HomeMy WebLinkAbout26432-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27620 Date: 04/11/01
THIS CERTIFIES that the building FOUNDATION
Location of Property: 430 RILEY AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 143 Block 5 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 13, 2000 pursuant to which
Building Permit No. 26432-Z dated APRIL 5, 2000
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is RAISE FOUNDATION UNDR EXISTING SINGLE FAMILY DWELLING WITH DECK AND
COVERED PORCH ADDITION AS APPLIED FOR.
The certificate is issued to JON C & JANIS E KERBS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Authorized Si 01ture
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 26432 Z Date APRIL 5, 2000
Permission is hereby granted to:
JON C & JANIS E KERBS
440 RILEY AVENUE
MATTITUCK,NY 11952
for
RAISE EXISTING FOUNDATION AS APPLIED FOR.
at premises located at 430 RILEY AVE MATTITUCK
County Tax Map No. 473889 Section 143 Block 0005 Lot No. 009
pursuant to application dated MARCH 13, 2000 and approved by the
Building Inspector.
Fee $ 75 .00
Authoriz d Signature
ORIGINAL
Rev. 2/19/98
,�' �• 14jR�DRi�: �V6• '$91- ' � @
75
Board Of Southold Town Trustees k
SOUTHOLD, NEW YORK
PERMIT NO. ` r DATE: ...May 26, .1.9.99
sJON C., KERBS__,., _,..,_„
ISSUED TO ........... ....
,� �x � ,2�lLI��Dxt��ttAlt •> 3
Pursuant to the provisions of Chapter 615 of the Laws of t
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS �-
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;". and in accordance with the <
Resolution of The Board adopted at a meeting held on ..MaY...A......1999
19...99.., and in consideration of the sum of $.150.,..Q.Q. .. ... paid by -
w
JON..G.....KERBS......... . .................................................
Of ........Mattit.1J.c..k....................... ... ............ .. N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Wetland Permit to remove an existing concrete patio (480s.f. )
raise house on ecist. found. add 2nd story, lower concrete floor .,
in basement, & erect a solid type fence on the west and east sid
to pall �ri ecYeo� once wwi hWe3Jetat eglpectifii etiW a gp4of i fence.
` HWlvthe originating application. <
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and fihese presents to
be subscribed by majority of the said Board as of this_date.
.4
+� tr
Trustees
•-
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
NO: Z-26481 Date: 05/25/99
THIS CERTIFIES that the building DWELLING
Location Of Property: 430 RILEY AVENUE MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 143 Block 5 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 10, 1978 pursuant to which
Building Permit No. 9837-2 dated JULY 7, 1978
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ONE FAMILY DWELLING WITH ACCESSORY GUEST HOUSE AS PER ZBA #1582*
The certificate is issued to JON & JANIS KERBS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 8-SO-80 11/03/78
ELECTRICAL CERTIFICATE NO. N0403707 09/27/78
PLUMBERS CERTIFICATION DATED N/A
*THIS UPDATES CO Z-9328 DATED 12/5/78-
Zz
B ildinInspectorildinInspector
GUEST HOUSE WITH SLEEPING QUARTERS & BATH ONLY.
Rev. 1/81
Ai NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER EFFECTIVE DATE
1-4738-02495/00001 December 24 1999
FACILITY/PROGRAM NUMBERS) PERMIT EXPIRATION DATE($)
Under the Environmental
Conservation Law Decembef 24, 2002
TYPE OF PERMIT 1 New 13 Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate
❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality O Article 27, Title 7; 6NYCRR
of Waters Certification 360: Solid Waste Management
❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR
Supply 373: Hazardous Waste Management
❑ Article 19: Air Pollution
❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion
Transport Management
❑ Article 23, Title 27: Mined
❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain
Island Wells Management
❑ Article 24: Freshwater Wetlands
❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37;
Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control
PERMIT ISSUED TO TELEPHONE NUMBER
Jon C. Kerbs (631) 298-5535
ADDRESS OF PERMITTEE
440 Riley Avenue Mattituck NY 11952
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Dan Halt Land Use Ecological Services Inc. 257& Sound Avenue Baiting Hollow NY 11933 (516) 727-2400
NAME AND ADDRESS OF PROJECT/FACILITY ,
Kerbs property, 440 Riley Avenue
LOCATION OF PROJECT/FACILITY
Mattituck NY 11952
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffolk Southold
DESCRIPTION OF AUTHORIZED ACTIVITY:
Remove existing concrete patio and construct porch, second story addition and increase elevation of first floor as shown
on the attached plans prepared by Anthony W. Lewandowsky last revised 10/12/99 and NYSDEC approved on 12/23/99.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as
part of this permit.
PERMIT ADMINISTRATOR: ADDRESS
Roger Evans (KAK) Building 40, SUNY; Room 121, Stony Brook, NY 11790-2356
AUTHORIZED SIGNATURE DATE
December 24 1999 Page 1 of 4
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
s i
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification ,
The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation
of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages,
and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities or
operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the
terms and conditions of the permit.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of their
responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect
to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental
Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that
may be required to carry out the activities that are authorized by this permit.
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights
of others in order to perform the permitted work nor does itauthorize the impairment of any rights, title, or interest in real
or personal property held or vested in a person not a party to the permit.
GENERAL CONDITIONS
General Condition 1: Facility Inspection by the Department
The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals
by an authorized representative of the Department of Environmental Conservation (the Department) to determine
whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended
pursuant to ECL 71-0301 and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection to the
permit area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available for
inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon
request by a Department representative is a violation of this permit.
General Condition 2: Relationship of this Permit to Other Department Orders and Determinations
Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind
any order or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination.
General Condition 3: Applications for Permit Renewals or Modifications
The permittee must submit a separate written application to the Department for renewal, modification or transfer
of this permit. Such application must include any forms or supplemental information the Department requires. Any
renewal, modification or transfer granted by the Department must be in writing.
The permittee must submit a renewal application at least: .
a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES),
Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste
Management Facilities (SWMF); and
b) 30 days before expiration of all other permit types.
Submission of applications for permit renewal or modification are to be submitted to:
NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg#40, Stony Brook, NY 11790-2356
General Condition 4: Permit Modifications,Suspensions and Revocations by the Department
The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification,
suspension or revocation include:
a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions
of the ECL and pertinent regulations is found;
b) the permit was obtained by misrepresentation or failure to disclose relevant facts;
c) new material information is discovered; or
d) environmental conditions, relevant technology, or applicable law or regulation have materially
changed since the permit was issued.
DEC PERMIT NUMBER PAGE 2 OF 4
1-4738-02495/00001
APERMITMN,,rev.6/99
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15(TITLE 5), 24, 25, 34 AND 6NYCRR PART 608
(TIDAL WETLANDS)
1. 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.
2. 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.
3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent
or approval from the U.S.Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services
or local government which may be required.
4. 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.
5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large
refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause
damage to navigable channels or to the banks of a waterway.
6. There shall be no unreasonable interference with navigation by the work herein authorized.
7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the
applicant shall,without expense to the State, and to such extent and in such time and manner as the Department
of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore
the site to its former condition. No claim shall be'made against the State of New York on account of any such
removal or alteration.
8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the
subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303,
306 and 307 of the Clean Water Act of 1977(PL 95-217) provided that all of the conditions listed herein are met.
9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top
portion of the enclosed notification form certifying that they are fully aware of and understand all terms and
conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be
signed and returned, along with photographs of the completed work and, if required, a survey.
10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the
applicant or his agent as part of the permit application.
Such approved plans were prepared by_.
DEC PERMIT NUMBER PAGE 3 OF 4
1-4738-02495/00001
Form No. 6
TOWN OF SOUTHOLD ��-
I BUILDING DEPARTMENT _ 7 (�
TOWN HALL ��-_/ 7 "
�. 765-1802 o�' 63
c _
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) .
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building ,$25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - .2J
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15/.00, ommercial $15.00
Date . . . . . �. ./. . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . ? ,Old Or e existing Bl'l=g. . . . . . . ( - ,
Location of Property. . lJ�. . . . . . �.� . . . . . 1�.?Veet,
:E . . . . . . . � (W . . . . . .. . . . .
House No. St Hamlet
L t
Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . /: . . . . .Block. . . . T . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . iled Map. . . . . . . . . .Lot. . ll
. . . . . . . . . .
. �ry S
Permit No. .D.61-32t. Applicant. ,. . .Date erm .
Health Dept. Approval. . . . . . . . . . . . .r. . . . .Underwriters Approval/4. °�. . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . .
A . .J:l . . . . . . /
Request for: Temporary C t icate. . . . . . . . . . . Final Certicate. . .,X.". . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . .
NIC3 12 q� . . . . . . . . . . .
C-0 t a 76 a o APPLICANT
(27� ��"Cow
PROFESSIONAL ENGINEER
HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 PHONE 631-765-2954 FAX 631-614-3516
Date: March 30, 2000
Reference: 430 Riley Ave (SCTM 143-05-09)
Ke�4�s
Building Department
Town of Southold
Main Road
Southold,NY 11971
Dear Sir,
I have reviewed proposed raising of the house located at 430 Riley Avenue in Mattituck.
The existing 8"x16" concrete perimeter footings with 8 inch concrete walls and the 2'x2'xl'
interior piers are adequate to support the raised structure.
The new foundation can be constructed as follows when the house is raised 4 feet from its
prior position:
1. 6 courses of 8 inch concrete block on the perimeter concrete foundation wall and the
existing fireplace footing. A 2"x6" stud wall 16" on center at the common wall between
the house and garage. OR.
2. 4 courses of concrete block with a 16 inch high 2"x6" framed wall on top of the concrete
block, with 2x6 inch framed wall between the house and the garage.
Both of the above will be adequate to support the existing raised house or the existing house with
a 2nd floor.
OF New
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AA�FESSIONP�
Joseph Fischetti, PE
FIELD INSPECTION REPORT DATE COMMENTS
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DEPARTMENT OF THE ARMY
�M Ms' NEW YORK DISTRICT, CORPS OF ENGINEERS
JACOB K.JAVITS FEDERAL BUILDING
• NEW YORK, N.V. 10278-0090
REPLY TO
ATTE"ONOP December 10,• 1999
Eastern Permits Section
SUBJECT: Joint Application with New York State Department of
Environmental Conservation
Jon C. Kerbs
440 Riley Ave
Mattituck, NY 11952
Dear MR. KErbs:
We have recently received a copy of the Joint Application
for permit you filed with the New York State Department of
Environmental Conservation (NYSDEC) .
Please be advised we have reviewed the copy of the Joint
Application sent to this office by NYSDEC. Based solely upon the
information provided, it appears that a Department of the Army
permit is not required for your proposal .
The Department of the Army regulates construction activities
in navigable waterways and discharges of dredged or fill material
into waters of the United States, including inland and coastal
wetlands. If your proposal would involve such work, and has not
been portrayed as such in your Joint Application, you should
contact this office immediately so that a project-specific
determination can be made as to whether a Department of the Army
permit will be required.
Any inquiries can be directed to this office at (212) 264-
6731 .
Sincerely,, /
' W_ J_Z�f
J g mes W. Haggerty
C ief, Eastern Permits Section
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERM17 NUMBER ® EFFECTIVE DATE
1-4738-02495/00001 December 24 1999 _
FACILITY/PROGRAM NUMBER($) PERMIT EXPIRATION DATE(S)
Under the Environmental
Conservation Law December• 24, 2002
TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate
D Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR
of Waters Certification 360: Solid Waste Management
❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ElArticle 27, Title 9; 6NYCRR
Supply ❑ Article 19: Air Pollution 373: Hazardous Waste Managemei
❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion
Transport 11 Article
Article 23, Title 27: Mined
❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain
Island Wells Management
❑ Article 24: Freshwater Wetlands
❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37;
Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control
PERMIT ISSUED TO TELEPHONE NUMBER
Jon C. Kerbs
(631) 298-5535
ADDRESS OF PERMITTEE
440 Riley Avenue Mattituck NY 11952
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Dan Hall Land Use Ecological Services Inc. 2576 Sound Avenue Baiting Hollow NY 11933 (516) 727-2400
NAME AND ADDRESS OF PROJECT/FACILITY
Kerbs property, 440 Riley Avenue
LOCATION OF PROJECT/FACILITY
Mattituck NY 11952
COUNTY TOWN WATERCWRSE NYTM COORDINATES
Suffolk Southold
DESCRIPTION OF AUTHORIZED ACTIVITY:
Remove existing concrete patio and construct porch, second story addition and increase elevation of first floor as shown
on the attached plans prepared by Anthony W. Lewandowsky last revised 10/12/99 and NYSDEC approved on 12/23/99. �
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as
part of this permit.
PERMIT ADMINISTRATOR: ADDRESS
Roger Evans (KAK) Building 40, SUNY, Roam 121, Stony Brook, NY 11790-2356
AUTHORIZED SIGNATURE DATE
December 24 1999 Page 1 of 4
TERMS and CONDITIONS.
Ilia Permirtee JON C. KERBS
raiding at 430 Riley Avenue Mattituck N. Y., as
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lowing:
t. That the said Board of Trustees and the Town of Southold am released from any and
all damages, or claims for damages, of suits arising directly or Indirectly as a result of any oper-
ation performed pursuant to this permit, and the said Permittee will, at his or her own expense,
defend any and all such suits-initiated by third parries, and the aid Permittee assumes full liability
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold
2. That this Petmk Is valid for a Period of 24 mos. which is considered to be the
estimated time required to complete the work involved, but should circumstances warrant, tegnest
for an extension may be made to the Board at a later date.
3. T1tat this Permit should be retained indefinitely, or as long as the said Permittee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
oelration was originally obtained.
i 4. That the work involved will be subject to the inspection and approval of the Board or
Its agents, and noaoompliance with the provisions of the originating application, may be cause for
revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
G. That there shall be no interference with the right of the public to pass and repass along
the beach between high and low water marks.
7. Thar if future operations of the Town of Southold require the"removal and/or alterations
in the location of the work herein authorized, or If, in the opinion of the Board of Trustees, the,
work shall cause unreasonable obstruction to free navigation, the aid Permittee will be required,
upon due notice, to remove or alter this work or project herein stated without expenses to the Town
of Southold.
8. That the said Board will be notified by the Permittee of the completion of the work auth-
othed.
9. That the Permittee, will obtain, all other ,permits and consents that may be required sup•
plemental to this permit which may be subject to revoke upon failure to obtain same.
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PROFESSIONAL ENGINEER
HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 PHONE 631—765-2954 FAX 631—614-3516
Date: March 30, 2000
Reference: 430 Riley Ave (SCTM 143-05-09)
Kerbs
Building Department
Town of Southold
Main Road
Southold,NY 11971
Dear Sir,
I have reviewed proposed raising of the house located at 430 Riley Avenue in Mattituck.
The existing 8"x16" concrete perimeter footings with 8 inch concrete walls and the 2'x2'xl'
interior piers are adequate to support the raised structure.
The new foundation can be constructed as follows when the house is raised 4 feet from its
prior position:
1. 6 courses of 8 inch concrete block on the perimeter concrete foundation wall and the
existing fireplace footing. A 2"x6" stud wall 16" on center at the common wall between
the house and garage. OR.
2. 4 courses of concrete block with a 16 inch high 2"x6" framed wall on top of the concrete
block, with 2x6 inch framed wall between the house and the garage.
Both of the above will be adequate to support the existing raised house or the existing house with
a 2"d floor.
��pf NElgr�,
�,�P F►sc o,9�
i
A�0. 05251
9�fiESS10NP�
Joseph Fischetti, PE
Board Of Southold Town - Trustees
SOUTHOLD, NEW YORK
` PERMIT NO. . ` ` �
DATE: ..May 26,....1999
a
ISSUED TO ......... C. KERBS...................... ..
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;!,,'. and in accordance with the «
Resolution of The Board adopted at a meeting held on ..May...26......1999
19..94.., and in consideration of the sum of a.150.,..QQ........ paid by
JON..G.....KERB.S.......... . ..... .. .. .. .......................................................
of ........Mattitlt:ck....................................................... N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Wetland Permit to remove an existing concrete patio (480s.f.)
raise house on ecist. found. add 2nd story, lower concrete floor ,
in basement, & erect a solid type fence on the west and east sid
oo palpyn ecYcoranceo w�hiRe
h3detoailedIpeci�etiggOat OpQnfd iAence.
HWhe originating application. Replace exist. concrete patio with
porch and deck total 483 sq.ft.
IN WITNESS WHEREOF, The said Board of Trustees here- ;
by causes Its Corporate Seal to be .affixed, and these presents to
be subscribed by a majority of.the aid,Board as of this date.
s
1 91
......
Trastees
� ..e,.. , lye -�- - - �-- � ,,,.- �•
Albert J.Krupski,President eog F014, Town Hall
James King,Vice-PresidentO� �G 53095 Route 25
Henry Smith P.O.Box 1179
Artie Foster W '{ Southold,New York 11971-0969
Ken Poliwoda �, Telephone(631) 765-1892
Fax(631) 765-1366
rNN: BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
May 27, 1999
Mr. Jon C. Kerbs
430 Riley Ave.
P.O. Box 304
Mattituck, NY 11952
Re: 430 Riley Ave. , Mattituck
SCTM#143-5-9
Dear Mr. Kerbs:
The following action was taken by the Board of Town Trustees
during its regular meeting held on May 26, 1999 regarding the
above matter:
WHEREAS, JON C. KERBS applied to the Southold Town Trustees for
a permit under the provisions of the Wetland Ordinance of the
Town of Southold, application dated April 29, 1999, and
WHEREAS, said application was referred to the Southold Town
Conservation Advisory Council for their findings and
recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with
respect to said application on May 26, 1999 at which time all
interested persons were given an opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are
familiar with the premises in question and the surrounding area,
and,
WHEREAS, the Board has considered all the testimony and
documentation submitted concerning this application, and,
WHEREAS, the structure complies with the standard set forth in
Chapter 97 of the Southold Town Code,
WHEREAS, the Board has determined that the project as proposed
will not affect the health, safety and general welfare of the
people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of
JON'�C. KERBS to remove existing concrete patio 480 sq. ft. and
replace with porch and decks total 483 sq. ft. Raise house on
existing foundation, add second-story, lower concrete floor in
basement, and erect a solid type fence on the west and east side
of property line to within 30 ' of HWM then add a split rail
fence to HWM.
BE IT FURTHER RESOLVED that this determination should not be
considered a determination made for any other Department or
Agency which may also have an application pending for the same
or similar project.
Permit to construct and complete project will expire two years
from the date it is signed. Fees must be paid, if applicable,
and permit issued within six months of the date of this
notification.
Two inspections are required and the Trustees are to be notified
upon completion of said project.
Fees : None
Very truly yours,
9�.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc: DEC
Building Dept.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
,DATE / INSPECTOR �z
64 Z�
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH FLOG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ e FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: .
,DATE O INSPECTOR
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APPROVED AS PER TEFM
;jsyoWpa/acmowoe M /99y AND CONDITIONS OF
` YIZdC�°�OflYa1cW6WA . wJ✓/?,/999 PERMITNO. . ;,LtYSlooe02
AA'B.�g 4ACeA N�ilrl/t//99y►. DATE Z "'Q
rhSiS'L�/rr=�O/
Albert J.Krupski,President �o$VFFO��{'�, Town Hall
James King,Vice-President 53095 GG 53095 Route 25
Henry Smith `e „ P.O. Box 1179
Artie Foster vo ` ' " Southold, New York 11971-0959
Ken Poliwoda ) Telephone(631) 765-1892
, �.Do Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
January 25, 2001
Mr. Jon Kerbs
440 Riley Ave.
Mattituck,NY 11952
Re: 430 Riley Ave., Mattituck
SCTM#143-5-9
Dear Mr. Kerbs:
The following action was taken at the Southold Town Board of Trustees meeting held on
Wednesday, January 24, 2001:
RESOLVED, that the Southold Town Board of Trustees Approve the request for an Amendment
to Permit#4992 to remove 10'X 24' of asphalt drive and landscape,relocate 150' of the asphalt
drive, add I F of garage apron, add 3'X 3' section to porch, add TX 10' entrance steps, and
rebuild porch and steps on north side entrance.
This is not a determination from any other agency.
If you have any questions,please call our office at (631) 765-1892.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:Ims
DEC
�v
BOARD OF HEALTH . .. . .. . . .. ... . .
FORM NO. 1 3 SETS OF PLANS . . . . . . .. ... . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . .. . . . . . . . . . . .-.. :.. . . . . . .
TOWN HALL SEPTIC FORM . ... . . . . . . . . . . . .. . .
SOUTHOLD, N.Y. 11971
TEL: 765-1602 NOTIFY%
CALL
Examined......../I.......... 20.... I MAIL TO: ... . . . . .. . :. ::..".: . . .
Approved.....q5.�.... ?ac?v Permit No. .alp` '..a
Disapproved a/c .................................. .....,..............,.,,...,.,,,.....
......................................... ............ „
r ,
(Building tor)
3 20M APPLICATION FOR BUILDING PERMIT
� 1
Date. . . . . . . . . . . ... .. . 20. . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector
3 seta of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan sharing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part o
this application.
c. The work covered by this application my not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sud
permit shall be,kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in wtole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATIO`1 IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Woe Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and
regulations, and to admit authorized inspectors on premises andinjxdlding f necessAry inspecions.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant) `(c(5 Z.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil
....... ................. ..�...........................................................
Name of owner of premises ....�.... .......................... .................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on whichwork wiA be/done..........................1 ....
........... .... .. �.1�'.1��(." .. ...........k.. ....................................
...... ..... .,...
House Number Street `` / hamlet
Can ✓.ty Tax Map No. 1000 Section ..... 3... Block ...S.......... lot ...2...........
Subdivision ...................................... Filed Map No. ............... lot ...............
(Name)
2. State existing use and occupancy of premises nt use and qQ Wdst
a. Existinguse and ... � :C........ bi,.�.. 4�l yMl�1!094s?6,"J1181�#
aouP�Y � aE9aCt78L16 C0.4�1A..6............
;03 ul1o11u6 ut!baitii,6
b. Intended use and occupancy ...... F`�? '�.s .....................s ...Os.. .
. ... a.... mt�
. ..........
rt
J. rutute ou wuum wheur wrucli licable): New Building .......... Addition .......... Alteration ...T......'
Repair ......... ��.......... Demolition ............ Other Work R. )-..\')09?G•a �y blu CGS r
... ........ ..
(Description)
4. Estimated Cost 10 �a....Ii......... fee ..............................................
(to be paid on filing this applies ton)
5. if dwelling, number of dwelli units ............ timber of dwelling units on each floor ...... ..........
Ifgarage, number of cars .... .............I...................
6. If business, commercial or mixeId occupancy, specify nature and extent of each type of use......./.................
7. Dimensions of existing structures, if any: Front......Y(4 ...... Rear �'A....... Depth .!. �a...........
Dimensions of ••structure with Number of Stories ...�..................
gF ture . c a 2, S
' 'th alterations or additions: Front ............... Rear ..�:'::^.E'�..•.....
Depth ...F<�- ........... Height ..J2 ............. Naber of Stories ..,/............
8. Dimensions of entire new construction: Front ........�.... Rear ............... Depth ..............
lleigbt ....................... Nmmiher of Stories_ ..................
9. Size of lot: [raft ....... 5 ....... Rear ./.:5.......... Depth/ '�.3 O ..........
/ c. J.
.. ....
10. Date of Purchase .....14.�Y.1.9G.. Name of Former Owner ..J..V..4 Us�..................
11. Zane or use district in which premises are situated ....A-s .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................
13. will lot be regraded .......... Wi 1 excess fill be removed from premises: YES
14. Names of Owner of premises °t............:..S...... Address r'°. .... ...... Rhone No.
Nae of Architect ........... ..................... Address .............................. Rare No. ............
Name of Contractor .......... .. Address ...............................Rune No. ............
15. Is this property within 300 feet of a tidal wetland? * YES ...A.... NO ..........
*IF YES SUMM MiN T131SIInliS PE WT MAY BE'.
^-� , t 1 ( n
. 7NN �S . ort � '. `^� E. C- C`+ �w , �PCZ CVeall
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions
from property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or comer lot.
.e(E'
Sr= Or RM YORK,
.................... ...being July sworn, deposes and says that be is the applicant
(Name of individual signing contract)il
above named, /� />
Ileis time .....6w.`�r.V L....................................................................... .
(Contractor, agent, corporate officer, etc.)
of: said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this
application; that all statemnts contained .in this application are true to the best of his knowledge and belief; and
that the work will be perfonned in tlt manner set forth in the application filed therewith.
Sworntoo amore me this
1$..........d of .N.l4x ....:?00
Notary Public . .......i''.:.!. �
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MNApplicant)
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ftmftwod At SuNolsk�S
worm Expkes March 8,20 9
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