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Home My WebLink About23029-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OOuumANCY No E--24552 Date AUGUST 6~ 1996 THIS CERTIFIES that the building Location of Property 340 ROBINSON ROAD House NO. County Tax Map No. 1000 Section 34 Subdivision AL'£mRATION GP. EENPORT~ N.Y. Street Hamlet Block 5 Lot 13 Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated E~PTEMBER 13~ 1995 pursuant to which Building Permit No. 23029-z dated SEPTEM~RR 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 ALTerATION TO EXlSTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID M~RZ (owner~ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTB APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-376826 -- L~uRUARY lg 1996 Building Ins~ctor/ FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPAI~TMENT TOWN HALL SOUTHOU), N.Y. NC_` BUILDING PERMIT lTl-IlS PERMIT MUST BE KEPT ON THE PREMISES UNllL FULL COMPLETION OF THE WORK AUTHOR D) ................... ;)3029 Z at premises located at .............................................................. CounlyTax Map No. 1000 Section ........... ...~....~.~Y Block .............. : ........... LotNo. /::K,,,..,,.~. ................... pursuant to application dated .............. .~,/,~., ...... 19.....~'....~-,'_,.,, and approved by the Building Inspector.~_...__. ~ Fee $.....~..~.... ........... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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-disposaI(S-9 form). 3. Approval of electrical installation from Boar(! of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 o£ ]% 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 Plannil~g Bosrd Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate snrvey of property showing all prnperty lines, streets, building and uousual natural or topographic features. 2. A properly completed application and a consent to inspect signed by tile applicaut. If a Certificate of Occupancy is denied, tile 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 dwe]liag $25.00, Swimming pool $25.00, Accessory building $25.~0, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - 3. Copy of Certificate of Occupancy - . .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $~5.00 Date ~g!i.~ ~.~996 New Construction ........... Old Or Pre-existing Building ................. 34OROBI~SON ROAD G~EI~ORT, ~.Y. Location of Property ......................................................................... House No. Street 'Hamlet DAVID~E1/Z On, er or Owners of Property .................................................................. County Tax Map No 1000, Section .... ~ ........ Block.. 5 .... Lot 13 Subdivision .................................... Filed Map ............ Lot ...................... Permit No .... ~i~ ..... Date Of Permit..~ ....... Applicant..~!~.-l~..P~. ................. Health Dept. Approval .......................... Underwriters Approval ......................... Plam~ing Boa rd Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ...... ,2.5...0.0 .................. CO ~-~'~ q ~.0~ APPLICANT FIELD INSPECT[ON REPORT DATE FONNDAT ION (ISl') FOUNDATION (2ND) 11 ROUGH FRAME & [[ PLUMBING tl [NSIII.ATION PER N. Y. STATE ENERGY CODE FINAl. ADDITIONAl. COMMENTS: .5 PERMIT Under the Environmental Conservation Law E FFECTIV[ D^T[ rlarch 21, 1989 June 30, 1991 Article 15, Title 3; 6NYCRR 327, 328, 329: Aquatic Pesticides Article 15, Title 5: Protection of Water -- Article 15, Title 15: __ Water Supply Article 15, Title 15: Water Transport -- Article 15, Title 15: __ Long Island Wells -- Article 15, Title 27: __ Wild, Scenic and Recreational Rivers [--~-1 6NYCRR 608: Water Ouality Certification [~-~ Article 17, Titles 7, 8: SPDES ~'-~ Article 19: Air Pollution Control* -- Article 23, Title 27: __ Mined Land Reclamation -- Article 24: __ Freshwater Wetlands N--New, R--Renewal, M--Modification, C--Construct (*only), O--Operate (*only) ~--~ Article 25: Tidal Wetlands ~---'~ Article 27, Title 7; 6NYCRR 360: Solid Waste Management* r-----1 Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management -- Article 34: __ Coastal Erosion Management -----] Article 36: Floodplain Management ~ Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUEDTO David Merz Capri Court, Dix Hills, NY 11746 AGENT FOR PERMITTEE/CONTACT PERSON Roy Haje, En-Consultants~ Inc. NAME AND ADDRESS OF PROJECT/FACILITY (If differ~t from Permitt~) Robinson Road~ Greenport Sterling Creek I Suffolk DESCRIPTION OF AUTHORIZED ACTIVITY TELEPHONE NUMBER Southold jUTM COORDINATES Construct 150± linear feet of stone revetment alonq the Sprin~ Hiqh Water Line of Sterling Creek and construct an irreqularly shaped wood deck attached to an existinq one story house in accordance with attached plans entitled "Proposed Stone Revetment for David Herz"~ sheet 1 of 1~ dated March 13, 1989. ' GENERAL CONDITIONS By acceptance of this permit, the permitlee aRrees that the permit is contingent upon strict compli- ance with the ECL, all applicable regulations and the conditions specified herein or attached hereto. 1 The permittee shall file in the office of the appropriate regional petmR admm~strator, or other office desisnated in the special conditions, a notice of intention lo commence PERMIT ADMINISTRATOR George A. Danskin ADORESS 50 Holf Road, Albany NY 12233-1750 i Page I of pleted, the owners, shall, wtthout expense to the State, and to such SPECIAL CONDITIONS 20. Plantings of intertidal marsh grasses must be completed by June 30th of the year in which the revetment has/will be constructed. 1088-0935 I Page ~ of :' THE NEW YORK BOARD OF FIRE UNDERWRITERS ~':~: ~ ~-~¢~ BUREAU OF ELECTRICITy ~ 85 .JOHN STREET, NEW YORK. NEW YORK t0038 o~y t~ el~trtc~ ~uipment ~ ~cril~ be~w a~ int~uc~ by t~ appl~an t ~med on the a~e applic~t~n nu tuber in the p~m~es o~ Lot DRYERS i SWITCHES RANGES COOKING DECKS S E R V I A. W G, NO` OF HI.LEG OF CC COND. OVENS DISH WASHERS EXHAUST FAN~ NO. OF FEE'r A.W O NO OF NEUTRACS OF~'~O~,L OF HI-LEG G.F,C,I:-2 JIM SA:,e, hI,E., '[NC, LIC, #36 55 ~g GENERAL MANAGRR Fhis certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT RE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUND'ATION 1ST [ ] FOUNI:I~ATION 2ND [ ~/~RAMII~IG [ ] ROUGH PLBG. [ I~NSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. IINSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL DATE/~,~ / ' / / BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENI SEPTIC FORM ............. : TOWN HALL TEL.: 765-1803 Disapproved a/c ....................... , .~/~. .......... /? ( .dingInspector) . NOTIFY CALL ................ MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap cation. c. The work covered by tins 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 per~ 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 Occupm shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ 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. RICHARD SAETA GENERAL CONTRATOR INC (Signature of applicant, or name, if a corporation) 4 BOOTLEG ALT.F?/ GREI~.NPORT NY 11944 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or build GF21ERAL C01flIL~Ur0R (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No... 1.3. Q8.6..H.I. ............... Plumber's License No ......................... Name of owner or premises ...P~..~.P.. ........................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Electrician's License No. 3.6.3.5..E. ................ Other Trade's License No ...................... I. Location ofland on which proposed work will be done ................................................ 370 ROBINSON ROAD GRF, ENPORT House Number Street Hamlet County Tax Map No. 1000 Section ....... .~...~. ....... Block ..... ~ .......... Lot ...... (5 ........ 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 . . . .R~..I.D..EI~...A.L ...................................................... b. Intended use and occupancy . .R.E.S.I.D..I~. · .34'. ...................................................... 3. Nature of work (check which applicable): New Building . ' .... Addition .......... Alteration . XXX. ..... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ...$..~:999.-.°9 .......................... Fee ...................................... " (to be paid on filing this application) 5. If dwelling, number of dwelling units...~A. .......... Number of dwelling units on each floor...~g4 ........... If garage, number of cars ..... ~A. ................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... ~A. ............. 7. Dimensions of existing structures, if any: Front .... NA ......... Rear .............. Depth ............... Height . .NA ........... Number of Stories ...... NA ................................................ Dimensions of same structure with alterations or additions: Front ..... ~A. .......... Rear .... N.A. ............ Depth .......... n.~l .......... Height .......... na .......... Number of Stories ...... na .............. 8. Dimensions of entire new construction: Front .... HA. .... ..... Rear ..... I~ ........ Depth . .N,~ ........... Height NA .. Number of Stories NA 9. Size of lot: Front .... fiAMB .............. Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. I 1. Zone or use district in which pre~nises are situated , 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~0 ............................ 13. Will lot be regraded . .~Q ........................ Will excess fill be removed from lyr~n~jses: Yes ll[o 14. NameofOwnerofpremises .DAV..ID.I~I~ ......... Address ...3'/..0.RP..BBRTSON.DR.~o'.477~}~.604 ....... Name of Architect.. ?.3: ...................... Address ................... Ph~l:t~ NO.._.~ .......... Name of Contractor .R.I..C~t~...R~..S...kE~. ,~. ...........Address .G.R.~: .~.0..RT. ......... Ph~N~.~.~..1633 ...... [5. Is this property located within 300 feet of a tidal wetland? *Yes ...~. No ..... *If yes, Southold Town Trustees Permit maybe required. ,' :.'~ i ~ PLOT DIAG1CtM ,,~ ' Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from >roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. ATTt~CHED PLANS ;TATE 6F N~ ...... ~ g..e~ .~..J...:..--~t.c.. ~ ./. m..~ ......... being duly sworn, deposes md says that he is the applicant ' (Name of indMdual signing contract) bore named. {e ~s the gent, corporate officer, etc.) *f said owner or ownem, md is duly authofiz~ perfom or have perfo~ed the said work and to m~e md file t~s pplication; that ail statements contorted ~ this application are tree to the best of his ~owledge and belief; and that the ~ork will be perfomed in ~e m~ner set for~ ~ the application filed therewith. ,worn to before me t~is/At / ~ota, Publi~ ~.~~ County ~ ~1~ ~ of N~Y~ No. ~795~ I