HomeMy WebLinkAbout23764-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25809 Date: 07/01/98
THIS CERTIFIES that the building ADDITION
Location of Property: 1380 BAYBERRY RD CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 118 Block 2 Lot 12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 28, 1996 pursuant to which
Building Permit No. 23764-Z dated OCTOBER 21, 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 APPLIED FOR.
The certificate is issued to JOHN J & JOYCE A SAMPIERI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspec r
Rev. 1/81 7
FORM NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 23764 Z Date .......... 1 ............................
Permission Is hereby grante�d ..
✓s� i . .......... .r.•:" ...................................
......... . .. .. .. ...... .. .. � �o
to ,�.'d?u �- ... . . . . .1.......
at premises located at .........................L. G ...../.. . .. ... . ......... ....1.`..:a`. ..............................
...................................................................... ....... . .. . a.. ... ...............................................
..........................................................................//......... .........................................................................
County Tax Map No. 1000 Section ..... l. ........ Block .........P.�:. Lot No. .....
lf
pursuant to application dated ............ . .. ... d .................... 19A, and approved by the
Building Inspector
Fee S•••�••Sy... .........
Building Inspector
Rev. 6/30/80
Norm No. 0 � % A
TOWN OF SOUTHOLD 33wALei - 64../
BUILDING DEPARTMENT
TOWN HALL CC /
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 12 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.
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.
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
few Construction.... . ../.. Old Or Pre-existing Building. . . . . . .. . .. . . . . ..
.ocation of Property./ ?......���Y���1�2 .. . ��'... . . . ... . . . . . . . . . . . . . . .H. . . . . . . . . . .
. . . . . . .
House No. /.c' Street amlet
)ower or Owners of Property.�J.-qh:q.elve . .Y.°/Y�e JAR/?+ i�R.! . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . .
:ounty Tax Map No 1000, Section. .../.R . . ...Block. .. . 2 . . . . . . . . .Lot. /A? . . . . . . . . . . . . . . . . .
subdivision. . . . . . . . . . . .__.. .. . . . . .. . . . . . .. . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
'ermit Novz- Z411/. .,X. . . .Date Of Permit(kA�e'.; /l IV, .Applicant. � °I7^� • Sh'r"d'<eC i, , , , . , , . .
iealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . .. .--. . . . . . . . . . . . . . . . .
?lanning Board Approval. . . . . . . . . . . . . . . .. . . . . . . .
tequest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. o?s? s . . . . . . . . . . . . . . . . . . . .
G1 S . . . . . . . . . . . . . . . . . . . . . . . . .
APPLICANT
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F-MIDATION (zNu) b
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October 1, 1997
Southold Building Department
P.O.Box 1179 C D3 6937
Ref: Permit # 237642dated 10/21/96
10/21/96
Dear Mr. Forrester,
I applied for a building permit in May of 1996. The D.E.C. drove us around in circles
until Oct. 1996, at which time they finally gave us a letter stating we did not need their
permission to extend our deck.
My contractor could not start the work at that time and I was told by your department
that if I did not start within 1 year all 1 had to do was ask for an extension.
Unfortunately we are coming to the end of the year and financially I cannot see us
starting this project until next May or June. I an willing to pay for another permit if we
can be extended until that time. Your consideration in this matter is greatly
appreciated.
Sino .
John J. Sampled
33 Whitehall Blvd.
Garden City, N.Y. 11530
O�OgVFF01/r o
Albert J. Krupski,President `� Gy Town Hall
John Holzapfel, Vice President c 53095 Main Road
Jim Kin 1y„ P.O. Box 1179
g
Martin H. Darrell Gy • �� Southold, New York 11971
Peter Wenczel ��( �'a� Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
i'
May 22, 1996
' 28
JUry Poor
John J. Sampieri
33 Whitehall Blvd. TOWEi
Carden City, NY 11530 -
Re: SCTM #118-2-12
Dear Mr. Sampieri,
The following action was taken by the Board of Trustees at their
regular meeting of April 24, 1996:
RESOLVED that the Southold Town Board of Trustees approve the
request for a Waiver to extend the deck by adding a 261 X 281
section, and the turf under the deck be taken out. The Board
suggests a non-turf/non-fertilized buffer be placed at the
bulkhead.
If you have any questions, please call our office.
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:djh
Cc. CAC
Bldg. Dept.
New York State Department of Environmental Conservation
Building 40-SUNY, Stony Brook, New York 11790.2356 AM
Telephone(516)444-0365
Facsimile (516)444-0373
Michael D.Zagata
Commissioner
October 15, 1996
Mr. & Mrs. John Sampieri
33 Whitehall Blvd.
Garden City, NY 11530
Re: 1-4738-01357/00001
Sampieri Property
Bayberry Rd, Cutchogue
SCTM #1000-118-2-12
Dear Mr. & Mrs. Sampieri:
Based on the information you have submitted, the New York State
Department of Environmental Conservation has determined that:
the property landward of the top of the bank greater than 101
elevation as shown on the survey prepared by Peconic Surveyors,
dated July 6, 1996 and last revised October 3, 1996 is beyond the
jurisdiction of Article 25 Tidal Wetlands.
Therefore, in accordance with the current Tidal Wetlands Land Use
Regulations= (6NYCRR Part 661) no permit is required under the Tidal
Wetlands Act. Please be advised, however, that no construction,
sedimentation, or disturbance of any kind may take place seaward of
the tidal wetlands jurisdictional boundary, as indicated above,
without a permit. It is your responsibility to ensure that all
necessary precautions are taken to prevent any sedimentation or
other alteration or disturbance to the ground surface or vegetation
within Tidal Wetlands jurisdiction which may result from your
project. Such precautions may include maintaining adequate work
area between the tidal wetland jurisdictional boundary and .your
project (i.e. a 15' to 201 wide-construction area) or erecting a
temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of
the responsibility of obtaining any necessary permits or approvals
from other agencies.
Very truly
/�yours,
Permit Administrator
MMR
cc: BMHP
File
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING [ FINAL
( ] FIREPLACE & CHIMNEY
REMAR
4 �l
DATE Z64�X INSPECTOR
t
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] F DATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE & INSPECTOR
BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
'TOWN OF SOUTDOLD SURVEY
j BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
jui'l 2 8 TOWN HALT, SEPTIC FORM . . . . . . . . . . . . . . . . . . .
v.x y SOUTHOLD, N.X. 11971
:
BL-DG
Lp�__ TEL: 765-1802 NOTIFY:S UTh O /y
CALL
Examined .. L..., 19�Gry�S ��/� MAID. TO: . . . . . . . . . . . . . . . . . . . .
Approved G�OZ/...... 191.J Permit No. ............ ...
sapptwed a/c ..................................
T ?LICATION
...
ng Inspecto
A FOR BUILDING PERMIT
INSTRUCTIONS
a. Ibis application mast 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. Pee according to schedule.
, b. Plot plan slowing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property mast be drawn on the diagram which is part of
this application.
c. The work covered pry this application my not he conmenced before issuance of )building Permit.
d. Upon approval of this application, the (building Inspector will issue a (building Permit to the applicant. Svc]
permit shall be kept on Che 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 UEIZER MADE to the Building Department for Che issuance of a Building Permit pursuant to the
Building Zone Ordinance of die Town of Soutlwld, Suffolk Canty, 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 Cale, lousing code, and
regulations, and to admit mudari7A-d inspectors on premises and in building for necessary/inspections.
.C4 liar <....................
(Si ture o applicant, or name, if. a corporation)
33 WA i fe-hALL 61m.
Cz 9,t fi4ww.004...40' //5 3 0.........
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
LYGLYI.ie/a/.............................................:.....................................................
Name of owner of premises .. .Q .(. t!�..�:�/C e . :. l�JYJ ?I eye,.i....................................
T on the tax roll. or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nae and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on which proposed work will be done......... ... . ..-_ .. ..,..:_...............•.'-
....... .......... ........................................
house Number Street hamlet
County"Tax Map No. 1000 Section ...ISA....... Block ...... ....... Lot ...410.........
Subdivision ..:................................... Piled Hop No. ............... Lot ...............
(Name)
:State existing use and occupancy of premises and intended use and occu'pJancy of proposed construction:
W.l.'f"�.. ....................................
a. Existing vse and occupancy .I.�
b. Intended use and occupancy .I.�l."1�1??i�1/../7pyS.�...l�l:� ? .�SX.�ew��c� ,f�.�,.(. �?f�7rtWtt....• ...
�fM1e'Hlk9'�47?AV
a £Y�V: r*FWlWr$
3. N'tlure of; work (clseck tAkich alililicable): New Iklildinl; ..... .... . lukliLion ..... Alteration ....... . ..
Itelwir ............ Itenoval I'.......... IlennliI.ion ............ Other Work ........................ ....... . ..
(Iksc:ri pt ion)
4. Est:ialated Coal' .�.5'va:.-..1......... fee ... 7S.Da...... .. ..... '
(to lie paid oil filing Ili is application)
5. 1f AmII iup nnior of dkwellit Unita .......I.... Ilk of dwelling aliIa co ea(:II floor ... .... ... ......
b� U5i C,
Ifgarage, ixnber of ears .....� ........................... ....
G. If Ixlsiliess, (xrttllercial or mixed Occupancy, sflecify nature and extent: of each Lyle of use......................
7. Dissensions of existing structures, if any: Front.—... ......... Rear ............... Depth .................
Ik iijit .......................I��. Umber of Stories ................... ...
Dissensions of sore structure wilb alterations or addi(Aons: Front . .. .. ...... .... Rear .. ....... ......
Depth .................... Ilei0ht ..................:. Ponder of Stories ... ......... ...
il. Dissensions of entire new mnsCficLion: Front ................ hear .......... ..... Depth .... ... .......
Heigh ......................... Nudier of Stories . . ...I.... .. ... .. ......
J. Size of lot: Fran ...�`?�tJ.�l.��...... (Lear .......I49 •:?t.�. ... Ikpth ....y113:U. ......
ICI. (late of Auchase ...v`ll I.. ...... Naim of Fortier Owner ..............
11. Yone or use district in ;Aman premises are sihtatect .............................................. ........... ... ..
13. Will Fol: ba Icon led ,_..n/ iolaLe ally msoing Ism, ordinance or regulat.inr: . .../v.Q.... ...:........
12. Will lollpro [)aeon g tided ..... viol: .....
' ....
Will excess fill Ire renoved from prtanises: YES (N:�) ,
14. Mines of (owner of trellises .TU.�L.N,.�..5f1h?�il,C,.fL1. Acklress f ke1- -,. '�!'�... Shone No.
Mile of Architect. 2/✓wJy � LL Gy./ .... .. GI��y /Jy
..% .1.!A/?�.O.C. ......... .... /ukh'ass Moan N). ......... ....
Nt■m of Contractor .. '�f73N.�.G.l f�t(,�:!p......... liddress 0.27b'
W. l-1-Imps-l-e sa of X/
15. la this proNTLy within 3(1(1 feet of a Lidal wetlanll (!25111.)......... ND ..........
All? YES, SUJIIYHD 'IMN 'litt;miatS IYmrr my fid gi(/111WdD.
4TOT DIAGRAM
Ircate clearly and distinctly
all Ixrildings, %Anether existing or proposed, and indicate all set.-bwk dinrensions
frnn prnllerly litres. Give street and block metra or (k:acriptico according I:o deed, and allow aLreet nacres and inliraLe
icliether interior or corner lot.
Sze_ &—044
srAnd w ww Y(AM, ��1
sus
(XiINIY (Ac ..N 55A--v ........
... .......v..hW...V.1. .. .1qm'Vi.G.Y.hi... ... ..... .. . .lxeiug duly ( rrn, delouses slot says that lie is the applicant.G
(Ntnxe of imlividual. signing conLracL'')
alove nuned, I
Ikit: the .. faY.'w:(arY!.................. ........... ............... ..... ......................................
(Contractor, agenL,I'l corlosale officer, eke.)
of said (wirer or (mixers, asxl is duly authorized to perform or have 1x�rrormw-d the said work atxl co ncske and file Thin
applicaLion; that: at[ at'aLellents conlaiaed in this alitlicalAon the (rise to like Ix!at of his klxlwledge still belief; tax]
Thal Ole Murk will Ix: performed in the mianner set forth in the application filed therewith.
;kami tut IImfore lie lhis
o1QI
... ... .f.........da/y of .,. .. 19./.�P-...
Nit ary Pidilic�Ra�,A�t�-.. ;�.,.R-... .. ....
. ......
(S' ,n'nfurc, f Applicaul)
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BLDG.OE?T
TOWN OF SOt1TY0Ln
I
¢ffCCUPANCY OR
USF UNLAWFUL
ErIOUT CERTIFICATE
` Q�FFCU IrvqY
APP OV OAS NOTED
2 //
DATE: �O YB.W4R
✓//O
FEE: --F-�+AB - -
NOTIFY BUILDING OHE785-1802 9 AM TO
r FOLLOWING INSPECTIONS: - i -
,'/, I 1. FOUNDATION - TWO REQUIRED
— FOR POURED CONCRETE "
2. ROUGH - FRAMING 8 PLUMBING
9. INSULATION
--.�_ 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. 3.7Y"S"t[4h�a
�,.-•..R, �2- -.•C 'rtts-' ALL CONSTRUCTION SHALL MEET WJ teG,ars,._ :� :P,jli#+nr (y':km1e' 3'-2.2"x. ^~ 14`:'Cs"il'A+!'
THE REGUIREMENTS OF THE N.Y. �.�-- .�_._.,..,.:•,. .3,_ '.YK.IR'<
STATE CONSTRUCTION • ENERGY I, � !✓ ,......,_ —•-- _ ,..
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
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