HomeMy WebLinkAbout25969-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27003 Date: 03/22/00
THIS CERTIFIES that the building ADDITION
Location of Property: 1500 HYATT RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 50 Block 1 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 2, 1999 pursuant to which
Building Permit No. 25969-Z dated AUGUST 24, 1999
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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR &
AS PER ZBA #4733.
The certificate is issued to VITO A & JULIE CARNEVALE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Authoril Signature
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 25969 Z Date AUGUST 24 , 1999
Permission is hereby granted to:
VITO A CARNEVALE
15 KEITH COURT
CENTERPORT,NY 11721
for
CONSTRUCTION OF PORCH ADDITION AS PER ZBA APPLICATION #4733.
at premises located at 1500 HYATT RD SOUTHOLD
County Tax Map No. 473889 Section 050 Block 0001 Lot No. 007
pursuant to application dated JUNE 2 1999 and approved by the
Building Inspector.
Fee $ 75 .00
Auth r ed Signature
ORIGINAL
Rev. 2/19/98
-- ,
Form No. 6Po
4 U
TOWN OF SOUTHOLD S -
i 2 7 2D ! BUILDING DEPARTMENT
TOWN HALL
765-1802
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 17 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 Buildine - $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 . . 3 .. 27 -, o20C7a. . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . . . . .1.5.00. . . . Xle� -T? /PO D SOU !b�� Nr �/97/. . . . . _ . . , .
. . j.
House No. Street Hamlet
Onwer or Owners of Property.. . .. . . . . . . . .. . . . . ... I . . . . . . .", . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . .a 5�. . . . . .Block. . O UO . . . . . . .Lot. . �J�7. . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . .
�� 96g
Permit No. . . . . . . . . . . . . . .Date Of Permit. . . . �. . .��,� . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .. .Underwriters Approval. . . . . . . . . .. . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. ". . . . . . . . .
/pG
Fee Submitted: $. . ?. .-�-. . . . . . . . . . . . . . . . . .
6Z . S�ivfo7 . . . . .. . ..°�. . . . . . . . . . .
C 0 a 0 03 APPLICANT
o��SUFFO��-c
Town Hall,53095 Main Road p� OGy�� Fax(516)765-1823
P.O. Box 1179 W Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
March 24, 2000
Mr. & Mrs . Vito Carnevale
P.O. Box 1222
Southold, NY 11971
RE: 1500 Hyatt Rd. , Southold. 1000-50-1-7 .
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)
XX 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.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 25969-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
_r.'LD INSPECTION REPORT DATE COMMENTS
1
it [:
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FOUNDATION ( !ST)
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FOUNDATION (2ND)
------ - ----`-----`-------------- --�---_--_`------------
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ROUGH FRAME S
PLUMBING
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INSULATION PER N. Y. It mZ
STATE ENERGY n
CODE p n
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FINAL u
----_ ADDITIONAL COMMENTS:
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Page 2 - August 18, 1999
ZBA Appl. No. 4733 -Vito and Julie Carnavale
Parcel 1000-50-1-7 at Southold
district (see recommendations of the Suffolk County Soil & Water Conservation District).
5. The difficulty has not been self-created.
In considering this application, the Board deems this action to be the minimum necessary and
adequate to enable the applicants to enjoy the benefit of a new one-story porch, while preserving
and protecting the character of the neighborhood and the health, safety, welfare of the
community.
RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Chairman Goehringer, it was
RESOLVED, to GRANT the variance, as applied for.
VOTE OF THE BOARD: AYES: MEMBERS GOEHRI R, NI IO i 0 CSLLINS AND
HORNING. This Resolution was duly adopted (5-0
GERARD P. GOEHRIf GER
CHAIRMAN
For Filfng about 8/24/99
APPEALS BOARD MEMBERS
Southold Town Hall
Gerard P. Goehringer, Chairman =� d�q 53095 Main Road
James Dinizio, Jr. " P.O. Box 1179
N
Lydia A.Tortora .+ Southold, New York 11971
Lora S. Collins y ���1Sa ZBA Fax (516) 765-9064
George Horning j' Telephone(516) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINAT ON
REGULAR MEETING OF AUGUST 18, 199
Appl. No. 4733 - VITO &JULIE CARNAVALE 1000-5 )
STREET & LOCATION: 1500 Hyatt(Private) Road, Southold \
DATE OF PUBLIC HEARING: August 18, 1999
FINDINGS OF FACT
PROPERTY FACTS/DESCRIPTION: The applicants' property consists of 40,894.89 sq. 'in area
with 104.12 ft. frontage along Hyatt Road at Horton's Point, Southold. The lot is improved with a
single-family, two-story frame house and wood platform-stairs leading to the L.I. Sound as shown
on the survey updated by Joseph A. Ingegno on May 11, 1999.
BASIS OF APPLICATION: Building Inspector's July 7, 1999 Notice of Disapproval citing Article
)WII, Section 100-239.4A of the Zoning Code with respect to a proposed six ft. extension for a
porch at the west side of the dwelling with views of the L.I. Sound. The Zoning Code requires a
minimum 100 ft. setback from the top of the bluff. The applicant's existing setback is 31 feet at its
closest feet and a setback of 25 feet is proposed for the six-ft. porch extension.
AREA VARIANCE RELIEF REQUESTED: Applicant requests a Variance for a 25 ft. setback fr
top of the bluff (15 ft. from the Coastal Zone Hazard Line), for construction of a si (6) 6�
extension for one-story height reconstruction (to allow a new enclosed porch at the west of
the dwelling).
(No other areas are noted in the Notice of Disapproval, which is the basis of applicants' request.)
REASONS FOR BOARD ACTION. DESCRIBED BELOW: Based on the testimony and record before
the Board and personal inspection, the Board makes the following findings:
1. Grant of the area variance will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties because the six ft. extension is proposed to be
constructed over an existing concrete area, and limited to one-story height.
2. The benefit sought by applicant cannot be achieved by some method, feasible for appellant to
pursue, other than an area variance because a major part of the dwelling already exists within the
100 ft. setback range.
3. The requested area variance is not substantial.
4. No evidence has been submitted to show that the proposed deck extension would have an
adverse effect or impact on the physical or environmental conditions in the neighborhood or
guFFOL _
Hall
Albert J. Krupski,President �yO�O C�Gy 53095 Main Road
James King,Vice-President 5 P.O.Box 1179
Henry Smith w x Southold,New York 11971
Artie Foster
Ken Poliwoda X41 0\� Telephone(516) 765-1882
Q( T Fax(516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DETERMINATION OF NON-JURISDICTION
DATE: May 14, 1999
AGENT: APPLICANT: Vito & Julie Carnevale
ADDRESS: ADDRESS: 1500 Hyatt Rd.
Southold, NY 11971
PHONE: PHONE: 765-3768
RE: SCTM# 1000-50-01-07
The Southold Town Board of Trustees reviewed the survey dated and received in our
office on 5/14199 and determined that your proposal to
Construct an open porch behind the Coastal Erosion Line as
indicated on survey dated May 11, 1999. A1Vp
to be out of the Trustee Wetland Jurisdiction under Chapter 97.
However, any activity within 75' of the Wetland line requires a permit from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to call.
Sincerely,
Albert J. Krupski, Jr.
President,Board of Trustees
AJK/Ims
APPEALS BOARD MEMBERSo��SpFF�0( tV
Southold Town Hall
Gerard P. Goehringer, Chairman
h't' Oy 53095 Main Road
James Dinizio, Jr. Cz P.O. Box 1179
CIO
Lydia A.Tortora %X- Southold, New York 11971
Lora S. CollinsO �4� n ZBAFax 516 1809
516) 765-9064
George Horning 1 >� �r Telephone ) 765
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS DELIBERATIONS AND DETERMINAT ON �'
REGULAR MEETING OF AUGUST 18, 199 ��,,rtl..,
Appl. No. 4733 - VITO &JULIE CARNAVALE 1000-5 '�1� _
STREET & LOCATION: 1500 Hyatt (Private) Road, Southold
DATE OF PUBLIC HEARING: August 18, 1999 4z
FINDINGS OF FACT <%
PROPERTY FACTS/DESCRIPTION: The applicants' property consists of 40,894.89 sq. % in area
with 104.12 ft. frontage along Hyatt Road at Horton's Point, Southold. The lot is improved with a
single-family, two-story frame house and wood platform-stairs leading to the L.I. Sound as shown
on the survey updated by Joseph A. Ingegno on May 11, 1999.
BASIS OF APPLICATION: Building Inspector's July 7, 1999 Notice of Disapproval citing Article
XXIII, Section 100-239.4A of the Zoning Code with respect to a proposed six ft. extension for a
porch at the west side of the dwelling with views of the L.I. Sound. The Zoning Code requires a
minimum 100 ft. setback from the top of the bluff. The applicant's existing setback is 31 feet at its
closest feet and a setback of 25 feet is proposed for the six-ft. porch extension. ;��
AREA VARIANCE RELIEF REQUESTED: Applicant requests a Variance for a 25 ft. setback
top of the bluff (15 ft. from the Coastal Zone Hazard Line), for construction of a si Ewoi
extension for one-story height reconstruction (to allow a new enclosed porch at the west
the dwelling).
(No other areas are noted in the Notice of Disapproval, which is the basis of applicants' request.)
REASONS FOR BOARD ACTION, DESCRIBED BELOW: Based on the testimony and record before
the Board and personal inspection, the Board makes the following findings:
1. Grant of the area variance will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties because the six ft. extension is proposed to be
constructed over an existing concrete area, and limited to one-story height.
2. The benefit sought by applicant cannot be achieved by some method, feasible for appellant to
pursue, other than an area variance because a major part of the dwelling already exists within the
100 ft. setback range.
3. The requested area variance is not substantial.
4. No evidence has been submitted to show that the proposed deck extension would have an
adverse effect or impact on the physical or environmental conditions in the neighborhood or
Page 2 -August 18, 1999
ZBA Appl. No.4733 -Vito and Julie Carnavale
Parcel 1000-50-1-7 at Southold
district (see recommendations of the Suffolk County Soil & Water Conservation District).
5. The difficulty has not been self-created.
In considering this application,, the Board deems this action to be the minimum necessary and
adequate to enable the applicants to enjoy the benefit of a new one-story porch, while preserving
and protecting the character of the neighborhood and the health, safety, welfare of the
community.
RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Chairman Goehringer, it was
RESOLVED, to GRANT the variance, as applied for.
VOTE OF THE BOARD: AYES: MEMBERS GOEHR R, NI IO �fOf 6LLINS AND .
HORNING. This Resolution was duly adopted (5-0 /
GERARD P. GOEHRII GER
CHAIRMAN
For Filing about 8/24/99
gi►FF014, _
Hall
Albert J. Krupski, President �y.O�O C�Gy 53095 Main Road
James King,Vice-President a P.O.Box 1179
Henry Smith y = Southold,New York 11971
Artie Foster
u-
Ken Poliwoda vp�,� Telephone(516) 766.1892
Fax(516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DETERMINATION OF NON-JURISDICTION
DATE: May 19, 1999
AGENT: APPLICANT• Vito & Julie Carnevale
ADDRESS: ADDRESS: 1500 Hyatt Rd.
Southold, NY 11971
PHONE: PHONE: 765-3768
RE: SCTM# 1000-50-01-07
The Southold Town Board of Trustees reviewed the survey dated and received in our
office on 5/14/99 and determined that your proposal to
Construct an open porch behind the Coastal Erosion Line as
Indicated on survey dated May 11, 1999. i4fJ0
to be out of the Trustee Wetland Jurisdiction under Chapter 97.
However, any activity within 75' of the Wetland line requires a permit from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to call.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJKfims
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE; July 7. 1999
TO Vito& Julie Carnevale
PO Box 1222
Southold N.Y. 11971
Please take notice that your application dated June 1, 1999
For permit to Construct a porch addition at
Location of property 1500 Hyatt Road, Southold
County Tax Map No. 1000 - Section 50 Block 1 Lot 7
Subdivision Filed Map # Lot #
Is returned herewith and disapproved on the following grounds ; Pursuant to Article XXm Section
100-239.4A which states... Notwithstanding any other provisions of this chapter, the following
setback reQuirements shall apply to all buildings located on lots adjacent to water bodies and wetlands:
A Lots adjacent to Long Island Sound. Fishers Island Sound and Block Island Sound. rAmended
11-24-1992 by L.L. No. 20-19921
(1) All buildings located on lots adjacent to sounds and upon which there exists a bluff or bank
landward of the shore or beach shall be set back not fewer than one hundred (100) feet from the top of
such bluff or bank... proposed project is within 100 (one hundred) feet of top of bluff.
Authorized Signature
765-1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[✓]/FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: L
t
r/
DATE �d d INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE .3,AV� INSPECTORG
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE "_INSPECT70"
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] ,FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
r
REMARKS: SIC
,4p
0
DATE 1 NSPECTOR
BOARD OF HEALTH . .. . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK .. . . .. . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . .. . . . . . . . .
SOUTHOLD. N.Y. 11971
TEL: 765-1802 NOTIFY:
CALL . . . . . . . . . . . . . . . . . .
Runmired...... ........... 19 MAIL/I MAIL TO: . . . . . . . . . . . . . . . . . .
Approved-•--$��. ......, 19a� Permit No. .r�..5.1 i`: ................................
rr ll Q
Disapproved a/c .... F.�k45.. ... ........... ...PA.1 2':l ................
.......................................... . .........
(Building to
m
� . 2
l .DE2 . APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . 19
OUINOLO
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector
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
gtreets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part c
this application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
4 d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sr
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 anry purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS BMW MALE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Comity, 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. Tose applicant agrees to comply with all applicable laws, ordinces, ildinmg de
, housing co , and
regulations, and to admit authorized inspectors on premises and in buildingw.for s tions.
(Signature of applicanmt, or name, i corporation)
(Mailing address of applicant)
State whether applicant is wiper, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil
VUIA
........... �-'e......................................................................................................
Name of owner of premises ...Y/nq....!+:... KL/� C'fhi2�F✓ -E:r.........................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nam and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
ElectriciansLicense No. .....................
Other Trade's License No. ....................
I. location of land on which proposed work will be done......1•SOO .. ... .
.................................................
......a`o I qr71
..............................................................................
Manse %mber Street Hamlet
County Tam Map No. 1000 Section .... ro....... Block P.!........... lot ...!27........
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name) IOAA'P4OJ A 3ytt t3�QAM
2. State existing use and occupancy of premises and intended use occupla""' f711
�
ES rJCrOPEit�a. Existing use a� occupancy Ie.......... `-'40 nu:zzb7nir 4*•-
b. Intended use and occupancy ........ ...�...1D� . / OP�N I0ORCy
..... ...................... ..................
is.uue u. wuhna hubLcK wnnun applicamel: New wilding .......... Addition .Y....... Alteration ..........
Repair ............ Removal ............. Demolition ............ Other Work ..................................
(Description)
4. Estimated Cost O.O27.......... fee .....r7S.0D
............. ..................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ..."Itn..... Umber of dwelling units on each floor
................
Ifgarage, number of cars ......................................
5. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
7. Dimensions of existing structures, if a : Front..d•.��. ..... Rear !4..r�..... Depth .!hDP.Z..........any:
IlMight nn t
ei [ ...... ............. Naber of Stories .....°2................
Dimensions of same structure with alterar;" or additions: Front ....... .. Rear
.... ........ .
Depth ......... . . ...... Height ..... ........... Nurber of Stories ...........
3. Dimensions of entire new construction: Front .... Rear ............... Depth
..............
i
Height .. ..................... timber of Stories ....X..............
H. Size of lot: Front ... �....... Rear .../RR:3g....... Depth 3S - ._... .
10. Date of Purchase ... Hare of Former OmerKQil�4 ..cam.'P YIRQ.f.R ll.t:o s.........
11. Zone or use district in which premises are situated .5';C.;Tf!•X.NO: PDOa -Sa - 61-O n
........ .. .........
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................
13. Will lot be regraded ......JYQ......... Will excess fill be removed from premises: - YES f`A
14. [tames of Owner of premises 1�!�?f.S�!!E. Sie�l� vltl�Addresa ...�5LY�„ YA7T(ZO}D.... Phi No.
Name of Architect .................................... Address .............................. Phone No. ...........
Name of Contractor ................................... Address ........ .............Phone No.
.......... ...........
15. Is this property within 300 feet of a tidal wetland? * YES .�....... No ..........
*1F YES, SURA ID MM 1RI)S M Pli[lcHT MAY RE R1TgIIM.
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 interior or comer lot.
f)'Dp 8 ` coy v'R 3 DCC4< As 5fto&0P gY A�stl t-lu�S , (Po�c�f
CtN# I000,-So-ot-07 Cjon LOT) CIO
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irA1E OF NEW YOM,
)ouNfY or .. 7�J! r .......
/f(}..... �/E✓ J4UE duly sworn, deposes and
says that be is the applicant
Name of individual signing contract)
above named,
e is the ...... r]u/���
..................................................................................
(Contractor, agent, corporate officer, etc.)
if said canner or owners, and is duly authorized to perform or have performed the said work and to make and file this
rpplicatioh; that all statements contained in this application are true to the best of his knowledge and belief; and
'.hat the work will be performed in the manner set forth in the application filed therewith.
Iworn to before me this p g
............./, ...day of .. /J� ....19.!. ,!...__.//
1111
Notary Public ... G2 4! 1Z6oQL ilf /i�/ ......
........ ............. . ..
MADELINEA.IOMEIARDI (Signature of Applicant)
Notary Public.State of New York
No.01104751599
dualified in Nassau County p
Camn"on Expires December 31, /
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w SURVEY OF PROPERTY
SITUATED AT
HORTON POINT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-50-01 -07
SCALE 1 "=30'
DECEMBER 5, 1997
MAY 11 , 1999 ADDED COASTAL EROSION HAZARD LINE
F
AREA = 40,894.89 sq. ft.
'i (TO TIE LINE) 0.939 ac.
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CERTIFIED TO:
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PREPARED IN ACCORDANCE WITH THE MINIMUM �O•
STANDARDS FOR TITLE SURVEYS AS ESTASUSHED
BY THE LIA.LS. AND APPROVED AND ADOPTED
FOR SUCH USE BY THE NEW YORK STATE LAND
TITLE ASSOCIATION.
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F S. Lic. No. 49668
UNATHOR12ED ALTERATION OR ADDITION
TO THIS SURVEY IS A AOIATON OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION IAW.
Joseph A. Ingegno COPIES OF THIS SURVEY IMP NOT BEARING
THEI-ANDSSE SURVEYOR'S INKED SEAL OR
SI
TO BE ET UD SHAH NOT BE CONSIDERED
Land Surveyor CE BE A VONS TRUE COP.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FDR WHOM THE SURVEY
IB PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, driEUN ED HE AGENCY AND
TENTING INSTITULISTED TION HEREON, AND
TO THE ASSIGNEES OF THE LENDING TR NSFER
Title SUNey9 — Subdivisions — Site Plans — Construction Layout TIJTION CERTIFICATIONS ARE NOT TRANSFEMBLL.
PHONE (511 Fox (516)722-5093
THE EXISTANCE OF RIGHT OF WAYS
OFFICES LOCATED AT MAILING ADDRESS ANO/OR EASEMENTS OF RECORD, IF SOUND VIEW AVENUE
One Union Square P.O. Box 1931 ANY, NOT SHOWN ARE NOT GUARANTEED.
Aquebogue, New York 11931 Riverhead, New York 11901
97-516-1
VIITA� .,&Z1Z_ CXRNZ_1114ZZ_
1500 1-1> ,4 7- 7- SPD.
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DATE. �c �
FEC-. `15�� CY � —
NOTIFY BUILDING D`NaRTM_ T AT
765-1802 9 ANI TO 4 1 W. FOR THE
FOLLOWING INSPECTIONS
1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH . FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE NY
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE F-OR
DESIGN OR CONSTRUCTION ERRORS
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OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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