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HomeMy WebLinkAbout52675-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT CAN THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 52675 Date: 02/17/2026 Permission is hereby granted to: Victor JR Rev Trt 15 W Roth St Apt 4B New York, NY 10024 To: Construct a new modular single-family dwelling with an inground pool addition as applied for to include HVAC system,screened porch,and outdoorshoweras per Trustees, DEC and SCHD approvals. A floodplain development permit is required. Premises Located at: 1185 Kerwin Blvd, Greenport, NY 11944 SCTM#51.3-6 Pursuant to application dated 12/05/2025 and approved by the Building Inspector. To expire on 02/17/2028. Contractors: Required Inspections: Fees: Single Family Dwelling-NEW MODULAR $2,824.00 CO Single Family Dwelling-New $100.00 SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 Flood Permit $150.00 Total $3,374.00 Building Inspector TOWN OF SOUTHOLD--BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0.Box 1179 Southold,NY 11971 w0959 Telephone(631) 765-1802 Fax(631)765-9502 h1 )s,,//w,Nvw,.so,ut111p ldtownn, . �e Date Received APPLICATION FOR BUILDING PERMIT of For Office Use Only f P J PERMIT No. Building Inspector: „ w b . e w , Applications and forms must be filled out In their entirety.Incomplete applications will not,be,accepted. Whher the Applicant is , t the �wnero`,an 1, I'll Ixmp,PpJr, e ow ees Authorization for (Page 2)shall be completed* Date: 1212/2025 �o NER S F ,110PETT` N ame:J eff'rey Victo r SCTM#1000-_53_03-08 Project Address,,. Phone#. 917-363-0034Email: l�t or Mailing Addres's 15We, st84,thSt. APt4,BNYNY10024 ,;C NTAT P ERSO Name: Laura Flem,ing Mailing Address: 900 Marconi Ave Ronkonkoma, NY 11779 ............................. phone#: 631-231-1518 Email, laura@c�edarknollshomes,.com ............. DESIGN of SS110 L INE ,AT N Name* Todd O Architect Mailing Address. 200 Veterans Memorial Hwy. Site 120 NY 11788 .................... ............... - �500 Email:a i l james@tocarchitects-comPhn 631BT am ONTACTOR INFO CWAT11914W Name: Cedar Knolls inc Mailing Address: 900 Marconi Ave Ronkonkoma, NY 11944 Phone#�I 6 31��� �1-1518 Email, laura@ceda�rknol s,,h mes Com I ! 11111111111111�!@ ............. DESCRIPTION OF-PRO 05ED CONSTRUCTION W New Structure ❑Addition ❑Alteration TRepair ❑Demolition Estimated Cost of Project: ❑other � �, �.1 MM r Wil"I l the tot be re-g raded? T Yes ❑No Will excess fill be removed from premises? 5QYes T N o PROPERTY INFORMATION Existing use of property: vacant Intended use of property: single family residence .............................. Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to 1001 this property" ❑Yes ❑No IF YES, PROVIDE A COPY. Check Sox After Reading: The owner/contractor/design professional ls•res''ohsible for All drainage,and storm' 'waterIssues as provided by Chapter 2,36 of the Town Code,APPLICATION IS-HEREBY MADE to the Building Department for the,Issuance of, Building Permit pursuant to the SultdIng Zone Ordinance,of the'Town of Southold,Suffolk,,co ntly,NewYork and otherappiltalitie,Laws,o°rdl amms or I e o atlon,for°the cotstr ction,of bultdhigs, add o s a teratioe or for re al a cwllt on as ere d cr bad ha PIPM nt g�ree to c 1 �It�all'a �l a le, a ordinances,b lld ng code, houing�tode�end re , atto°ns and o admit a°o Dori. d Inspectors o- premis sand in l din s for r ecessa °lbspe dons.pal, statement's made bur in are punishable as a ciau Xmisdenr pursuant to seIon 21045,o fe New'",York State.Penal! m Application Submitted By(print nan a : Laura,Fleming LgAuthorized Agent C]owner Signature of Applicants mate. , 12/2/2025 STATE OF NEW YO R K} SS: COUNTY OF Suffolk Laura FleminIg being duly sworn,deposes and says that (s)he is the applicant (Name of individual signing contract) above named, S Contractor/ .�t � the Is the (Contractor,Agent,Corporate Officer,etc.) of said owner or owners and is dui authorized to performed e s y o perform or have p rf 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 ° c9—day of 20 � Notary Public Ashley Lauren Smfth, Notary,Public,Sta of New y PROPERTY OWNER,AUTHORIZATION ,ii nS fok CountyWhere the applicant is not the owner) �,I� . �� r gust" ,,,Jeffrey v residingat effre Victor . 15 West 84th St. Apt 4B NY NY 10024 . LauraFleming/Cedar Knollsduo hereb authorize to apply on Y pp Y my behalf to the Town of Southold Building Department for approval as described herein. Own Signature Gate Jeff rey ictor Print Owner's Name 2 of,. 71 , 2- Lp N `�.. v k Albert J. Krupski, Jr. S]F01K1\4WA\.]F1E1k SUPERVISOR 1\M[A\NA\G1Eh11]EN�F SOUTHOLD TOWN HALL-P.0.Box 1179 53095 MainMain Road�a-SOUTHOLD,New YoRx. 1 971 Town D D uthold CEUPTER 236 STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME Date: r Contact Information: 7 h (E-Mail&Telephone Number) Pro erty Address / Location of Construction Site:: V OJ S.C.T.M. 1000 District Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT .Area of Disturbance is less than 1 Acre. No .D4 .S. P °r'Mit is Inc re"Cl 11 Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Re aired ! Area of Disturbance is Greater than I 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 Building Permit. Area of Disturbance is Greater than 1 Acre& Storm-water Runoff Flows Through Southold Town's M.S4 Systems to Waters of the State of New York.. THE APPLICANT MUSS`OBTAIN a S.P.D.E.S. Permit tl rnu ,l the Southold Town E gineero artment Prior to Issuance of' a u ldl � Alf v Date. Reviewed BY, FORM 11 SMCP-TOS December 2024 4 c .; v e `7 , i NEW YORK STATE DEPARTMENT of ENVIRONMENTAL CONSERVATION Division of 15nvironmental Permits,Region I SUNY @ Stony Brook,50 circle Rbad,Many Sraok,NY 11790 P.(631)444-63651 F:(631)444-10360 wwin dec.ny dov August 21, 2025 Jeffrey Victor& Lisa Hsia 15 West 84t' ,Street Apt 4B New York, NY 10024 Fie: Permit No:. 1-4738-03168/00005 Victor&Hsia Property--1185 Kerwin Blvd, Greenport, NY 11944 B TM ##- 1000-53-3-8 Dear Perrnittee: In conformance with the requirem6nts of the State Uniform Procedures Act (Article 70, EDL) and its implementing regulations (6NYCRR, Part 621)we are enclosing your permit for the referenced activity. Please carefully read all permit conditions amid special permit conditions contained in the permit to ensure compliance during the term of the permit. If youaire unable to comply with any conditions, please contact us at the above address., In addition, ,lease[be advised that DEC has documented the summer occurrence of the Northern Long Eared Bat(NLEB) (Myotis septentrion,alls),'a species listed as "endangered" by bath New York State and the US Fish &wildlife Service,within 3 miles of the project location. '"ale have determined that tree cuttin' a�this location between March 1 st and N ovem ber 30th of any calendar.year may result in the 'take" of these endangered/threatened species or their habitat within the meaning of Environmental Conservation Law ECL) §11-535. The terra "take" is defined in part as the direct killing or injury of individual rnembers'of a protected species, interference with critical breeding, foraging, migratory or other essential behaviors, or the adverse modification of the species' habitat. The "take" of a species listed as endangered car-threatened is prohibited in the absence of a permit from this Department issued pursuant to E+CL§11-535. M Wherefore,we recommend that no tree cutting activities be conducted at the project site between the dates'of March I and November 30 of any calendar year. Enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of construction. w Sincerer Danielle Torre Environmental Analyst 2 ��,"EWYoRK Department of IUMTY ifonmental Conservation, NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03168 PERMIT Under the Environmental Conservation Law (Flo''CL), Permittee and Facility Information Permit Issued To: Facility. JEFFREY R.VICTOR VICTOR & HSIA PROPERTY 15 W 84TH ST APT 4B 1185 KERWIN BLVDISetm 1000-53-3-6 NEW YORK., NY 10024 GREENPORT, NY 11944 LISA HSIA 15 W 84TH ST APT 4B NEW YORK,NY 10024 Facility Application Contact: EN-CONSULTANTS 1319 N SEA R-D SOUTHAMPTON, NY 11968 (631) 283-6360 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E-. 719.45) NYTM-N: 4551-578 Latitude: 41'05'09.1" Longitude: 720'02314.6" Authorized Activity: Construct a new single family dwelling with accessory structures and septic system, in the Tidal Welland Adjacent Area, All structures must be located a minimum of 100 feet landward of the tidal wetland boundary. All work shall be in strict conformance with the attached site plans prepared by Dirtworks. dated 5/21/2025, and sanitary site plans prepared by DiLandro Andrews, last revised on 12/6/2024, and stamped"NY DEC Approved" on 8/2 1/2025's ............ Permit Authorizations Tidal Wetlands -Under Article 2:5 Permit ID 1-4738-03168/00005 New Permit Effective Date: 8/21/2025 Expiration Date-. 8/20/220,310 Page I of 7 taboo NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03168 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: SHERRI L AICHER., Regional Permit Administrator Address: NYSDEC Region I Headquarters SLTNY @ Stony BrookJ50 Circle Rd Stony rook,NY 11790 -3409 dmmmr A Authorized Signature: D ate Distribution List EN-CONSULTANTS Bureau of Marine Habitat Protect-ion DANIELLE A STANGO-TORRE 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 TIDAL WETLANDS J I. Regulated Activities Authorized By This Permit This pen-nit authorizes only those regulated activities/structures identified under the section Description of Authorized Activity, NYSDEC does not issue after-the-fact or as-built permits. This permit does not authorize activities, or legitimize the existence of structures, which would have required a permit but for which no permit or other authorization has been granted NYSDEC. 2. Conformance With Plans All activities authorized by this permit inust be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Stich approved plans were prepared by Dirtworks, dated 5/21/2025,and sanitary site plans prepared by DiLandro Andrews,,, last revised on 12/6/2024 and stamped "NYSDEC Approved" on 8/21/2025. Page 2 of 8 Ask NEW YORK S,TATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03168 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 tern-is and conditions of this pennit. Within 30 days of completion. of project, the bottom poilion of the form,must also be signed and retUriled, along with photographs of the completed work. 4. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected frog n the weather. 5. Failure to Meet Permit Conditions Failure of the permittee to a-leet all the conditions of this permit is a violation of this permit and grounds for an.order to immediately cease the permitted activity at the project site. 6. Tree Clearing'Window The proposed project is in the 3-mile bufferfrom an acoustically detected summer occurrence of Northern long-eared myotis. To avoid take no cutting of trees should be conducted between March I st and November 30t". Tree cutting may be allowed to occur within the prohibited wind-ow by obtaining written authorization from a Regioiial Wildlife Biologist(ernail: 10 ion may be wi, j ,-erJaa,0,e!L.n1. )y With the Subject line 'Bat Authorization Request'). Authorizat' gL p rov'died if it can be determined that the area proposed for clearing is not suitable habitat or is not i occupied at the time of cutting. 7. All Structures Must Be At Least 100 Feet Landward Of The Wetland Boundary This permit authorizes the construction of new single family dwellings with accessory structures and septic ysteins located in the adjacent area at the prescribed rninimuni setback only, Structures located in tidal wetlands, or strUCtUres, in the adjacent area but located less than 100 feet from the wetland boundary, are not authorized. 8. Development Restrictions New single fiarnily dwelling, accessory structure and septic system projects authorized by this permit must meet all of the applicable development restrictions of 6 NYCRR Part 661.6(a)(1), (2), (3), (4), (5), (7), and Part 661.6(b): - The 75 foot mininIL1111 wed-and setback requirement for all.principal strUCtUres and all non-water- dependent structures exceedinp 100 square feet in area. 4-1i - The 100 foot iiiininlUlll wetland setback reqUirernent for all components of the septic system. -The 20%niaxinium adjacent area coverage limitation for impervious structures and surfaces. - The minimum lot area requirement for the construction of new priticipal buildings; 20,000 square feet in areas with public sewers and 40,000 square feet in areas without public sewers. - The 75 foot rnininium wetland setback requirement for all hard surface driveways, roads, parking areas and similar impervious surfaces exceeding 500 sqUare feet in.area. Page 3 of 8 taboo NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION "qqmpv • Facility DEC ID 1-4738-03168 9. Authorized Innovative/Alternative Onsite Wastewater Treatment Systems (f/A OWTS) Septic Systems This permit authorizes the installation of any models of I/A OWTS septic system which have received the appravral of the Suffolk County Depaitnient of Health Services (SCDHS If SCDHS C rescinds its approval of one or more of these models during the terns of this permit,DE will no longer approve new installations of that model. The list of f/A OWTS systems which have received approval by SCDHS are found on website - ltt 1, p§:,j�Tclaimourwaterinfo/ to. Maintenance of Installed innovative/Alt rnative nsite Wasteivater Treatment Systems (I/A OWTS) The permittee must maintain, service and repair the installed I/A OWTS in accordance with the maintenance schedule set forth in the SUfffitk County Depailmetit of Health Services(SCDHS) permit issued for the system. 11. No Changes To Existing Septic Systenas This permit does not aLithorize any alteration,expansion or replacement of existing septic systems 12. Establish Vegetated Buffer To protect the values of the,tidal wetlands,a permanent vegetated buffer zone shall be established. 17here sliall be no disturbance to the natural vegetation or topography within i in an area.extending 50 [inear feet landward of the tidal wetland boundary. 13. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 50 linear feet from the tidal wetland boundary, or as per the'N YSDEC-approved plan, prior to commencement of any regulated activities and remain In place and in good, functional condition until the project is completed and all diStUrbed areas are stabilized with vegetation. 14. Roof Runoff Directed to Drywells Roof runoff shall be directed to drywells with the capacity to store/ recharge the rUnoff fi-om a 2 inch 124 hours precipitation event. All drywells shall be located a 111ininitan of 75 feet landward of the tidal wetland boundary 15. No Drvivells in or near We'daend Dry wells for pool -filter backwash shall be located a illini-mulil of 100 linear feet landward of the tidal wetland boundary. 16. Direct Runoff Away from Tidal Wetland and Buffer Roads, driveways, and parking areas shall be graded to direct 111110ff away from tidal wetlands and protected buffer areas. 17. Driveway/Parldrig Area ofPervious Material DriveNvay and parking areas shall be constructed of NYSDEC-approved perViOLIS materials. 18. No Pool Discharges to Wetland There shall be no draining of swiminiiig pool water directly or indirectly into wetlands or protected buffer areas. 19. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, stag, flyash, broken concrete or demolition debris). 20, Contain Exposed, Stockpiled Soils Alt disturbed areas where soil Nvi I I 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 fill and the wetland or protected IbLiffer area. Tarps are authorized to supplenicilt these approved methods. Page 4 of 8 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION MUM Facility DEC ID 1-4738-03168 21. 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. 22. Area of Disturbance for Structures Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited, 23. 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. It 24. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 25. Vegetate All Disturbed Areas The permittee shall revegetate all exposed faces and disturbed areas to prevent soil erosion prior to the project completion or expiration date of this permit, whichever comes first. 26. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks,mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 27. 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. 28. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. 29. 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 SLICII time and mane-ler as the Department of Eiivironinerital 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. Page 5 of 8 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03168 30. 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 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. 3 1. 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. 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 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 and Determinations Unless expressly 40 provided for by the Department, issuance of this permit does not modi�r, 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 6 of 8 �,'�//rJfl1V0, '',.�„..II,, w�'v',P,N r4r%a,,,,1 ,.�,~.m, !�I.�,rG�"ful'dv,, �1!af�10I�`"�v�.,�,.,. „rri✓'{����r,,,,, ,,,,,,m,,,, ,,.y'rt�� r�,'.rrwr. 'u�Wllr,en�C9/�r ,,,,,. w' �, r. YN-�:. ,; ar �,� 1 • I III � w " ,' r, � I�', f , f r, f r g�� r,r. r f U r r. bri e V r 4 r Hr. "ro , ,,,-,,.° "w�.. �. r °r P �..,.... ,- -� ..u, wM.bu r ':,wn➢.., � ,Fr r ..r,. ,:.a" x al".74,a - ,. rm M(.r,,� "..w /i ✓Y Ny r I ,r f f r I J r u ✓ wti r w r a ,h�w Ir r � r rY, N,r � ✓y// I P >~1 r � ,, �. , •,r� IY W, „u � �rP r A I r 1. ,r r. .r./ rF.. „,:- ,. ,,I �.✓. ,; l-. 1... .�" N ,.... N. JII„d .,..,. 61(r,-...d,/J....,,rr,/,I rf,..✓f.r,c r,r.r,r .r. ,, ,. r.. , ,,, r r ,. .r, ..., r.. r .,r I.✓1 it '1( ,.�, ,,, ,,,. �;"/ l.. ..1...✓A N �.l nu, ,ulm ,..er f .I�.,wl.,.H/,/.�.r ,., I r ,,"/i ..,".... �� ,. r rr,. r ,,rrtl. ,.: � ,: r,..:, ,; .r�... :/r.,-�r.� ...dr. /r,:. ,,.:,.., ;../ ,.. Pw r..rPr AP,4�(f...l, ,,,dN.r...:`f,U<.. vwr l,.. .,.NH,k.�. H J.9...rr. ,1,.,r fa II,r Y,,. I.Mlrrr ri. a a.I A, ;;r.✓ ,.,/r ,f 9 I.; ,I� P l r I /� n I a I ca I' ✓�, / Ik-� f f YAND�.r.� � V Cc�, �/, !'. )I. / dl Nr� V,I/ �✓r, �!/ rmur�r�N �q7.!�dMwY, / , r � cirri,r,J,Jfivhm,vn"nirvmrvmwnmrvmvw n u BOARD OF SOUTHOLD TOWN TRUSTEES AllN ri AlSOUTHOLD, NEW�' � III I� " ° r N✓ I�r � 1l ,, a rrP PERMIT O. 1083, 1 r � Y / r ISSUED TO,* JEFFRE VICTOR &LISA USIA. I / N PROPERTY ADDRESS: 1185 KERWIN BOULwA" GREEN.PORT r SCTM# 1000-53-3-6 ^LPN uk, AUTHORIZATION �° �lY�``Pdf Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 15,2025,and eJl , r Y , rIyN ° in consideration of application fee in the sum of 1 250.00�paid by reff�e Vie ot�. a J. sa l.°1 is and subject to the f , �Y ri f��r rrl,!,( f P ° rV d « ' Terms and Conditions as stated in the Resolution,the Southold Town.Board of Trustees authorizes and permits • 1 the following, � I I`I 'Wetland Kermit to construct a two-story,single—family dwelling with attached first and second r�' % � t3 [► 3 a ,"rV k`I rI� da r floor porches,steps, hot tub swimmingpool, pool deck with pool enclosure fencin 99 and �AP�fr�ol outdoor shower piped to d ell; install an 1/A sanitary system; install stormwater drainage system; install paver/masonry paths; maintain existing metal storage rack; remove various �f r r X°q f I 9' w�1 �fi • r r r ♦ jurisdiction rexisting wood decks/platforms/walks; clear specified areas within Trustee resulting I in removal of 14 trees; � � ,,�J;� � �f✓k /,, , to allow for construction access,the installation of a pervious gravel driveway,and filling/grading of approx. 134s ft.area within Trustee jurisdiction(using � r Ja M � r portion of 185 cubic yards of clean fill to be trucked in from an approved upland source), �� IG temporarily clears ecified areas within Trustee •urisdiction to be restored usin native P/f p W ar • • • � � 3/1 �ul� HII vegetation, including 14 native hardwood trees(1:1 replacement of trees to be removed); and to establish and perpetually maintain the majority of the property within'`trustee Jurisdiction as a 1I }qf non disturbance buffer, establish and perpetually maintain all ether land within Trustee 0" jurisdiction as a non-turf buffer; and as depicted on the site plan prepared b Dirtworks q �� r [� P p' P y J � � r��r Landscape Architecture received on e 1 2 and stamped approved on September p � September ber o,20 5, s ampe pp p I � 129 2025. I° v°Y YU �M 'y f ���r•w rr��, f 11�✓ �wu v �a 1 0 ` ` IN WITNESS 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 Board as of the day and year written above. I � �f u Iro P u rI o �f F044rew ` 4F a o w .. Y.r Il rcrxHk' IM I I 1, �a 'o f�, yyy '""' ,wWr• V %�/ by mw�vnmmrmrmmvw+^nm,rrow.�w mmvvw wv nml w;enml m;mmnummmmm Ilm nn,sw a. ,,,.. N A r. „wrpwew,w r r�r um...r r.. wvvrvmrvrvw.mmr.,v. rr„wwnmmmlo uuwl�r,"rmn ouauvuiiirur uiu���wwww.w Frrir�«ri ,.,.ra r rm mm ,rfi;uvr,x,'-rr r vvvvv;uru,.,. mvUw rAri:,ri "rir,vrxaw oo nn r,,,, ,rriirie ✓rawusrw:'Trum wrwrrrow nn�m�nr,wti». ,,,,;A,r,ww.m..ureda.xo-..w.rwuwvw�rrus'�wx.+ywm'm a:..,nrs;,taw a U:ta":nrRmrwrw yrar�ay,x..vWrvey'utrrw.;c'a �'awu nU wmrw pp": orm,u; r.w..+Wwr.�w�wnw'r r„ r ' ,.J,,/�...,., 1 N r. 1 f(✓ �... 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P'"�n,� ,qi,Nr°""ar- �M� a Energ'y 1C,ode ,,,,,,,,,,,1nsPectio,n Checkl,i'st Property Organization HERS TBD Residential Energy Conservatio Projected Rating 1185 Kerwin Blvd 631-767-8828 Rating No:0030-0506 Greenport, NY 11944 Glenn Hooper Rater ID:3191563 Registry ID: Weather.-Riverhead, NY Builder 1185 Kerwin Cedar Knolls 0030-0507-P1—Cedar_Knotts-1 185 Date: 6/4/2025 —Kerwin_B(vd—HERI_QAD (1).btg Building Information Conditioned Area (sq ft) 3542 Conditioned Volume(cubic ft) 60374 Insulated Shell Area (sq ft) 11405 The building assemblies and the energy features listed below have been modeled to demonstrate compliance with the IECC utilizing the Simulated Performance Path. At times the energy features listed below will change in the field from what has been input in the analysis. Residential Energy Conservatio I s field inspection process will identify any changes to ensure that the home continues to meet the intent of the IECC. Reports and certificates will be furnished before CO to ensure that the house meets the intent of the IECC. Ceilings 1 Vaulted: R40 Open**** (2760 s.f.) R-0.0 continuous insulation, R-40.7 cavity insulation. Name-, HotRoof Insulation Grade.- 1 11 111 Face / Inset Comments/Location 2# Vaulted: R40 Open**** (856 s.f.) R-0.0 continuous insulation, R-40.7 cavity insulation. Name: HotRoof Insulation Grade: 1 11 111 Face / Inset Comments/Location Above-Grade Walls 1. Walt: R21,FG2,6-16+R3**** (3436 s.f.), Conditioned space---ambient R-3.0 continuous insulation, R-21.0 cavity insulation. Name: ext Insulation Grade: 1 11 111 Face / Inset Comments/Location 2., Wall: R21,FG3,6-16****(188 s.f.), Conditioned space---garage R-0.0 continuous insulation, R-21.0 cavity insulation. Name: Garage Insulation Grade: 1 11 111 Face / Inset Comments/Location REM/Rate-Residential Energy Analysis and Rating Software v1 6.3.4.1015 This information does not constitute any warranty of energy costs or savings. Q 1985-2022 NORESCO, Boulder, Colorado. Energy Code V nllil"'sllt Property Organization HERS TBD Residential Energy Conservatio Projected Rating 1185 Kerwin Blvd 631-767-8828 Rating No:0030-0506 Greenport, NY 11944 Glenn Hooper Rater ID:3191563 Registry ID: Weather:Riverhead, NY Builder 1185 Kerwin Cedar Knolls 0030-0507-PI—Cedar—Knotts—I 185 Date: 6/4/2025 —Kerwin—B(vd—HERI—QAD (1).b(g Windows and Skylights 7- Window: U:0.30, SHGC:0.29*0*** (108 s.f., East), U-Vatue-, 0.300, SHGC: 0.290 For windows without labeled U-factors, describe features: Name: Rear CXW1 6 x6 Orientation: East Comments/Location 8. Window: U:0.30, SHGC:0.29*0*** (90 s.f., East), U-Value: 0.300, SHGC: 0.290 For windows without labeled U-factors, describe features: Name: Rear 5060 x3 Orientation: East Comments/Location 9 Window-, U:0.30, SHGC:0.29*0*** (16 s.f., North), U-Value: 0.300, SHGC-., 0.290 For windows without labeled U-factors, describe features: Name: Left C14 Orientation: North Comments/Location 10101 Window: U-.0.30, SHGC-.0.29*0***(16 s.f., North),, U-Value: 0.300, SHGC: 0.290 For windows without Labeled U-factors, describe features: Name: Left 4040 Orientation: North Comments/Location 11,0, Window: U:0.30, SHGC:0.29*0*** (7 s.f., North), U-Value: 0.300, SHGC: 0.290 For windows without labeled U-factors, describe features: Name: Left AW31T Orientation: North Comments/Location 12. Window: U:0.30, SHGC:0.29*0*** (42 s.f.,, North), U-Value: 0.300, SHGC: 0.290 For windows without labeled U-factors, describe features: Name: Left CW245 x2 Orientation: North Comments/Location REM/Rate- Residential Energy Analysis and Rating Software vI 6.3.4.1015 This information does not constitute any warranty of energy costs or savings. 0 1985-2022 NORESCO, Boulder, Colorado. Page 3 of 7 ,on is'ti Energ,y Code Inspect'* Chec'kl Property Organization HERS TBD Residential Energy Conservatio Projected Rating 1185 Kerwin Blvd 631-767-8828 Rating No.-,0030-0506 Green port, NY 11944 Glenn Hooper Rater ID,-.3191563 Registry ID: Weather:Riverhead, NY Builder 1185 Kerwin Cedar Knolls 0030-0507-P1—Cedar—Knotts-1 185 Date: 6/4/2025 —Kerwin—Blvd—HERI—QAD (1).big, Frame Floors 1. Floor: Uninsulated (2589 s.f.), Conditioned space---crawl(conditioned) R-0.0 continuous insulation, R-0.0 cavity insulation. Name: main Insulation Grade: 1 11 111 Face / inset Comments/Location 2. Floor: R30,LDF,12-16**** (77 s.f.), Conditioned space---ambient R-0.0 continuous insulation, R-30.0 cavity insulation. Name,: Attic Floor over porch Insulation Grade: 1 11 111 Face / Inset Comments/Location 3. Floor: R30,LDF,12-16****(378 s.f.), Conditioned space---ambient R-0.0 continuous insulation, R-30.0 cavity insulation. Name: Floor over garage Insulation Grade: 1 11 111 Face / inset Comments/Location Slab Floors 1. Stab: Uninsulated (2589 s.f.) R-0.0 perimeter insulation, R-0.0 under stab insulation. Name: rat stab Insulation Grade: 1 11 111 Face / Inset Comments/Location Foundation Walls I& Watt: 2.5" HDF Full**** (814 s.f.), Crawl (conditioned)---ambient/ground R-1 5.0 interior continuous insulation, R-0.0 interior cavity insulation, R-0.0 exterior insulation. Name: main Insulation Grade: 1 11 111 Face / inset Comments/Location 20 Walt: 2.5" HDF Full****(79 s.f.), Crawl (conditioned)---garage/ground R-15.0 interior continuous insulation, R-0.0 interior cavity insulation, R-0.0 exterior insulatiom, Name: Crawl to Garage Insulation Grade: 1 11 111 Face / Inset Comments/Location REM/Rate -Residential Energy Analysis and Rating Software v1 6.3.4.1015 This information does not constitute any warranty of energy costs or savings., Q 1985-2022 NORESCO, Boulder, Colorado. Page 5 of 7 Energy C,ode lnspecti*on Checktiost Property Organization HERS TBD Residential Energy Conservatio Projected Rating 1185 Kerwin Blvd 631-767-8828 Rating No:0030-0506 Greenport, NY 11944 Glenn Hooper Rater ID:3191563 Registry ID: Weather:Riverhead, NY Builder 1185 Kerwin Cedar Knolls 0030-0507-P1_Cedar�_Knotls_1 185 Date: 6/4/2025 —Kerwin Btvd_HERI_Q AD (1).blg Infiltration Requirements for IECC 2012 IECC Infiltration limit for the design home is 3 ACH50. 2015-2018 IECC Infiltration limit for the design home is 3 ACH50. Duct Leakage (if not exempt from testing) Duct System 1 Leakage to Outside and Total Duct Leakage Duct System 2 Leakage to Outside and Total Duct Leakage Duct Leakage Code Requirements for IECC 20091ECC: Postconstruction Leakage Test: Duct Leakage to Outdoors<=8 CFM25 1 100 sq ft CFA. Rough in Test with AHU:Total Duct Leakage <=6 CFM25 / 100 sq ft,CFA. Rough in Test without AHU:Total Duct Leakage<=4 CFM25 / 100 sq ft CFA. 2012 IECC and Prescriptive Path for 2015-2018 IECC: Postconstruction Leakage Test: Total Duct Leakage<=4 CFM25 / 100 sq ft CFA. Rough in Test with AHU:Total Duct Leakage<=4 CFM25 / 100 sq ft CFA. Rough in Test without AHU:Total Duct Leakage<= 3 CFM25 / 100 sq ft CFA. 2015-2018 IECC Performance Path (Cost Compliance): Requires ducts be tested and reported, but has no compliance thresholds. Notes REM/Rate-Residential Energy Analysis and Rating Software v 16.3.4.1015 This information does not constitute any warranty of energy costs or savings. Q 1985-2022 NORESCO, Boulder, Colorado. Page 7 of 7 NY=ECCC 2020 Bul' Idi"ng, UA compli*ance Property Organization HERS TBD Residential,Energy Conservatio Projected Rating 1185 Kerwin Blvd 631-767-8828 Rating No:0030-0506 Greenport, NY 11944 Glenn Hooper Rater ID:3191563 Weather.:Riverhead, NY Builder 1185 Kerwin Cedar Knolls 0030-0507-P1—Cedar—Knotts—I 185 —Kerwin—Btvd—HERI—QAD (1).big Elements Insulation Levels NY-ECCC 2020 As Designed Shell UA Check Ceilings: 94.0 103.1 Above-Grade Watts: 180.0 153.5 Windows and Doors: 272.5 254.8 Floors Over Ambient: 21.4 16.6 Crawl Space Watts. 58.1 48.7 Overall UA(Design must be equal or lower): 626.0 576.6 Mandatory Requirements Shell UA Check PASSES Duct Insulation R-Value Check(per Section 403.3.1) PASSES Window U-Value and SHGC Check(per Section 402.5) PASSES Home Infiltration (Section 402.4.1) PASSES Duct Testing (Section 403.3.3) PASSES Mechanical Ventilation (Section 403.6) PASSES Mechanical Ventilation Fan Efficacy(Section 403.6.1) PASSES Mandatory Requirements Check Box(NY-ECCC 2020) PASSES .......... This home MEETS the overall thermal performance requirements and verifications of the Energy Conservation Code of New York State-2020 based on a climate zone of 4A. (Section 402,, Energy Conservation Code of New York State-2020.)In fact, this home surpasses the requirements by 7.9%. Name Glenn Hooper Signature Organization Residential Energy Conservatio Date 4 June 2025 ................ REM/Rate-Residential Energy Analysis and Rating Software v1 6.3.4.1015 This information does not constitute any warranty of energy costs or savings. (D 1985-2022 NORESCO, Boulder, Colorado. RESNIET Home Energy, Rating Standard', Di*SIC1,osure For home located at: 1185 Kerwin Blvd City: Greenport State: NY ........... 1. The Rater or Rater's employer is receiving a fee for providing the rating on this home. 2. In addition to the rating, the Rater or Rater's employer has also provided the following consulting services for this home. A. Mechanical system design B. Moisture control or indoor air quality consulting C. Performance testing and/or commissioning other than required for the rating itself D. Training for sales or construction personnel May have provided Manual J, D or S and any combination of. ..... ........................ 3. n The Rater or Rater's employer is: A. The setter of this home or their agent B. The mortgagor for some portion of the financial payments on this home C. An employee, contractor or consultant of the electric and/or natural gas utility serving this home 4. The Rater or Rater's employer is a supplier or installer of products, which may include: Installed in this home by: OR Is in the business of: HVAC Systems Rater Employer Rater Employer Thermal Insulation Systems Rater Employer Rater Employer Air seating of envelope or duct systems Rater Employer Rater Employer Windows or window shading systems Rater Employer Rater Employer Energy efficient appliances Rater Employer Rater Employer Instructor for Elite Soft with TFTT.org for MJ8 Heating and Cooling sizing ........................................ 5. [—, This home has been verified under the provisions of Chapter 6, Section 603 Technical Requirements for Sampling'of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network I attest that the above information is true and correct to the best of my knowledge.As a Rater or Rating Provider I abide by the rating quality control provisions of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network(RESNET). The national rating quality control provisions of the rating standard are contained in Chapter One 4.C.8. of the standard and are posted at http://rennet.us/standards/RESNET_Mortgagej ndustry—Nationa[—HE RS—Stand ard s.pdf..The Home Energy Rating Standard Disclosure for this home is available from the rating provider Glenn Hooper 3191563 ................ ............ t e rs ka Printed Name Certification# June 04, 2025 Raters Signature Date RESNET Form 0300-2 REM/Rate -Residential Energy Analysis and Rating Software vi 6.3.4.1015 This information does not constitute any warranty of energy costs or savings. (D 1985-2022 NORESCO, Boulder, Colorado. a } CY) , JL z C) - r �2 a C'1 _ Q ryJe .{. CL N G PRICE_ g elf if LIXDA S. R[ � T U W Lij �.�fe el CEO {..� Q LL U) ALL a Revisions No. Date Description 1 9/17/2024 SITE PLAN ,-`� 2 10I1612024 COMMENTS � 3 11/8/2024 SEPTIC T �'` 4 1215/2024 SCDHS NO AG lee slum' 22 a Designed By: PD ONO I SINGLE—FAMILY RESIDENCE — -- PUBLIC WATER 3 Drawn By: MZ Checked By: JL P1 AN PROPOSEE) SEPTIC -- Date: 6/7/2024 4040 �SUFFOL �NT OFHELTH SERVICES A Scale:NOTED SCALE:1�! 0' l ��IT R A EAL F CONSTRUCTION Fop,l - � SINGLE—F"ILY RESIDENCE IONS SHOWN ARE BASED USC AND GSM {V� �ilQ 1988} SINGLE FAMILY RESIDENCEONLY l E NGI NEE RA S CERTJ FICA TION REQU1RED. � I UrM IT P_E-CAR FZ.A- Ce,RTIr-'ICATK?" FOR I N STALI,L.ATtON AND C©N STRUC:TI©N DA'/ 10/13/26 �.�. REF_ ��. R-24-1701 OF 1/A QWTS and PSD ---- ' - O AX1,��IM OF4 BEDROOMS MS _ �p� - "THREE �a OF����C}�AL � APPROVED IN ACCORDANCE WITH BOARD OF x YEARS FROM DATE i Sheet# REVIEW DETERMINATION DATED lOtTl25 DRAWING IS INTENDED TO BE 34"x22"TO SCALE ISTRUCTION.ONLY BENDSIELBOWS SHOW ON PERMITS ARE ALLOWED. Ir.AXFILL rs :-k L vd�%tw- *It 0- SJNGLE—FAMrLY RESIDENCE iv PUBLIC WATER % ')INEER -Ak ALL REE ;,;4ETA-7jiON(fNC-L-2T N TOI ARED NITHIN 100'Oc 1,AJETLNDS ' oj 94I 4t CQWROL PANEL RAG 46 FLfJM VTS. s 3-4 FEET OF EXISTING SOIL EAN CEN5 1104N )AIL, !AL TO SURROUNDING TREATMENT ,- N Z UNIT TO BE REPLACED WITH ASTM C-33 CLEAN FILL =-L AND 14 1L PROPOSED BAMBOO ROOT D AND BARRIER TFROM LEACHING ROWS,SEE DETAIL ±1 R6 ND SET 10 PERCOLATION TEST HOLE(TYP.) 6 INCH ORENCO PF200511 PUMP IN BASIN 32.6' N101F EXISTING SEPTIC SYSTEM GEORGE BERNARD FUCHS et at. A TO BE REMOVED SINGLE—F"ILY RESIDENCE FUTURE EXPANSION PUBLIC W4 TER (20)INFILTRATOR QUICK 4 PLUS WED LOW PROFILE SEPTIC CHAMBERS ZIOR TO EXIST ING WATER LINE AND SPIGOT TO BE REMOVED EXISTING UIG ELECTRIC LINE AND--=7,� SPIGOT METER TO BE REMOVED TEST HOLE SINS LE—FAMILY RESIDENCEti PUBLIC WATER 3,403 FT OF VEGETATION(INCL.11 TREES) TO BE CLEARED WITHIN 100'OF WETLANDS IN J5 41 lot t ,sue PROPOSED SQUARE DRAIN(TYP.) T? -00v PROPOSED WATER LINE #0 A 3 d 4'ri +1 51 _0 VACANT --2\�—,�EGETAT! T IS- ON TZ11 BE:TEMPOF"—v AN' Ll R-CCINST ar Sum-'EQU- RAGI IMF z Y q J; PROPOSED rR to P.) DRAIN� FLAG 6 PROPOSED U\/ ELECTRIC LINE FLAG