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Home My WebLink About25504-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26514 Date: 06/18/99 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 3639 COX NECK RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 8 Lot 51 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 2, 1998 pursuant to which Building Permit No. 25504-Z dated FEBRUARY 1, 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 ALTERATION & DECK ADDITION TO EXISTING ACCESSORY COTTAGE & BARN AS APPLIED FOR "AS BUILT" AND AS PER ZBA #3942. The certificate is issued to DAVID & MARY ANN CREATO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-652459 07/19/84 PLUMBERS CERTIFICATION DATED N/A zt Bu ldin Inspe for 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. 25504 Z Date FEBRUARY 1, 1999 Permission is hereby granted to: DAVID & MARY ANN CREATO 3639 COX NECK RD MATTITUCK,NY 11952 for CONSTRUCTION OF ALTERATIONS AND A DECK ADDITION "AS BUILT" AND APPLIED FOR AND AS PER ZBA DECISION #3942 at premises located at 3639 COX NECK RD MATTITUCK County Tax Map No. 473889 Section 106 Block 0008 Lot No. 051 pursuant to application dated DECEMBER 2 1998 and approved by the Building Inspector. Fee $ 75.00 Authorized Signature ORIGINAL Rev. 2/19/98 "U11 Inn UCYftt1l ixl Q d `rr>c 1)t/? TOWN HALL 1-h amLf1 (� 765-1802 9s'�-Qfo� APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir 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 buildi 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 a '.'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 applican 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 - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .-�T�.. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . Old Or Pre-existing Building. .v . . . . . .... _ Location of Property_?X? 9. . . .. ... . . .eA-x NG e'er . .A:.e. . . . . . . /.': ��i7- v�.rG. . . . . . House No. Street Hamlet Onwer or Owners of Property d C/�yj/�jOy . .G� County Tax Map No 1000, Section. �D'6 . . . . . . .Block. .9 . . . . . . . . . . .Lot:d. ./. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No z�S.dyz. . .Date Of Permit. 4. . . .Applicant� ,gXld eq CA970!Z Health Dept. Approval, . . . . . . .. . . . . . . . . 4 . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6�K- 56346 APPLICANT c d �a6.�►ti ' ROBERT H. WHELAN, P.E. P.O. Box 590,Mattituck,NY 11952 Tel: 516-298-5770 •Fax:516-298-9585 June 14, 1999 Town of Southold Building Department Main Road Southold,New York 11971 Att: Mr. John Boufis Re: Creato Residence 3639 Cox Neck Road Mattituck,New York 11952 Dear Sir: Pursuant to your request,the above referenced dwelling was inspected on May 25, 1999. The purpose of the inspection was to verify conformance of the following items with the NYS Uniform Fire Prevention and Building Code and the NYS Energy Conservation Construction Code, for the purpose of granting a Certificate of Occupancy for the above referenced dwelling: • Building envelop insulation • Window egress • Fire separation between attached barn &dwelling • Grade at front stoop • Smoke detecting equipment Insulation provided in the exterior walls and ceiling for the referenced area was confirmed and consists of blown in insulation which fills the framing cavities of the building envelop. Windows of the dwelling have been altered to meet the egress criteria of four square feet of area with a minimum dimension of 18 inches clear. The attached barn separation consists of 5/8" Type X drywall installed on the common wall and a minimum of 5 feet out into the barn area. Grade has been altered at the front stoop to provide equal rise for the stairs to the dwelling. Smoke detectors have been installed outside each of the sleeping areas. It is my professional opinion that the as-built construction provides adequate thermal resistance to the area in question and is in conformance with the general intent of the New York State Energy Conservation Construction Code. The remaining areas addressed, to best of my knowledge conform with the general intent of the New York State Fire Prevention and Building Code. Creato June 14, 1999 Thank you for your time and cooperation on this matter. If there are any questions relative to the above please do not hesitate to call. F Nk;W Y Y Your ; n'O 61A` +b Ah�FE SSI O�tti Robert H. Whelan,P.E. cc: Mr. David Creato �o�gUFF01/( G JEAN W. COCHRANE o s� JAMES A. RICHTER, R.A. N = SUPERVISOR TOWN OF SOUTHOLD Gy `� TOWN OF SOUTHHOLD Fax. (516)-765-3136 � ��O Tel.(516)-765- 1802 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD January 27, 1999 Gerard P. Goehringer Chairman - Board of Appeals Town Hall, 53095 Main Road Southold, New York 11971 Re: Appeal No. 3942 - MAY 30, 1990 DAVID & MARY ANN CREATO Cox Neck Road, Mattituck, New York SCTM #: 1000-106-8-51 Dear Mr. Goeringer: The above referenced Appeal concerned a building permit for renovations proposed for the "second" single family dwelling located on the same lot. Your determination allowed for the second dwelling, provided that a lot line be drawn between the main house and accessory cottage. This new lot should constitute a minimum of 40,000 square feet. Is this considered an approved subdivision? At this time, it does not appear that this lot line was ever recorded with the County. The building department has also received a permit application for additional construction at this location. Does your determination allow for additional work without any further determinations? If yes, should the applicant be required to record the change with the county before any additional permits are written? Please review your files and advise me as to how I should proceed with this permit application. Thank you. Sii�erely, J, . �/James A. Richter, R.A. cc: PLANNING BOARD AS -pefc- LNJ) 7,f3 V to WgtTt Pegm a- Seumvo Pe5r0enee 140WE4 & Per- A. pol eftt-* 3 11 Z c,��1=0ll�Cp APPEALS BOARD MEMBERS ; SCOTT L. HARRIS Supervisor Gerard P. Goehringer, Chairman Charles Grigonis, Jr. �d �,� Town Hall, 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 Joseph H. Sawicki Southold, New York 11971 James Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 ACTION OF THE BOARD OF APPEALS Appl. No. 3942 Matter of DAVID & MARY ANN CREATO. Variance to the zoning Ordinance, Article III, Section 100-31 (A) 1, for permission to have a second dwelling, only one (1) family dwelling permitted on each lot. Property Location: 3439 (ROW) Cox Neck Road, Mattituck, County Tax Map No. 1000, Section 106, Block 08, Lot 51. WHEREAS, a public hearing was held and concluded on May 15, 1990 in the matter of the Application of DAVID & MARY ANN CREATO, under Appeal No. 3942; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along the north side of Rosewood Drive, Hamlet of Mattituck, and is identified on the Suffolk County Tax Maps as District 1000, Section 106, Block 08, Lot 51. 11 2. This is an application for Variances from the Zoning Code Article III, Section 100-31 (A) 1, for permission to have a second dwelling, only one ( 1) family dwelling permitted on each lot. ?age 2 - Appl. No. 3942 Matter of DAVID & MARY ANN CREATO Decision rendered May 30, 1990 3. Article III, Section 100-31 (A) 1, In A-C, R-80, R-120, R-200 and R-400 Districts, no building shall be erected or altered which is arranged, intended or designed to be used in whole or in part, for any uses except the following: A. Permitted uses. (1) One-family dwellings, not to exceed one (1) dwelling on each lot. 4. The subject premises is located at 3539 (ROW) of Cox Neck Road, Mattituck, and is improved with a 1 1/2 Story frame Cottage & Barn towards the northern end and towards the southerly end is a 2 story frame house, also two accessory sheds. Access to the property in question is from a 20' Right-of-Way extending north from Cox Neck Road, all improvements are shown on the survey dated February 23, 1990, this parcel contains an Area of 3.16+- acres in this R-40 Zone District. 5. In considering this application, the Board finds and determines; ( a) that the circumstances of this application are unique and that the relief granted will not change the character of the neighborhood; (b) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; (c) that in carefully considering the record and all the above factors, the interests of justice will be served by granting the variance as applied conditionally noted below. Accordingly on motion by Mr. ,Goehrigner, seconded by Mr. Doyen, it was RESOLVED, toGRANT a Variance in the matter of the application of DAVID & MARY ANN CREATO as applied under Appeal No. 3942, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the Board recognizes that this property lies in the R-40 Zone district therefore permits to convert existing cottage & barn into a second dwelling with a minimum of 40,000 sq. ft. for each dwelling. ?age 3 - Appl. No. 3942 Matter of DAVID & MARY ANN CREATO Decision rendered May 30, 1990 2. That a line be drawn in between the main,house and accessory cottage & barn to comprise of a minimum 40,000 sq. ft. for the guest cottage & barn. This Board would like to have a copy of the final survey showing stipulations required. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Sawicki and Dinizio. This resolution was duly adopted. df, GERARD P. GOEHRINGER, C IRMAN, FFR 1 1999 of- ICEO-T BLDG.DEPT r I BOARD OF APPEALS TOWN OF SOUTHOLD Town HaCC Intercom 223, 224, 225 REPLY MEMORANDUM TO: James A. Richter, R.A. Building Department FROM: Jerry Goehringer, ZBA Chairman DATE: February 1, 1999 SUBJ: Your Inquiry Letter Jan. 27, 1999 (106-8-51 Creato) In reply to your inquiries, please be advised that the placement of a "line" was not intended to be a subdivision, but rather a depiction of a full 40,000 sq. ft. area to be devoted to each dwelling use. Therefore, future requests for building permits should be viewed as a single parcel (unless a set-off or other type of subdivision is obtained from the Planning Board in the future). ��SUFF1It o \ ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK c V4 +, P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ti `� 2 � Southold, New York 11971 MARRIAGE OFFICER0 i� r Fax (516) 765-1823 RECORDS MANAGEMENT FREEDOM OF INFORMATION OF ICER Telephone(516) 765-1800 �2��zccrlf�'' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1961 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DAVID C. CREATO Address 1 : P. 0. BOX 1149 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration ADDITION OF SEPTIC TANK/CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner CREATO, DAVID C. ------------------------------ Mailing Address 1 P. 0. BOX 1149 ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 3539 COX NECK ROAD ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 106.00 block 8 lot 51 .000 ------ --- ------ Cross Street BREAKWATER ------------------------------ Building Permit Number Cross Reference: Issue Date: 11/02/98 �zabeth 9NRvi�lle -------- Southold Town Clerk (TOWN SEAL) o�guFFo�,�oo JEAN W. COCHRANE C* JAMES A. RICHTER, R.A. 9 i SUPERVISOR TOWN OF SOUTHOLD �.fi `� TOWN OF ENGINEER Fax. (516)-765-3136 ! `��O Tel.(516)-765-1802 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD January 27, 1999 Gerard P. Goehringer Chairman - Board of Appeals Town Hall, 53095 Main Road Southold, New York 11971 Re: Appeal No. 3942 - MAY 30, 1990 DAVID & MARY ANN CREATO Cox Neck Road, Mattituck, New York SCTM #: 1000-106-8-51 Dear Mr. Goeringer: The above referenced Appeal concerned a building permit for renovations proposed for the "second" single family dwelling located on the same lot. Your determination allowed for the second dwelling, provided that a lot line be drawn between the main house and accessory cottage. This new lot should constitute a minimum of 40,000 square feet. Is this considered an approved subdivision? At this time, it does not appear that this lot line was ever recorded with the County. The building department has also received a permit application for additional construction at this location. Does your determination allow for additional work without any further determinations? If yes, should the applicant be required to record the change with the county before any additional permits are written? Please review your files and advise me as to how I should proceed with this permit application. Thank you. Sin�:erely, . James A. Richter, R.A. cc: PLANNING BOARD / fo 0)917t PeKM I r S, ,b ep ss o enc& �S Per Aedl elx-# 3 9 9 Z- ��c�VFF011(�OG� PPEALS BOARD MEMBERS c ! , '�^ SCOTT L. HARRIS < Su rvisor y •.tcns�'' Pe erard P. Goehringer, Chairman Charles Grigonis,Jr. 1J10 Town Hall, 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 Joseph H. Sawicki Southold, New York 11971 James Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 ?ACTION OF THE BOARD OF APPEALS Appl. No. 3942 Matter of DAVID & MARY ANN CREATO. Variance to the zoning Ordinance, Article III, Section 100-31 (A) 1, for permission to have a second dwelling, only one (1) family dwelling permitted on each lot. Property Location: 3439 (ROW) Cox Neck Road, Mattituck, County Tax Map No. 1000, Section 106, Block 08, Lot 51. WHEREAS, a public hearing was held and concluded on May 15, 1990 in the matter of the Application of DAVID & MARY ANN CREATO, under Appeal No. 3942; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along the north side of Rosewood Drive, Hamlet of Mattituck, and is identified on the Suffolk County Tax Maps as District 1000, Section 106, Block 08, Lot 51. 2. This is an application for Variances from the Zoning Code Article III, section 100-31 (A) 1, for permission to have a second dwelling, only one ( 1) family dwelling permitted on each lot. wl nage 2 - Appl. No. 3942 Matter of DAVID & MARY ANN CREATO Decision rendered May 30, 1990 3 . Article III, Section 100-31 (A) 1, In A-q, R-80, R-120, R-200 and R-400 Districts, no building shall be erected or altered which is arranged, intended or designed to be used in whole or in part, for any uses except the following: A. Permitted uses. (1) One-family dwellings, not to exceed one (1) dwelling on each lot. 4. The subject premises is located at 3539 (ROW) of Cox Neck Road, Mattituck, and is improved with a 1 1/2 Story frame Cottage & Barn towards the northern end and towards the southerly end is a 2 story frame house, also two accessory sheds. Access to the property in question is from a 201 Right-of-Way extending north from Cox Neck Road, all improvements are shown on the survey dated February 23, 1990, this parcel contains an Area of 3.16+- acres in this R-40 Zone District. 5. In considering this application, the Board finds and determines; (a) that the circumstances of this application are unique and that the relief granted will not change the character of the neighborhood; (b) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; (c) that in carefully considering the record and all the above factors, the interests of justice will be served by granting the variance as applied conditionally noted below. Accordingly on motion by Mr. ,Goehrigner, seconded by Mr. Doyen, it was RESOLVED, tos c-FL a Variance in the matter of the application of DAVID & MARY ANN CREATO as applied under Appeal No. 3942, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the Board recognizes that this property lies in the R-40 Zone district therefore permits to convert existing cottage & barn into a second dwelling with a minimum of 40,000 sq. ft. for each dwelling. r ?age 3 - Appl. No. 3942 Matter of DAVID & MARY ANN CREATO Decision rendered May 30, 1990 2. That a line be drawn in between the main.house and accessory cottage & barn to comprise of a minimum 40,000 sq. ft. for the guest cottage & barn. This Board would like to have a copy of the final survey showing stipulations required. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Sawicki and Dinizio. This resolution was duly adopted. /.-GERARD P. GOEHRINGER, C IRMAN/ 111!111 !' �II� ��i�! III iIL I'I c�j,,�'1III�! ' Will �. , - ' �+� � ! � - Ill�fll ti•_�!, IEI_:.I!,_. ,, I+ , , i �DVA�� VC' ��G ;, ��iiYY�i,rl jl ! I II! Ill ! ! �(�}�[� ,` �1 $ III t!i III ` Ill III 111 .il .tll lV IIl Ih ! -- 11' I I !!I Mi+ Iii III"' §UAEAU bF ELEbT'0id1t" i! !! III I":*iil ', i" I 111. lu III '!!iii ,IIl dill IIi li! !+ !1 '' h1EW Oi K. N 1N 1f�'P21 11�� 8 11.�+!, i I�lll liiil I Illi III`III fl'Iallllllll ti Ar--lir it llll 11: ill�ll�ilfl6l�IlJt'�IMiN STFtEE't`,,, ;' I „ 11ail I y it I! 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[ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP7W4, S CHIMNEY REMARKS: "AI �,r - DATE INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 7 ATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLB [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: t Y DATE INSPECTOR „ tt�* 5+•.xwF�> -”'^�,r..xt .m al.v .<. ...'�," N, :., ..:. _ «. - .a,enc»'r-6�.s-e;� BOARD OF HEALTH . . . . . . . . . PORMNO. 1 3 SETS OF PLANS . . . . . TOWN OFSOUTHOLD SURVEY ✓. . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . , . . , , , � , , TOWN HALL SEPTIC FORM . . . . . . .`. . . . . SOUTHOLD, N.Y. 11971 q TEL: 765-1802 NOT iFY34441sA14AyAVA.?CX _#W2" !; CALL . .�'i.4 Examined . . . .� . . . . . . .qq. . . 10../G ll I MALL TO : Approved . . . . . . . . �Z!. . ., 19Permit No. .C 'b ! . . . . . . . . . . . . . . . . ... .. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D U_ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 4-r 7 . . . . . . . . . .. 19F' .y BLDG.DEPT. T WN F S UTHO 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 stieets 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 shall 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 in ctions (Signature of applicant, or name, if a corporation) Y . . .!. . .. . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. o wNt� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . :.. . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3dd9 God /✓6c.0 Rd. . . . . . ?A/%iT�!cK . House NumberStreet . . . . . . . . . . . . . ... . . . . . . . . . . . . . .. Hamlet County Tax Map No. 1000 Section lAb . . . . . . . . . . . Block .8. . . . . . . . . . . : . . . Lot J. . . . . . . . . . . . . . . Subdivision . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . .'. Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) ?: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . -� t!d C✓� , , , , , , , , , b. Intended use and occupancy ! GS�G� vGC, , . , , , fid.. !. . . . / . . . . . . . . . . . . . . . . . . �_,., .ftm'f,.�u',SFh'Sr +'BMPx.,Y,11*4 r"„�� '�{..�=, . I _ ,_�-. .,.,.>, ..,.,."..,. ...;•� 'n.,,:.,,, .... _ _._ .. .,. ., x� ; ."'�',r •3. Nature of work (check which apy licable): New Building . : . . . . . . , , Addit . ion . .`:J . . . . . Alteration �J Repair . . . . . . . . . . . . . Removal Demolition . . . Other Work C,G. •o.V p8� �kR*7'.,y er. �l.7"�.p.I?T��✓gt!•.a6G,rIG_ . . . . . . . . . . . . . . am (Description) 4. Estimated Cos ./P3i i a. . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . ... . . . . . S. If dwelling, number of dwelling u (to be paid on filing this application) garage, S nits . . . . . . , , , , , • , • • Number of dwelling units on each floor . . . . . . , If arae number of cars . : • • . • . . . . . 6. If business, commercial or mixed Occupancy, specifynature and extent of. . . • ; • - t ' ' ' ' • each type of use . 7. Dimensions of existing structures,if any: Front 7.f',,$'; , , . , . , , Rear, r, ' • ' • Height !9. . . . . . . . . . . �> 7 ..3. . . . . . . . . Depth:�, �. . . . . . . . . Numbgr of Stories . � r,?- Dimensions of same structure with alterations or additions: Front 7.'3 Rea r7J 3 Depth �r6•�Z�. . . . . . . . . Height �9� J . . . . . . . . . . . Number of Stories 8. Dimensions of entire new construction: Front .1. ! ?r Rear XrJ 3 ,' , * • 1 Height 19.x. . . Number of Stories . ,1 1/, ..: . . . Depth R4•Z. . . . . . . . . . 9. Size of lot: Front 4.7.,t.' . . Rear."A ... . . . . . . . . . :. . . . . . iA...,. . . .; . . . . . . . . . . . 10. Date of Purchase .,! '?!'?8,3, • • • • • • • • • • 'Depth `V. t Name of Former Owner fU1114?!'? 11. Zone or use district in which premises are situated 12. Does proposed construction violat any zoning law, ordinance or regulations . , R ' BfL i 13. Will lot be regraded , z' • • • • • • • • 9y •�°8S"`!sr� g "�� Will ex ess fill be removed from remises: y 14. Name of Owner of premises� jpl i C C,e6`A-p' Address��((ykjAy x117✓ phone ices: (es No Name of Architect . . . . . . . . . . . . Address . . Phone No. . Name of Contractor . . Address . 15. Is this property within 300 feet of a tidal wetland? *Yes" ' " " ' • Phone o. . . . . . . . . . . . . . . . . . . . . . . . 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 interior or corner lot. 3a.3? Ce>X/Jca,"—' r"jv-,MNr Sh Aded ARCA O� .E aP'el• i � _ .,„. � �� za''wp a' sea'.r oo-w �mao• � r ' ^ (..OZ62�FFE'\ / III GONG it j � G/.l ill ly I �\_• 59. , / 1 STATE OF NEW --OU Y OF vi C� . . . . S.S0 /� A Ci t. ea being (Name of individual signing co • • • • • ' ' ig duly sworn, deposes and says that he is the applicant ntract) ,bove named. leis the . . . . ,. .�.W.:✓�!! , , , , , (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly autli'orized to perform or have performed the said work and to make and file this pplication; that all statements containedthisapplication are true to the best of his knowledge and belief;and that the fort ,ork will be performed in the manner set h in the application filed therewith. worn to before me this ! .�. . . . . . ,� n.'. . .daay of. . � .Y. . . . . . . . . . . . .. 19 otary Public, U�: '! 'y ! , . . . County fu1StANIE V.BROWNCIC// ptUo,Siete of New York N, y iLP_Q Noir 509712 (Signature of applicant) tlualiRed In Suffolk CarMy /�1) a Qommb*0 expires Od.19,t19 / BUILDING PERMIT REVIEW CHECK LIST CR6ATC��h�io � m�Y cfj 0(,e z9 g- Application Name: Architect/Engineer: Date Submitted: SCTM #: District: 1.000 Section: �D(o Block: Lot: 5-t Subdivision Name: 353` O-zm -e&K eoa31 Req. Req. Zoning District: [Lot size: Actual: ] [Lot coverage Proposed: ] Req. Req. Req. (Front Yard Proposed: J [Side Yard Proposed: J [Rear Yard Proposed: ] Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: 61# D room- Eout Rt 8, o� lvA�s Lcf (2ecaeoa� W Coy i t FIELD INSPECTION REPORT _DATE _ _ _ COMMENTS ------- ----------------- --------I�----- ------------------------------_------------------ H �.1 FOUNDATION OST) ii IIS j� FOUNDATION (2ND) — ---- — -- — ------------- ------------- __ ---- --------------- ----------------- ------------------------ ROUGH FRAME & PLUMBING li j _ � cn INSULATION PER N. Y. STATE ENERGY - 0��— CODE it r .I FINAL sxaaaaas==s—=s=ssxxxxsxa—�--xsxsx�sx—�s==x—�sssssxsxxxxxxxxsx=axxxxcx==x=sss===caaaas== O ADDITIONAL COMMENTS: ra C>0 H O � O 0 z b H N f / THERE ARE NO POTENTIAL SOURCES OF SANITARY 4 CONTAMINATION WITHIN ISO'OR DRAWJAGE STRUCTURES W/THIN 50' OF THE PROPOSED WELL. 31 � � \ I SITE rw o 113.74b ,v. NIOIF SLEDZIEySKI o n N 70+ 17 we z�, `"awt oma 22281 5epl o0 1 W°DECK 1 E �41 W 38' 06 WE x ao N 6G+ 15 H w 112 STaEirB R / N pa.Cdnt O. 6a15t IFg/ COUP T5.!' Pre Gimr dC./� _(+L�4p�L• u ^we o� Ion Re t KEY MAP 3, `iV O S O S Q ' W000 s V ,O sreP Voy NIp/F Scale I" = 600' L7 in FRIXOS & ATHENA n \ KARPOU POPULATION DENSITY ZONE POLIV 3It ep1"g/Acre 3,17 ac. = 950 gpd. dwellin300 gpd. born 1040sy./1.R.04= 42 gpd. ___ _ _ __ dwelling = 300gpd. s_nco 1 Iola/ 642 gpd. zD.+' OUNDATION \ SANITARY DESIGN F ' 1-1 dwelling 300 gpd. 3o5 _ , ,1 r barn 42 god. - ' 342 gpd. \ \ \ c � '" --ao / `i\ SEPTIC TANK 342 gpd. ( 2 days flow 1 RQUNO Provided 9b0 gal sep gra. lank PLAYG \ ,d LEACHING POOLS 1.5 L/sq.11. 25.1 342= 9 VF. \ \\ I \ J�LEY Provided 2- 8'6 8' Op.p. L.P.S ICA- 20 SHPyCa. \1 ao f99- ' N W \ PA ]YLL� a� • I � 1 / is - NPo'PN as N/GIF N TSONTAKIS ,. \ e \ = N��n.+ o JOA t ao 0 � " fas5rd yra� \ \ NM O �$V UiILpOLE meE ;ueE z On- N65 Nw4Dn _ LOT �0� '!e' A ,ep oo��,� v v o �o �o✓ea P.+.� v IJ 10 p Od C4r✓e LEAN/NL r ANROJe✓ w;✓4'°n. LL ' pNON 90 I 1 I \ 1 _ J SEC PONS I n+Pi K/ '8 dnrPoYea tl• to r \\ ` ' ID 4 1 `PE+m O4 vucu,e'P�4✓r I ye toz'm,., PONO 3 1 12,700 s4 ao I 1 I F01 MON tytr� /� SANITARY LEACHING o 49.15 15 POOL 900 GAL. SEPTIC TANK 28, '. r NO SCALE . cL I \ . W N/O/F 6 w' 1 / S 63• i38, 3001, , \w CHARLIE PA TRICIA SCHU9ERT 1 u d eE O o LOT W ` w LL 11/1160V TEST GAt f- O la �AP�PW rANR soar PW °1 218.17' 900 / TMONaU M y, o &Piss P/TLElS ADAPTM s �p OR wd rFA-T !TEFL C49M IA/EE'1'N!F r ASTM STAhtldRDS, 1 00 00/ \ RD,wia ASTM 16" 7CSr y / H.S. Ref # C-10-93-004 ` SWYEFlBLE /'(NP f i PY 1 t SMfGM N�Yu W I �\ SrA ESS Sr SDRELI PC o \ 3-LWYN h LOT WELL DETAIL 18 o m I 0 y y^ NO SCALE , O O NOTE CONTOURS FROM TOPOGRAPHIC MAP W OF THE FIVE EASTERN TOWNS. Iz TEST BORING N OARN&DOWN CLAYEY La LL O \� L5 BRC AYL W OBROWN cLAY i W 9 O OT fa \ \ N L \ I PALE BROWN FERE TO ro£ \\ Z al jy ~N W N � u. 10 1 N T t0' W ,d Q 1- 1 N 1 LOT, 12 p ip 0 e? O\Off Z -a M \m rd0 y O \J �o \ 1 \\ SURVEY OF m i r m muc PROPERTY T AT MATTITUCK LOT a TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. to m 1000 - 106 - 08 - 51 I o Scale 1" = 40' �r \ Feb. 23, 1990 \\ Jan. 7, 1990(add existing driveway) Feb. 8, 1991(revise & add contours) Jan. 26, 1993 (septic system) \ April 9, 1993 (revision) ,o May 21, .993 (well into I Mar. 22, 1995 (Well & C.P. location) W LOT O SUFFOLK C6U15'9'V vJKPAiI'10.MEId i OF HEft4iH SEr^,VICES 1 j \ 0 ,n APfA�01 _� 1 Ra`�� 2LF. I m Tara mrarspf x i .L,1 „xag„a m fiillie`:1ldPli 4;ji ref!rf, =^`�`.].:.';: 'id Y v4ry "yjia:3ttiQ0 ma Ni0/F S?�Wal I � 0P9 a, 09 �0 9 r 1.,9 O 5 GG 1001) �V /Q A- AREA 3. 1662 ACRES �SEWpOD N el• r! 1� 0 OR� iPnpood in accorditnce with the minimum N K S, LIQ NO. 49618 Il^ WtMdVde fM title owveye N 08tablished by do LLALB and mare d arW ado Nd The locations of wells and cesspools Iror�a�owWe, arne New York 3hte�.nd PECIAU�X'VEYORS, P.C. shown hereon are from field observations (516) 765 - 5020 and or from data obtained tram others. P. O. BOX 909 MAIN ROAD SOUTHOLD N.Y. 11971 90 - 140A ' - - DAVE CREATO - MIATTITTUCK,1I NY 11952 I 1' I T 2 2 e �7 x.� s ohl` 112'k I2'' 12" 3-lo. 3,l0 4 d 0 APPImo n No I D DANE: B.p.N - - " FEE: L6N NOTIFY WRDINO DEPARTMENT AT c 765-IN 4 B AM TO 4 MA IN THE - FOLLOWINGINSPECTIONS: I. FOUNDATION - TWO REQUIRED-FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING B. INSUWION _- r . - I�L�1t? CAfL"p '(PICd.L 4. FINAL - CONSTRUCTION MUST r - ---- ",, BE COMPLETE FOR C.O. c7g'D ALL CONSTRUCTION SHALL MEET ' THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION S ENERGY _ CODES. NOT RESPONSIBLE FOR --"-- -'- - ---� FY' ---�1- �' GC,4' "ljrp'o�r-fp DESIGN OR CONSTRUCTION ERRORS MAI " ) UNDERWRITERS CERTIFICATE �� I �� REQUIRED "---- — � ^ SII r - OCCUPANCY OR USE IS UNLAWFUL �_ C -J WITHOUT CERTIFICATE OF OCCUPANCY DAVE CREATO c� P.O. 80X 1149 - L IMTIITUCK, NY 11952 i Y < 0 2 REVISIONS BY - 1 -- - r i I - I L r u LJ J PROVIDE OPENINGS FOR UNDEIMITERS CERTIFICATE EMERGENCY ESCAPE AS REQUIRED REQUIRED BY PART.714 OF -� - -- -- N.Y. STATE BUILDING CODE. OCCUPANCY OR PROVIDESMOKE-DETECTING USE IS UNLAWFUL �\ WITHOUT CERTIFICATE ALARM DEVICES AS TO PART.721.1 OF OCCUPANCY _ N.Y.S BUILDING CODE. - �` APPROVED AS NOTED J20-9 B.P. N Zo Q' 2- DATE: \\ FEE: `�5 ZBY:�L1-�- PROVIDE 1/i HR. FIRE NOTIFY BUILDING DEPARTMENT AT RATED SEPARATION TO 785-1802 B AM TO 4 PM FOR THE :.L'Dp df}f ( PART.717.3 (f)(1)OF FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED N.Y.STATE BUILDING CODE. FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION T�14. FINAL - CONSTRUCTION MUST DRAWN I -- BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET I/ - THE REQUIREMENTS OF THE N.Y. CHECKED „` ! ---- STATE CONSTRUCTION & ENERGY C ' CODES. NOT RESPONSIBLE FOR DATE DESIGN OR CONSTRUCTION ERRORS _,._.._.__..._._.-.___.___.._._._...______ JOB NO. SHEET DAVE CR[ --- - -' -- - ----: -- - -,--- - - ---_- P.O. DCX 1149 --- - - - - - HATITTUCK, NY 11952 OF SHEETS 'PTELEMW£ GT 18AL 15 -18.24 RIM ' 75 , 0 ,1 .............. ........ 71 ZOD I V� 7-6) ;0CQF Ar 1 4"N 2Z�-,d xx Iz- IC,(( 0- DRAWN CHECKED O^TE it SCALE i�"? wsaO-77 Joe No. SHEET -PLP0 -S�l OF SHEETS --- - --- DAVE CREATO P.O. BOX 1149 ��M18AL 15 -1Gx24