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Home My WebLink About21427-zFORM NO. 4 TO~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23739 Date JUNE 28, 1995 THIS CERTIFIES that the buildin~ ALTERATION & ADDITION Location of Propert~ 485 EAST LEGION AVENUE MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 3 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated mY 18, 1993 ~ursuant to which Building Permit No. 21427-E dated ~%Y 20, 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATION AND ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N345173 PLUMBERS CERTIFICATION DATED JUNE 15, 1995 JAMES E. KLEIN~ (owner} N/A }{ARCH 13, 1995 MCBHANES PLUMBING Inspector Rev. 1/81 TOWN OF SOUTFIOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_~T? 21427Z Permission is hereby granted to: ...4 .............................. ~ .............. .~....~ ..... ...~....~.L /./.x ....... ~;~.~....~..~: ....... ................ ............. ,o ...i~.~..C..~/~.......~....~....~ ....... .~..b.........~T..~_..:..~....~.~ ................... ..... ~.~.;~..E~ ....... .../..~ ~../:.~.. ...... .~.~~ ......... ~c...~C~.~....~ at premises located at .................. ,.//.~, .~...,~,.,.,.,,~.~'~..,..,.,,.~.~,../.~,, .-~......./~..~..~...: ........................... ...... ~. ~.~ze ~ ...z.,. ~/~/~..._*...~z..~ ............ Ca~n~ To× ~op No. lO00 Sectio...../~ ........... mock ...... ~ ........ 'Lot No. ~P pursuant to application dated ............. ~.~... ............................ , 19.~...'-~.., and approved by the Building Inspector. Rev. 6/30/80 TOWN OF $OUTIIOLD BUILDING I)EPARTHENT A. This application must be ~illed in by typewriter OR ink and submitted to the bnilding iuspector %4ith tim follow, lug: for new building or ne~ 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 H9~lth Dept. of water supply and sewerage-disposal(s_g form). 3. Approval of electrical installation from Board of Fir9 Underwriters. 4. Sworu statement fromlplumber certifying that the solder used ie system contairs less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences.and similar buildings 6. Submit Plan,lng Board Approval of completed site plan requirements. 8. F~r existing buildings (prior to April 9 1957) non-conforming uses, or buildings and · Pre-existing" land uses: 1. Accurate survey of property st]owing all proper~y lines, streets, building and nnesual 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 Occupaecy - New dwelllng $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Suinuning pool $25.00, Accessory buildieg $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy ou Pre-existing Buildlne - 3. Copy of Certificate of Occupancy - $20.00 4 Updated rt~cate of Occupancy - $50.00 · Ce '~ ' 5. Temporar~ Certificate of Occupancy - Residential $15.00., Commercial $15.00 House No, Street Hamlet Onwer or Owners ,.,f Property ............... County Tax Hap No I000, Section ........... Block ............. Lot ....... Subdivision .................................... Filed Map ............ Lot ........ Permit No ~/~7 ~ .Date Of Permit ~ .......... t~ppllc;nt... Health Dept Approval ' ' ......................... Underwriters Approval ......................... :'lanni,g Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate ........... ~ee Submitted: $ ....... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Edward Z. Wronsk¥, Jr. Hills Station Road Southampton, NY 11971 May 26, Re: James Klein - TM#1000-122-3-28 Prem: 485 East Legion Avenue, Mattituck NY 1995 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file./ (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21427-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. TRUSTEES John M, Bredemeyer, III, President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 June 1, 1993 Edward Z. Wronsky, Jr. Hills Station Road Southampton, NY 11971 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 RE: James Klein SCTM ~1000-122-3-27 & 28 Dear Mr. Wronsky: The following action was taken by the Board of Trustees at their regular meeting of May 26, 1993: RESOLVED that the Southold Town Board of Trustees approved the request for amendment to permit ~3929 to reduce the deck and reconfigure plan within foot print as per plan dated April 30, 1993 and approved by DEC. Also to extend this permit to expire on July 21, 1994. If you have any questions, please do not hesitate to contact this office. President, Board of Trustees JMB: j md cc: Building Dept .V L ~UND~TIO:! ~OUGH FRAME & ·PLUMBING (2nd) ~SUL'ATION PER N. STATE ENERGY CODE FI;IAL -4738-00316/00001-0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATIOi~ PEBMIT Under lhe Environmental Conservation Law (ECL} EFFECTIVE DATE March 4, 1992 EXPIRATION DATE March 31, 1996 TYPE OF PERMIT (Check All Applicable Boxes] [] Permit to Operate [~JRenewal ' J~JModification J~]Permit to Construct - J------J Article 15, Title 5: I I Protection of Water j'~J Article 15, Title 15: Water Supply J-'---'J Article 15, Title '15: Water Transport [~ Article 15, Title 15: / Long Island Wells F----] Article 15, Title 27: Wild, Scenic and Recreational Rivers "---] 6NYCRR 608: Water Quality Certification [~--J Article 17, Titles 7, 8: SPDES ~ Article 19: I Air Pollution Control J-----J Article 23, Title 27: Mined Land Reclamation '[--'--q Article 24: - Freshwater Wetlands [--'7---I Article 25: I ×1 Tidal Wetlands J------J Article 27, Title 7; 6NYCRR 360: Solid Waste Management J------J Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management ~--] Adicle 34: Coastal Erosion' Management [----~] Article 36: Floodplain Management [~---] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control F----] Other: PERMIT ISSUED TO James B. Klein JTELEPHONE NUMBER · (516) 351-8508 ADDRESS OF PERMITTEE Bouton Place, Huntington, .I~ 11743 CONTACT PERSON PeR PERMITTED WORK Land Use Co., 2576 Sound Ave., Baiting Hollow;, NY J TELEPHONE NUMBER 11933 . (516~ 727-2400 NAME AND ADDRESS OF PROJECT/FACILITY East Legion Road, Matt/tuck LOCATION OF PRO/ECTJFACILITY SCTM I000-122-03-027 & 028 COUNTY J TOWN/C~a~:E J WATE RCOURSE/WETLAND NO. NYTM COORDINATES Suffolk Southold James Creek E__ N:4 DESCRIPTION OF AUTHORIZED ACTIVITY " Construction of a 30' x 40' extension to an existing single family dwelling, a wood deck along the seaward side of the addition and I10 linear feet of timber retaining wall with a 20 foot return. Approximately 500 cubic yards of clean fill will be used as backfill. Ail work shall be in accordance with plans stamped NYSDEC Approved on March 3, 1992. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special Conditions included as part of this permit, Christine J. Costopoulos JJegion !. oizl~a~. 40 S .~--~.~-~ . C-.--~'-~~ T 3/4/92 Page l of5 ~DEPARTMENT OF THE ARM~ NEW YORK DISTRICT CORPS OF ENGINEERS. JACOB KoJAVITS FEDERAL BUILDING NEW YORK. N.Y. 10278-0090 Section JUN SUBJECT: Joint Application with New York State Department of Environmental Conservation MS. Tanya Lachenmeyer/Land Use Co. C/O Mr. James E. Klein 2576 Sound Avenue Baiting ~ollow~ New York 11933 Enclosure CF: NYSDEC Dear Ms. Lachenmeyer: We have received a copy of the Joint Application for a Permit which you recently filed with the New York State Department of Environmental Conservation. Based upon the information contained in your Joint Application Form, it does not appear that a Department of the Army permit will be requi~ed for your proposed work. Accordingly, we are herewith returning to you the copy of the Joint Application for a Permit and any supporting documents. Please be advised that a Department of the Army permit is required for construction activities in, over or under any navigable waters of the United States or for the discharge of dredged or fill material into all waters of the United States, including coastal and inland wetlands. If your ~roposal is modified to include work within Department of the rmy jurisdiction, you should contact this office immediately so a~etermination of permit applicability can be made for your proposal. Sincerely, ~ a ert 0 ~ ~ ~ /d_~e~ W. H gg y . . ~ief, Eastern Permlts Section N New York State Depa~mentof Environmental Consewatlon Building 40--SUNY, Stony Brook, New York 11790-2356 ,(516) 751-1389 FAX (516) 751-3839 ¥ Thomas C. Jorllng Commissioner James E Klein 2 Bouton Place Huntington, NY 11743 ~ENDMENT TO PERMIT RE: Permit No. & Location: 1-4738-00316/00001-0 past Legion Rd.. Mattituck .e~ 1000-122-03-027 & 028 Former Permit # (if any): Owner: above March 30, 1993 I 8 1993 Dear Mr Klein, Your ~e~~eetto~~~,9.r.~.has be%n rev--~wed pursuan~o / - ' ' . '"expiration date is extended to . . -- re~v ewYOU--r recent request to modify the above permit has been ed pursuant to 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 amended to authorize: construction 6fa~roxi~atel~ 10' X 16' addition to living space in an area. of previously approved deck. 3' X 20' stairway t~ grade. SPECIAL CONDITION : No additional deck8 will be approved in the area directly north of the 10 This letter is an amendment to the original permit and as such, shall be posted at the job site.' AIl other terms'&~d conditions remai~ as w~itten in the original permit. cc: Very truly yours, 95-20~ (10/90)--25c 1-4738-00316/00001-0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATIOh~ PERMIT Under the Env!ronmental Conservation I. aw (ECL1 EFFECTIVE DATE March 4, 1992 EXPIRATION DATE March 31, 1996 J TYPE OF PERMIT (Check Ae Applicable Boxes) I J~New J'--J Renewal J'--JModificaBon [[]Permit to Construct [] Permit to Operate ['~-~ Article 15, Title 5: Protection of Water [--~ Article 15, Title 15: Water Supply [-'---~ Article 15, Title Water Transport [--'---] Article 15, Title 15: /! Long Island Wells ~ Article 15, Title 27: Wild, Scenic and Recreational Rivers -----] 6NYCRR 608: Water Quality Certification ~-~--I Article 17, Titles 7, 8: SPDES ~--] Article 19: Air Pollution Control ~-"-"--'1 Article 23, Title 27: Mined Land Reclamation Article 24: - Freshwater Wetlands ~-~--I Article 25: Tidal Wetlands ~--~-] Article 27, Title 7; 6NYCRR 360: SOlid Waste Management ~--~ Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [--~ Article 34: Coastai EroSiorr Management [---1 Article 36: Floodplain Management '-----]Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control -- Other: PERMIT ISSUED TO ~ J TELEPHONE NUMBER James E. Klein J (516) 351-8508 ADDRESS OF PERMITTEE Bouton Place, Huntington, .NY 11743 CONTACT PERSON FOR PERMITTED WORK Land l~se Co., 2576 Sound Ave., Baiting Hollow;~:NY 11933 TELEPHONE NUMBER (516) 727-2400 NAME AND ADDRESS OF PROJECTiFACILITY East Legion Road, Mattituck LOCATION OF PROJECT/FACILITY SCTM 1000-122-03-027 & 028 Suffolk Southold James Creek E: ,__ N:4__ DESCRIPTION OF AUTHORIZED ACTIVITY "~ Construction of a 30' x 40' extension to an existing single family dwelling, a wood deck along the seaward side of the addition and 110 linear feet of timber retaining wall with a 20 foot return. Approximately 500 cubic yards of clean fill will be used as backfill. Ail work shall be in accordance with plans stamped NYSDEC Approved on March 3, 1992. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special Conditions included as part of this permit. Christine J. Gostopoulos ~e~o~ ~. oB~aS. 4o AUTHORIZ SIGNATURE ~ ~_ ~ton~,--I~, T-OAT~ j GENERAL CONDITIONS 1. The permitted site or fpcility, including ~elevant i'ecords, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Depa?tment) tO deterr~lne 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). 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. Failure to produce a copy of the permit UPon, mquest by a Department represent, ative is a violation of this permit. Permii Changes' and 'ReneWals 2. The Department reserves the right to modify, Suspend or revoke this permit when: a) the scope of the!permitted activity is exceeded.or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit was qbtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or . ' d) environmental c?nditions, relevant technology, or applicable law or regulation have materiallY changed since the permit was issued. 3. The permittee must su }mit a separate written application to the Department for renewal, modifica- tion or transfer of this )ermit. Such application must include any forms, fees or supplemental Infor- mation the Departmen requires. Any renewal, modification or transfer granted by the Department must be in writing. 4. The permittee must s ,bruit a renewal application at least: a) 180 days before E xplration of permits for State Polluta.nt Discharge Elimination System (SPDES) Hazardous Wast,? Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Managem ~nt Facilities (SWMF); and b) 30 days before expiration Of all other permit types. 5. Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order o~ determination previously issued by the Department or any of the terms, con- ditions or requiremen!s contained in such order or determination. Other Legal Obligations ofi Permlttee 6. The permittee has acc6pted expressly, by the execution of the application, the full legal responsibili- ty fo[_.a!l damages, direct or indirect, of whatever nature and by whomever suffered~arlsing out of the pro~ect described {n this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from this project. 7. This permit does not qonvey to the permlttee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the Impair- ment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit, i ' 8. The permittee is respohsible for obtaining any other permits, approvals, lands, easements and rights- of-way that may be required for this project. Page 2 of ~' 95-2~6a (10/9n)-- 25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 ITitle S), 24, 25, 34, 9. That if future operations by the State of New York require an feratlon in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation 13. 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 14. thereby without expense to the State, and if, upon the expirabon or revocation of this permit, the structure, fill excavation, or other 15 modification of the watercourse hereby authorized shall not be com- pleted, 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 ali 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. 16. q0 That 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. 11 Granting of this permit does not relieve the applicant of the responsi- bility of obtaining any other permission, consent or approval from 18 the U S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required, 12 All necessary precautions shah be taken to preclude contamination of any wetland or waterway bv suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any Tidal W~t lands 36 and 6 NYCRR Part 608 ( other environmentally deleterious materials associated with the project. Any material dredged in the prosecution of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of ~ waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. There shall be no unreasonable interference w~th navigation by the work herein authorized. If upon the expiration or revocaUon 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 ali or any porUon 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. [f granted under Article 36, th~s permit does not signify in any way that the project will be free from flooding. If granted under 6 NYCRR Part 608, the NYS Department of Environ- mental Conservation hereby certifies that the subject proJect will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed hereto are met All activities authorized by this permit must be in strict conformance with the approved plans submitted bV the applicant or his agent as part of the permit application. Such approved plans were prepared ,by Land Oge Co. 4/]/91, NYSDEC approved on3/3/92 . SPECIAL CONDITIONS 1. 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 tidal wetlands or protected buffer area. 2. The storage of construction equipment and materials shall be confined to within the project work site landward of the approved retaining wall. 3. Prior to the ultimate expiration of this permit the permittee will cause all fill and exposed faces to be vegetated to prevent erosion. 4. A row of staked haybales shall be placed directly seaward of the approved retaining wall location. 5. Driveway and parking areas shall be constructed of pervious material. 6. Roof runoff shall be directed to drywells a minimum of 40 feet landward of the retaining wall. DEC PERMIT NUMBER 1-4738-00316/00001-0 PROGRAM/FACILITY NUMBER Page 3 of 5 95-20-6f (7/87)--25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Articie 25 (. Tidal Wetlands 7. Ail fill shall consist of "clean" gravel and soil (not asphalt, slag, flyash, broken concrete or demolitsion debris). 8. There shall be no disturbance to vegetated tidal wetlands as a result of the permitted activity. 9. Ail repairs to existing structures shall be confined to replacement of existing structural elements with no change in design, dimension, or materials, unless specifica!!y authorized herein. 10. To protect the values of the tidal wetland, a pe'r'manent vegetative buffer area must be established in the area between the approved retaining wall and the tidal wetland line as shown on the approved plan. There shall be no disturbance to topography in this area and no fill shall be placed seaward of the approved retaining wall. This area may be planted with Bayberry (Myrica pensylvanica), Beech Plum (Prunus maritima) and Rugosa Rose (Rosa ru~osa) on 6 foot centers. Once plantings are installed there shall be no mowing or other disturbance to vegetation in this area or use of fertilizers or irrigation equipment. 11. Vegetation planted within the area 30 feet landward of the approved retaining wall must be drought resistant species of grasses or shrubs which do not require use of fertilizers. No use of fertilizers or irrigation equipment is permitted in this area. 12. Construction of the retaining wall must be completed prior to placement of fill behind it. 13. The permittee may construct one 4 foot wide wooden stairway down the face of the retaining wall, and maintain one 4 foot wide path for access to the existing pier. Supplementary Special Conditions (A) thru (J) attached. DEC PERMIT NUMBER 1-4738-00316/00001-0 FACILITY ID NUMBER Page 4 of 5 EDWARD ZIGMUND WRONSKY, JR., AIA Rle.~s. tered.4rchitect - States of New York attd NeW Jersey; NaCre. al Couttcll of .4i'chitectural Reg~tratt~n Bo~ Ce~ified Hills Station Road Southampto~~ ,~ NewYork 1.~968 516.283.2896 April 30~ 1993 BO~D OF TO~ TRUSTEES 53095 ~afn Road ~ ~' '~ ~'ig~ I 8 1993 $oughold, ~ 11971 Re: Permit ~3929 SGTM ~1000-122-3-27 On behalf of my client, James E. Klot~? ~ am r~questing a modification of permit ~3929. Tho enelosod si~o plan [~6~erak~ tho proposod chango in th~ f~6tprint of eh*' bu~dfng. ~xeope for th~ structure will not be any closer to th~';,wetlands than tt ts on the approved sit* .plan. I believe that the permit expires on J~ If, 1993. Is it possible to extend the d~adline for completion? If.so, pl~a~e'/~ofis~der th~s letter a request f6r ~uch an Thank you for your consideration. ' .Ve~_~ y yours, · cc: James E. Klein TRUSTEES John M. Bredemeyer, HI, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 July 15, 1991 Tanya Lachenmeyer Lan~ Use Company 2576 Sound Avenue Baitin~ Hollow, NY 11933 Re: James Klein SCTM ~1000-122-3-27 & 28 Dear Ms. Lachenmeyer: The following action was taken by the Board of Town Trustees during its regular meeting held on July 11, 1991 regarding the above matter: WHEREAS, LAND USE COMPANY ON BEHALF OF JAMES KLEIN applied to the Southold Town Trustees for a permit under the provisions of the Wetland ordinance of the Town of Southold, application dated May 23, 1991 and, WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on July 11, 1991 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS,-the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT RESOLVED THAT LAND USE COMPANY ON BEHALF OF JAMES KLEIN BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Combine two pre-existing, single and separate residential building plots in order to expand existing dwelling. Expansion will include 30' X 40' living area and 10' X 60' deck. A 110' timber retaining wall and 20' retaining wall will be back filled with.500 c.y. clean material to match existing grade at road and on east property line. Deck/dwelling will be located 50' landward of TWL line. This permit will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: No fees due. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jt cc: Bldg. Dept. Conservation Advisory Council file Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ..... 39.29 DATE: .3.~1~ 12, ~.9.71 Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and fha Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on .~T~]y 11 19._..91.., and in consideration of the sum of $..15.~,.0Q ~. paid by . . En~Consult.an%s o~. b.ehalf .o! Semen. ~!~ .................. of ............................................... N. Y. end subject to the Terms and Conditions li~'ed on the reverse side hereof, of'Southold Town Trustees authorizes and permits the following: Combine 2 pre-existing, single and separate res. lots in order to expand existing dwelling. Espansion will include 30'X40' livin area & 10'X60' deck. A 110' timber retaining wall & 20' retaining wall will be back filled with 500 c.y. clean material to match .. all in accordance with the defalJed specifications as presented in .~- the originating application. existing grade at road and on east property line. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a maiorlfy of said Board as of this d Authorization TERMS and CONDITIONS The Permittee ,T a.m e,s residing at 2 Bout~n Place~ Huntington 11743 H.Y., as part of the coaslderado~ for the issuance of The Permit do~ understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or. dahns for d~msges, of suits arising directly or indireerly as a result of any oper- ation performed pursuan!t to this permit, and the said Permictee will, at his or her own expense, defend any and all such]mits inigated by third parties, and The said Permiltee assumes full liability with respect thereto, ~o the complete exclusion of The Board of Trustees of The Town of SouThold 2. That this Petroli is valid for a period of 24 mos. which is considered to be the estimated time required ito complete, the work involved, but should circumstances wan~nt, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Penntztee wishes to mamtam the strocm~e or prolect involved, to provide evidence to anyone concerned that anth- orizatlon was originally] obtained. 4. That the work involved will be subject to the inspection and approval of the Board or ifs agents, and. non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interfarence with navigation as a result of the work herein authorized. 6.-' That there shall Ibe no interference with the right of the public to pass and repass idong the beach between high pnd Iow water marks. 7. That if future operations, of the Town of Southold requlre the removal and/or alterations in the location of the work herein anthorized~ or if, in the opinlon of the Board of Trustees, the work shall cause unreesgnable obstruction to free navigation, the said Permktea will be requtred~ upon due notice, to remo? or alter *.his work or project herein stated wlthont expenses to the Town of Santhold. 8. That the said lt~ard will be notified by the Permittee ot The completion of the work auth- orized. 9. That the Permi~tee will obtain all other permits and consents *.hat may be required sup- plemental to chis parmiti which may be subiec~ to revoke upon failure to obtain same. 765-t~02 BUILDING DEPT. INSPECTION FOUNDATION xST [ ] ROUGH *PLBG. FOUNDATION ZND [ ] INSULATION [L.~RAMING [ ] FINAL REMA~_~: ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION '[ ~AL ] FIREPLACE & CHIMNEY REMARKS: ~' DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION ZND []INSULATION FRAMING []FINAL DATE ~/~//?~ ~ INSPEL~/'OR~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST []ROUGH PLBG. [ ,]/~NDATION 2ND []INSULATION [~ FRAMING []FINAL DATE ~~¢~ INSP~OR ~/ 765-1802 BUILDING DEPT. INSPE,C/ N FOUNDATION 1ST ~ ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. /- [~TIoN ZND [ ]INSULATION FRAMING [ ] FINAL REMARKS: J,~'A~)./~~ F ?,-~/ /--- DATE~/~/~ INSPECTOR Fiduciary Trust International Fiduciary Trust Company International Two World Trade Center New York, N.Y. 1004S-O772 (212) 466-4100 JAMES E, KLEIN Senior Vice President and Director of Human Resources July 13, 1995 Town of Southold Building Department Office of the Building Inspector Town Hall Southold, NY 11971 Dear Sirs, We have received a certificate of occupancy on our property (copy enclosed) for which are quite greatful. However the certificate has been issued to my mother, Kathryn Klein who has transferred ownership to me. I believe a review of the tax roles will confirm this for you. I would be very appreciative if a revised C.O. could be Please give me a call if you have any questions or require any additional information. Sincerely, THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 1205043 BUREAU OF ELECTRICITY -- 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date MARCH ~13,1995 /JpplicationNo. onfile 84162494/94 N 345173 THIS GERTIFIES THAT o~y the electrieol ~ipm~nt ~ ~scrlb~ be~ a~ i~ed by ~ ~ppl~t ~ o~ t~ ~ ~p~t~ n~ber ~ t~ p~s o~ J~S ~IN, 485 ~.~GION A~, FOL~-5, ~TTI~CK, N.Y. ~s examined o. ~CH 09,1995 a.d fou.d to be in compliance with the N~Mon.l Elect~cal Code. FIXTURE FIXTURES 51 79 DRYERS RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS OTHER APPARATUS: . MOTORS, 1-1 G.F.C.I:-ll SMOKE DET~C?OR: -2 TRACK E R V I C NO OF HI-LEG A,W.G. NO.O~NEUTRA[$ A, WG. OF HI-lEG O~ NGUYRAL 2/0 Th~RY & SON 40 MILLAND COURT NORTHPORT, NY, 11768 LIC. #1084-B GENERAL MANAGER · Pe~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials, COPY FOR BUILDING DEPARTMENT. TH $ COPY OF CER? F CATE M~ST N0~:B~A'~ERED IN AN~ MANNER, THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 [ ~.}~ ~ 77 BUREAU OF ELECTRICITY -- 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the electrical ~ulpment ~ ~scribed below a~ int~uce~ by the ap~icant ~med on the a~ve application number in the prem~es of in thefollowi.g location; ~ B~,ement ~ Ist Fl. ~ 2.d FI. 0~'}~ S~tion Bilk ~8 examined on A U G 1] S ~ 10 t 1 9 9 3 and found to be in compliance wHh the Na~'on~ Elect~cal Code. Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES SYSTEMS E OTHER APPAEATUS: E R V I C PER ~' OF CC. COND. 2 NO OF HI-LEG AWG. OF HI-LEO NO OF IqEUTRA[$ OF NEUTRAL ROSLA~ ~LECTRIC L[C,#3677E P,O.BOX 164 Per / ~lhis c.~ifi~a*e mu~ .~ be ~l~.red in ~ny m~nnor; r~urn ~o ~h~ office o~ ~he Boerd ff incorroct Inspoc~ors may bo ~.~ifi~]by COPY FOR BUILDING DEPARTMENT. THIS COPY OF CEF~T~FICA/E M~JsT~o7 BE ALTERED ~N ANY MANNER SUPPLEMENTARY SPECIAL CONDITIONS. The A. following conditions apply to all permits: If any of the permit conditions are unclear,the permittee shall con- tact the Division of Regulatory Affairs at the address and telephone noted below. A copy of this permit with supplementary conditions and approved plans shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit or a copy of letter of approval shall be protected from the weather and posted in a con- spicuous location at the work site until completion of authorized work. At least 48 hours prior, to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and understands all p~ovisions and conditions of this permit. Within one week of completion of the permitted work, the bottom portion of that form shall also be com- pleted and returned. For projects involving activities to be accomplished over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to the commencement of resumption of work each year. If project design modifications take place after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modi- fications. The permittee is advised that substantial modification may require submission of a new application for permit. Ail necessary precautions shall be taken to preclude contamination of any wetlands or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project work. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. The permittee is advised to obtain any permits or approvals that may be required from the U.S. Department of Army Corps of Engineers, NY District, 26 Federal Plaza, New York, NY 10278, (Attention: Regulatory Functions Branch), prior to commencement of work authorized herein. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242, which may be required for any encroachment upon State-owned lands underwater. Regional Permit Administrator NYS Dept. of Environmental Conservation Bldg. 40, SUNY-Room 219 Sto~y Brook,.NY 11790-2356 ( 16) 751- 8 Page S of ~ , "' I 8 Examined i'.... ..... ,19~? Disapproved a/c ...................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 _ o Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS B~AKD OF HEALTH ........ 3 SETS OF PLANS ........ SURVEY CIII2CK . ............. ..... CALL .............. ' ' a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. , b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sti'eet~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli. cation. ¢. ' 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 shall have been granted l?y 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, buildh3g code, housing code, and regulations, and to admit authorized inspectors on premises and.in b~ilding for necessary~o,~7 ///~ ./~, . - . ......... L ~,nature o~appficant, or n~me, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai ·contractor, electrician, plumber or builder. Name of owner o f premises - · (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Name and title o~ corporate officer) ' Builder's License No ................. ' ......... PI mber s Lmense No ..... . .... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ............ ltouse Number Street Hamlet County Tax Map No. 1000 Section J ~.'7__. , CO Block Subdivision Filed Map No. (Name) .............. Lot ............... 2: Stat~ existing use and occupancy of premises and intended Use and occupancy of proposed construction~ ) Additi '.~', ' ' · 3.Nature of work check w a cable: New Buildin · ~ ....... on ....... Alteration ..~. ; .. pal Re · ' - Re r ............. moral .............. Demolition 4, Estimated Cost ~ (Description) 5. If dwelling, number '~ ' (to be paid on filing this application) of dwelling units . .~. · · Number of dwelling units on each floor ...... . lC garage, number of cars } ''' ' ..... · 6. If business, commercial or m~ed occunnnev .... '~- ; ' ', ...................................... .,. 7. Dimensions of~xistin~ st~ct6r~e 'c ~--~., ~Pcun~?re ann extent of.each t~pe of use . ' .... : ~:. ~ ~ 9--~, i. any: vront. , .%~ .... o ~ - ' ...... ~. · ·, ..... ~gnt ...~ ...~ ....... N~mber of Stories ..... ~1 ..... · . :xea~ .... ........... Depth . ,~ .......... ~mf~s,o~ ~ame st~cture with alterations or additions. F~g;; .... ~b'; ........... Z ..... ~,, ............ ~eptn . .~. · ..... ~.' ~+ O_~" ' ' · '~ .......... Rear . .~. 8. o~mensmns or entire new con{traction: Front ~O ' ......... ~. · ~u~9~,r o: atones .. ~..~..~, ~ ....... ............... Kear . ~g ........... Denth ~0' Height . ~o' .... N"m ...... .. '- --.-' .. ~ ~ero~tones ....... 9. ~z~ oflot: Froht . ~& . , ~ '';~k .......... 10. o~;~st: ..... , ....... ~ear '~7. . ' ......... Date . ' .... · ........... Depth . ~.1~ .............. 12. Does proposed construction violate any zoning law, ordinance or re u . O' 13. Willlot be regraded ~ ~ ~.~ _ g lation.. D ..... . ,,~-~u~wneroxpremises ~olap¢.~ ~..[6~Address ~ ~ t~w ~ .......... ~. o~. o N~e of Architect . ~r ~ '~' .' , . ': ~ · · '~. · · * ~ ~. ~.~ ~none ~o. ~a I -.~.o~.' 15.' Is thLs property w~thtn[300 feet of a aa~ress ................... PhoneNo .............. ' tidal wetland? ~Yes. ~If yes,' Southold ITown' Trustees · t~o ......... ' Pemtt may be required. ~ , · ... i PLOT DIAG~ Locate clearly ~d distinctly M} buildMgs, Whether existing or proposed, ~d. indicate ~I set-back d~ensions from property ~nes, Give street ~d block: number or description accordMg to deed, and show street nines and indicate whether Mtedor or corner lot. STATE OF NEV~RK.t0/' ///, i ' , s.s . ..... TC . .bore namedt. amc of individual s]gning contract) 'l ....... being duly sworn, deposes ~d says that he is the applicant i m c o o a officer, etc. f said owner or owners, and is duly ~uthorized to perform or bare performed the said work andto make and file this ,plication; that all statements onta ned in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner sdt forth in th .... '^~,' ........ worn to before me this Notary Publ}o, State of New¥ork , . · . ~mi~ion E~lres D~em~ber 8, 19~ [ * · ' (~naturc of applic~t) 'ONI ',A.L'IV3~I VN3'I'IVI~ V~VO .80' Ilz I '~ °h'l .00,g~' °9 'N · ..~ ,00,~t~o9 'S DI-7 00 rea/zap J � 1 • • ' � � Fow 0161 /00, Lo7 oz5'ao2 Ot � p 0 4 o m N P 0 N 15An P L � u rp MO � ti IZI � N � Q Q�m o �2oPE,e T Y w O N S/ T UGI TE" •) G!/ATEP ELE✓gT/ON+O Op 3 ��qp NN �B 31 8g M A T o EST NiG Low/ E2 Q /U1NN � �\1 � xT2E 7'/✓.L• (./F� Q °� Sca�.E / ' 20 /�.n TE,-�EB 231 /989 n �0154 n $ Q JrUFFO�,�. 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