HomeMy WebLinkAbout52356-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52356 Date: 10/15/2025
Permission is hereby granted to:
JSK Park Ave LLC
159 W 24th St Apt 713
New York, NY 10011
To:
construct an accessory garage as applied for per DEC Non-Jurisdiction and ZBA approval with SPDES
permit.
Premises Located at:
2150 Park Ave, Mattituck, NY 11952
SCTM# 123.-8-10.1
Pursuant to application dated 10/11/2025 and approved by the Building Inspector,
To expire on 10/15/2027.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $608.00
CO Accessory $100.00
Total S708.00
�� Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
»� Telephone (631) 765-1802 Fax (631) 765-9502 1att . �www.s'ttt�hcldtotuor
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only �'d
PERMIT NO. Building Inspector.-
..n.
r
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an d � P
Owner's Authorization form(Page 2)shall be completed. d
Date:
OWNER(S)OF PROPERTY:
Name: JSk +�«(� A���z _L->✓i� SCTM # 1000- ) 7
Project Address:
Phone#: 6 1k. 10 Email: _J{afzd �le��,e fawny��vc �;01. Co--..,
Mailing Address: �7- Flo./ 1J
CONTACT PERSON:
Name: J5,rc-
Mailing Address: l-Io tv�ill gdqJ
Email
Phone#:
DESIGN PROFESSIONAL INFORMATION:
Name:
i/V t n,\', L
v �
l
Mailing Address: SOo ; 'A�
Phone#: Z,M. 16 0 � f�l Z-f Email: �,.,n
CONTRACTOR INFORMATION: `
Name: �� � �� Co n5 v'vc'K 17AC 9
Mailing Address: i-10 Li"111 ?G"CA WZ`�t-, ct�. fo.. J�tcvh /U\ , i ty-7
Phone#: l r Z �r Email: JA(ca
DESCRIPTION OF PROPOSED CONSTRUCTION'
E94ew Structure ❑Addition ❑Alterat on ❑Rep air ODemolition Estimated Cost of Project:
Z d01 oc`�
[--]Other � e �. � �
Will the lot be re-graded? No Will excess fill be removed from premises? s ❑No
1
r
9
PROPERTY INFORMATION
Existing use of property: c�� �,��; .� Intended use of property:
Zone or use district in which premises is situated: Are there any covenants pad restrictions with respect to
12— Ll O this property? ❑Yes o IF YES, PROVIDE A COPY.
Check BOX After Reading;' The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,alterations or for removal or demolition as herein described.The applicant agrees to comply with aB applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): ch uthorized Agent ❑Owner
Signature of Applicant: == Date:
STATE OF NEW YORK)
SS�
COUNTY OF NW 0v )
J �(-c L-c��i{ r� (.,��' '� Ca"1 '` being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the CJ ��(C �'a ( �kar�(Contractor,Agent,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
dayI JL✓1 U C�C�' , 20 � _ q
of
Notary Public
RENE:SALEM
Notary PublicNO. 0Qualified inOPERTY OWNER AUTHORIZATION
My commissionWhere the applicant is not the owner)
I,
54 K� residing at ZZ..v TrtK AftfvL ���=►tuC\C
I CoA INA,(Q C, ;o.. 11 C.
���� do hereby authorize L�--� �'`��-,' to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
q
Print Owner's Name
2
9 BOARD MEMBERS ors Southold Town Hall
Leslie Kanes Weisman, Chairperson ," 53095 Main Road •P.O. Box 1179
\ Southold,NY 11971-0959
Patricia Acampora g Office L cation:
Eric Dantes ,� -Town Annex/First Floor,
Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue)
Nicholas Planamento Soullml NY 11971
REHIVED
http://southoldtownny.gov
ZONING BOARD OF APPEALS JUN 2 5 2024
TOWN OF SOUTHOLD
Tel. (631)765-1809 o>IJtI'IwwCDr 'Town Clerk
CONFIDENTIAL PRELIMINARY DRAFT FINDINGS for meeting of: June 20,2024
Assigned member: PA
ZBA FILE: #7913
NAME OF APPLICANT: JSK Park Avenue,LLC
PROPERTY LOCATION: 2150&2200 Park Avenue,Mattituck,NY SCTM#1000-123-8-9
SCTM#1000-123-8-10
SE DETE MINATI'ON: 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
further steps under SEQRA.
aITFFOLI Cf7C1NTY AD T1�115TRATIIE COI? : This application was referred as required tinder the Suffolk
County Administrative Code Sections.A 14-14 thru A 14-25,and the Suffolk County Department of Planning issued
its reply dated March 18, 2024 stating that this application is considered a matter for local determination as there
appears to be no significant county-wide or inter-community impact.
LWRP DETERMIT : This application was referred for review under Chapter 268, Waterfront Consistency
review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP),Policy
Standards. The LWRP Coordinator issued a recommendation dated May 17, 2024, Based upon the information
provided on the LWRP Consistency Assessment Form submitted to this department,as well as the records available,
it is recommended that the proposed action is CONSISTENT with 1.W P policy standards and therefore
CONSISTENT with the LWRP.
PROPERTY FACT /DESC IPTION: The subject property currently consists of two lots SCTM#1000-123-8-90
and SCTM#1000-123-8-10,totaling 65,340 square feet,with a buildable lot area of 58,885.50 square feet and located
in the Residential R-40 Zoning District.
Lpt 123-8-9 The northerly property line measures 50.77 feet and is adjacent.to Park Avenue,, the easterly property
line measures 588.77 feet and is adjacent to lot 123-8-10,the southerly property line is 50.38 feet and is adjacent to
Great Peconic Bay, the westerly property line is 577.68 feet,. The lot is currently improved with one single-family
dwelling on the north portion of the property; another single-family dwelling is located at the southerly portion of
the property seaward.A shed is located between both dwellings on the westerly border of the lot.
Lot 123-8-10: The northerly property line measures 50.27 and is adjacent to Park Avenue,the easterly property line
measures 599.85 feet and the southerly property line measures 50.34 feet and is adjacent to Great Peconc Bay,the
westerly properly line measures 588.77 feet and. is adjacent to lot 123-8-9. It is improved with one single-family
dwelling on the northerly portion of the property and another single-family dwelling is located at the southerly
seaward portion of the property. The properties share an asphalt driveway with parking on the east and west sides
-/ Page 2,June 20,2024
#7913,JSK Park Avenue
SCTM No. 1000-123-8-9& 123-8-10
of each lot along with each lot has stairs to the beach. Both lots areas shown on the survey map prepared by Kenneth
M. Woychuk, LS, and last revised March 25, 2024.
BASIS OF A PI.,'I AAJON; Request for Variances from Article III, from Sections 280-13A(1);Article IV,Section
280-17A(1); Article IV, Section 280-18; and the Building;Inspector's January 8,2024 Notice of Disapproval based
on an application for a permit to merge two adjacent lots and to demolish three(3)existing single-family dwellings,
keep one existing:single-family dwelling and construct an additional new single-family dwelling,an accessory in
ground swimming pool and accessory detached garage; 1) proposed lot is less than the minimum lot width of 150
feet; 2) one-family detached dwelling„ not to exceed one-single family dwelling on each lot; located at: 2150 and
2200 Park Avenue,, (Adj..to Cxreat Peconic Bay)Mattituck,,NY. SCTM.#1000-123-8-09 and 1000-123-8-10.
RELIEF Rl 1JBSTBD, The applicant requests variances to permit the merger of two adjacent lots and to demolish
three(3)existing single-family dwelling, keep one existing single-family dwelling and construct an additional new
single-family dwelling,accessory inground swimming pool and accessory detached garage at:
Location of property: 2150 and 2200 Park Avenue, Mattituck,NY: Suffolk County Tax Map #1000-123-8-10 and
Suffolk County Tax Map#1000-123-8-9.
The proposed lot line change to merge tax snap# 1000-13-8-10 to the western adjacent lot tax map# 1000-123-8-09
is not permitted pursuant to Section 280 Attachment 3 Bulk Schedule for Residential Districts R-40,which required
a newly created lot to have a lot width of 150 linear feet.
The proposed merger will create a lot width of 100.54 linear feet.
The proposed merger will create a lot that requires approval from the Southold Town Planning Board.
Additionally,the proposed new construction, on the potentially created lot having a buildable lot area of 58,885.80
square foot in the Residential R-40 Zoning District, is not permitted pursuant to Article IV, Section 289-17A(1),
reference Article III 280-13A(l) which states: One-family detached dwelling;, not to exceed one dwelling on each
lot.
PLANNING BOARD MEMORANDUM: On May 24, 2024, the Zoning Board of Appeals received a Notice of
Memorandum from the Southold Town Planning Board in reference to this application. The'Planning Board supports
the substandard and nonconforming width of 100.54, where 1.50 feet is required. The merger would result in the
elimination of a nonconforming lot. If the lots are merged,the resulting parcel would be made less nonconforming
in the R-40 District. The proposal will eliminate the nonconformity,of the two dwellings on one of the parcels. The
buildable area of the lot and new dwelling are not located within a mapped. FBMA Flood Zone. While the Planning
Board agrees with the merger it had pause to approve the allowance of the one existing single-family dwelling being
allowed and the code does not allow for more than one dwelling per lot. However,,the Board reconsidered'the request
to allow the existing dwelling if it were to be put on the'Town Affordable Housing Registry and rented year-round.
There is no basis for the ZBA to impose covenants and restrictions on the second existing dwelling for use as a year-
round affordable rental as suggested by the Planning Board
ADDITIONAL, INFORMATION: The proposed remaining dwelling on parcel 123-8-10 is a legal pre-existing
nonconforming residence. Prior ZBA. decision#7589 in 2022 variance relief was granted for the construction of a
new single-family residence on a neighboring property with an existing second dwelling,. The applicant will be
installing a new (I/A) Innovative Alternative Onsite Wastewater Treatment System for both existing and proposed
dwellings. The Site flan for the new dwelling along with the in-ground swimming pool and the one and one-half
story garage was prepared by Jonathan Karl Paetzel,Landscape Architect, and dated March 25,2024.
Page 3,June 20,2024
#7913,JSK Park Avenue
SCTM No. 1000-123-8-9& 123-8-10
FfNDINGS OF-1~ACT/1-EASONS FOR-BOARD ACTION'
The Zoning Board of Appeals held a public hearing on this application on June 6,2024 at which time written and
oral evidence were presented. Based upon all testimony,documentation,personal inspection of the property and
surrounding neighborhood,and other evidence,the Zoning Board rinds the following facts to be true and relevant
and makes the following findings:
1. Town Law §267-bL3)Jb)(1). Grant of the variances will not produce an undesirable change in the character of
the neighborhood or a detriment to nearby properties. The neighborhood is mixed with,parcels meeting the 150-foot
width requirement while there are others that do not. Also,there are:other improved properties in the neighborhood
that have two single-family dwellings on one lot. If the merger is approved, it will not change the character of the
neighborhood.
2. Town Law§267-b(3)( )(2)._The benefit sought by the applicant or cannot be achieved by some method,feasible
for the applicant to pursue,,other than an area variance. Without approval to merge the two lots and demolish three
of the existing dwellings,the applicant cannot achieve the benefit of combining these substandard parcels to create
a single parcel with a conforming lot in the absence of variance relief, as there is no way that the code required lot
width can be achieved.
3. Town Law &267-!!(1gb 31. The variances granted herein for the lot width is mathematically substantial,
, _.)L
representing 33% relief from the code. However, the merger will reduce the nonconformity of the lot and the lot
width is consistent with other parcels in the neighborhood.
4. Town Law .§267-bQ(b)ffi. No evidence has been submitted to suggest that a variance in this residential
conimunity will have an adverse impact on the physical or environmental conditions in the neighborhood. The:
applicant must comply with Chapter 236 of the Town's Storm Water Management Code.
5. Town Law §267-bQ)(b)M. The:difficulty has been self-created. The applicant purchased the parcel after the
Zoning Code was in elfect and it is presumed that the applicant had actual or constructive knowledge of the
limitations on the use of the parcel under the:Zoning Code in effect prior to or at the time of the purchase.
6. Irown Law §267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of a single merged lot with a new single-family residence with a new in-ground
swimming pool and a new 11/2 story garage and keeping the existing single-family dwelling while preserving and
protecting the character of the neighborhood and the health,safety and welfare of the community.
RELSOLUTION_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 Acampora,seconded by Member Weisman(Chairperson),
and duly carried,to
GRANT the variances as applied for, and shown on the Site Plan prepared by Jonathan Karl Paetzel, Landscape
Architect and last revised March 25,2024
SUBJECT TO THE FOLLOWING CONDMONS:
I The septic system on the subject property must be approved by the Suffolk County Department of Health
Services for a new I/A OWTS Innovative Wastewater Treatment System for both the existing and proposed
dwellings.
2. The new proposed accessory garage shall remain unfinished and uninhabitable
3. The applicant shall receive approval from the Southold Town Board of Trustees for a Wetland Permit.
4
Page 4,June 20,2024
#7913,JSK Park Avenue
SCTM No. 1000-123-8-9& 123-8-10
4. The applicant shall receive approval from the Southold Town Planning Board
5. Pool pump equipment/mechanicals must be located a minimum of 20 feet from any property line or be
contained in a shed type enclosure with a lot line set back that is in conformance with the bulk schedule for
accessory structures
6. Drywell for pool de-watering shall be installed.
This approval shall not be deemed effective until the required conditions have been met.At the discretion of
the Board of Appeals,failure to comply with the above conditions may render this decision null and
void
That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued
The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does
not increase the degree of nonconformity.
IMPORTANT LMTS ON THE APPROVALS GRANTED HEREIN
Please Read Carefull
Any deviation from the survey,site plan and/or architectural drawings cited in this decision,or work exceeding the
scope of the relief granted herein, will result in delays and/or a possible denial by the Building Department of a
buildingpermit and/or the issuance of a Atop Work Order,and may require a new application andpublic hearing
before the Zoning Board of Appeals.
Any deviation from the variances)granted herein as shown on the architectural drawings,site plan and/or survey cited
above,such as alterations,extensions,demolitions,or demolitions exceeding the scope of the relief granted herein,are
not authorized under this application when involving nonconformities under the zoning code. 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.
TIME LIl' US ON THIS APPROVAL: Pursuant to Chapter 280-146(B)of the Code of the Town of Southold
any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has
not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(3)
years from the date such variance was granted. The•Board of Appeals may,upon written request prior to the
date of expiration,grant an extension not to exceed three(3)consecutive one(1)year terms.IT IS THE
PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED
TIME FRAME DESCRIBED HEREIN.Failure to comply in a timely manner may result in the denial by the
Building Department of a Certificate of Occupancy,nullify the approved variance relief,and require a new
variance application with public hearing before the Board of Appeals
Vote of the Board: Ayes: Members Weisman(Chairperson), Dantes, Planamento, Acampora and Lehnert. (5-0)
c
she Kanes Wei an, Chairperson
Approved for filing 'b /2l /2024
artmeint of KATHY HOCHUL
NE De P Governor
Conservation Commissioner
LEPTON
Commissioner
PERMIT MODIFICATION
August 7, 2025
JSK Park Avenue LLC
c/o Sarah Kim
159 West 241h Street, Apt. 713
New York, NY 10011
Re: Permit#1-4738-03280/00005
JSK Park Avenue LLC — 2150 & 2200 Park Avenue
SCTM# 1000-123-8-9 & 10
Dear Permittee:
The Department of Environmental Conservation (DEC) has reviewed your request to
modify the above referenced permit in accordance with the Uniform Procedures
Regulations (6NYCRR Part 621). It has been determined that the proposed
modifications will not substantially change the scope of the permitted actions.
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
modified permit. Please carefully read all permit conditions and special permit
conditions contained in the permit to ensure compliance during the term of the permit. If
you are unable to comply with any conditions, please contact us at the above address.
This revised permit is a modification to the original permit and must be available at the
job site whenever authorized work is in progress.
Sincerely,
Kim Garguilo
Environmental Analyst
cc: Robert Herrmann, En-Consultants
BMHP
File
Division of Environmental Permits,Region 1
50 Circle Road, Stony Brook,NY 11790 1 dec.ny.gov I dep.r1@dec.ny.gov 1 (631)444-0365
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-03280
P, ERMIT
Under the Environmental Conservation Law CL
Permittee and Facility Information
Permit Issued To: Facility:
JSK PARK AVENUE LLC JSK PARK AVE LLC PROPERTY
C/O SARAH KIM 2150 &2200 PARK AVEISctm# 1000-123-8-9 &
10
159 W 24TH ST APT 7B MATTITUCK,NY 11952
NEW YORK,NY 10011
(917) 520-9967
Facility Application Contact:
EN-CONSULTANTS
1319 N SEA RD
SOUTHAMPTON,NY 11968
(631) 283-6360
Facility Location: in SOUTHOLD in SUFFOLK COUNTY
Facility Principal Reference Point: NYTM-E: 709.407 NYTM-N: 4540.003
Latitude: 40°59'03.6" Longitude: 72°30'38.8"
Project Location: Great Peconic Bay
Authorized Activity: Remove lot line between two existing lots to merge lots into one; remove
existing wood platform and stairs on the northern and southern lots;construct new access stairs and
59.2sf platform landward of the bulkhead; construct 3.5' x 4' landing with 3' x 7.33' stairs on the seaward
side of the bulkhead. All work shall be done in accordance with the plans prepared by Jonathan Karl
Paetzel, last revised 7/29/2025, and stamped 'NYSDEC Approved'Modification on 8/7/2025. KLG
NOTE: All work landward of the top of bank, as shown on the approved plans, is beyond Article 25
(Tidal Wetlands)jurisdiction. In accordance with the current Tidal Wetlands Land Use Regulations
(6NY R.R6+61), no permit is required to conduct activities landward of that contour.
Permit Authorizations
Tidal Wetlands -Under Article 25
Permit ID 1-4738-03280/00005
New Permit Effective Date: 4/17/2024 Expiration Date: 4/16/2029
Modification# 1 Effective Date: 8/7/2025 Expiration Date: 4/16/2029
Page 1 of 7
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 'ROW
Facility DEC ID 1-4738-03280
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.
Permit Administrator:KIMBERLY L GARGUILO, Deputy Regional Permit Administrator
Address: NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY 11790 -3409
Authorized Signature:
Date
Distribution List
EN-CONSULTANTS
Bureau of Marine Habitat Protection
File
Permit Components
NATURAL RESOURCE PERMIT CONDITIONS
GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following
Permits: 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 of the pen nit application.
Such approved plans were prepared by Jonathan, Karl Paetzel, last revised 12/18/23.
2. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous
location on the worksite and adequately protected from the weather.
3. Notice of Commencement 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
ofprojcct,the bottom portion of the form must also be signed and returned, along with photographs of
the completed work.
Page 2 of 7
Am
INNUr
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 14FAW
Facility DEC ID 1-4738-03280
4. Storage of Equipment, Materials The storage of construction equipment and materials shall be
confined to the upland area landward of the top of bluff.
5. Equipment,Material Stored Away from Crest of Bluff The storage of construction equipment
and materials shall be confined to upland areas landward of the crest of the bluff or hill.
6. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional
condition until the project has been completed and the area has been stabilized.
7. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal
wetlands or protected buffer areas as a result of the permitted activities.
8. No Alteration of Bluff for Stairway Alteration of the existing grade of the bluff or hill during
construction of the stairway is prohibited.
9. Stairway Design The stairway must be elevated a minimum of 3 feet over grade to minimize
disturbance or loss of the natural vegetation and reduce the potential for causing or accelerating erosion
of the bluff or hill. Disturbance to the natural vegetation or topography seaward of the crest (top') of the
bluff or hill must be restricted to an 8-foot wide area,including the width of the stairway, as shown on
the approved plans.
lo. Wood Preservatives
a. Pressure treated wood used for construction of in-water structures must have undergone a
treatment process approved(stamped or otherwise marked as certified) by the American Wood
Preservative Association.
b. Wood treated with Pentachlorophenol (PCP) must not be used in marine or brackish waters. Wood
treated with PCP must be aged in the open air for at least three months prior to in-water use.
c. The use of creosote treated wood is prohibited both in the water and upland areas.
d. Chromated Copper Arsenate (CCA)pressure treated wood must be clean and free of CCA surface
deposits. Wood with surface deposits must be washed for at least 5 minutes under running water
prior to use. The washing must occur greater than 100 feet landward of any regulated wetland
and/or water body. (Note "E." below for handling wash water.)
e. Any wood debris such as sawdust or wash water must not enter any water body, including wetlands
or protected buffer areas.
11. Clean Fill Only All fill shall consist of clean sand, gravel, or soil(not asphalt, slag, flyash,broken
concrete or demolition debris).
12. Department Jurisdiction The department retains jurisdiction of all regulated lands where fill has
been permitted. Placement of fill shall not be used to alter the department's Tidal Wetland jurisdictional
area at the project site. The area remains a regulated area subject to Tidal Wetland Land Use restrictions
of 6 NYCRR Part 661.
13. Vegetate All Disturbed.Areas The perrnittee shall revegetate all exposed faces and disturbed areas
to prevent soil erosion prior to the project completion or expiration date of this permit,whichever cones
first.
Page 3 of 7
da:
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Fdcility DEC ID 1-4738-03280
14. Seeding Disturbed Areas Aft areas of soil disturbance resulting from the approved project shall be
stabilized with appropriate vegetation (grasses,etc.) immediately following project completion or prior
to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours
or planting is impractical due to the season, then,the area shall be stabilized with straw or hay mulch or
jute matting until weather conditions favor germination.
is. Temporary Mulch,Final Seeding If seeding is impracticable due to the time of year, a temporary
mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather
conditions favor germination and growth but not more than six months after project completion.
j6. Plant Beach Grass The area of fill placement shall be planted with American Beach Grass planted
12 inches on center during the first growing season following placement, but not more than,6 months
following the placement of fill. The permittee shall maintain a beach grass survival rate of at least 85%
after 3 years. Any grass planted after April 15 of any calendar year shall be irrigated.
17. Long-term Plant Survival The bluff shall be planted with American Beach Grass and the
permittee shall ensure a minimum of 85% survival of plantings by the end of five growing seasons. If
this goal is not met,the permit holder shall re-evaluate the restoration project in order to determine how
to meet the mitigation goal and submit plans to be approved by the office of
Marine Habitat Protection
NYSDEC Region I Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NYI 1790 -3409
18. Contain Exposed,Stockpiled Soils All disturbed areas where soil will be temporarily exposed or
stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/ silt
curtains (or other NYSDEC approved devices)placed on the seaward side between the rill and the
wetland or protected buffer area. Tarps are authorized to supplement these approved methods.
19. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or
excess excavated materials shall be immediately mid completely disposed of in an authorized solid waste
management facility. These materials shall be suitably stabilized as not to re-enter any water body,
wetland or wetland adjacent area.
20. No Construction Debris in Wetland or Adjacent Area 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 wetlands and/or protected buffer areas.
21. 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.
22. 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.
Page 4 of 7
Am
10ftwo
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 'NOW
Facility DEC ID 1-4738-03280
23. 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 York on account of any such
removal or alteration.
24. State May Order Removal or Alteration of Work 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 Rows 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.
GENERAL CONDITIONS - Apply to ALL Authorized Permits:
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 pen-nit, 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 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.
Page 5 of 7
,NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
fteility DEC ID 1-4738-03280
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 fanns or supplemental inforinationthe 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
NYSDEC Region I Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY1 17§0 -3409
4. Submission of Renewal Application The permittee must submit a renewal application at least 30
days before pen-nit expiration for the following permit authorizations: Tidal Wetlands.
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 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;
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 6 of 7
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION "NOW
FAcility DEC ED 1-4738-03280
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
pem-iiace's acts or omissions in connection with the pennittee'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 perm an
ittee is responsible for informing its independent contractors, employees, agents d 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 pem-.Littee 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 Alight 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.
Page 7 of 7
Bunch, Connie
From: Glew, Claire
Sent: Wednesday, September 24, 2025 10:14 AM
To: Bunch, Connie; Fuentes, Kim; Kreshon, Catherine; Lanza, Heather; McCullough, Lillian;
Michaelis, Jessica; Sakarellos, Elizabeth;Westermann, Donna
Subject: Municity Number changes
Good morning,
The parcels below have been changed as follows:
123.-8-9 & 10 — Deleted
123.-8-10.1- New Parcel
I bulk moved the information in Municity, except for ZBA. Please review to be sure that all looks
good.
Thank you.
Assistant to Assessor
Town of Southold
Board of Assessors
(631)765-1937 (0)
(631)765-1356 (F)
vwvw.southoldtownnY.g v
claireg@southoldtownny.gov
i
�� � O ]�l�� wA\1ClE]�
Albert J. Kru ski, Jr. AG ]EI��[]ENT
SUPERVISOR I\\l[A,\,
"� � .
SOUTHOLDTOWNHALL-P.O.Box 1179 o Town of Southold
53095 Ma' Road-SOUTHOLD,NEW YORK 11971 l r
Main
CHAP�1` +.�- 36 - STORMWATER MANAGEMENT REFERRAL FORM
--(•APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
Owner, Design Professional,APPLICANT- (Property_ ..� ..� �
�....Appg
Agent, Contractor, Other
Date:
NAME:
gym.. 1�
,....� � t
�2� ._
Contact Information: . ..._...,_.�.`�..._ ��1._�.._�.—.,_._��-.u..-_�..�.mm�....�...._.�� �....
M}
fY.:-°*O;ri6la 1 rde��;Ficuia�I'V'evru'°C'S.n F
Pro e�rty Address / Location�of Construction Site:
`.,.,_.- .. S.C.T.M. #: 1000
- .
Lot
. __..� � ..._ ...._...�... ��ecoott Blix• �
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
❑ - Area of Disturbance is less than I Acre. No S.P.D.E.S. Permit is Re uired i
❑ - Project does Not Discharge to Waters of the State. No S.P-D.E.S. Permit is Required !
Area of Disturbance is Greater than 1 Acre& Storm-water Runoff Discharges Directly
to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P-D.E,S. Permit
DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Buildin__Permit.
❑ - Area of Disturbance is Greater than 1 Acre& Storm-water Runoff Flows Through Southold
Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S. Permit throw h the Southold Town En ineerin De artment
Prior to Issuance of a Building Permit.
V4L
Reviewed By:
N Date: _...I.O �......
D
FORM SMCP-TOS December 2024 � e- c-e f V C 101 I� 1,�)
KATHY HOCHUL
Governor
AMANDA LEFTON
Commissioner
August 07, 2025
Lettieri Construction Inc.
Jared Lettieri
170 MILL RD
W HAMPTON BCH, NY 11978-2346
RE: Letter of Authorization (LOA)for Coverage Under
SPDES General Permit for Stormwater Discharges from Construction Activity (CGP)
General Permit No. GP-0-25-001
Dear Owner or Operator,
The New York State Department of Environmental Conservation (NYSDEC) received a complete
electronic Notice of Intent(eNOI)for coverage under GP-0-25-001 for construction activities located at:
Project Name: JSK Park Ave, LLC
Project Address: 2200 PARK AVE Project Count Suffolk
MATTITUCK, NY 11952-2228 1 y
Through submission of the eNOI on August 07, 2025, the owner or operator certified that the eligibility
requirements in Part I.A. of GP-0-25-001 have been met, where required.
As a reminder, the owner or operator must meet the requirements in Part I.E.6. of GP-0-25-001 prior to
disturbing greater than five acres of soil at any one time. Further, this LOA is not the permit document.
The owner or operator is required to comply with all requirements in GP-0-25-001, which is accessible on
NYSDEC's website: dec.ny.gov
The project is authorized to commence construction activity in accordance with Part I.D.3.b. of GP-0-25-
001 as follows:
• Project Name: JSK Park Ave, LLC
• eNOI Submission ID: HQE-3TZM-B6RB2
• Date authorized to commence construction activity: August 07, 2025
Note that the NYSDEC SPDES Permit ldentification No (SPDES Permit ID)for this project will be sent in
a separate correspondence. Also, please be advised there is an annual regulatory foe of$110, which is
billed by NYSDEC in the late fall. The regulatory fee covers a period of one calendar year. In addition,
there is an initial authorizations fee of$1,10 per acre of land disturbed and $675 per acre of future
impervious area. The initial authorization fee covers the duration of the authorized disturbance.
If there are any questions regarding the requirements in GP-0-25-001, please contact me.
Sincerely,
John Muthersbaugh
Assistant Engineer
Division of Water, Bureau of Water Permits
625 Broadway, Albany, NY 12233 1 dec.ny.gov I john.muthersbaugh@dec.ny.gov 1 (518)402-8188
YORK Depalrtment of
STATE Environmental
Conservation
MS4 No Jurisdiction Form
for construction activities seeking authorization under the
SPDES General Permit for Stormwater Discharges from
Construction Activity, GP-0-25-001 (CGP)
(In accordance with CGP Part I.D.2.b., the completed form must be attached to the eNOl and submitted to NYSDEC
electronically.)
I. Project Owner/Operator Information
a. Owner/Operator Name: Lettleri Construction Inc.
b. Contact Person: Jared Lettieri
c. Street Address: 2200 Park Avenue
d. City/state/zip: Mattituck, NY 11952
!I. Project Site Information
a. Project/Site Name: JSK Park Ave, LLC.
b. Street Address: 2200 Park Avenue
c. City/state/zip: Mattituck, NY 11952
d. eNOI Submission ID: HQE-3TZM-B6RB2
IIL Traditional Land Use Control MS4 Operator Information
a. Name of MS4 Operator: Town of Southold
b. MS4 SPDES Permit ID Number: NYR20A 524
c. Street Address: 2200 Park Avenue
d. city/state/zip: Mattituck, NY 11952
e. Telephone Number: 6317651560
IV., Certification Statement
In accordance with CGP Part I.D.2.b.5.3., I hereby certify that the Traditional Land Use Control MS4
Operator identified in section III. of this form does not have review authority over the construction
project identified in section II. of this form,which is owned/operated by the entity identified in section I.
of this form. I am aware that there are significant penalties for submitting false information, in luding the
possibility of fine and imprisonment for knowing violations.
a. Printed name of the principal executive officer or ranking elected official for the MS4 Operator or
their duly authorized representative in accordance with CGP Part VII.J.2.:
Albert J. Krupski, Jr.
b. Title/Position: Town Supervisor
c. Signature: UZ �V `
d. Date: 71, SS /.-I