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HomeMy WebLinkAbout23862-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25702 Date: 05/01/98 THIS CERTIFIES that the building ADDITION Location of Property: 340 ROBINSON RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 5 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 1996 pursuant to which Building Permit No. 23862-Z dated DECEMBER 12, 1996 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 SECOND STORY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID MERZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 04/30/98 PLUMBERS CERTIFICATION DATED 04/29/98 HARDY PLUMBING Buildidd'Inspectoif Rev. 1/81 FORM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23862 Z Date ..... .. .. ./ .:.................. 199.. Permission is hereby grante ©4jo:-� .. .e. ... : . ..... . . ....�.. ................ to ..................... ... ..: .r1�i.::-� .. . ... ...... L.'.c......... atpremises located at ....................i3......l`�.. ... .. ... ............. .... .......................... ................................................................................................................................................................. County Tax Map No. 1000 Section .......... Block � .. Lot No.. ................ ........................ p� pursuant to application dated ..........................."G�.�.:5�........., 19�.� and approved by the Building Inspector. Fee $.../.� ......� � ...... .. ..................................... ... .................... Buildin I or Rev. 6/30/80 n O Form No. 6 } TOWN OF SOUTHOLD t ��R 17 I BUILDING DEPARTMENT TOWN HALL BLDG.DEPT. 765-1802 TOWN QF S UTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. . 6.. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1, Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses. $50.00.- '2. Certificate- of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - _ -?5v,1. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . rl�., , c.1 .6.. . . . . . . . . . . . . . . . . . New Construction. .•. . . . 01 Or Pre-exisAng Building...... .. .. . .. .. Location of Property.. ' 11-SOr� .. . . ......... . .. . .. House No. Street Hamlet Onwer or Owners of Property.. �� . . . .. . . .. ... . . . . . . . . . .... . . . . . " " " " " " " ' - County Tax Map No . • 1000, Section. . . . 1. . . . .Block. .. . . • . • • • .Lot. . . . . .0. . . . . . . . - • - - • Subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. .. .. .Filed Map.. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No ! �.� -Date Of Permit. !:;?J[(�A • • . •Applicant. . . . . . . . . . . . . . . . . . . . . . . . ... . . . Health Dept. Approval. . . .. . . ... . . . . . . . . . .. . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. .. . . ... . ... . . .. . . . . . . .. Request for: Temporary Certificate. . . . . . .. . .; Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . .. . . .. :.. . . . ... . . . . 04/29/98 14:07 001 TOWN or' SOSUTB!}LI) +-.(, ; ()Fr ICE.'or• z�UILWNG RMPECTOR. MAY11�3 r; � •'� . 'rower r::•.u. SOUTHOLD, N.Y. 11971 cx RT* 1F CA 7: 0rl Date J' 10 Building permit No. --�Z- Owner (p,0430 print) PI er A A v L u,,,,,,,,bti 'P-LQ-VsG print) 5 Y Certify that, tho solder used the water supply system stem Y Contains less than 2;1C of It bead. T (L"X--kn0AQ- LrV-r,-,VrQ. (plumber's signature) Swerk to befort me this 22„day of 19 • r 110tary PLblio Nota:. p1q,=iC �oUn', y EILEEN STRAN .r, NOTAFRYNO.LIC Stem COMMiiStionQualifi�in Lxpiti* 12 2000 ���gUF FO(,�coG Town Hall, 53095 Main Road y Fax(516)765-1823 P. 0. Box 1179 Telephone(516) 765-1802 Southold, New York 11971 Oy • �� �01 � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 29, 1998 Richard Saetta General Contractor, Inc . 4 Bootleg Alley Greenport, New York 11944 RE: 340 Robinson Road, Greenport, 1000-34-5-13, MERZ To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23862-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY .40.1FULTON STREET, NEW YORK, NY 10038 Date MAY 06,1998 Application No. on file 15953498/98 ICI 452823 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DAVID MERZ. , ROBINSON ROAD, GREENPORT, NY in the following location; ❑ Basement ❑ Ist Fl. KI 2nd Fl. Section Block Lot was examined on APRIL 30,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 16 10 14 16 1 3.4 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 600 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC. G. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: COMBINATION-WHIRLPOOL-1 BATH-STEAM ROOM SUPPLIED BY-1 30A GFI CIR-1 20A GFI CIR-1 PANELBOARDS:1-10 CIR. 60 G.F.C.I:-2 L L J'IM SAGE ELEC. INC. LTC.#3635-E GENERAL MANAGER PO BOX 38 GREENPORT, NY, 11944-0038 Per Thls certificate must not be altered in any manner; return to the office of the Board if Incorrect. Inspectors may be Idieptified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ! % 7 INSPECTOR 1�r l�L� Tom. v 72 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [/] INSULATION OUGH PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ��3 9 INSPECTOR �G� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ OUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: zt­ DATE INSPECTOR F (1:1:1). ill"il'Ul loll lou-mvi. 1)ATV Cul It I I`I'll, Ff)I I I I D AT I ON FOUNDATION (11-lit-lil I NO --------------- ----------------------- I ON 111--it 11 y CDD Ii" Ir I FIAL 2 ---------- nn,n -- ------------ ------ - ---------------I ADDI.T1011AL - - -------- ------------- -- -21 t -w.:,,J.353 u t:Jf FJ1OL7GFJOd4 KOL8 MECH. . P,'-��;E'-..` 02 Kolb Mechanical Corp. H"ting.and Air Conditioning 71500 Sound Avenue P.O.Box 106 Mattituck,NY 11952 516 298 5527 616 298$534 Fax . April 27, 1998 Ab Hard 7b SkgpA 7h= Rich Saetta General Contractor Inc 4 Bootleg Alley Greenport,NY 11944 RE: Merz residence Dear Mr Saetta: I have inclosed some specifications on the fire d ers that Kolb Mechanical ha!" installed in the above referenced job. Sincerely, Kolb Mechanical Corp. An lb r A �. D L d [ _ .�. APR 2 WN BLDG. DEPT F S UTHOLD � ImLIMIT 10 1-- . - na , Fir eir Model U L1 OA vertical a 1horlzontsl Top blade rivetedme to fra s Interlocking slov vindes Fusible link 1(;001' standard (replaceable) Into, it In%corner Rollformad one K.ie+ce,. steel frome APPROVED BY'THK BOARD OF SVANDARpi ---• AND AMEM.,r FOR U= IN mm VORK CRY � Cel.Yf7-UO-iA yE 1CAL MOUNT Sto 11 less.steel Nepalor 0lasure spring Lode lock Mofdflals+Standard Construction-golvonited steel O Speeification for al material per Underwr4fere� I I , LabOlbforJoe Standard for Sof sty UL111611 1910; UndNlwriters' Laboratories, Labelled for use In $l=ee .r.._. mlomer than shown In U.L.Building Materials List in dI-hour fire portltion. See d�foohed •hest tar schedule of quantity and sizes j;0jfljJZ0NTAL MOU NT ,ay LOCATION ,g% ARCHIENG. 'x DAMPER CORP. w� � NTRACT 1698 Lakeland Ave., Bohemia, U., N.Y. 11716 co 4s ` '(516)589.7431 .ii. .VAJ, I 1758 Ii l: 31 �Jl OL70FJ�JJ•r f�IJL$ fi��PS. '� • AOL IREmLIMIT U. . Fulre Model U L1 oA vertical or horizontal FREE AREA OCR) 1 , got Me(W f 1 11 Y >t A S N >t M u N N M 1 03 .N J f ,a ,_ .1 ,/ .7 .f 1.0 I.f 1.4 1•i I.t .i 2.1 t•2 3.3 All1 A .1 .1 1•f I.S 1.1 1.0 2.3 r•1 1.3 l 3.4 3.6 l.f ,2 .1 ! 1.3 1.7 2.0 1.4 2.1 3.1 3.5 1.1 : 4.1 5.0 f i i N .f .7 1.1 1.7 2.1 2.1 1.1 3.1 4.0 4.3 6.0 5.9 1.1 f f N 3 1 1.4 !.0 2.f 3.2 3.1 Ili 1.0 5.4 6.0 f 1.1 7.7 1.1 y .1 I.o 1.7 f.4 i.o 3.7 4.1 i.o s.1 f.4 7.0 .7 i.1 I.o •.� 32 1 l.! f.0 2.7 3.6 4.3 i.1 f.1 f.1 7.4 1.2 .0 1.7 lO.S Il-3 F g 1 1.3 2 2 3.1 4.0 4.f i•7 6.1 7.4 1.4 0.2 l 1i.1 i1.1 12.7 M 1 1.1 2.1 3.1 4.4 6.4 f./ 1.1 1.1 f.i 10.3 1 111.3 0;2 14.1 fS 3.111.1 13.7,1 1.1 1.0 4.1 i.4 1.1 1.1 &1 loll U.S .7 14,18 11.0 17.t is .7 1.0 3,3 I.f 3.1 7.1 /,1 Il.i 12.27.6 1.0 10.4 11.7 12.1 f 17.3 16.6 20.0 M f 2.3 t.f 3.i 1•6 L2 1.7 112 12.1 14.1 13,1 2 13.1 20.1 21A FLOW LEAKAJE S. f m 0 3 3 O •07 7 a f .01 .1 y 04 1 CLU EM H .03 •3 IV EE OI 17 f 1 Iwo 2000 24g0 1Q01 20 30 40 106071 100 200 � � ri �4�C iy z i 1, Frell AmFrlsl Ana(ci It2) $ ! itpm or dm/tt=). y , / .ERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 (Tidal Wets s ) e operations by the State of New York require an al- other environmentally deleterious materials associated with the the position of the structure or work herein authorized,or project. opinion of the Department of Environmental Conservation 13. Any material dredged in the prosecution of the work herein permitted :ause unreasonable obstruction to the free navigation of said shall be removed.evenly,without leaving large refuse piles,ridges across or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of ources of the State,the owner may be ordered by the Department to a waterway. ,move or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or 14. There shall be no unreasonable interference with navigation by the work revocation of this permit, the structure, fill, excavation, or other herein authorized. modification of the watercourse hereby authorized shall not be com- 15. If upon the expiration or revocation of this permit,the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require,remove all or any portion of the uncompleted Department of Environmental Conservation may require,remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted'structure or fill and restore the site and flood capacity of the watercourse.-No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration. 10. That the State of New York shall in'no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- _ or injury to the structure or work herein authorized which maybe caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigatioq,or for other purposes,and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage. (PL 95-217)provided that all of the conditions listed herein are met. 11. Granting of this permit does not relieve the applicant of the responsi- 17. All activities authorized by this permit must be in strict conformance bility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State of the permit application. Office of General Services or local government which may be required. 12. All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by SLOE'-�?PTar7 of any wetland or waterway by suspended solids, sediments, fuels, by Roderick Van Tuy1, P.C. cat 12/18/80 arr3 solvents, lubricants,epoxy coatings, paints,concrete, leachate or any last revised 10/28/96. SPECIAL CONDITIONS 1 . Roof runoff shall be directed to drywells a minimum of 50 feet landward of the tidal wetland boundary for immediate on- site recharge . Supplementary Special Conditions A Thru F Attached. DEC 5 DEC PERMIT NUMBER PROGRAMiFACILITY NUMBER Page of 1: SLOG-TOF S c'�v :i-" �t i N'Y 3 D E C / t .�?' 4 rs�zb' c9GCa id .{ 1 APPROVED AS PER TERb�9 t. ND CONDITI`O((NSS OF t�RQ"P. 7.fi+9LsFLS' 3iS ,-F. � PERMIT DATE ry i �<_. �r- � / 1.'y�Q� �- j 11, t r •�-+�i 4_�if i_�E�.� f��—� �. jA t % f i^•.,..'`f`i G' i �rJ; p� C �f. -- :iPi:._- ,-�,-v+ �' �G,a'tq f _r.�•r.-,� �...i^ ,� ?` ��t;t=.�t�' / aS f .,,.err 1,I y tf � ,j r`^ t_ '� y f• ^t {L'>ti 4-vi S" i—yi,_: _�% ]+ ,•`''; CZ."� �1 ��'1llfl6a J•' "^• kk rram°�,,// i �J_J_ - � � `rJz � t r�^y •.� `�.� .-( w 9 f' v vsy �x.'� `.,•+C...-'t•"__�,•,....-Y�•..�^ `--,A.,.iFa r d` n k 9�J' z+c•1' .^" �'°' "`'? i [ff+-`2 .k �_,/Tr ..t^ .a [ •*lr;,�.✓_ �._� �,,._..._.� t'au � � �,. f� 6 3^'' •� t �z��= _. __ a f'aFt is�-t�__t 4 vJ __;�1E11'A_1Z`�..n'-f1-�''-'L'• i ,_ ,r-,-� r.+�-- c r•r r_ .r,.Z sp- k.9 6 t ( ...1 1 _- ..+.,..�.;� _ :t Cam...��,., U �+.. t� �t'.�..'....�_...._....4��•. �.».-•4s�,,,, t V,I"� f .J 'r ` •t } tU.c `-k. Albert J. Krupski,President �p��$QFFU��COG Town Hall John Holzapfel, Vice President 53095 Main Road Jim King y P.O. Box 1179 Martin H. Garrell O Southold, New York 11971 Peter Wenczel `y?�Ol ��0� Telephone'(516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 29, 1996 Richard Saetta General Contractor,Inic. 4 Bootleg Alley Greenport, NY 11944 RE: David L. Merz SCTM # 34-5-13 Dear Mr. Saetta: The following action was taken. by the Southold Town Board of Trustees August 28, 1996: RESOLVED that the Southold Town Board of Trustees approve a waiver to construct a second story addition on part of existing single family dwelling as per plans dated 7-29-96. The Board requests that a 201. non-turf buffer be placed behind the bulkhead. This approval does not constitute any other approvals from any other agencies. If you have any questions, please do not hesitate to contact this office. Sincerely, President, Board of Trustees. AJK:jmd ME5 ioi;; DEC :. -• :�•„� .+,nr� ur.r'n,�u•,L'nl Uf C:Yr1KUNPICNIAL LUNJtNVA11UN l+ DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01433/00001 AmNovember 18, 1996 FACILITY/PROGRAM NUMBERS) P EMIT EXPIRATION DATE(S) Under the Environmental November 18, 1999 Conservation Law TYPE OF PERMIT I New 0 Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate 0 Article 15, Title 5: Protection 0 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management ❑ Article 19: Air Pollution 0 Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation ❑ Article 36: Floodplain Island Wells Management 0 Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER David Merz ADDRESS OF PERMITTEE 2143 Route 4 East Suite 2 Fort Lee, NJ 07024 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Richard Saetta General Contractor 4 Bootleg Alley, Greenport, NY 11944 NAME AND ADDRESS OF PROJECT/FACILITY Merz Property 37 Robinson Road LOCATION OF PROJECT/FACILITY Greenport COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Sterling Basin DESCRIPTION OF AUTHORIZED ACTIVITY Construct a 715 square foot second story addition to the existing single family dwelling. All work shall be in accordance with the attached NYSDEC approved plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS George W. HanTnarth Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE 11/18/96 11 Page 1 of 4 Ia �, DEC BOARD OF HEALTH . . . . . . 3 SETS OF PLANS ' . . . . - • - FORM NO. 1 SURVEY TOWNOF'SOUTHOLD CHECK . . . . . . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.. 765-1802 CALL . . . . . . . . . . .. . . . . .. MAIL TO : Examined 19 /. .� -- - Approved Disapproved a/c . . . . . . . . . . . . . . . . . . ;- (Building Inspector) - APP ATION FOR BUILDING PERMIT Date, .S.1996 . . . . ., 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 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 whatever until a Certificate of Occupancy sliall have been granted by the Building Inspector. 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. RICHARD SAETTA GENERAL CONTRACTOR INC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) 4 BOOTLEG ALLEY GREENPORT NY 11944 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is-_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builders;; GENERAL CONTRACTOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . ... . DAVII)F Name of owner of premises . . . . . . . L MERZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicanLis a co orat' , sign to of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . T3086 HI . '1593 P Plumber's License No. 3635 E Electrician's License No. . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -37-ft- ..`.� . . . . . . . . . . . .ROBINSON ROAD. . . . . . . . . . . . . . . . . . . . . . . . . . . .GREENPORT. . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . .34. . . . . . . . . . . Block . . . .5. . . . . . . . . . . . . Lot . . . .13, . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .RESIDENTIAL b. Intended use and occupancy . .RESIDENTIAL ... ... . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . i YX 3. Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . . . . . . .. . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . ..5Q,.QQQ..QQ . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . NA . . . . . . . . ... . Number of dwelling units on each floor . NA If garage,number of cars NA NA 6. If business, commercial or mixed occupancy; specify nature and extent of each type of use . . 7. Dimensions of existing structures, if any: Front . 78' . . . . . . . . . . Rear . .78.. . . . . . . . . . Depth . .40'. . . . . . . . . . . Height ". lf��, . . . . . . . . . . Number of Stories . ONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions'of same structure with alterations or additions: Front . .7.$1. . . . . . . . . . . . . Rear . .7.$'. . . . . . . . . . . . . . Depth . .40.. . . . . . . . . . . . . . . . . . Height . . . . . .%4'. . . . . . . . . . . . . . Number of Stories . TWQ . . . . . . . . . . . . . . . . . $. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . .85 t . . . . . . . . . . . . . . . . Rear . . . . . . . .�. . . . . . . . . . . . . . Depth . .195'. . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . .BRUCIwIMER. . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . .RESIDENTIAL. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . .NO. . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . .NO. . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises DAID MERZ . , . . . . . . . Address 37 ROBINSON ROAD. . . Phone No. 477-2604 X . . . . . . . . . . . . . . . . . . . . Name of Architect NA . . . . . . . . . . Address . . . . . . . . Phone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Contractor RICHARD SAETTA . . . . . . . Address . gREENPORT . . . Phone NoM—.1633. . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes . J. . No . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. ATTACHED ,TATE OF NEW YORK, S.S �OUNTY OF .SUUOLR . . . . . . . . RICHARD SAETPA . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) .bove na.�.ad. ieisthe . . . . . . . . . . . . . . . . . . L CONTRACTOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this .pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the rork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . :. . . .? Notary ` . . . . . .day of. . ! VXCZ,"4. . . . .. 19 lotary Public, . � . . . . . County JOYCE ICI.WILKINS Public,State of New York . . . . . . . . . . . . . . . . . . . . . . . . . . . No.4952246,Suffolk Coun Term Expires June 12,191? (Signature of applicant) n /J Q 4mv rwH p ' �rw-4►ki v 0 ki f y r" Ae vv� I .I -DI 05< x J' "t� wo LL Lf-�b�. ' c, ! I ,- INI t �y '2Y Pr ox f 4-0 (414 jwp I 1 � I , /4 '' I 41 -r, i ' pp, 2 71998 it <i (� ` IZ .�-' j .... fl�r' 6L0G.DEPT. , N F UTHOLD PIE P =RICHARD SAETTA,.I NC. 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