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HomeMy WebLinkAbout38802-Z �, gUEFQt,I%��G Town of Southold 9/22/2015 '' P.O.Box 1179 ` w '` 53095 Main Rd ;. y4� 0Southold,New York 11971 I 4i lk 04 CERTIFICATE OF OCCUPANCY No: 37787 Date: 9/22/2015 THIS CERTIFIES that the building DECK Location of Property: 750 Holbrook Ln, Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-6-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/15/2014 pursuant to which Building Permit No. 38802 dated 4/23/2014 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: DECK ADDITION TO AN EXISTING DECK ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Sarlott Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. " PLUMBERS CERTIFICATION DATED . '''% t rued igna re ,, gvFotTOWN OF SOUTHOLD . . ��'0I BUILDING DEPARTMENT y TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 38802 Date: 4/23/2014 Permission is hereby granted to: Sarlott Inc 1210 North Rd Greenport, NY 11944 To: Deck addition to an existing deck (single family dwelling) as applied for. At premises located at: 750 Holbrook Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 113.-6-9 Pursuant to application dated 4/15/2014 and approved by the Building Inspector. To expire on 10/23/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $300.80 CO -ADDITION TO DWELLING $50.00 Total: $350.80 A, __ _.__. Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00 Date. AUGUST 26,2015 New Construction: X Old or Pre-existing Building: (check one) Location of Property: 750 HOLBROOK LANE,MATTITUCK,NY 11952 House No. Street Hamlet Owner or Owners of Property: SARLOTT,INC. Suffolk County Tax Map No 1000, Section 113 Block 6 Lot 9 Subdivision N/A Filed Map. N/A Lot: N/A Permit No. 38802 Date of Permit.4/15/2014 Applicant: COSTELLO MARINE CONTRACTING CORP. Health Dept.Approval: N/A Underwriters Approval: N/A Planning Board Approval: N/A Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 50 ` , Ab ��pplicant ignature 1 ! ' [ 3� '� ,,�..uFs ... 27 o o,` G � , .._:. • - ,00 „ie.,,�,.0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION: . [ 1 FOUNDATION 1ST [ ] ROUGH BING [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE.& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 4%-",_l%11,L.: 0 p12-- _.„ '1 _ /,J s ftf c1.,1, APO igee 2-- r � /j DATE 1 ft 5 INSPECTOR 631-477-0184 David S. Corwin, PE corwin@optonline.net 639 Main Street Greenport, NY 11944-1431 September 17, 2015 Ms. Jane P. Costello 750 Holbrook Lane Mattituck, NY 11952 Subject: 750 Holbrook Lane, Mattituck, NY, SCTM No. 1000-113-6-9 Dear Ms. Costello: On September 17, 2015, I inspected the 17.5' by 28' deck located on the south side of the above referenced house. To the best of my knowledge the deck and the concrete piers meet all requirements of the New York State Residential Building Code. Very truly yours, } 04,411) fi 06'i''kJ'‘A David S. Corwin, PE OFNEW 1 f t ; .ma=),, 2cn006 A�OFESS D FL-: .In L ,. L I I 1 SEP 1 8 2015 BLDG DEP[ fOl'JN Or:,0H1 HOL D • • FIELD iNSPECTION REPORT DATE COMMENTS ' FOUNDATION(1ST) • • FOUNDATION(2ND) K g c4 • ROUGH FRAMING& J H PLUMBING p 0-.'. • INSULATION PER N.Y. . , H STATE ENERGY CODE , 4\ C Gloi • . 4.0,4 attevie-A 6405/e..-/c.- 4, .3.N 8 d Z-:.- / /8 /O c`/• chi . C47: ., ---V--:4-34 ADDITIONAL COMMENTS Ci) Pot uk '.`( .7 j� . eC, 32"&c a - 4350 .X 7 �' 1 • 2 • � Z m • , . c),, 2 . , . , . . . . . . . , . . . „ ” . , . • . . . 1 . , w . . . . . , , . . , . , . P-3 i ONN11:1 OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631)765-9502 Survey eicio SoutholdTown.NorthFork.net PERMIT NO. 3 C ®o_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 Storm-Water Assessment Form a 3 /y RECElly I� Contact: Approved 20 I� , Mail to: Disapproved a/c APO 1 5 2014 Phone: Expiration 6 3 ,20 BLDG DEP\ ' „lawN OF sri Building nspector APPLICATION FOR BUILDING PERMIT Date APRIL 18 , 2014 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a permit 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone 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 and in building for necessary inspections. COSTELLO MARINE CONTRACTING CORP. (Signature of applicant or name,if a corporation) PO BOX 2124, GREENPORT,NY 1194.4 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder AGENT/CONTRACTOR Name of owner of premises SARLOTT, INC. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer JANE P. COSTELLO, VP/SECRETARY (Name and title of corporate officer) Builders License No.Suffolk County License#46234-H Plumbers License No. N/A Electricians License No.N/A Other Trade's License No.N/A 1. Location of land on which proposed work will be done: 750 HOLBROOK LANE MATTITUCK House Number Street Hamlet County Tax Map No. 1000 Section 113 Block 6 Lot 9 Subdivision N/A Filed Map No.N/A Lot N/A r 2. gi late existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy SINGLE FAMILY DWELLING b. Intended use and occupancy SAME 3. Nature of work(check which applicable): New Building------------ Addition DECK Alteration--------- Repair --------- Removal---------Demolition-------- Other Work --------------------- 4. Estimated Cost$8,000 (Description) Fee $200 Application Fee+$252 Construction Fee 5. If dwelling, number of dwellingunits N/A (To be paid on filing this application) Number of dwelling units on each floor N/A If garage, number of cars N/A 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N/A 7. Dimensions of existing structures, if any: Front 14 Feet Rear N/A Depth 11.5 Feet Height 15 Inches Number of Stories N/A Dimensions of same structure with alterations or additions: Front 28 Feet Rear N/A Depth 11.5 Feet Height 15 Inches Number of Stories N/A 8. Dimensions of entire new construction: Front N/A Rear N/A Depth N/A Height N/A - Number of Stories N/A 9. Size of lot: Front 90 Feet Rear 96.43 Feet Depth 360 Feet 10. Date of Purchase 4/3/2008 Name of Former Owner CAROL KAFKA 1 l. Zone or use district in which premises are situated R-40 RESIDENTIAL LOW DENSITY 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO X 13. Will lot,be re-graded?YES NO X Will excess fill be removed from premises?YES NO X 1210 NORTH ROAD 14. Names of Owner of premises SARLOTT,INC. Address GREENPORT,NY 11944 Phone No. 631.477.1393 Name of Architect N/A Address N/A Phone No N/A Name of Contractor Costello Marine Contracting Corp. Address PO Box 2124,GreenportPhone No. 631.477.1199 15a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES X NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED, 16. Provide survey,to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO X * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Jane P.Costello,VP/Sec Costello Marine Contracting Co being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the AGENT/CONTRACTOR (Contractor,Agent, Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be ' performed in the manner set forth in the application filed therewith. Sworn to before me this /`-iii, d of on ./ 20 /y c::,/. ._. f _ E STEVENS ,r 4■1111111es Notary Public Notary Public-State of New Y' Signature of•pplicant NO.01ST6269424 Qualified in Suffollc.,Co Commission Expires I a 010 • New ``York State Department of Environmental Conservation Division of Environmental Permits, Region 1 Ah SUNY @ Stony Brook Alba 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631)444-0365 • Fax: (631)444-0360 Website: www.dec.ny.gov - Joe Mertens Commissioner PERMIT MODIFICATION July 22, 2013 Sarlott, Inc. . CIO John Costello 750 Holbrook Ln. Mattituck, N.Y. 11952 . . Re: Permit#1-4738-00175/00005 Mod. Facility: Sarlott, Inc. Property 750 Holbrook Ln, Mattituck, N.Y. SCTM#1000-113-6-9 Dear Sirs: The Department of Environmental Conservation (DEC) has reviewed your request to modify the above referenced permit in accordance with the Uniform Procedures Regulations (6NYCRR Part 621). It has been determined.that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is hereby modified to authorize: - Resize and reconfigure pool from 16'x31' to 16'x40' and rectangular shape surrounding patio to oval shape, respectively. Add retaining wall, chained link fence, concrete slab and drywell. In addition,the permit will be extended until October 14, 2018. All work must be in accordance to the six page plan prepared by Costello Marine Contracting Corp last revised 6/28/13 and stamped NYSDEC approved 7/22/13. This letter is a modification to the original permit and must be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Si ere/ , . san Ackerman Deputy Permit Administrator , cc: Costello larine Contracting Corp.,,Habitat-TW, File NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE • 1-4738-00175/00005 October 14, 2008 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental October 13, 2013 Conservation Law TYPE OF PERMIT■New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate ❑ Article 15,Title 5:Protection of Waters 0 Article 17,Titles 7,8:SPDES 0 Article 27,Title 9; 6NYCRR 373: Hazardous Waste Management ❑ Article 15,Title 15:Water Supply 0 Article 19:Air Pollution Control 0 Artide 34:Coastal Erosion ❑ Article 15,Title 15:Water Transport 0 Article 23,Title 27:Mined Land Management Reclamation ❑ Article 15,Title 15:Long Island Wells 0 Article 36:Floodplain Management 0 Article 24:Freshwater Wetlands - ❑ Article 15,Title 27: Wild,Scenic and 0 Articles'',3,17,19, 27,37;6NYCRR Recreational Rivers ■Article 25:Tidal Wetlands 380:Radiation Control ❑ 6NYCRR 608:Water Quality Certifica- 0 Article 27,Title 7; 6NYCRR 360: tion Solid Waste Management PERMIT ISSUED TO TELEPHONE NUMBER Sarlott Inc., CIO John A. Costello 631-744-1393 ADDRESS OF PERMITTEE •• 1210 North Road, Greenport, NY 11944 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER John Costello, 1210 North Road, Greenport, NY 11944 631-477-1393 NAME AND ADDRESS OF PROJECT/FACILITY • Sarlott Inc. Property, 750 Holbrook Lane, Mattituck, NY 11952 S.C.T.M. #1000-113-6-9 COUNTY TOWN WATERCOURSE NYTM COORDINATES - Howard's Branch Suffolk Southold Mattituck Creek E: 713.8 N: 4543.2 DESCRIPTION OF AUTHORIZED ACTIVITY: Install a 16' x 31' pool, concrete apron, fencing, 6' x 6' concrete apron for pool equipment, drywell and water and electrical service lines from dwelling. All work shall be done in accordance with the attached plans stamped NYSDEC approved on 10108/08. 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 4&5)and any Special Conditions(see page 2&3)included as part of this permit. DEPUTY PERMIT ADMINISTRATOR: ADDRESS Region 1 Headquarters Mark Carrara(KAF) _ SUNY at Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 AUTHORIZED SIGNATURE DATE 10/09/2008 Page 1 of 5 SPECIAL CONDITIONS • 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and/or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area'and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas. . 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. . 4. All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute.matting until weather conditions favor germination. 5. The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 100 linear feet from the tidal wetland boundary. 6. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales / silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 7. If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding performed at the earliest opportunity when weather favors germination and growth, but not more than six months after project completion. . • DEC PERMIT NUMBER Page 2 of 5 1-4738-00175/00005 NEIN YORK S I A I t UENAK[MEN r OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS • 8. Necessary erosion control measures e.g.,staked haybales,silt fencing,etc.are to be placed ' on the downslope edge of any disturbed areas. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 9. Dry wells for pool filter backwash shall be located a minimum of 100 linear feet landward of the tidal wetland boundary. . 10. There shall be no draining of swimming pool water directly or indirectly in tidal wetlands or protected buffer areas. • 11. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of, and understand all 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. • DEC PERMIT NUMBER Page 3 of 5 1-4738-00175/00005 .mac•• .v.•.•v.r•.�.v�.rr•.•.mu..v. u.•..•v.on�...r...vv..vu••r...v.. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS . Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York,its representatives,employees,and agents("DEC")for all claims,suits,actions, and damages,to the extent attributable to the permittee's acts or omissions in connection with,or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims,suits,actions,or damages to the extent attributable to DEC's own negligent or intentional acts or omissions,or to any claims,suits,or actions naming the DEC and'arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. 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 it authorize 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); b) 30 days before expiration of all other permit types. . Submission of applications for permit renewal or modification are to be submitted to: Regional Permit Administrator,SUNY @ Stony Brook,50 Circle Road,Stony Brook, NY 11790-3409 General Condition 4: Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to modify,suspend or revoke this permit in accordance with 6 NYCRF2 Part 621. The grounds for modification,suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; . b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions,orders of the commissioner,any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMIT NUMBER Page 4 of 5 1-4738-00175/00005 rven Tvr'Ir..o mi a ucrAKIMCNi yr eNVIRUNMeNIAL UUNStliVAFCVA[ION - 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. 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. . • 4. Any material dredged in the conduct of the work herein permitted shall be removed evenly,without leaving large refuse piles, ridges across or along the bed of a waterway or floodplain, deposits within any regulatory floodway, or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. ' 5. There shall be no unreasonable interference with navigation by the work herein authorized. 6. 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. 7. 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 301,502,303, 306 and 307 of the Clean Water Act of 1977(PL 95-217)provided that all of the conditions listed herein are met. 8. 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. 9. 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 Costello Marine Contracting Corp. on July 25, 2008 and . stamped NYSDEC approved on 10/08/2008. DEC PERMIT NUMBER Page 5 of 5 1-4738-00175/00005 B - _- . ---- -_ Uig , COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING • JETTIES • BULKHEADING • STEEL& WOOD PILING • FLOATS 423 FIFTH STREET • P.O BOX 2124 • GREENPORT, NEW YORK 11944 • (631) 477-1199 • FAX (631) 477-0005 April 14, 2014 i Southold Town Building Department ' PO Box 1179 Southold,NY 11971 RE: 750 Holbrook Lane,Mattituck T BLDG DEPT, SCTM#1000-113-6-9 TOWN)OF sour,i ; Dear Sir or Madam: Enclosed you will find a Building Permit Application to construct a 14'x17'111/2"extension to the existing deck. I have enclosed the following for your review: • Building Permit Application Form • Four copies of project plans • Four copies of property survey showing proposed • NYSDEC Permit#1-4738-00175/00005 • Check#1750 in the amount of$452 representing the application fee and construction fee Please note that the NYSDEC permit also allows the construction of a pool. There is no intension of constructing a pool at this time. If any additional information is needed,please do not hesitate to contact me. Sin .ly, ane P. Costello Permit Manager enclosures Map of Property Surveyed: Sept.24,2012 Deck Located June 2015 ©� "Holbrook Lane" SCT# 1000-113-6-9 r You Situate: Mattituck g's Row Town: Southold Suffolk County, NY eR O{nl ipe — I Reference Deed: �� > Liber II13-15 Page 'gill _ I Area = 0.16 acres t.,,,, block block o m turbo C curb well p N li LYL) I rn N 1 O (•••tr`" 12' 20' 24' 1 _ 20' Frame House co N $ Garage 0 —=J # 7450 56' 13.5' u 1 -�i�i�l Vl O ,�►� ,.is O 0 Co r:' 0 LC) 030'9 ii 0 .._•,.O G. I. 0 cover m z N I a. 2 O \06 � n MI 0 -1 0 � 00 w 0 0 1 - -- -5 � � M � - �o3 O J sz it N OO w z c 0 O E TY 4..a 12' , lIV0 pipe • pipe° - % '- ;lc i, Sept2 .>11t. l if.. N80037';It ,! Ai. --/ /`- t:3 cal +00,,_ 01.\ 73 Sr1-11/41 (1.,41 11 4 , HowardB,. ;',"ft' of M t i a n o ty.� , ,•, "Unauthorized alteration or addition to a survey U k �� \��_l� a 7 :t/ map bearing a licensed land surveyor's seal Is a r '` lT .� /dam' violation of section'1209,sub-division 2,of the pp NO New York State Education Law° V 4.iYV LJ '') "Only copies From the original oFIs survey marked ROBERT H.FOX with an original of the land surveyor's stamped seal shall be considered to be valid true copies" "Certifications Indicated hereon signify that this �� NYS PLS#50197 survey was of preparedraa acLand ceSu with the er r/// P 0 BOX#366 Istlng Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors Said certifications shall run only AQUEBOGUE to the person For whom the survey Is prepared, and on his behalf to the title comany,aovervnen- NEW YORK 11931 taI agency and lending Institution listed hereon,and - to the assignees of the lending Institution Certifica- - '1/4/2015 8.06,15AM Lions are not transferable to additional Institutions C\SLM\JanecostMttk2O15JULY.pro . SITE PLAN Surveyed: 09-2412 Amended: 0410-14 gip; "Holbrook L Sc ;T000-113-6-9 oryoung's ane" Situate: Mattituck ��� V-S$3�� 3Town: Southold ���E 90.0 , Suffolk County, NY easter) ''on. \I`_`�, Youngs RI oe of \ 30t W I Reference Deed: etone / Liber 11815 Page 'HI N drwa Area = 0.76 acres --- block block a ' ® curb curb well - p , 15) la I iI Lot Coverages: e i Total Lot Area = 33008 sf 20- ' z4' r �--� 1121 Wetland Area = 3068 sf 20' Adjacent Area = 29940 sf Frame House O N4 "145�e Buildings, WalksXlstinDeck ' 135' - 2226 sf or 8% of Adjacent Area u p/tv03 Proposed ® 2486 sf or 9% of Adjacent Area ® ce iiy /, Deck 0 LO 03 Ln CO G. l.O CD cover - m r..1 EL 2 Z MI o # I L -n i (1) 1 CO ® 3 CO . Z i a) o iD o _ X) ky ti2)-- f0 12 4117 ' pipe m q) pipe ` Wetlands •\ R Po Sept '12 0 .._ `�._�_--Ham- , - ,,2 N80037, r„ .„,, , ____ _. A. D* P 9 =Cvio,F:6.:Nivolr..,1:,x.:- HOWa of Mch ari 5' Bran �� ` 'Unauthorized alteration or addition to a survey V 1 K ✓� ,� .�® 'map bearing alcensed landserveyyor's SealIsa (1(� �violationof secion1209,sub-divistrI 2,of the ree ,\ �q� c .New YorkStatellon Law' �M�c� n �® °Only copies From the original of this survey marked 6Nk'D C:3\ with T origqlnol of the land surveyor's stamped '''"IL.. '�OBERT H.FOX seal shall 6e considered to be valid true copies" zNYS PLS#50197 "Certifications Indicated hereon signify that this //// survey was prepared In accordance with the by Code of Practice for Land Serves adopted P 0 BOX#366 t e New York State Association of Professional Land Surveyors Said certifications shall run only AQUEBOGUE to the person For whom the survey is prepared, and on his behalf to the title company,governmen- fig/ tel agency and lending institutlon lusted hereon,and NE YORK 11931 to the assignees of the lending institution Certifica- 4/12/2014 9'04 35AM Lions are not transferable to additional Institutions C 15LMN4/12/2 stMttk2014.pro , _ sten.3 'E f ®., -_4 IF atoitnte itle--, ./ilvi) - 7,R0,005,16-r= ii- arJ0V1Ca 6 1 7e9 X/?-lN/2"4om+7701J APPROVED AS PER FRMS •`� ?,Ah. AND CONDITIONS OF eX/3Ti.vrr, • �_ % `� PERMIT NO./*". �l4�.3r'40«1 ./ 45 saac.c. . 1 ,•,. 1 Dulf Q, ' ..fit-DAT • • L 6 ,$ 7:-.7- 1,.. .......... . 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APPROVED ASNOT-ED � ' .0' DATE: ► B.P.# Q`a b , O _CUP CV ®' k . ' NOTIFY BUILDING DEPARTMENT AT 765-1802 8AM TO 4 PM FOR THE t `;d 11.2.0CT CER :. B,, T. r FOLLOWING INSPECTIONS: �����®�� � U 1. FOUNDATION - TWO REQUIRED . ®F °CC 'FANCY FOR POURED CONCRETE ., , 2. ROUGH FRAMING & PLUMBING Siii 3. INSULATION ® 4000 Ft RETAIN STORM WATER RUNOFF • 4. FINAL - COI\ISTRUCTION MUST PURSUANT TO CHAPTER 236 BE COMPLETE FOR Ca ALL CONSTRUCTION SHALL MEET THE OF THE TOWN CODE. �+=,-,..n•c e..t., _-....OFTH COD SOF NEW Ii r a ... OT RUE _ z r' f$J 7 -4 - / ')c /7'-//1/moo DESIGN OR CONSTRr"'•% re= r.s7-/ 400'='4 e ov ,yT,•"?* isdly wi ve,ops, -41,7y ' ,12'mnz-.4c42 / a sic-..4".�..t/Az= zz,r24.954� )/vR rip A4ovL� 44F.57 .v4 5G✓/J"AVG, rip A r*JGi ..�rJon -c'I'7�;,rr�vG,• iA/57:4 c __Z. FORM _s�tace-,.1 4:›ooie oPe�r�v4, 2:70v75s, - ' . 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