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Home My WebLink About41279-Z O�g�FFOI�coG Town of Southold 2/1/2017 y P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38806 Date: 2/1/2017 THIS CERTIFIES that the building COMMERCIAL REPAIRS Location of Property: 9462 Great Peconic Bay Blvd., Laurel SCTM#: 473889 Sec/Block/Lot: 126.-5-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/28/2012 pursuant to which Building Permit No. 41279 dated 1/10/2017 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 repair to an existingbuilding uilding_(Mattituck Yacht Club)as applied for. The certificate is issued to Mattituck Yacht Club of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED AIt( ed Signature o��uFFat,r�oTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . • r 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#: 41279 Date: 1/10/2017 Permission is hereby granted to: Mattituck Yacht Club Attn: Treasurer PO BOX 1126 Mattituck, NY 11952 To: Repair a existing decking to the Mattituck Yacht Club building per DEC & Tructee permits as applied for; Replaces BP# 37822 At premises located at: 9462 Great Peconic Bay Blvd., Laurel SCTM # 473889 Sec/Block/Lot# 126.-5-8 Pursuant to application dated 1/10/2017 and approved by the Building Inspector. To expire on 7/12/2018. Fees: Total: $0.00 Building Inspe or SUFFoc� TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy • o� 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#: 37822 Date: 2/21/2013 Permission is hereby granted to: Mattituck Yacht Club Attn: Treasurer PO BOX 1126 Mattituck, NY 11952 To: repair a existing decking to the Mattituck Yacht Club building per DEC & Tructee permits as applied for At premises located at: 9462 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot# 126.-5-8 Pursuant to application dated 12/28/2012 and approved by the Building Inspector. To expire on 8/23/2014. Fees: CO -COMMERCIAL $50.00 NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00 Total: $300.00 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 farm). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swom statement from plumber certifying that the solder used in system contains less than 2110 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 eompleted 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. Fites 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. ! 2 -L! / Z New Construction: °' Old or Pre-existing Building: (check one) Location of Property: I? Z Pico G ?3,q`l Ez-U J, y�iq f� i±y c le— House LHouse No. Street Hamlet or or Owners of Property: /l�">�l�UGrc Y� Al— GGA Suffolk County Tax Map No 1000, Section , Block 5 Lot Subdivision 22 Filed Map. Lot: Permit No. ��as Date of Permit. 02_021' 1cJ Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) J / Fee Submitted: A i n pF SO(/lyolo �yc0UN1`l 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] R UGH PL13G. [ ] FOUNDATION 2ND [ ] NSULATION [ ] FRAMING / STRAPPING [ ] FINAL . [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL) REMARKS: f `401 Q� E S� amc�v DATE It INSPECTOR FIELD MSPEOMIZ N REPORT DATE COMMENTS FOUNDATION(1ST) aci FOUNDATION(2ND) ROUGH FRAAMG& y PLUMBING INSUL'ATION PER N.Y. STATE ENERGY CODE cr 4 tl w 0 %PAf fl om foregg.-,- P 4<77 K FINAL ADDITIONAL COMMENTS -y )�I7 �,5a.0� ? � � �ISUO � • ID 17 x o g z rn c fid . TOWN 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 South oldTown.NorthFork.net PERMIT NO. 3 7 �a� Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined o2 c9l ,20J Single&Separate Storm-Water Assessment Form Contact: Approved 20 13 Mail to: Disapproved a/c Phone: Expiration 120 FD u Building Inspector DEC Z 8 2012 PLICATION FOR BUILDING PERMIT Date 96-( Afi2 21 , 20 1Z_ BLDG DEPT INSTRUCTIONS T01,'N,OF MUM'D 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 wort: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 niay 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. d/j,-��z (SJ/in ur applicant or name, if a corporation) 176 � ��5� 2er9�J i ��TyUc Nf (Mailing address of applicant) /CgYL State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ��f fvJ�n Name of owner of premises1M„Q TT7TA'-VK-r ' -�, (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer FAA-i L 8JV0AJAI UJ o ^ Lo'M/moDo,� (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 which proposed work will be done: � L�z Io �PC, � MAI 7 iTv House Number Street Hamlet County Tax Map No. 1000 Section IZZ Block 45 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy C6U9 b. Intended use and occupancy VAC6-T CIAA 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing thAp lication) 5. If dwelling, number of dwelling units '`� Number of dwelling units on each floor If garage, number of cars N'.Q 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front_ — Rear Depth j/o Height Number of Stories If Dimensions of same structure with alterations or additions: Front 6-0 Ream Depth 31�—/b Height 161 Number of Stories 8. Dimensions of entire new construction: Front Rear Deptli Height Number of Stories 9. Size of lot: Front /®gSf / Rear Z/1.65,� Depth /®Z 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 2'`tC> 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO /Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect k*A Glu DV PE Addressow, rwos&3 &,?I) MArgViM6e_'f4 Z2 --19& Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES' NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT§,MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) To14N T, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, ONN(l D. BtJNCp{ Notay Public., State of New York '�- No.01 BU6185G50 (S)He is the ��,J Agent Corporate Officer etc.) �` "` "�` '` �oik "t (Contractor, C) Commission EXpli'as M0 S 1, 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 tle-co-M61-20 is I day of�co-M P/t 20_J,�_ Notary Public gnature of App leant 0 Jill M.Doherty,President �rg sorry Town Hall Annex James F.King,Vice-President ,`O� DEQ 54375 Main Road P.O.Box 1179 Dave Bergen 41 Southold,New York 11971-0959 Bob Ghosio,Jr. G Q John Bredemeyer �� Telephone(631)765-1892 ��COU�}� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7304A Date of Receipt of Application: May 13, 2010 Applicant: Mattituck Yacht Club SCTM#: 126-5-8 Project Location: 9462 Peconic Bay Boulevard, Mattituck Date of Resolution/Issuance: May 19, 2010 Date of Expiration: May 19, 2012 Reviewed by: Board of Trustees Project Description: To replace the existing columns and wood decking and repair or replace wood deck joists and wood beams for deck, repair and or replace concrete support piers and wood stairs damaged during previous winter storms. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Condon Engineering, P.C., last dated May 13, 2010, and stamped approved on May 19, 2010. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Ji . Doherty, Presi nt Board of Trustees JMD:eac Michael J.Domino, President h�� Ol0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders N Southold,New York 11971 Glenn Goldsmith y� Telephone(631) 765-1892 A.Nicholas Krupski l�COUNTV Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1305C Date: January 27, 2017 THIS CERTIFIES that the replacement of the existing columns and wood deckingand or replace wood deck joists and wood beams for deck,repair and or replace concrete support piers and wood stairs damaged during previous winter storms; At 9462 Peconic Bay Boulevard, Mattituck Suffolk County Tax Map#1000-126-5-8 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 13, 2010 pursuant to which Trustees Administrative Permit#7304A Dated May 19, 2010,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the replacement of the existing columns and wood decking and repair or replace wood deck joists and wood beams for deck, repair and or replace concrete support piers and wood stairs damaged during previous winter storms. The certificate is issued to MATTITUCK YACHT CLUB owner of the aforesaid property. Author' ed Signature New fork ate Department-of Environmentat Conservation Division of Environmental Permits, Region 1 SUNY 0 Stony Brook 50 Circle Road,Stony Brook,NY 11790-3409 Phvns: (631)4440365•Fax: (631)444-0360 , Weba te: w ,n r stov April 13, 2012 MattituCk Yacht Club PO Box 1126 Mattituck, NY 11952 Re: Application#1-4738-04100/00001 9462 Peconic Bay Boulevard, 'f M#'lce=128-5-8 Dear Sirs or Madams: Based on the information you submitted, the Department of Environmental ±Conservation(DEC) has determined that'your property is more than 100 feet from any regulated ftShwaterrands- Therefore,no pen1fitis required pursuant to the Freshwater Wetlands Apt(Article 24) and its implerrlenting regulations (6NYCRR Part 663). However be advised, fidal'Wetiands,Act(Articie 25)Jurevdlctlon extends 3� fr et from any tidal waters. Therefore,propo�i work-or construction on this site Is likely to require-an Article 25 permit. Please note that this letter does not relieve you of the'respOhsibility of-obtaining any necessary permits,or aWfevais from.ofsr agencies or-iota nuifidp es. Sincerely, Mark Carrara - Pw mit Administrator cc: Condo Engineering BOH hie AM NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facfllty DEC ID 1.4738-04140 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: MATTITUCK YACHT CLUB INCORPORATED MATTITUCK YACHT CLUB INC PROPERTY PO i30X 1126 9462 PECONIC BAY BLVDISCTM# 1000-126-5- 8 MATTITUCK,NY 11952-1126 MATTITUCK,NY 11952 (631)298-8974 Facility Application Contact: CONDON ENGINEERING PC 1755 SIGSBEE RD MATTITUCK, NY 11952 (631) 298-1986 1 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Mattituck Facility Principal Reference Point: NYTM-E: 707.3 NYTM-N: 4538.7 Latitude: 40°58'23.3" Longitude: 72°32'10,4" Project Location: 9482 Peeonie 13ay Boulevard-Watercourse- Great Peconic Bay Authorized Activity: Repair/replace existing deck, supports and roof of yacht club building in place, repair/replace existing shed in place and remove debris. All work must be in strict conformance with the attached plans stamped NYSDEC approved on 2/12/13. (CKW) DEP-ARNO Permit Authorizations Tidal Wetlands-Under Article 25 Permit ID 1-4738-0410.0100002 ' New Permit Effective Date: 2/14/2013 Expiration Date: 2/14/2418 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations,and all conditions included as part of this permit. Permit Administrator:MARK CARRARA,Deputy Regional Permit Administrator Address: NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BROOK,NY 11790-3409 Authorized Signature:, Date a/. 712ol.3 Page 1 of 5 Alk NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04100 Distribution List CONDON ENGINEERING PC Habitat-TW CLAIRE K WERNER Permit Components NATURAL RESOURCE]PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERNUT CONDITION'S -Apply to the Following Permits: TIDAL 'WETLANDS 1. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by John J. Condon(3 sheets) last revised ]/15/13. 2. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which maybe 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 damagc, 3. State May Order Removal or Alteration of Work 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 pennit,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 i. be made against the State of New York on account of any such removal or alteration. Page 2 of 5 . NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-473804100 4. State May Require Site Restoration 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 lawfully 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, 5. Precautions Against Contamination of Waters 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. 6. 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, 7. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather, 8. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area.(upland) and removed to an approved upland area,for disposal. No debris is permitted in wetlands and/or protected buffer areas. 9. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State,nor shall washings from ready-mixed concrete trucks,mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 10. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 50 linear feet from the tidal wetland boundary. 11. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag,flyash,broken concrete or demolition debris). 12. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 13. No Equipment below Apparent high Water Equipment operation below(seaward)apparent high water is strictly prohibited. 14. Area of Disturbance for Structures Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited. 15. Disturbed Areas All areas disturbed by debris removal shall be restored with plantings of native vegetation. • i Page 3 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Fachtty DEC ID 14738-04100 F-GENERAL CONDITIONS - Apply to ALL Authorized Permits: I. 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. 2. Relationship of this Permit to Other Department Orders and Deteroduations Unless expressly provided for by the Npartment, 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. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit 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. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BROOK,NYI 1790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifientions, Suspensions and Revocations by the Department The Department rescrves the right to exercise all available authority to modify, suspend or revoke this permit. 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; Page 4 of 5 i NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Faculty DEC ID 1-473804100 e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Departrnent related to the permitted activity. G. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition, Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: permittee Accepts Legal Responsibility and Agrees to Indenntification 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 the permittee's undertaking of activities 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 indopendent 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 a � 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 pdrform 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. ' _ I Page 5 of 5 IWRHMMQIIJ: FR011 OF PROPERW REPAIR OR R H"M E MSTING WED co N■SDEC 0 RESULATEDL A SHED N ` FRESHWATER . 5. - WETLAND - -cs 3.27 w� REAMS POR E71>IB M DECK CQ DAMAGED DAMAOL'D FROM,STORM. EX.COM PERS AM WOOD POM r K 4,b�` 110.0 TO RMUK5.71 ` e p AW REPLACE AWAW OR e.. M11illm Dem",jwmAm " 99M FOR EXISTM DECK. , ' REPLACi:7WO EXl87iN(3 f CONCRETE PMRS TO ROOFr J 07 � DAMAGED FROM VOftivl IN KIND,, r� � w a J �J REINSTALL MISSING DAMAGED ROOF r r r GREAT PECONIC SAY NOTE: PROPERTY LINES ARE ry APPROMMATE AND ARE BASED ON SUFFOLK COUNTY TAX WAND T SURVEY 9Y VAM TUYL 0 30 SD DATES&MF19J0. IN I ti r I r: c REV.Ili 5/13 FRAMING REV. qr :) n, p 1.is rrT a.^ S,C,T.M.DIST.1000 SEC.126 BLK 5 LOT 8 MATTITUCK YACHT CLUB ANT) (70),,!,T 1.10 9 OF coo aacx> "0*. Condon Eng1rlea dng9 P.C. 9462 PONIC BAY HLVD. ' PE10111, NQ, 1- -M-fay l I ECMATTITUCK,Mf Oram by: JJC ; o 'Y�gS I)AT r _ tea - c� , Im, ,lm WE PLAN Date:12/19112 SHEET 1 DE 3 EX.(S)2X12 ON CM PIERS SISTA NEW 2X12 LEDGER V12 o �Y N NlEVN(2)2X42 Cm. \,--E)L WOOD POST ASM NEW WOOD POST ABOVE T "� CONC.Plat BMW(m) AND NEW CONC.PIER BELOW I I S.C.T.M.DIST.1000 SEC.126 BLK.6 LOT 8 MATTITUCK YACHT CLUB l�v�An Cwryg' ng'P.C. 9482 PECONIC BAY BLVD. j hATF! V V ��nn. ••a MATTITUCK,NY Dim b JJC ,755sgeeet� y� "po"NOM)mwim DECK FRAMING PLAN Date:1115/13 """"'aoitdo"'"0`�°"''°°�" SHEET 2 OF 3 > Ek ROOF BEAM SWSON 2 MTS30 STRAPS ROOF BM TO POST %W 8M FM FROM ABOVE W MIN REPUa DECI(SLAUS,JOISTS GUOIEGT PIER70 QARM WITH 2 STAINLESS STEM SkWSN PASI I AND DECKING IN KIND H F STRAPS WrTH STAINLESS STEEL NALS OR AN APPROVED EMAL --"-� ilfJfd PENING (3)22 BEAM CONT. . . 2X WIM . ............... �- \-2XIC DJ 1?OLC. IM P.C.SONOTUBE PER #4 REEM(4 TOTAL) H r-GRADE 2XI28EW DECKING r 1071N I Ir Y MIN 2XID FJ I r O0.C. int GCONCRETE FOOTING 3 3.M I MN OW NAILER LER R94OVE EX FOOTING EK EVATiOPI WALL NEW FOOTING JOIST TO BUM CONN. CONCRETE REPAIR DETAIL REV. Ill 6113 FRAMING REV. &C.T.M.DIST. 1000 SEC.12B bLK 5 LOT 6 MAITTUCK YACHT CLUB J dc —Fu L Scale:N.T.S. Condon Engineedng, P.C. 94M PECONIC BAY BLVD. 11 , MATMCK NY Drawn by. JJC iraasq Pad DECK REPAJ R D DaW:12)IW12 SHEET 3 OF!3 � Town of Southold - Chapter 236 - Stormwater //Management � ®" SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) AP CAT NAME: Owner-Agent- onsultan Contractor or Other(Circle One) Property OWNER:[If Different than Applicant) Application)- AP. , >v0 E �� C G'l�ug � Address: 5 0?4A.D MA�T"�UC� �9rZ Addre r® 3Gx ?rC� 4 !� Te one#:zqg 198� F #: `2��' r Telap ne#: Fax#: i E-Mail: i Property ddress Brief Description of Construction Activity,Proposed Structural BMPs,Soil G 63� . A G f% f 9� Stabalirafion BMPs,Project Scope and/or Sequence of Construction.Activity s.0 .M.#: 10605 tProu de add conal Pa D[strld Semon Block Let l�(Ji4//L � pos a9 Neer�Oj Nene of Contractor and/or Contact Person Responsible for Implementation of SWPPP: /NST-� F-d�iJ_� �1/i _/✓rte t�_.1.._� /^�� Address: Telephone#: Fax#: E-Maih. Y—O.. P�C�K-_10- _0_V__4 Name of Persons Responsible for Installation 8 Maintenance of Erosion Control Prac ire. /) r-- �P� _ 2 J e--4,T-------- l Address: Telephone#,. Fax#k --------------------------------------------- E-Mail: -------^-_-_ _-_----....---.---------E-Mail: --------------------------------^------..w___ i- a i ------------------------------------------- i Total Area of All Total Area of Land Cleanng Project Parc&: d COa5P1 andiorGround Mturbance. ------------------------------- (SFlAcesj (SF fA�sj .'�...,.•"'-____...____ ' Start End --------------------------------- .- -. --- ' Pro)ectDuration: /l �PQ� M.-_. (Anticipated) 60 Date: Date p i ACIP&A F7 ___ __-.__._..---.._.--__---_.__....._.. ..__.----.-_----- twm,00r�caendo,00ysl ; Will this Project Disturbe five(5)or More Acres at Q i Any One Time During the Proposed Development? Yes No ----------------------..___._-__---------------- 1fYES,Please Answer the Followingl --........_,,.._.,w-.,._.-.._M-.__^_._,.-^..._.__......._....._..___.._ a. Does the Applicant have a Qualified Inspector On Staff To Conduct the Required Inspections? Yes No ; b. Does the SWPPP Indicate Htwr Frequently the Site = Q List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No _.._ ------------------------------0� -��LV. BAY c. Does the SWPPP Adequately Identify All Temporary �] Q _ and/or Permanent Soil Stabalization Measures? Yes No d. Does the SWPPP Adequately Identify a Complete - --- -- - - ----- I Project Phasing Plan? Yes No Status of Impacted Waterbody:leg.TMDL,303(d)Listed,Impaired.-) e. Does the SWPPP Indicate Additional Site Specific Practices that Will be Utilized to Protect Water Quality? Yes No f. Has the Applicant Submitted a Completed DEC Notice Type of Impacted Waterbody:(eg.Lake,Creek,Day.Pond,Sound,Freshwater Wetland...) Of Intent and SWPPP Acceptance Form for Review = 0 j I by the Town of Southold? Yes No A I STATE.OF NFW YORK, Notary ary u Bic,State of Now York COUN'T'Y OF...........................................SS deo.01 BU6185050 I Qualified in Suffolk County�D/(, That 1,... �?�...`......3-...��:!��^0...........................being drily sworn,deposes and says t ffi9?Mfi@l9r6 ex$�1 licanL"for^Fferl�tit,— (Name of individual signings Document) And that he/she is the ............�(Q1Cr..C..G......... ... ..... ....... .............................................................. i I . . .................... ... ....... .. (Owner,Contractor,Agent,Corporate Officer,eta) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed.the said work and to I 4 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 herewith. Sworn to Fbefo�rep^me this; I '-` day of.�...--.�el ...._..,20.0 Notary Public: ..`'VY.�.. ......... �. .............. .......... . .._ ... . ... ........... Of I SWPPP Assessment FORM: 03-12 01/01/2012 08:28 FAX Ij001 Condon Engineering, P.C. New York Mate Licensed ProVessionsl EnginGere 1755 Sigsb"Road e31,2�8-1988 Matlituck,Now York 11982 Fax 639,288.2651 Fax Cover Sheet DATE: 2-1;—>t,// MME: TQ: /� PHONE: PAI— FAX: �lo.S qyb2- FROM: John J. Condon, P.E. PHONE: 631-298-1886 Number of pages including cover*host: f� message: 7p6 Oec 04 t,) Pic, vp 7�5 &u14-0•^' � m �� D E C E W E FES 2 0 2013 BLDG DEPT. TORN OF SOUTHOLD Southold Town Building Department P.O.Box 1179 Permit#: 37822 53095 Main Rd y Southold,New York 11971 Permit Date: 2/21/2013 (631) 765-1802 Expiration Date: 8/23/2014 Parcel ID: 126.-5-8 BUILDING PERMIT RENEWAL LETTER Dated: 12/9/2016 Applicant: Condon, John Location: 9462 Great Peconic Bay Blvd, Laurel Work Description: COMMERCIAL REPAIRS repair a existing decking to the Mattituck Yacht Club building per DEC & Tructee permits as applied. for A FEE OF $250.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Mattituck Yacht Club Address: Attn: Treasurer PO BOX 1126 Mattituck,NY 11952 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. OF SO!/T�®l � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G ® Q Southold,NY 11971-0959 �Q a NTY,� January 12, 2017 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mattituck Yacht Club Attn: Treasurer PO Box 1126 Mattituck NY 11952 TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy. Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (for lighting) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT - 41279 — Deck Repair i 3 �� &� P� ��r�� a g o � �� P � �� _� �,. �G�t`°- t'��' ,cy' �. _ �_„ ,.F� ... m � �' � � �� .: � � � � �� 4 r'i "'"��,, Y�, �'�' �I � �' �� ? ,� -.fig x � �i,5 � < � ,f ,p` yg ,�. r !'� 4�m� C i C- ,51 tiu ssa - � �Fi.. VW1R1tle Jo N!_dttLx Ot w�tna T v tl "` ILK"w71O++wwwr ihi+ayv rOrc sort COM,of MsEEaat•- t C i'C • ,w ( _ IM!"-V SUSvm-_�__5,••%fa Qo w N U TO sT - _ J Q.3 s � � r'�,�-'�..� ///Q� aa:rvze�s�^t-_•r_�!;:.:`:fxz'_. P..P.i w:Z y�F,�,�F•�.u' "• W z i fA •I ai:E T.^.Mv.%g7.iw"Hi--�•-`-,'�•p v-' n ownTu-t 4•s:4vrt_.:ca Su:se,;r- / MAP of 3 ` f �a s"� svaysvco v� - rT ATtTUCK YeIC.HT �LLSB AT - o ' s`� a J SUFFOLK CGI:hjTY�t�!Y - a 3 tyr �taic o X ' r ��_`,• _o.aT�t-� '°oN s9`s4 ao'�: : - ' 8g�� `r' Guvrarteed tc the Tatle c=_, �--A. !L:V J•)�_ ._�_ ac.-�-t wed~Na.w M&! Ca -� S79-0514003%s 05'4003% /- REMOVE DEBRIS FROM _ - REAR OF PROPERTY REPAIR OR REPLACE EXISTING SHED NON, _ _ _ 00 NVSDEG . 00 ` REGULATED _ SHE® NrNo FRESHWATER 5. WETLAND - Cn 3.2fl REPLACEDECKING,J0lSTSAND 4 _ ®4®�� BEAI4MS FOR EXISTING DECK DAMAGED DAMAGED FROM STORM. uo C �v EX.CONC.PIERS AND WOOD POSTS CS Q AV. OREPAIRAND REPLACE-DAMAGED OR i CIA- _ v--.MISSING-DECKING,JOISTS AND- -1-4rBEAMS FOR EXISTING DECK ' L - 11.6' REPLACE TWO EXISTING COL)jMN., , CONCRETE PIERS TO ROOF ODAMAGED FROM STORM IN KINDS REINSTALL MISSING SOM&REPAIR APPROVED A ' I / DAMAGED ROOF- ATE B '� '� FEE �BY / � Q►►,�° �) " 4 � , RNOTIFY BI : DING DEPARTME;KY AT - 765-18 �yfv9 TO 4 PM-fOR,THE�„_aaa� FO C�bQ1Ij4F, INSPECTIE S ATION MOOT `� FOR Pj TWO REQUIRED d ^ � A"" ��,. I O' }�3 OUREb CONCRETE Aft fate, 2 ROUGH FRAMING,PLUMBWG— D ; p \11 STr3A--; RNG, E ECTRICAL &CAULKING Co 3 4KSULATION _ /,4 FINAL-CONSTRUCTION &ELECTRICAL MUST BE COMPLETE FOR C 0 NOTE,. PROPERTY LINES ARE _ ALL CONSTRUCTION SHALL MEET THE APPROXIMATE AND ARE BASED ON REQUIREMENTS OF THE CODES OF NN SUFFOLK COUNTY TAX MAP AND "FpA °jr- YORK STATE NOT RE ONSiBt€FOR SURVEY 8Y VAN TUYL o �� r .. DESIGN OR CON TRUCTION ERRORS. DATES812617950. - REV.1115113 FRAMING REV. S.C.T.M.DIST.1000 SEC.126 BILK.5 LOT 8 MATTITUCK YACHT CLUB Scale:1"=30' Condort Eng;inee1,ing,P.C. 9462 PECONICBAY BLVD- Drawn b JJC ,mss Ria MATTITUCK,NY Y� Ma .r4ewv«xa19sz (Ml)33-IM(6M)29&251W SITE PLAN Date:12119/12 ""m=ndmegms&°'g.mm SHEET 9 OF 3 EX.(3)2X12 ON CONC.PIERS SISTER NEW 2X12 LEDGER (2) -- _o _o C c;- cm - N N N T T z Z N�{PV(3)2X12 COI�I�'. EX.WOOD POST ABOVE NEW WOOD POST ABOVE CONC.PIER BELOW(M) AND NEW CONC.PIER BELOW 19 S.C.T.M.DIST.1000 SEC.126 BLK.5 LOT 8 MATTITUCK YACHT CLUB Scale:1"=IV Condon-Engineering,P.C. 9462 PECONIC BAY BLVD. _ MATTLTUCK,NY Drawn by: JJC 1755 ��;;� tMl)29"90 a1631)2W2MIfax DECK FRAMING PLAN Date:1/15/13 n� . SHEET 2 OF 3 EX.ROOF BEAM 2•SIMPSON MTS30 STRAPS,ROOF BEAD TO POST NEW RAILING' 36"MIN: NEW 8X8 POST FROM ABOVE 36"MIN ' REPLACE DECK BEAMS,JOISTS CONNECTPIER TO GIRDER WITH 2 STAINLESS STEEL SIMPSON PA61 AND DECKING IN KIND STRAPS WITH STAINLESS STEEL NAILS OR AN APPROVED EQUAL 4" IN PENING (3)2x12 BEAM CONT. 2X NAILER 2X10 DJ @ 12"O.C. w -H I-- 12"OJ P.C.SONOTUBE PIER #4 REBAR(4 TOTAL) (3)2X12 BEANS GRADE DECKING I-1 I I-TI I 3"MIN JSECTION A-A 2X10 PJ @ 12"O.C. 36"X36"X12"CONCRETE FOOTING p °N �p � �- 3'-0:0000" 3"MIN NAILER REMOVE EXE FOOTING& ELEVATION INSTALL NEW FOOTING OF N Zkj 'JOIST TO SEAM CONiV. CONCRETE REPAIR DETAIL ' � o��-�\ [ / A.r REV. S.C.T.M.DIST; 1000 SEC. 126 BLK.5 LOT 8 MATTIT,UCK YACHT CLUB Scale:N.T.S, Condon Engineering, P.C, 9462 PECONIC BAY BLVD. 1765 81sbeeRoad MATfITUCK,NY Drawn by: JJC MalBtuck,NevtYctk1"52 (831)2#t3.1988(831)28&2851fox DECK REPAIR DETAIL Date:12/19/12 www.comionengineering.com SHEET 3 OF 3