HomeMy WebLinkAbout23704-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24719 Date OCTOBER 29, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 10375 NASSAU POINT ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 119 Block 1 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 22, 1996 pursuant to which
Building Permit No. 23704-Z dated SEPTEMBER 27, 1996
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT"
AS APPLIED FOR.
The certificate is issued to ANTHONY & LOIS BENNARDO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
B ilding Inspector
Rev. 1/81
FOBS[ N0. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 23704 Z
Date ...... ....... . .. ...................................
Permission is hereby granted V. '16
.............. .7s'..:�a-
........ ....... ..... . ... : .....�� ..
t94) . ? 'ao ".....
. ........ .��. ........ ......... ' ...: .. :.. ..1 ...... . ......
at pre s located at . h. ........ ... . ..... '
.................................................... .....�1 -t. . 4.41... o.�........... -
................................................................................. .. . . ...........�.5 .........................
ll// .....
County Tax Map No. 1000 Section ........ItIf........ Block ......1............. Lot No. l J.................
pursuant to application dated .................. ..� ............ 19..x.�, and approved by the
Building Inspector.
Fee $........................
.............. ..................... ..... ....................... .... ....
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1302
APPLICATION FOR CERTIFICATE OF OCCUPANCYO� 0-d
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 . sinal survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dent. of water supply and sewerage-disposal(S-9 form) .
3. Approval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of to 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 525.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00
2. Certificate of Occupancy on Pre-existing, Building $100.00
3 . Copy of Certificate of Occupancy - .25c.
Updated Certificate of Occupancv - $50.00
5. Temporary Certificate of Occupancy - Residential 515.00, Commercial 515.00
Date . . � . '`�'` . . . . . . . . . . . . . . . . . . . . . . .
New Construeion• kcg . . . Old Or Pre-existing Building. . . .
Location of Property. .7. _ 1V4 S-5 . . . .1• % �. . . 4ELL ' . � j�
(House N Street t
Onwer or Owners of Property . .:f. !/D�.`����/!�. . � :f, � . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . . . . . . .Block. . . . C� . . . . . . .Lot. . .,(L . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Tot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Depc. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters :approval. . . . . . . . . . . . . . . . . . . . . . . . .
?lanni^g Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certifiiccaate. . . . . . . . . . . Final Corticate. . . . . . . . . . .
Fee Submit0ted. 5 . . '� a �!`. . . . . . . . . . . . . a
r I(
.�PPLICA�iT
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING [ FINAL h '
li�yc
[ ] FIREPLACE & CHIMNEY
REMARKS
lam/
DATE INSPECTO
7D�2?�7-
suiLDiNa oma.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU TION
I 1 FRAMING [...-- FINAL
��s
[ ] FIREPLACE & CHIMNEY
REMARK
'000000011�w
5�k
DATE O INSPECTOR
i
Q
Rl;11011 i' hA'fl:
til �
y
1'OIINIIAT ION ( I";,I,)
i 01INUATI.ON (2ND)
ROMA[ FRAHM 6 0
I'I.IIFII{1 NC 0
11I;III.AI•ION 1'1?R H. Y .
:TATE. RNEAMY
COnr. ?i
� ����.GO`r✓I t d ,
I�1 FIAT. I
_-------
ADDITIONAL COM11 NT!;-
0A 1'_
. .... . . ....
F
- � 1
BOARD OF HEIAL'I'll . . . . . . . . . . . . . . .
FORM NO. 1 1--J3 SETS OF PLANS . . . . . . . . . . . . . . .
'TOWN OF SOITT1101.1) /SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CIIECK . . . . . . . . . . . . . . . . . . . . . . . . .
'TOWN HALL Sr-,P'IJC FORM . . . . . . . . . . . . . . . . . . .
SOU-1-1101.1), N.Y. 11971
765--1802 NOTIFY:
CALI. . . . . . . . . . . . . . . . . . .
;7MAIL TO: . . . . . . . . . . . . . . . . . . . .
Apprma-d... ... 19!*?. Permit No(5�3....oo ... ....................................
Wsapproved a/c
. .................... ............. ....................................
.......................................... .. .......
.... ....................
lkiii(ling Inspector)
APPI CATION FOR BUILDING PERMI'T
DateF.-d.4-�- J� 19. . . .
4 INSTRUCTIONS
a. '116s aliplicaLioti mast lie c(inipletely Pilled in by types-iriter or in ink at-Al sthnitted to the Ikiilding Inspector with
3 sets of plans, accurate plot, plan to scale. Fee according to schedule.
1). Plot. plan sliolwing location of lot arx] of Wildings On premises, relationship to adjoining premises or public
streets or areas, afxl giving a detailed description of layout of property vusL be drawn on the diagram which is part of
this application.
c. The xw)rk covered by this applicatioti may toot lie cotimenced before ismikince of lkii1ding Permit.
d. Upon approval. of this application, the Building Inspector will issue a IkAlding Permit to the applicant. Such
permit sliall be kept on (lie premises available for inspection throughout the work.
e. NO Ixiilding shall lie occupied or used in whole or i.n part For any 1xirpose voliaLever until a Certificate of
(k-cxipaix-y shall have been granted try the Nii1ding Inspector.
APPLIGNVION IS 10OUTY MADE to (.lie Bkiilding Department for the ismiance of a lkiilding Permit ptirmiant to (lie
1kjilding Zone Ordinance of die Town of Southold, Skiffolk. CA)unty, New York, aixl other applicable laws, Ordim-inces or
RegidaLions, for the conAniction of Wildings, a(klitions or alterations, or for removal or demolition, as herein
described. Ibe applicant agrees to comply with all applicable laws, 'ordinances, Wilding code, housing code, aril
regulations, arx] to adult authorized inspectors on premises arx] in Ix I jilding for necessary inspections.
-Y
. . . . ......
aLlir 0 cant, Or name., if rl r 'i
k-6 C—
(//�L�i
a( ss of a c 0
C,b"I" - ""� - - / Co
State AK--Llx-r applicant is (xaier, lessee, agent, architect, elIJ1,1F)CXar, o, Rcuo'd, elect cian, pliviber or Ixii1der.
.......o w+•+.er ........................................ ..............
Rmix, of owner of premises X
t� y 0
... ..................................�O-APP 0 -AS-NOTED............
(as on the tax roll or latest deed)
-- B.P.# 93 20K
If applicant is a corporation, signawre of duly a%1LI1Ori7A-d Officer. BATE.
FFF-
14071IFY BUILDING AT
.0
PP 0 1
i KAT
THE
(K-le -110 title of corporate officer) '765-1802 9 AM TO 4 FOR THE
lIVO
CF011OW
WIN INSPECTIONS'&
�VD R%F
at
ED
kiilders License No. L4AMING & UMING
1'l miters License No. .........................
Electricians License No. ..;.................. 4 F--I FIJ A,L dONSTRUCTION MUST
RE COMPLETE FOR C.O.
Other 'Trade's License No. .................... A /�41L CONSTRUC L MEET
1. TA)CALiOn Of laixi on which propos JO � 7 '* •
I E N.Y.
,ed work will be (lone. ................ CONSTR 0EX-EINERGY....
('ODES. NOT RESPONSIBLE FOR
...... )........... I)F.S IJCj N.Ojj jQ0N6jj34CTjQ.IY.9 R RQ FA....
lk)u.qe Nrrtrtier Street P- Ilaffilet.
QxinLy 'Fax K-jp No. IOW Section .......... Block ..61 .......... Lot ...
C,
'Ali xliv i sioti ...................................... Filed Kip NO. ............... Lot ...............
(Name)
2. State PxisLing use aril oce-tipaix-y of pronises aiwl intew"I tase an(I OCCup-Ricy Of proposed cciust.xticLion:
a. FxisLing use and occulk.incy .......................
1). 111(en(IC(l U.Se aril OCCtJIXTrK-y
.......all.
kOme, I
V/,*"/
V 1. I,Ilule of iA)Ilc (check %,AridAM
it aliAicahle): W-w Ik)ilding; . .. .. ... . . Aition .. . .. . .. . . Allcra(.ion . . . . . . . . ..
ILrgwi r .v... . . . . Itolioval . ... . .. . .. . .. Dem)I i t ion .. . .. . 011ierIkri k
4I'.:i(.IIIfill tag 0)"I J/./p..l.... ...... .. .. fee
((o 1w Itaid cx) filing; this appl ical:ion)
'i. It: (h4el I iol;, otalber of: (krel l ing, unil s . . . .. . . . .... Ullb_r of: Ax'l I iog; tnlil s oil each Hoor . .. . . .... .. .. . ..
If g,atag;e, Ixn;x r of cars ... ... .. . . . ... . . . .. .. . . . . .. . .. . ... . . . .
G. If Iminhwss, (itmercial or mixed t •cupawy, specify nalule alxl ex(enl. of: each lylx. of use..... . .. . ... .. .. . . . . . .
/. I)iwcnsicx)s of existing; sttoculles, if any: Froof . . . . . .. . .. . .. . .. Near .. .. .. ... ..... . NgAll . .. .... . . . .. . . .. .
Ik!iI)It. . .. . .. .... . .... . ......... Msiber of Stories . . ... . . . . .. . . .... . . .. .
Ilinlensions of: sale q(toc:ture with allerittJ ns or addil.)ons: Front. .. .. . . . . .. . . . .. Rear . ...... . . .... . .
1krypt11 .... .. .............. Ik!ig)ll .. . .... ... .. . . . . . ... Umber of Slorie..
.... . .. ... . ... .
H. Ilimalsioos of entire vww coostrix.ticxl: lrrcx)1 . ... . ... .. . . .... Near . . . . . .. .. .. .... Ikkplli . .. ... . .. ... ..
Ik!iOil. ... . . ........... ..... ... . I'Aidwr of Suories .. . .. .. . . .. . . . .. . . . ..
`). Size of lot: FI(wit ..... .... ... . . ...... Near ... . . . . . ... . . .. . ... . Depth . . .. . .. ..... ... .. ...
10. hale of lllrc.hase ... ..... . ..... .. . .. .. Mck! of Folnvi- Wiw eI. . . ... .. . .. . ... .... . . . ...... . . .. ... . ....
11. Zooe or use (list ric( in ca)id1 prollises are silual:ed . ... . . . .. ...... . ...... .. .. .... .. .... ... .... . .... . ... ... . . . .
12. Ikx!s ptOI)O (-d c(>+Islrt)(Ai0o violate ally z(x)ing? lar.), oldinaoce or regulation: . . . . ......... .... .. . ....
Il. Will lot Ix- legrlkkd .. .. .... .. ......... Will
excess f'll Ix. rell(Ned frofil Ilrt+nises•-�} YES `7zi1) [�
I/1. Nslss of Owlxar of plctiIi 4"1�.N.yI ���S..IJ! 1.1 Ire
-��, 1111JJ 1
Mile of Architect .... .......... . .. . ..... ... .. . .. . . ... A(khess .. . ... . .. .U... ..`.. . .. ........ . Ifx)Ix t4). . . . . . . . . . . . .
N,Nit! of ('cxII rat:tor .......... . .. .... ........... . .. .... A(kIIe ss .....t'luxx! Ho. . . .. . . . . . . . .
h. Is this prvlx!rt.y wilhiu a(X) feel: of 2t t ILO vxAlalxl? * YI?:i .... .. . ... NO ..........
*I I' YI?S, .ti(llflll(M l) 'ICAJN '112USIl'1_S N?I+MI'1' 11AY 141; IJ O11 U?I)-
1 111 )
ltwale clearly alxl dim irx_t:ly all I,(rildh%s, wllelher exisl.ing or protx)sed, mill ilxlicate all set-back dimensions
frosn properly lilies. Give, street all(] bl(x,-k rrr)ber or clescripticxr according; to (ked, alxl show street rumors alxl irxlicate
%Alelher interior or-corri-n- lot:. ,.
0, AX is.
lilt
Ak 17w 5 ,/
wig l r
V
;NWIE (A' W14 YORK,
duly ;wc(ru, (k.-lx)ses alxl says that he is (lie :Ipplic;lnl
Now of ilxliviclual signiog; coni ract.)
;ilxlv(! mmillal,
Ik, is Iln: . . . . . .. . .. .. . .. .. . .. ... . . . .. . . . . . . . ... .... .. . .. . . ......... .. ........... . .. . . ..
(01111raclor, agent, colgx)rate officer, e1c.)
of said (ndlx'_; or owlx!Is, alxl is duly aulhorir..ed to lx�l lolls of h.rvct IM] IOFI1 d the said Milk alx) to MAW alxl file Illis
appl ical iutl; I11:11. all stalc+lleols conlailwil in Illis ;Ippl %cal ion ale l.lile to the Ix.tttt of hi:; lux)ui,igtc iixl Ixtl ivl; ;nxl
111x1 Ill(. vol.lc Will Ix! perfollwd in the fiviowr set follh in the applical:ion filed Illerewil.11.
.kA)111 to Ix'iol(! 1w this
. . . .. . . . . . ..6. .. ...day of
- 19.
t`lotaly I' lil l t . ..... ..... ...................
(Sig oatroi' l icnnl-)
Nobly SANTO q tl"**
140.411-M-36,106 qty
Comm""�ain
cr Ereatz1030-11
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Albert J. Krupslti,President Town Hall
�, C
John Holzapfel,Vice President y� 53095 Main Road
Jim King y Z P.O. Box 1179
Martin H. Garrell 5 Southold, New York 11971
Peter Wenczel y�l� a0 Telephone (516)765-1892
1 Fax (516) 765-1823'
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 25, 1996
Dr. & Mrs. Anthony Bennardo
75 Abby Road
Manhasset, NY 11030
Re: SCTM #119-1-15
Dear Dr. & Mrs. Bennarda,
The following action was taken by the Board of Trustees at their
regular meeting of September 25, 1996:
RESOLVED that the Southold Town Board of Trustees approve the
request for a Waiver for the addition of approx. 5 feet of post
and rail added to existing fence and to repair the existing
fence.
Please be aware that Mean High Tide is usually consistent, but
should the Mean High Tide change, you will have to change your
application to move the fence back.
If you have any questions, please call our office.
Very truly yours,
9.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:djh
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?� 3 SbRAFY OF
PROPERTY
'A T I11 S�:U,POINT
Too CEw
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r BEh eENNARDo S'AFS' K COUNT N. Y
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f° MER LAND TITLE CORP.
FLEET MORTGAOEp ANC.
3, 1992
cO�P��T.MPJ � •
_101
Prepared In accordance Wlh the lrf/almuin, : L r s;s PLOT NUAMR!l ow
�riF Y.Siq . NO 49618 p To•A aev.i a a�.arN
standards for i/Ile serve as :ea%blfshmd. p�y T
HE OP'F1GE•OF 7W W K
PECO .C. by the L.I.A.C.S, and'a��.pnblted avid:ndap/ed AS� a 156 Anw To �-OF SEcrwN
15161, 765 - for such ruse by The IVew :Park Sloe'Lond a 'OF NcassAu'MOM FXED'AS MAP.Mo 745
A 0. BOAC 9 � T/lle Assoclollon.
MAIN ROAD
SOUTH,OLD, N.Y. 11971 CerNflcallons 6// /96
Gr11l1coNranaA .41171 . , '