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Home My WebLink About22711-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold~ N.Y. CERTIFICATE OF OCCUpAN~f No Z-23732 Date JUNE 23, 1995 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 4350 CAMP MINEOLA ROAD MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 9 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 4, 1995 .pursuant to which Building Permit No. 22711-Z dated APRIL 28, 1995 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 AN ACCESSORY IN THE REAR YARD AS APPLIED FOR. The certificate is issued to RICHARD CURCIO of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 (owner) N/A //Building Inspector TOWN OF $OUTHOLD TOWN HAU. $OUTHOLD, N,Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Do~e ........................................................... 19.. . 22711 Z Permission is hereby granted to: ~~....~~..:.~:......~.~...~.~ ~ ~(~&~ ...... ~..,-.~..~......~ ................. ~~.~....,...~ ...... ~. ~ ,o...~~.~ ......... ~......~,.~ ............................................................ .... ~ ......... ~ ........ ~~.....~.Z.... ............................... ~ ................ : ........ ..~....~ ........ ~.....~ ...... ~.....:~....~.....~~ ........ ~ ...................................................................... ~~ ..................................................................-- ~, ,,~m,~, ,o~,,~, ~, ................ ~m..... ~ ~,. ~<&~ .~..... ~ .................... .............. .. ................................. ~~.~ .................................................... Building Inspector. Rev, 6/30/80 JUN 721995, TOWN OF SOUTIIOI,D BU [ LI)iN(; I)EI'ARTIIEWI.' TOWN IIAI,L 765- 1802 A. This application must be filled in by typewriter OR ink and submitted to the beilding inspector with the following: for new building or new use: 1. Final survey of property with accurnte ]ocation of ali buildings, property lines, streets, and unusual aatural or topogrz~phic features. 2. Final Approval ~rom llei~lth Dept. of wnter supply and sewerage-disposal(S-9 form). 3. Approval of eiectric~yl iustallation from Board of Fire Underwriters. 45 Sworll statement from'plumber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Co~ercial buildiug, industrial building, multiple residence~ an ~' ' . ~ and lnstallatzons,~a cert~_ficate of Code ~,-,,~ ..... d ozm~lar.bu~]d~ngs responsloie Lot the bnildlng. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) nou-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all p~operty 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-existin~ Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Co~erciai $~5.OO Date .... Ju~e 6, 199~ .................. New Construction..~ ....... Old Or Pre-existing Bnilding ................. Location of Property ..... t{,.. C~ Mineola Rd. Mattituck Itouse No. Street Hamlet Onwer O f ~ ~... Richard Cnrcio County Tax Hap No 1000, Section.. 122 · .Block. 7 .... Lot.. 2 Subdivision . ................................... Fi}ed Mnp ............ Lot ...................... ............ 'e ~"~ 4/28/95 .... Stanley J. Fliss Jr. Permit Mo. 2271~-Z . ..Date Of .rnzt ................ ~x~p~lcanc ........ Health Dept Approval ' ' ......................... Underwriters Approw~l ......................... ~lanning Board Approval .................. 'lequest for: Temporary Certificate ........... Final Certicate.. X Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 26, 1995 Mr. Stanley J. Fliss Jr. 565 Old Main Road Mattituck, NY 11952 RE: Richard A. Curcio - TM#1000-122-9-8 PREM: 4350 Camp Mineola Road, Mattituck NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22711-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION REPORT Ill)ATE FO~ATION ' (1ST) FO~ATION (2~) ROUGH FRAME & PLUMBING II II II ADDITIONAL COMMENTS: $'8° / E. -'Alien Paul d. Kelly ,12' J6~,38' OS'tV 95-206 (10/90)-- 25c DEC PERMIT NUMBER 1-4738-00530/00001-0 FACILITY/PROGRAM NUMBE RIs) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONEERVATION PERMIT Under the Environmental Conservation Law (ECL) EFFECTIVE DATE August 7, 1992 EXPIRATION DATE August 31, 1995 TYPE OF PERMIT (Check All Applicable Boxes) J-~New J--'J Renew,H [~ Modff,cat,on -- Article 15, Title 5: [-------J __ Protection of Water I I Article 15, Title 15: J-----J · Water Supply I I Article 15. Title 15: ~ Water Transport Article 15, Title 15: ['----] Long island Wells Article 15, Title 27: ~ · Wild, Scenic and Recreational I~- i Rivers ~ 6NYCRR 608: Water Quality Certification Article 17, Titles 7, 8: SPDES Article 19: Air Pollution Control Article 23, Title 27: · Mined Land Reclamation Article 24: Freshwater Wetlands Article 25: Tidal Wetlands Article 27, Title 7; 6NYCRR 360: Solid Waste Management n--~ Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [----~ Article 34: Coastal Erosion Management '----"]Article 36: Floodplain Management J------] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control MOther: PERMIt ISSUED TO TELEPHONE NUMBER Richard A. Curcio ( ADDRESS OF PERMITTEE BOX 522 Mattituck, NY 11952 CONTACT PERSON FOR PERMITTED WORK Marietta Fogerty 1375 Fourth St., New Suffolk, NY TELEPHONE NUMBER 11956 I J NAME AND ADDRESS OF PROJECT/EACILITY C~rcio Property 4350 Camp Mineola LOCATION OF PROJECT/FACILITY Mattituck Suffolk J Southold J E' __ N 4 DESCRIPTION OF AUTHORIZFD ACTIVITY Replace an existing (7'x 245 deck and add a new (14'x 1~) portion. Constnlct a second story deck (15' x 14 1/2'). Place a (10' x 10') utility shed. All work shall be in accordance wit2% the attached NYSDEC approved plan. APR - 4 1995 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 Reverse Side) and any Special CDeon~tionsinclu~ed as part ofthis permit. puny Req~ona± PERMITADMINISTRATORDavid DeRidder J ADDRESS August- 7, 1992 Page I of 4 GENERAL CONDITIONS Inspections 1. The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an a~Jtl~orized 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 ordbr the work suspended pursuant to ECL 71-0301 and SAPA 401(3). A copy of this permit, including a.II referenced maps, drawings and special conditions, must be available for inspection by the DepaCtment at all times at the project site. Failure to produce a copy of the permit upon request by a Dep~rtment representative is a violation of this permit. Permit Changes and Renewals 2. The Department reservbs the right to modify, suspend or revoke this permit when: 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 thb permit was issued. 3. The permittee must submit a separate written application to the Department for renewal, modific~.- tion or transfer of this permit. Such application must include any forms, fees or supplemental infor- mation the DepartmentI requires. Any renewal, modification or transfer granted by the Department must be in writing. 4. 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 Managemel~t Facilities (SWMF); and b) 30.days before expiration of all other permit types. 5. Unless expressly providpd 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, con- ditions or requirementd contained in such order or determination. Other Legal Obligations of Permittee 6. The psrmittee has accepted expressly, by the execution ~f the application, the full legal responsibili- ty for all damages, direct or indirect, of whatever nature and by whomever suffered, arising out of the project described id this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from this project. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impair- ment of any rights, title,!or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is respon¢ible for obtaining any other permits, approvals, lands, easements and rights- of-way that may be required for this project. Page 2 of 95-20~a [t 0/901-- 25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5}, 24, 25, 34, 36 and 6 NYCRR Part 608 ( ? That if future operations by the State of New Yor~( require an al- teration in the position of the structure or work hereto authorized, or if, in the opm]on of the Department of Environmental Conservation 13 it shalJ cause unreasonabJe 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 14, thereby without expense to the State, and it, upon the expiration or revocation of th~s permit, the structure, fill. excavation, or other 15 modification of the watercourse hereby authorized shat] not be com- pleted, the owners, shall, without expense to the State, and to such extent and ~n such t~me and manner as the Department of Enwronmental 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 De made against the State of New York on account of any such removal or alteration. 16 10 That the State of N~w York shall in no case be liable for any damage or injury to the structure or work herein authonzed which may he caused 17 by or result from future operations undertaken by the State for the conservation or Improvement of nawgatlon, or for other purposes, and no dram or right to compensation shah accrue from any such damage 11 Granting of th~s perm*t does not reheve the applicant of the responsl- hdlty of obtaining any other permission, consent or approval from 18 theUS Army Corpsof Eng,neers, US Coast Guard, New York State Office of General Services or local government which may be required 12 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 pro~ect. Any material dredged in the prosecution of the work herein permitted Such approved plans were prepared by R, C'~cio on 8/6/92 SPECIAL CONDITIONS Any debris or excess material from construction of this project shall be completely removed frc~ the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands. No decks, accessory structures, or additions will be permitted without further approval from the Department. Supplementary Special Conditions (A) thru (J) attached. DEC PERMIT NUMBER 1-4738-00530/00001-0 Page 3 of 4 ,ES ALSO UE 'P inod '3 'D TOWN OF SOUl FORM NO. 1 TOWN OF SOUTHOLD 9',_!,.L~?'", ' :r.p.~r~TMENT, ...... ,~'OWN HALL SOUTHOLD, N.Y. 1197~1 TEL.: 765-1802 Examined ..... .~..~. ..... 19 .~.~- ' .... 19 .P=itNoi ............ Approved .... ~ - - m; 7/1 ~ Disapproved a/c ..................................... BbX~o-o~ .~^tra ........ _~ ~rs or r~a.s ........ 'SURVEY ................. CIIBCK .................. :-" SEPTIC FORH ............ -' . , ', . ~ , (~fig Inspect' or) APPLICATION FOR BUILDING'PERMIT , ': ' "Date,l~ , ': INSTRUCTIONS ., .,,qprc/ z/- /? a. This application must be con~pletely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to sdhedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sti'eet or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appk cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc' shall have been granted bY the B.ailding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th. Building Zone Ordinance of the Town of Southbld, .Suffolk County, New York, and other applicable Laws, Ordinances o 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 admit authorized inspectors on premises and in building for necessary inspections. · ............ -- . (Signatur~ df ai~licant, or nam~ if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai, contractor, electrician, plumber or builder. .' .... t ................................................ . .......................... d A. C ' Name of owner of premises ........ ia, (' .... ,.. 6u ¢'.C ! .0 ....... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Name and title of corporate officer) "' ' ' Builder's License No .... /e~d.. ?~.~...~...~...-~..... Plumber's License No ....... . ........ . .......... Electnc~an s hcense No ....................... Other Trade's License No... .................... Location of land on which proposed work will be'done....~..~..O.. C~;J')'}]2....~..~'~l.~O.A...~g ......... House Number Street Hamlet Cotmty Tax Map No. 1000 Section .. J;~'.. ......... Block ...... ~... '... Lot ....... (~. .......... Subdivision ' Filed Map No Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction! a. Existing use and occupancy . .'. ! .......... , ......... b. Intended use and occupancy . '...S,~tj~. · 3. Nature of work (check which {pplicable): New Building .... Addition .......... Alteration ....... Repa/r .............. Removal. ............. , Demolition .. Other Work...- ..... ' ' scription 4. Estimated Cost ..... ~ . ......... Fee ............................... , " (to be paid on filing this application) 5 Ifd b fd Iti ~ ii N mb . welling, hum er o we n un s ............... n er Of dwelling units on each floor .. ........... · Ifgarage, numberofcars ... i ............ · · If business, commercial or mixid ify .... . occupancy, spec nature and extent of each type of use ............... , ..... 7. ~xmenstons of existing structures, if any: Front ....... ~ ....... Rear .......... . ..... Depth .............. Height .......... Nwa',- ...... · . · . Dimensions of shine structure v)ith alterations or additions: Front ................. Rear ........... ~D..e~t_h~_...... ~.... :.. ......... .i" Height ....... ; '-'m"' ....... ,.. Number of Stories .......... '. '. .. 8. ~mten~,ons et e~llu~r,e n~v,~onstruction: Front..../.~' ........ ; Rear.../,n~. [ ........ De th . .( ~ It ". Height : .'Z~'~..~..~.... Number of Stories O,~ ~ P ~ ........ 12. Does proposed construction violate any zoning, law ordinal{ce or .... '~+.'--. ~'-'"" 13. wax lot be re reded . , · ' ........ ,,, ~,, g ~ . 't~'~'I 'iq ...... ; ......... Will exgess fill be removed from premises: Yes Name of Architect ........... i,. ....... '.. Address ..... .... ~ , . , ......... Phone No ........ 15, 19 this property wtthxn 300 feet of a tidal wetland? *Yes. ~ ,,,~ ' · If yes, Southold Town Trustees Permit may be require~.~''''''' ~ .......... .... ' PLOT DIAGRAM Locate clearly and distinctly all property tines. Give street and block interior or corner lot. STATE OF'NEW YORK, .'S.~ COUNTY OF ................. (Name of individual signin~ contrac'ti ...... being duly sworn, depose9 and says that he is the applicant ~bovc named. :Ie is the . .. ........... . ... .... ', ' '. ' { .(Contractor, a~ent, cor~porate officer, etc.) ~f said owner or owners, and is duly ~uth~orized to perform or have performed the said work and to make and file this tpplication; that all statements contained m this application are ~rue tO the best of his knowledge and belief; and that the ,york will' be performed in the manner set forth in the application filed therewith. ' ' ~worn to before_zm_~/this .......... ?'~. ...... F'~ ....day of....~..' ...... 19, ?.'~ . N.otaryPublic, S~ate of New York , ,, " ' ~/ ' ~-'"' '--z' ' ;;,:/ ............ ~o. 4952246, Suf~lk Counw . . . b/ ' t~lgnature of applicant) . term Expires J~ne $2, I0~"- ' buildings, Whether existing or proposed, andl indicate all set-back dimensions from :umber or description according to deed, and show street names and indicate Whether ,,