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Home My WebLink About15695-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z16125 I Sept. 2 ]987 ·.. ,.. Date ...... ' ..... THIS CERTIFIES that the bmldmg Ad..d.i.t. ion and...d.e.c.k ................ Location of Property 25 East S~de Dr Mattztuck House No Street Hamlet County Tax Map No 1000 Section 99... Block 3 .Lot 18 Subdivision . . .... Filed Map No ..... Lot No ........... conforms substantially to the Appbcatlon for Bmlding Permit heretofore filed in this office dated Feb:. 11,..I.987 pursuant to winch Braiding Permit No... 5.69.5..Z ........... dated Feb. 23.,. 19.87... was issued, and conforms to all of the requirements of the apphcable prowmons of the law The occupancy for wtuch tlus certificate m issued is ....... /~4~ion .to .qn. ex~stzn~ dwelling and permit amended to ~nclude a for attached deck''('S'ea~°~l'bw~li'zn'~ .................. The certificate is issued to . . . F r.a .n.k .R...Re.i. 1. ly .an.d.w.i.f.e ........... (owner,7.tRffi~O~olir~X X X of the aforesaid building Suffolk County Department of Health Approval .... N / .A ......................... UNDERWRITERS CERTIFICATE NO Pending 8/27/87 PLUMBERS CERTIFICATION DATED: Town Trustees inspection 8/8/87 Peter Victoria 8/4/87 Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15695 Z County Tax Mop No 1000 Section ...... .(~..~..~ ..... Block ..... ,.~...~ ....... Lot No .... /...~.. ........ pursuant to application doted ....~...~....// .......... , 19.~'..7., and approved by the Budding Inspector. Rev. 6/30/80 , I 7' 198 FORM NO. 6 TOWN OF SOUTHOLD Building Dep~rtment Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A Th~s application must be filled m typewriter OR ink, and submitted l~ to the Bu~ldmg Inspec- tor with the following; for new buddmgs or new use: 1, Fmal survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic featu res. 2, Fmal approval o~ Health Dept of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of F~re Underwriters. 4, Commercial buddings, Industrm[ buddings, MulUp[e Residences and similar buddings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the buddmg. 5, Submit Plannmg iBoard approval of completed s~te plan requirements where applicable. B. For existmg buddilngs (prior to Aprd 1957), Non-conformmg uses, or bullrings and "pre-ex,sting" land uses: 1, Accurate survey~of p~operty showing all property lines, streets, buddmgs and unusual natural or topographic features. 2, Sworn statement~ of owner or previous owner as to use, occupancy and condition of bu ddings. 3. Date of any housmg code or safety inspection of buddmgs or premises, or other pertment reforma- tion required to prepare a cert~fmate. C. Fees: 1. Cert~ficateofoc~upancy $25 00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Cert~fmate of occupancy on pre-ex~stmg dwelling $ 50.00 3 Copy of cert~ficate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.C. $ 20.00 5.Updated C.Q. $ 50.00 Date .......................... NewConstructIon ..... Old or Pre-existing Bu ddmg ............ Vacant Land ............ Hou~ No, Street Ham/et Owner or Owners of Property ................................. ; ..................... County Tax Map No. 1000 Sect,on .... .~.~ ...... Block .. 3 Lot .... /.~. Subd~ws~on ........................... Fded Map No ........ Lot No ........... Permit No ........ ate of Permit . .. pphcant ................... Health Dept. ApprovaJ .................... Labor Dept. Approval ........................ Under~vr~ters Approval ...................... PIanmng Board Approval ...................... Request for Temporary Certificate ............ Final Certificate ...................... Fee Submitted S ......................... Rev 10 10 7~ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N Y. 11971 TEL 765-1802 CERTIFICATION Date Building Permit No. /,~6 ~ ~ IpleasO pr~tn~) (please prin~) I certify that tile solder used in the water supply system contains less than 2/10 of 1% lead. ~ '//~lumk~r~natu r e ) Sworn to before me this ~ day of ~ , Notary Public s~~~C°unty / 0 Mot~n,! 'P~bllc OUNDATIO.~; ( 1st) OUNDATIO:~ I 2nd ) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Mmn Road P O Box 728 Southold, New York 11971 TELEPHONE (516) 765-1801 PLEASE FILL OUT THE FOLLOWING FOR~ AND RETURN WITH YOUR SIGNED STATEMENT: , 1. Was the structure put in in accordance to the plan submitted? Yes No If no, please explain on the reverse side. 2. Was structure placed on the applicant's property according to the plan submitted? ( The distance must be at least 15 fee~ from his neighbor s line. ) Yes //"- NO If no, please explazn on the reverse side. 3. Is there easy acc/e~s over or around the structure, so that pedestrians ca~move along the public's right of way below high w~ter/~ ? Yes L/NO If no,:please explain on the reverse side. 4. Is the s%ruct~ high enough so as not to ~nhibit the growth of the,natu~ grasses along or below the structure? Yes/ NO If no,~please explaln on the reverse side. 5. Additional comments: Date S~gnature o~~rustee TOWN OF $OUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. ~_ An application for Certificate of Occupancy is not on file. ~/_~-i No Underwriters Certificate on file. ~ The check is(outdated/ot~_.)~gg, o0 /Z/ .No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit Building Dept. ***/--_~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 23 Grand Park Avenue Scarsdale, N.Y. 10583 July 27, 1987 Town of Southold Board of Southold Town Trustees Southold, NewlYork Gentlemen: Th~s is to advise you that the work under Permit #2195 has been completed. O~ July 24th the Building Department inspected and suggested that railings be put on the deck, and that the openings be closed for the crawl space. This has been corrected, and the Building Department should be finished with their inspection on Tuesday, July 28th. My permit w~th you expires on July 31st. This ~s to notify you that all the work has been done. Sincerely, Frank R. Really HENRY P SMITH, President JOHN M BREDEMEYER, Vi( PHILLIP J GOUBEAUD ALBERT KRUPSKI, JR ELLEN M. LARSEN e-Pres BOARD OF TOWN TRUSTEES TOWN OF S~)UTHOLD Town Hail, 53095 Main Road P.O Box 728 Southold, New York 1 I97I July 28, 1987 TELEPtlONE (516) 765-1892 Mr. Frank R. Reflly 23 Grand Park Avenue Scarsdale, New [York 10583 Re: Permit 2195 & 310 - East S~de Avenue, Matt~tuck Dear Mr. Reallyi Your receht request to amend the above referenced permits has been reviewed at the Trustee meetzng held on July 27, 1987. Your request has been approved by resolution, adopted at thzs meetlng to ~nclude a deck in front of the cabln, and to be constructed up to the existing bulkhead to be 8' x 25'. This letter, ~s an amendment to the omgmal permxt and as such, shall be attached thereto. All other terms and conditions remain as wmtten in the omginal permit. Very truly yours, Henry P.~Sm~th, President Board of Town Trustees HPS:~p cc: Robert A. Greene, D.E.C., Stony Brook Commissioner Henry G. Williams, D.E.C., Albany Stephen Mars, Army Corps of Engmeers Thomas Hart, Coastal Management Conservation Advisory Counc~I Bldg. Dept, Board of Appeals File ~ 23 Grand Park Avenue Scarsdale, N.Y. 10583 June 30, 1987 Town of South~ld Board of Southold Town Trustees Southold, New IYork Gentlemen: Per telephone Iconversatlon, I would like to modify my Trustees Permit #2195 ~o include a deck in front of the cabin. The deck would go up tq the existing bulkhead, and would be between 7 1/2' and 8' Isince it will just cover the top of the bulkhead piles. The d~ck is approximately 2' above grade and will be 8' wide and about 25' end to end. I'm not sure whether it is going to be 251'6" or 25'10", depends on the grade. The deck will not extend any further towards the wetlands than the current bulkhead, so the change is basically for safety sake. Instead of ha~lng stairs comlng down from the cabin, you will step straight out. I anticipate tlhat the entire project should be finished in about another two weeks, at which time I'll not~fy you for the inspection. Yours very truly, /Frank R. Reilly ~ Enclosure: Sketch prepared by F. Rellly on 6/5/87. BOARD OF TOWN TRUSTEES TO',',rN OF $OUTHOLD Town Hall, 53095 Mare Road P.O. Box 728 Southold, New York 11971 (516) 765-1801 PLEASE FILL OUT THE FOLLOWING FOR~! AND RETURN WITH YOUR SIGNED STATEMENT: 1. Wa~ the structure put ill in accordance to the plan sukm~tte Y~s~/ No Ifl no, please explain on the reverse side. 2. Was structure placed on the applicant's property according tolthe plan submitted? ( The d~stance must be at least 151 feet from his0 neighbor's line. ) Yes ._~ NO Iflno, please explain on the reverse side. 3. Es there easy access over or around the structure, so that pedestrians can move along the public's right of way below high water mark? Yes J NO If,no, please explain on the reverse side. 4. Is,the structure high enough so as not to inhibit the growt of'the natural grasses along or belo%; the structure? Yes /~ NO If no, please explain on the rcverse sade. 5. Additional comments: SlgC~ure of Trustee United States Army Corps of Engineers Oune 12, 19 86 install a non-commercia! mooring structures tn MattItuck A permit to Creek. at Ma:ttttuck, Suffolk County, New York. has been issued to Frank R. Reillv 23 Grand Park Avenue Address of Permittee Scarsdale, NY 10583 Permit Number F. H. Griffis Colonel, Corps of Engineers 'District Commander ENG FORM 4336 Jul 81 (Em 1145 2 303) EDITION OF JUL 70 MAY BE USED DEPARTMENT OF THE ARMY ~e Irl'.~S'R~ pI. AZA HKW YORK, N. Y. IO~7~1 (NOTE,: To m~l, fold letter I~ half 'and tape' at bottom. DIZP~RTMENT OF THE ARMY -;fetter a~it be ~comple~ed and mailed to ~he Dlat~'~ct :F~nsf~neer ~ate~ay: ,City & State( , , - and ~o~lete applicable items ltste~ bel~. - ~ ~ork ~al c~leted ~ ~ Mork +~ll ~ot Se per~o~d on ~he ~ojec~.-~ ~ ~ther-(explatn), :-, .... Signature & Data (NOTE: To mail, fold letter in half and.tape at ~)oitom:) ,~ ~ - ~/'DO NOT STAPLE'::. ...... -' - ~ - TOWN OF SOUTIEOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To whom This May n, W~ are unable to complete your Certificate of Occupancy because of the following reasons. /~~Cer Da y /_~- NQ Underwriters Certificate on file. /5/ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ ) ~ ~ ~ 5-- Z Building Dept. ***/~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Ir-., 10-86-0617 N/A [~Art~cle 15, T~tle 5 Protect,on of Water r-JArbcle 15, T~tle 15 Water Supply [--IArt~cle 15, Title 15 Water Transport J--]Article 15, T~tle 15 Long Island Wells [~Artlcle 15, Title 27 W~ld, Scemc and Recreational R~vers []6NYCRR 608 Water Quahty Certification NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PERMIT Under the Environmental Conservation Law [-IArhcle 17, T~tles 7. 8 SPDES __ i--]Art~cle 19 A~r Pollution Control i'-IArtlcle 23, T~tle 27 Mined Land ReclamaUon l"-IArt role 24 Freshwater Wetlands ~j~^rhcle 25 T~dal Wetlands ~ N--New, R--Renewal, M--Modification EFFECTIVE DATE 7/1/86 EXPIRATION DATEIs) 12/31/87 []A~cJe 27, T~tle 7 Solid Waste Management r']Art~cJe 27, T~tle 9 Hazardous Waste Management J--JArhcle 34 Coastal Erosion Management J--J^rbcle 36 Floodplain Management [--JArhcles 1, 3, 37, 6NYCRR 380 Radiation Control C--Construcbon, OT-Operatlon, (If Apphcable) PERMIT ISSUED TO I Frank Riley J ADDRESS OF PERMITTEE I AGENT FOR PERMITTEE/CONTACT PER-~bN TELEPHONE NUMBER Glenn E. Jt]s~-I.an~ T'J'~, C'~'m'r',:::,r,V, ND.Country Rd. Bo× ~R"I 929-3575 ~I(~~X~MJ~(~ Wading River, N.Y. 11792 ~ro3ect ~zue Address:Matt~tuck Creek, southwest end of East S~de Avenue. Mattituck Creek Suffolk Sol,hold DESCRIPTION OF PROJEC$/FACILITY Reconstruct 30' deterlQ~att~g Cement reta~n~nc_ w~]3 ~n~ ~ ~ A, ~d~4~mn ~O northern wall of southern cabin; construct a dock consisting of a 4~x8 catwalk a m~n~ml~m n~ ~ n~r~ ~ ~ ~'~th a 3'v~n' ~m~m~ m~ RA~q~I.,-f~2uj~ at seaward end. GENERAL CONDITIONS By acceptance of this permit, the permittee agree~ that tl~e permit is contingent upon ~trlct compliance with the ECL all apphcable re~:ulatmns and the cond:hons specified herein or attached hereto The permlttee shall fde m the ofhce of the approp.ate reg;onal permit edmm:strator, or other office designated m the special cond:t:ons, a nobce of mtenhon to commence work at least 48 hours in advance of the nme of commencement and shall also not:fy h~m/her promptly in wrlnng Of the completion of the work The permzttad work shall b~ subject to ~nspect:on by an autho.zed tepresentatwe of the Department of Enwronmental Conservation wh:ch may order the work suspended ~f the public interest so requires Tbe perm~ttee bas accepted expressly, by tbe execution of the apphcat~on, the full legal respons~bd~ty for all damage% d~rect or md~rect, of wh&tevet nature, and by whemever suffered, ansmg out of the prolect descnbed hereto and has agreed to ~ndemndy and save harmless the State from su~tJ, acnons, damages and costs of eve~ name and descnp* non resulting from the sa~d project The Department reserves the .ght to modify, suspend or revoke th~s petm~l at any nme after due ~once, and, if requested, hold a hearing when a) the scope of the project ts exceeded or a vlolabon of any condlbOn of the permit or provisions of the ECL and pertinent regulations are found, or b) the permit was obtained by m~srepresentat~on or fadure to d~sclose re[event facts, or c) newly discovered mformat~on or significant physmal changes are d~covered since the permit was ~ssued The permttlee is responsible for keeping the permit active by submltnng a renewal apphcat~on, Includ~ng any forms, fees o~ supplemental information which may be required by the Department, no later than 30 day~ (180 days for SPDES or Sohd or Hazarduous Waste Management permns) p.or to the exp~rabon date Th~s perm~t shaII n~t be c~nstrued as c~nveymg t~ the apphcant anY nght t~ trespass up~n the ~ands ~ ~nterfere w~th the riper~an ~ghts ~f ~thers m ~rde~ t~ perf~rm tbe permitted work or as authorizing the impairment of any .ght% nile or interest in real or personal property held or vested m a person not a party to the The perm~ttee ~s responsible for obta~mng any other permits approvals, lands, easements and .ghts-of way which may be reqmred for th~s project Issuance of this parma by the Department does not, unless expressly ptowded for, mothfy, supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms condlhons, or requirements contained ir~ such order or determination Any mod~f~catmn of th~s parma granted by the Department must be m w.tmg and attached hereto A---c'at- l'--~_o,~al ~id . 40, SU2~', PER6/~II' I~SUANCE DATE I ~"~°,VtYT AbMJNI~TRA't~)~ ADDRESS "J 219 7/1/86 ]Charles~T. Hamilton I Stony Brook, N.Y. 11794 3 X ~ ~ .~ Pa~el of cc: D. Fallon NEW YORK July 1, 1986 STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Regulatory Affairs Unit Bldg. 40, SUNY--Room 219 Stony Brook, NY 11794 (516) 751-7900 Mr. Frank Riley 23 Grand ParkiAvenue Scarsdale, N.Y. 10583 RE: PERMIT NO. 110-86-0617 Dear Mr. Rile~: In conformance With the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing Regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable t6 comply with any conditions, please contact the Regional Regulatory Affairs Unit, NYS Department of Environmental Conservation, State University of New York at Stony Brook, Building 40, Stony Brook, New'York. Also enclosed is a permit sign which you are to conspicuously post at the project site~ protected from the weather. Very truly yours, Charles T. Hamilton Alternate Regional Permit Administrator CTH:co' S/csr Eaclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION UNIFORM PROCEDURES ACT ReceiptNoU 460455 Check ~ Check or M O,' No Money Order DEPARTMENT OF THE; ARMY NE:W YORK, N Y. 10278 -0090 Operations D!vlsion Regulatory Branch SUBJECT: Permit NoOSG_14036 Frank R. Reillly c/o The Land Use Co. P.O. Box 3611 North Country Road Wading Rlve~, NY 11792 Dear Mr. Reillly: We have:completed our review'of the above application. From the information submitted it appears that the proposed work is authorized b~ our General Permit for Non-Con~ercial Mooring Structures {NYDGP-08} a copy of which is enclosed. Your work should be performed according to the conditions of this General Permit. Please display the enclosed Notice of Authorization sign at your work site. A copy is enclosed for your records. Notice is hereby given that the permittee should recognize that a possibility exists that the structure permitted herein may be subject to wave wash from passing vessels. The issuance of this permit does not relieve the permlttee from taking all proper steps to insure the integrity of the structure Pelrmitted herein and the tafety of boats moored thereto from damage by wave wash. and the permittee shall not hold the United State's liable for any such damage. It should be noted that this permit does not relieve you of the obligation to obtain any State~r local approvals for your work. If, for any reason, a change in your plans or construction methods is found necessary, please contact us immediately to discuss modification of your permit. Any change must be approved before it is undertaken. Enclosure Sincerely, p, ppUcltlon No N ~\~0 ~ Nam~e,ofApplicent I E~ank I~. ~l ] ]y DEPARTMENT OF THE ARM ~' PERMIT 08G-14036 Referring to wr~t~e~ request dated ___.-..]-2~--].~L~__ for a permit to ( X Perform work ~n or affecting nawgable w~ters of the United Sta~s, upou tbL r~eommendst'o~ of t~e Ch,el of Engn~eers, po rsua~t ~ Section I 0 o{ the R~vers end Harbors Act of March 3, 1 ~99 (33 U S C { I D~scharge dredged or fall[martini ~nto waters of the Um~d States upon the ~ssuance of a permit from the Secretary of the A~y acting ~rough the Chief of Engrafts pursuant ~ Sectmn 404 of the Clean Wa~r A ct {33 U S C 1344}, { ) Traaspo~ dredged mate~al for the purpose of dumping ~t ~n~ ocean wa[ers upon the ~ssua~ce of a permit from the ~cretary of the A~y acting through the Ch~t f of Engineers pursuant to Sectmn 103 of the Marine Protectmn. Research and Sanctuaries Act of 1972 {~ Stht I~2, P L 92 ~2), Frank R. Rellly 23 Grand Park Avenue Scarsdale!, NY 10583 is hereby authorized by the Secretary of the Army to construct timber !piers, decks and/or mooring piles for non-conTmercial purposes. naviqable waters, of the United States within the qeorqraphic boundaries of Suffolk and Nassau Counties, in the State of New York. in accordance with the plans and drawings attached hereto which are incorporated m and made a part of tb]s permit (on draw b~s, give [il~ number or other def~ngte ~dent~f~cal~or~ marks ) 1522-15 (NANOP-RE - Mattltuck Creek - Rellly, Frank R. - pier, float and ramp) subject to the following cond~tmns I. General Condltlonw (SEE ATTACHMENT) ENG FORM 1721,Sep82 C{.oA'I" DOe. K 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 'IST [ ] ROUGH PLBG. FOUNDATION ZND [ ]INSULATION FRAMING; [ ]FINAL REMARKS: DATE INSPECTOR/~/'~ ~ 765-1802 BUILDING DEPT. INSPECTION [V~] FOUNDATION 1ST [ ] ROUGH PLBO. [v~ FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL 765-1802 UILDING DEPT. NSPECTION FOUNDATION 1ST ]~ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [~RAMING' [ ] FINAL DATE INSPECTOR ~ oZ K N~'4~ ' BLDG DEPT ~ ,TOWN OF SOUTHOLi [, ~ Disapproved a/c BOARD OF HEALTH ..~.,..,. 3 SETS OF PI~S ..... .'~... roam su vE , TOWN Of SOUTHOLD CHECK :: ['f-"~- ~"- ~: · BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY 8OUTHOLD, N,Y, 11971 TEL.: 765-180;3 CALL ................ MAIL TO: (Bmld]ng Inspector) APPLICATION FOR BUILDING PERMIT a. Tiffs apphcatlon must bj completely filled Date . , 19. INSTRUCTIONS by typewmter or in znk and submitted to the Bmld~ng Inspector, w~t sets of plans, accurate plot plan !o scale Fee accordmg to schedule b Plot plan showing location of lot and of buddings on premises, relatmnsinp to adjoining premises or pubhc str, or areas, and g~vmg a detmled description of layout of property must be drawn on the dmgmm wluch is part of ttus al: cation. c. The work covered by flus apphcatmn may not be commenced before ~ssuance of Budding Permit. d. Upon approval of this application, the Braiding Inspector will issued a Budding Penmt to the applicant Such pm shall be kept on the premises av&flable for inspection throughout the work e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa shall have been granted by the Bmldmg Inspector ! APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmlding Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulahons, for the constructaon of buddmgs, add~taons or alterations, or for removal or demolmon, as herem descn,_ The applicant agrees to compl5 with all apphcable laws, ordinances, budding code, housing code, a, gd regulations, an, ~rem~ses and m bmldmg for necessary inspecho ~ admit authorized mspectorson t~.~Y~ ~ ~ (Signal:tire of apphcant, or name, ir a corporation) (Mmlmg address of apphcant) State whether apphcant m ~, lessee, agent, architect, en~neer, general contractor, electrician, plumber or bud, Name ofownerofpremmes .~//~ / /~--~"~/~ /~' ~'- ~f//F (as on the tax roll or latest deed) If apphcant ~s a corporation, mgnature of duly authorized officer · ' '(Name and t~tle of ~or~orate officer') ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Bmlder's License No ...... Plumber's License No Elcctncmn's L~cense No .... Other Trade's L~cense No . . ~ ~ I Location ofland on whtch proposed work wlll be done o~.5-.~../~ ~-..~....~. House Number [ Street County Tax Map No 1000 ~ection . .~:~.~ . Hamlet . .? . , ot . 2 Subdw~sion Filed Map No ... Lot ... (Name) State eMshng use and occupancy of premises and intended use and occupancy of proposed construchon- b. Intended use and occupaficy ~ .............................. 3. Nature of work (check which apphcable) New Budding Addition X - yt / .... Alteranon Repmr ....... Removal ......... Demohtion ..... Other Work. Estimated Cost ~'~,Jfpr'v, If dwelhng, number of dwellm units. (Descnptmn) (to be paid on filing this apphcat~on) ! ...... Number of dwelling units on each floor /. If garage, number of cars .. :'7:...o..'77... . 6. If business, commercial or mtxed occupancy, specify nature and extent of each type of use .. ~(. .......... 7. Dimensions of existing structures, if any Front /o. ~ ~ . Rear . . ./.o..9".0 .. Depth . "~;t.t.~'I*I . . ' Height ~ '(./. .... NumberorStones...ta4zt- ..................... ; ...... Dzmensmns of same structure w~th alterations or ad&tmns Front z ff ~' Rear Depth .. ~..~'.* ........ Height ...// ........ Number of Stones .... ~ ....... ~.. 8. Dunensmnsofentlrenewconstructmn Front. 1.4(..? ... Rear ../..~..~' .... Depth .~.z. ,q' !J.. Height . //.' ...... Number of Stones 10. Dateo Purchase I ............. Name o,f Former Owner . .............. I 1. Zone or use d~strict in which pr~m~ses are situated . .,~:(~ .,ffo~". d~' ..... 12. Does proposed construction vlo, late any zoning law, ordinance or regulatmn' ...7,Ao. ................ 13 Wzll lot be regraded ...... ~ ........... Will excess fill be removed from premmes. 14 Name of Owner of premlses t~.4~'~f'/,~..~..t'~./.~Address ........... PhoneNo .............. Name of Architect ..... I .............. Address .......... Phone No ........... Name of Contractor {~'A*~..~. ~tfeq~4..d..~.. '~.% .~'Address ................ Phone No ........... 15. Is this property locatedlw~th~n 300 feet of a tidal wetland? *Yes .~... No ..... *If yes, Southold Town Trustees Permzt maybe required. PLOW DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and indicate all set-back dnnenslons from oroperty hnes G~ve street and block number or descnptmn according to deed, and show street names and ~ndmate whether ,ntenor or corner lot. ~TATE OF NEW YORK, 'S.S 2OUNTY OF ....... (Name of ~ndiv~dual mgnmg confract) ~bove named being duly sworn, deposes and says that he ~s the apphcant te ~s the .tgt40~. ~'v ........ (Contractor, agent, corporate officer, otc ) )f satd owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and file tlus pphcatlon; that all statements contamed m this apphcat~on are true to the best of hm knowledge and belief, and that the cork wz!l be performed ~n the manne[ set forth in the apphcatmn filed therewith. ;worn to before me th~s ......... // ..... day of......~,z......~............~. ......... 4otary Pubhc, .,..' (Stgnature of applicant) TOWN OF SOUTHOLD BOARD OF SOUTNOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT Thru Wetlands Perm¢ No ....... .3..1..0. ........ has been granted by the Town Trustees according to information furmshe, in Application No ..... .3..9..4. .......... filed by Apphcant ..,.F..r..a..n_k...R..:. ,.R.e...i.l...l~y ........... on file in the Trustee Office under the application number given. Permit granted to do Ithe.followmg work Recon.st.r.u..c..t .a.p.p.r. oximatel.y.. 30' of deteriorat~ed..'. cement retaining ;wall & add a 4' addition to the southern cabin. Construct a 4'x8' dock leadiqg to a 3'x20' ramp leading to a 6'x10' float f I . Mattituck Creek Creek, Bay or Harbo~ fronting property ................................................................................................ I wall 30', cabzn 4', dock 8', ram 20' float 10~ Size of work: Length ..................................................................... P. ........ ~ ............................................. Height Above H~gh Water N/A Depth Below Low Water N/A/ Yard~ N/A , to be Excavated .................................................................................................... Yardi to be Filled N/A Manner m wh mh material ~s to be removed or deposited .................................................. ~ .................... I~ Residential Intended use of pro erty ......................................................................................................................... Conditions if any ............................................................................................................... July 31, 1987 Expiration Date ...; .............................................................................................................................. Completion of work Inspection Fees ................................................................................................................................... L~abdlty Pohc~es ~n the Amount of ........................................................................................................ The vahdity of thru Iperm~t ~s or may be subject to the approval of other governmental or mumc~pal authontms. The ToWn accepts no respons~bdlty ~n applying for or obtaimng such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under untd such approval has been obtained m writing. The fadure to obtain such other approval when required shall subleFt thru permit to immediate revocat,on by the Trustees upon receipt by the Trustees of written notice from such other governmental or municipal authorltiesof its refusal or dmapproval The applicant does by the acceptance of th~s permit, assume all respons~bdlty for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations By such acceptance, the applicant also agrees to indemni- fy and save harmless tl~e Town, and ~ts officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by th~s permit are being 0nducted, do, by the acceptance of th~s permit, give consent to the Town, and its officers and emplo!~'ees to enter upon the prermses where such operations are being conducted to make such inspect~ons as the Town may deem necessary to insure that such operations are being con- ducted m conformlt With this permit. This operation will not substantially: A. Adversely affeqt the wetlands of the town. B. Cause damage ~rom erosion, turbidity or sdtat~on. C. Cause saltwate~ intrusion into the fresh water resources of the town. D. Adversely affect f~h, shellfish or other beneficial marine organisms, aquat,c wddhfe and vege- tation or the natural habitat thereof. E. Increase the da~ger of food and storm-tide damage. F. Adversely affect nawgat~on on tidal waters or the t~dal flow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands m the wctnity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town, President Board of Southold Town Trustees Date ........ ~ ..~.........c~.....~...~. J~. .................. N o P -I' ] 008'~ ,, ard Of $outhoid Town Trustees Pursuant fo the prov;~ions of Chapter 615 of the Laws of the Sta+e of New York, 1893, and Chapter 404 of the Laws of ~he State o{ New York 1952, and f~e Soul'old Town Ordinance eh- rifled "RE~U~TIN~ AND THE PLACIN~ OF OBSTRUC~ONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the ,REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM jLANDS UNDER TOWN WA~RS;" and in accordance with [Resoluflon of The Board adopted at a meeHng held on J~Ly 3L ~19 86, and in conslderafion of the sum of $ ~0,30 pald by lot N.Y. and subject ~o the ITerms '~dd Condiflons I~sfed on ~he reverse slde hereof, lot Soufhold Town Trustees authorizes and permits the folbw~ng: Recons~:uc~ approx. 30~ of cemen~ te:a~ng wa[1 & add ~ addition ~o the southe:~ cabin.. Cons[ruct a 6~xS~dock lead~ng to a 3~x20~ tamp [ending ~oa all in accordance w~fh the detailed speclf~caHons as presented in the odg~naHng app icaflon. IN WITNESS WHEREOF, ~e sald Board of Trustees here- by causes ~s Corporate Seal fo be affixed and these presents be subscrlb~d by a majority of the as of this daf.e. Please tear off and return to the Tz-sstee Office. Board Of South6ld Town Trustees SOUTHOLD. NEW YORK 5~orzng Permit No. Date: Mooring No. I, certify that the work as authorized zn thzs permzt has been completed and is now ready for your inspection, Also, the number required on this project is clearly viszble. I further understand this permit is not val untzl thzs tear off sheet is returned to the Trustee Office. # .. b.~(3 4~ov~ C TOWN OF SOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No.........-..........310 has been granted by the Town Trustees according to information furmshed m Applicatmn No ..... .3,.9,.4. .......... filed by Applicant _...F..r..a..n..k...R.=....R.e..'.z..1.1._v ........... on file m the TruStee Office under the apphcat[on number given. Permit granted to cio the followmg work Reconstruct approximately 30' of deteriorated cement retaining wall & add a 4' addition to the southern cabin. Construct a 4'x8' dock iea~ing to a 3'x20~ ramp leading to a 6'xlO' float Location of property on which work to be done .f:..__.E..a.e_t...S.~.d..e...Av_e.:.:._..M~,..t.t..i_t.u_c..k.~.. N:..Y.: ............... Mattituck Creek Creek, Bay or Hat aor fronting property .............................. I dock ~'., ramp 3', float 6' Width ........................................................................................................................ H!ight Above High Water N/A D~pth Below Low Water ................................................................................................. N/A - .Y~rds to be Excavated .................................................................................................... Yards to be Fd~ed ..................................................................................................... Manner in whmh material is to be removed or deposited ............................................... Intended use of ' Residentmal property ........................................................................................................................ Cond~tmns if any ............................................................................................................................. Expiration Date July 31, 1987 Number of nspect ons Req.,red ..... ..... Completion of work Inspection Fees I ...................................... Liabd~ty Pohc~es; ~n the Amount of ............................................................................................... The vahd~t¥ of thru permit m or may be subject to the approval of other governmental or mumcipal authomt~es. The Town accepts no responmbd~ty tn applying for or obtaining such approval. In the event that such ~approval m necessary, the holder of thru permit shah not commence operations here- under until such ,approval has been obtained in writing The failure to obtain such other approval when required shall subject thru permit to immedmte revocation by the Trustees upon receipt by the Trustees of written notme from such other governmental or munmipal authomties of ~ts refusal or dmapproval. A J? ~ ~ ~ NOTI~ ~ILDING DEPARTM~ AT 7664~2 9 AM TO = ~ ~R THE - - -~LLOWING ~ , , , . , .... ' ~ . ; .. . r- ROUGH FRAMING&PLUMBING . STATE CON~RUCTt~ · ~ER~Y i t ri L