandy General Permit This confirms our receipt of your Notice of Intent for GP-0-12-006 which is [he General Permit authorizing recovery and repair work associated with storm damage from Hurricane Sandy. A copy of the General Permit is attached and it is also available on DEC's webpage, http://www.dec.ny.gov/public/76659.htm I. Please ensure that those doing the actual work understand and comply with all terms and conditions of the General Permit. If you have questions or encounter unforeseen problems during the course of the work, contact the Regional Permit Administrator for your county: For Nassau and SutTolk Counties: NYS DEC REGION 1 Regional Permit Administrator SUNY @ Stony Brook 50 Circle Road Stony Brook, NY 1 1790-3409 (631)444-0365 fax: (631)444-0360 email: rldep(~gw.decstate.nc.u Or Contact: NYS DEC Division of Environmental Permits 625 Broadway Albany, NY 12233-1750 (518)402-9167 fax-. (518)402-9168 email: deppnntrag~a.dcc.state.n .u burgermnstrud <burgerconstruct@aol.com> 11/6/2012 12:47 PM To whom it may concern, Attached please find a copy of our Notice of Intent for damages that occurred during Hurricane Sandy. If anything else is needed to proceed please do not hesitate to contact our office. Thank You, Brooke Epperson Burger Construction (631)734-5217 phone (631)734-5249 fax bu rgerconstruct<cilaol. com Tuesday, January 22, 2013 America Online: NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ~ General Permit Number GP-0-12-006 PERMIT Under the Environmental Conservation Law (ECL) GENERAL PERMIT GP-0-12-006 Hurricane Sandy General Permit Permittee and Facility Information rmit Issued To: Facility, Applicable DEC Region(s): t , 2 , 3 General Permit Authorized Activity: General Permit for repair of damages resulting from Hurricane Sandy. Description of Authorized Activities: I. Stabilization of existing functional storm-damaged dwellings, decks and walkways with temporary bracing and pilings; 2. Construction of a single 4' wide access walkway to access damaged dwellings; 3. Installation of up to four rows of sandbags or 1 cubic yard sand cubes at the toe of storm damaged structures or eroded escarpments; 4. Placement of sand and/or material equivalent to existing material at the toe of eroded escarpments; 5. Repair or reconstruction of stairways that were functional before Hurricane Sandy; 6. Re-grade eroded dunes; 7. In-kind/in-place repair or reconstruction of bulkheads and shoreline erosion structures that were functional before Hurricane Sandy; 8. Repair or reconstruction of existing public roads, bridges, utilities and other public infrastructure. All work shall be done according to the permit conditions contained herein. Permit Authorizations Tidal Wetlands -Under Article 25 Effective Date: 10/31/2012 Expiration Date: 10/31/2013 Excavation & Fill in Navigable Waters -Under Article 15, Title 5 Effective Date: 10/31/2012 Expiration Date: 10/31/2013 Water Quality Certification -Under Section 401 -Clean Water Act Effective Date: 10/31/2012 Expiration Date: 10/31/2013 Coastal Erosion Management -Under Article 34 Effective Dale: 10/31/2012 Expiration Date: 10/31/201 Page 1 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL ('ONSE;RVA"f10N ~ General Permit Number GP-0-12-006 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. General Permit Authorized by Permit Administrator: JOHN J FERGUSON ,Chief Permit Administrator Address: NYSDEC HEADQUARTERS 625 BROADWAY ALBANY, NY 12233 Authorized Signature: ~ ~ Date: 10/31/2012 Permit Components NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY CERTIFICATION SPECIFIC CONDITION GENERAL CONDITIONS, APPLY TO ALL AUTHORI"LED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS -Apply to the Following Permits: COASTAL EROSION MANAGEMENT; WATER QUALITY CERTIFICATION; EXCAVATION & FILL IN NAVIGABLE WATERS; TIDAL WETLANDS t. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part ofthe permit application. Such approved plans were prepared by the applicant and/or an authorized representative. 2. In-kind, In-place Repair or Reconstruction Existing bulkheads, walkways and shoreline erosion structures that were functioning at the time of the storm daintige may be repaired or reconstructed in- kind and in-place of the existing structures. No expansion or seaward extension of bulkheads or shoreline structures is authorized by this permit. 3. Repairs to Structures All repairs to existing structures shall be confined to replacement of existing elements with no change in design, dimension or materials, unless specifically authorized by this permit. 4. Stairway Design The stairs and landings shall be a maximum of4 feet in width and constructed a minimum of 3 feet above grade over the dune/bluff face. Page 2 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSF,RVATION • General Permit Number GP-0-12-006 5. Backfilling All peripheral berms, cofferdams, rock revetments, seawalls, gabions, bulkheads or other approved shoreline stabilization structures shat l be completed prior to placement of any fill material behind such structures. 6. Equipment Operation Equipment operation below the high tide line is strictly prohibited. The storage of construction equipment and materials shall be con tined to the project work area and areas more than 100 feet from the high tide line. 7. Sanitary Systems This permit does not authorize filling or re-grading of exposed sanitary systems. Landowners must apply for separate permits to perform repairs or reconstruction to sanitary systems. 8. Hydraulically-Tilled Sandbags, Sand Cubes and Geotubes Hydraulically-filled sandbags, sand cubes and geotubes are strictly prohibited. 9. Beach Excavation Prohibited for Fill Excavation of the beach or dune for the purpose of obtaining fill material is prohibited. Sandbags may not be filled using sand from the beach or dune areas. Sandbags must be filled with clean sand; no debris or deleterious materials are allowed. tt1. Sandbag and Sand Cube Installation Sandbags and sand cubes must be installed no more than four rows deep and a maximum of three rows high. I t. Removal of Sandbags and Sand Cubes Sandbags and sand cubes must be removed within 120 days of installation, or a separate DEC permit [o allow the structures to remain permanently must be obtained. 12. Tidal Wetland Vegetation There shall be no disturbance or damage to vegetated tidal wetlands or dune vegetation as a result of the work performed under this permit. All necessary precautions must be taken [o prevent damage or disturbance [o these vegetated areas. t3. Construction Debris All construction debris shall be cleaned up at the end of each work day and disposed properly. No debris is permitted in tidal waters or the beach areas. t4. Asian Longhorned Beetles Any tree debris within New York City, Nassau or Suffolk counties shall be disposed of by chipping to less than 1 inch in any two dimensions, then used as mulch, erosion control, building agent, or fuel. Wood may only be moved from Asian Longhorned Beetle quarantine areas under a permit from the NYS Department of Agriculture and Markets (http://www.agriculture.ny. ov/PI/alb.html). t5. Least Terns and Piping Plovers All recovery and repair work occurring in open, sandy beach areas must cease on March 31, 2013 to protect potential habitat for Least Tern and Piping Plover, unless otherwise authorized in writing by [he Department. tb. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 17. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. Page 3 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CON3ERV.4TION ~ General Permit Number CP-0-12-006 ts. State Not Liable for Damage 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. 19. State May Order Removal or Alteration of Work If fiiture 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 ail 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. 20. State May Require Site Restoration 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 lawfully 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 fork on account of any such removal or alteration. 21. Precautions Against Contamination of Waters 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. WATER QUALITY CERTIFICATION SPECIFIC CONDITIONS I. Water Quality Certification The NYS Department of F.,nvironmental 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. GENERAL CONDITIONS -Apply to ALL Authorized Permits: t. 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). Page 4 of 6 ' ~ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ~ General Permit Number GP-0-12-006 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. 2. Relationship of this Permit to Other Department Orders anti 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. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit 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. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator 625 Broadway Albany, NY 12233-1750 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands, Excavation & Fill in Navigable Waters, Water Quality Certification, Coastal Erosion Management. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or eonditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page 5 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ~ General Permit Number GP-0-12-006 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, 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 [he 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. Page 6 of 6 NEW VORKSI'A'I'EUEVAR"1'MENTOFENVIRONMENTAI,C.'ONSF',Rl'A'fIQN General Permif Number 1; R0-12-006 NYSUF.C Approval 13y a~Y~ephance of this permit, the perotittee agrees lhul the permit is contingent upon strict compliance with the ECL, nll nppliuthle reKulations, and all conditions included as part of this permit, Cicncral Ycrmit Authorized by Hermit Administrator: JOHN J FEkGUSON ,Chief Permit Administrator Address: NYSDEC IICADQUARTCRS 625 BROADWAY ALBANY, NY 12233 Authorized Signature: ~.._,_~~I ~ r~~ pate: 10/31/2012 ~ ~ ...r ~ - Permit Components N,4"fURAL RESOl1RCli'. PEKMIT CONDITIONS WATER QUALITY CER"['IFICATION SPECIFIC CONDITION GENEkAL CONDITIONS, A('I'LY TO AI.I~ AUTHORIZED I'EKMITS NOTIFICATION OI' OTHER PERMI'1"I'F1-'. OL~LIGA'~ION'S NATURAL RESOURCE PERMIT CONDITIONS -Apply t0 the Following Permits: COAS'T'AL EROSION MANAGEMENT; WATER QUALITX CERTIFICATION; EXCAVATION & FILL IN NAVIGABLE WATERS; TIDAL WETLANDS t. Conformance With Plans All activities authorized by this permit must be in strict conforrnanee with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by the applicant midlor an authorized rcprescntalivc. 2. In-kind, In-place Repair or Recoustructinn Existing bulkheads, walkways and shoreline erosion structures that were functioning at the time of the Sturm damage may be repaired or reconstructed in- kind and in-place ofthe existing structures. No expansion or seaward extension of bulkheads or shoreline structures is authorized by this permit. 3. Repairs to Structures All repairs to existing structures shall be contincd to replacement of existing elerncnls with no change in design, dimension or materials, wtless specifically authorized by this ertnit. 4. Stairwaiy llcsign 'T'he stairs and lamiings shall be a maximum of 4 feet in width and constructed a minimum of 3 feet above grade over the dune%hluff I;iec. ? ~~i o £i2'd Z0S6S9L~°l 6bzSb£LL£9 NOIl~fl?JISNOJ b3J21(18~w0Jd 2£~0T £T02-£Z-atlW Condon Engineering, P.C. New Yortr State Licensed Professional Engineers 1755 Sigsbee Road 631-296-1906 Malllhiek, New Yak 11952 Fax 631-296-2651 www. January 3, 2013 p ~~~~d~ Mr. Mike V D ~y JAN 1 02013 BuikJmg Department Town of Southold Town Hall P.O. Box 1179 BLDG. DEPT. Southold, NY 11971-0959 TOWN OF SDUTHDLB Re: Drum Residence 610 Park Avenue 6cL,lMatfituck, NY Dear Mr. Verity: A visit was made to the above n2faenoed property on December 21, 2012 to evakrate ttre repair work performed at Nre site which was damaged during Hurricane Sandy. To ttre best of my knowledge, ttre wad and floor replacement on the souarem wmg of the budding is able and in a with the current Buibirx3 Code of New York State. Please do not hesAate to caH me if you have any questions or require additional information. Very Truly Yours, ~ _ i' J. ondon, P.E. Condon Engineering, P.C. N York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattkuck, New York 11952 Fax 831-298-2651 www.condonengineering.com March 2, 2013 Mr. James F. King Board of Trustees President Southold Town Hall Annex 54375 Main Rd. P.O. Box 1179 Southold, NY 11971 Re: Drum Residence 810 Park Avenue Ext., Mattituck, NY Dear Mr. King: As requested, we consulted the Suffolk County Department of Health Services Office of Wastewater management regarding the damaged septic system at the above referenced property. I discussed the property with Ed Lyons who is responsible far reviewing permits for residential properties for the Office of Wastewater management Mr. Lyons indicated that the health deparment was not requiring homes damaged by Sandy to file for permits to repair existing septic systems damaged by Hurricane Sandy. The property owners are permitted to repair the septic systems to their pre storm condition without any involvement with the health department Please do not hesitate to call me if you have any questions or require additional information. Very Truly Yours, J .Con on, P.E. From- Habitat fW <twhabtat@gw.dec_state.ny.us> To: burgerconstrud <burgerconStn,ct(~aol.com> Subject: Hurricane Sandy NYSDEG NOI follow-up Date: Fri, Jan 25, 2013 3:32 pm Dear Eugene Burger, This message is to tollaw up on the Notice of Intent you submitted to DEC on 1115112 for recovery and repair work to be done at 610 Park Ave Ext, MatGtuck, NY, under DEC General Permit GP-0-12-006. We are k)olcing for a project status update and need you to answer the following questions: 1. Mas the permitted work begun or been completed? 2. ff work has begun, when did the work start? 3. If work has not yet begun, what is the expected start date9 (month is fine) Finally, pictures of the affected work area prior to Hurricane Sandy would be very helpful to us. So, rf you have a picture, please send a copy to the following e-mail address: iwhabtatCcaaw.dec.state.ny us (preferred) or mail to: NYSDEG Bureau of Habitat Pre-Sandy Pictures 625 Broadway Albany, NY 12233756 Please reply to this message, or call 51802-8858 it you have any questions about this request. Thank you for your assistance. NYSOEC Bureau Of Habitat, Division of Fish and Wddlrfe NYS Department of Environmental Conservation Bureau of Habitat 625 Broadway Albany, NY 12233-4756 NYS Department of Environmental Conservation bureau of Habitat 625 Broadway Albany, NY 12233.4756 http://maiLanl.cum/37556- 111/aol-Gien-us/maiUPrintMessage.aspx 3/ (3/2013 £~£'d 2eS6S9L~~l 6b2Sb£LT£9 NOIlGfl211SNOJ 213J21f18~w~~d 2£~6T £T02-£T-2ltiW BURGER CONSTRUCTION, INC. P.O. BOX 934 CUTCHOGUE, NY 11935 (631)734-5217 (631)734-5249 PAX PACSIMILfi TRANSMITTAL SHEET ra: PxfiM• A'1'1'I':;N'I'IpN:~ DATE. ICI `3 PAX NUMBER TOTAL Nii. Ol' vA(l 1 N(;i.pn ING CUVER, PHpNP. Np MItPR: SENDER'S kENERENCIv: NIIMNISR: RP:~., u ` VOpR kE68kC.Nf_E NVMtlGIt { ? URCL'N'1' ? 1'UR RE'VIE'W ? PLL'ASli COMMCNT ? Pi.F.A$F, It. h~YLY ? PLEASE RECYCi,F. N(YfP1/COMMPNTS ~C,C, ~orcp;;~o.,~1~,c1z ~,IJ ~ ,t~ i n ~ 1~AR 13 11~ I_ ~ii'd 2aS6S9L~°l 6b25bEL~~9 NOIlJIIalSNOJ J3~J21f18~w~~~ Z~~OS £T02-~T-atiW M Canon Engineering, P.C. New York State Licensed Professional Engineers 1755 Slgabee Road 531-298-1985 Mattituck, New York 11952 Fax 531-298-2551 www.condorrengnreerirg.com January 16, 2013 Mr. Mike Verity Buikling Department Town of Southold Town Hall P.O. Box 1179 Southold, NY 11971-0959 Re: Drum Resklw?ce 610 Park Avenue Ext., Mattituck, NY Dear Mr. Verity: A visit was made to the above referenced property on December 21, 2012 to evaluate the repair work performed at the site which was damaged during Hurricane Sandy. To the best of my knowledge, the wall and floor replacement on the soufhem wing of the building is acceptable and in accordance with the current Building Code of New York State. Based on the information provided by the conVactor, the cost of the repair work at the site is less than 50% the cost of the building as required by the FEMA regulations. Please do not hesitate to call me if you have any questions or require additional information. Very Truly Yours, . Condon, P.E. _ _ _____~,~~,1 JAN 18 2013 L _ _ BURGE~:R C:OVSTRliCT[(~N, (NC. January 16, 2013 Southold Town Trustees 54375 Main Road P.O. Box 1179 Southold, N.Y. 11971 Re: Drum Application Mary Drum 610 Park Ave. Ext. Mattituck, N.Y. 1 1952 Dear Board Members, After Will Parks did an analysis ofthe septic system at the Drum Residence he advised that the system should be replaced in kind and in place. I would like to formally ask permission to add this operation to our trustees application which is up for review at the January 23`d meeting. Thank You, Eugene Burger Burger Construction BURGL~.R CO'~S'hRUC1~ION, I~1C. March 6, X013 ~ ` r: L` ~ i i r --_----i~1 ~ I Building Department , ~ ~;i MAR 1 2 213 ~ ~ i Town of Southold V P.O. Box 1179 Southold, N.Y. 11971 ~ ' 'r r~ n~ Re: Drum Residence 610 Park Ave. Ext., Mattituck, N.Y. Dear Department Members: We currently have an open application with your department to obtain a permit for work to be done at the Drum residence. As requested by your department we were asked to write a description of the scope of work to be completed. Due to Superstorm Sandy, the southern wall and Great Room floor of this residence was damaged; we intend to repair the house in kind and in place as follows: 1) Rebuild the Great Room floor using 2x8 CCA joists on top of existing pilings with double 3xl 1 girders notched into pilings. The new floor will be'/a" Oak on top of/a" plywood. 2) Rebuild the Southern wall of the Great Room with a 2x6 exterior stud wall with interior and exterior finishes to match the existing. We will be installing three new Andersen windows along this wall. 3) Rebuild the deck on the West side of the house up to the existing point which was not damaged. We will he adding new railings and posts to the entire deck as well as a new set of stairs which were washed away in the storm. 4) Repair the sanitary system as per code by a licensed contractor. The Health Department was contacted. please see attached letter pertaining to the sanitary system. If you need any additional information or have any concerns please contact our office. "Thank You, Eugene Burger Burger Constn~ction, Inc. I' ti I t i i I I I i l l I( 1 I l) t l I 1 I I'~ ~YlZUtl~ ^,~o~~,oF so~ryl Town Hall Annex yy Telephone (631) 765-1802 54375 Main Road ~ T~ Fax (631) 765-9502 P.O. Box 1179 G Southold, NY 1 1 97 1-0959 ~ i~ ~1y00UNTV ,N~~ ~~lr~~ BUILDING DEPARTMENT TOWN OF SOUTHOLD June 25, 2013 Henry Drum Shelter Trust 2615 E. Mill Rd Mattituck, NY 11952 Re: 610 Park Ave Ext, Mattituck TO WHOM IT MAY CONCERN: The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. Final Health Department Approval. / Plumbers Solder Certificate. (Ali permits involving plumbing after aniaa) V Trustees Certificate of Compliance. (Town Trustees # ass-tasz) Final Planning Board Approval. (Planning # ass-ts38) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37868 -Repair & Replace Storm Damage • • • ~ o0 0 _ ias a~6 TOWN OF SOUTHOLD PROPERTY RECORD CARD /y~ ^ OWNER STREET 6~/L; VILLAGE DIST. SUB. LOT ~'/r run, ' f ! ,'s~ a ~ a~fve ~e ~I~ FoRr~ER r " CY[ C ~ E T P I.J;c(t o AeRSSo S W n TYPE OF BUILDING (~r~ bV,~"/C ~R Yy) TeGa 1'1~C ~0. C.e~~9e.h RES. 7ily p SEAS. VL FARM I COMM. CB. MILS. Mkt. Value c LAND IMP. TOTAL DATE REMARKS ~z6 7// ~ /I VG a ~p`o ~ oo s~oo » r~~ s~ al s~eRO ~i/:cEllar~. ~e aro,„..,s p 9p ' S b° jbD G 1 s d s/a. ilk°/F~ /-7.P /ss `5 />i5 ~ /d~ i+a ..r- _ ~ h {~a 6 n d„ e h `/o ~ in HSJ/P c < e- ~ - e[~ -fir u w ~ Sc I Inn -{o D.-~... _ ti~ i i ~ - - - I illade FRONTAGE ON WATER ' /oadland FRONTAGE ON ROAD 4odowlehd DEPTH auN Piol BULKHEAD COLOR /fpTJ R x; L TRIM n/ ~i 7 9 Ml Bldg' 20 ? 3 80 3 E#wlan z ,3~ c$~ 0 0 ~3 0 • D Erovrim /v X/P /Bo 0 S ' F•IQMI~l011 Famdotlon ~a sY' Both / Dinette Poch deament N o Fboro ~/NE K• ~Fl~~:. / 6 6 s 5 6 6 Wods ~ o ~ , Inpriw Finhh NE c ~ dno~woy Flro Plow E 5 Hwt Ny, DR. Gump, _ •So ype Roof Rooms 1st Floor BR. Porio Racroatlon Roan Raarr 2nd Floor FIN. 8 O. S. Donner Drlvewoy a-atal g z SL 3- ~ - ~ F ~ F „ar' ''~aa ~ G ' N G L t 1.N yc- `'R. _ sus' - ~ 13_~ ~o' f0" f__ `7,.'e c,>.ci ~ "L+ Y ( \\'L~A _ -cx r 'Y. ~ ''1-~ ? I ~ ~ ~ j ' v ~ % ~n ~o.:n a,. V+.'~ ~ u~ ~,o L _ 1 I lv bY:ON~ --1 G _ ~ ~ ~ ~ .-ii ..~y~ y ~ ati. 1 ~ ~ ~ ~ ( V ..w.w ....~v.m... - G~o.m.rc+hl+i. F ! oc s:~wyd hvra 38, r9'~~. . ~ ~ ~•'M UW,,, y.a.w 2oQF¢rcK V/aN rcvt., r=. G:.