HomeMy WebLinkAbout50025-Z TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
r TOWN CLERK'S OFFICE
Ilk SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 50025Date: 11/15/2023 qq �
Permission is hereby granted to:
Malo_ ney James A Rev Trust.. _ �wwwww_......aa..._._.� w.w....._....__. _ __ �ww.._....... .........
505 Bu n_kalow Ln
Mattituck w_NY 11952............w ... ....... _........ _�_....._
To: Legalize as-built interior alterations to existing single family dwelling as applied for,
with Trustees #10476A.
Additional certification may be required.
At premises located at:
505 Bungalow Ln Mattituck ........._.. . _......�_.......... w.... �_._............__... ._�www_..maaa.. __
SCTM # 473889 _ .._ �........._..... ....
Sec/Block/Lot# 123.-3-7
Pursuant to application dated6/29/2023 and approved by the Building Inspector.
To expire _5/16/2025._........
ire on mmmm_
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,344.00
CO-ALTERATION TO DWELLING $100.00
.
......................�
Total: $1,444.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502ttt2 ://yv° spar.atlloldttt:wtitt f� "
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only
PERMIT NO. J '�!` Building Inspector:_.........................__.... 9 ?023� �
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:5/9/23
OWNER(S)OF PROPERTY:
Name:505 Bungalow LLC TSCTM # 1000-1000-123-00-03-00-007-000
Project Address:505 Bungalow Lane, Mattituck, NY 11952
Phone#:(908) 507-3248 Email:green42@comcast.net
Mailing Address:42 Turtleback Road, Califon, NJ 07830
CONTACT PERSON:
Name:Michael D'Angelo
Mailing Address:12 Little Neck Rd, Suite 201 , Centerport, NY 11721
Phone#:631 -626-4005 LEmail:mike@ newhamptonhomes.com
DESIGN PROFESSIONAL INFORMATION:
Name:Tim Mcdermott
Mailing Address:477 West Main Street, Huntington, NY 11743
Phone#:631-367-7011 Email:tmmac@hotmail.com
CONTRACTOR INFORMATION:
Name:Michael D'Angelo
Mailing Address:12 Little Neck Rd, Suite 201 , Centerport, NY 11721
Phone#:631 -626-4005 Email:mike@ newhamptonhomes.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑' Other As built interior alterations $100,000
Will the lot be re-graded? ❑Yes ONo Will excess fill be removed from premises? ❑Yes *No
1
.. PROPERTY INFORMATION
Existing use of property: Residential � Intended use of property: Residential ._.�,.. ...._._�... . .....�..�...."
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R40 this property? ❑Yes No IF YES, PROVIDE A COPY.
Check Box After Reding: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 296 of the Town Code. 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 taws,Ordinances or Regulations,for the construction of buildings,
additions,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Michael D'Angelo
Application Submitted By(print n ): Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTYOF )
Michael D'Angelo
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
Contractor
(S)he is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowled (relief; and
that the work will be performed in the manner set forth in the application file therewith.
a OF NEW `�
Sworn before me this YORKTARY IC
a
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day of.�... ., ,..�.,...__.
X20 2S
Notary PL ;•. " *°,
"PRO "E IVB `"' ' kik i�,��.,�°�' iA I.IlCii'��
(Where
re th e.w... . ... � ..._ ..._. ._..
Wh applicant Is not t owner)
n 42 Turtleback Road, Califon, NJ 07830
1, (� residing at
Michael D'Angelo
do hereby authorize to apply on
my behalf to e Taw of Southold Building Department for approval as described herein.
0 r s Sig f
ure Date
ma
i
Print Owner's Name
2
Glenn Goldsmith, President ' Town Hall Annex
w
�� �� 54375 Route 25
A. Nicholas Krupski,Vice President � P.O. Box 1179
Eric Sepenoskir Southold,New York 11971
Liz Gillooly Telephone(631) 765-1892
Elizabeth PeeplesFax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 10476A
Date of Receipt of Application: October 3, 2023
Applicant: 505 Bungalow LLC
S%T M#: '1000-123-3-7
Project Location: 505 Bungalow Lane, Mattituck
Date of Resolution/Issuance: October 18, 2023
Date of Expiration: October 18, 2026
Reviewed by: Glenn Goldsmith, President
Project Description: As-built 345sq.ft. patio with 49sq.ft. hot tub.
Findings: The project meets all the requirements for issuance of an Administrative
Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an
Administrative Permit allows for the operations as indicated on the project plan prepared
by Michael D'Angelo, received on October 3, 2023, and stamped approved on October
18, 2023.
Special Conditions: None.
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an Administrative
Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be
required.
This is not a determination from any other agency.
4
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Glenn Goldsmith, President
Board of Trustees
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Town Hall Annex
Glenn Goldsmith,President
54375 Route 25
A. Nicholas Krupski,Vice President feO P.O. Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly Telephone(631) 765-1892
Elizabeth Peeples Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SOUTHOLD TOWN BOARD OF TRUSTEES
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF
BELOW
INSPECTION SCHEDULE
Pre-construction, hay bale line/silt boom/silt curtain
1st day of construction
'/2 constructed
When project complete, call for compliance inspection;
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A "�"' CERTIFICATE OF LIABILITY INSURANCE CR DAT 04//25/225/2D/YYYY)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer ri hts to the certificate holder In lieu of such endorsement(s).
PRODUCER C :II"AI'L G 631-439-4650
111111111 C SSM ,,AC N
GEORGE R GROSSMANN,LUTCF At�MNo N � _ .d Hgp 6 .
FARM FAMILY CASUALTY INSURANCE COMPANY �I
BOHEMIA,
NY3920 11 MEMORIAL HIGHWAY SUITE 4A INSURER A wFARMJl FAMILY CASUALTY INSURANCE _m ... 29803C�mmm
INSURED INSURER e: UNITED FARM FAMILY INSURANCE CO.
NEW HAMPTON HOMES INC. ptaIthSHELTERPOINTmLIFE INSURANCE CO 81434
12 LITTLE NECK ROAD SUITE 201
INSURER D ............._. .. ..........,,, ..,
CENTERPORT, NY 11721 NltsaaE .......... m...... ........... . ......... ... .....................
aNSURE-R F:
COVERAGES CERTIFICATE NUMBER: 124455 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUC&ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POD.dCY FERk 1D
INDICATED, NOTWITHSTANDING ANY REQUIREMENT„TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
AND .... Y PAID CLAIMS.
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Iia R X U clotERcrAL GENERAL CONDITIONS LtABILkTY SUCH POLICIES.AD I" :. & 102X061ac r N sMwFR 12/20POLICY FY 12/210/20 T CY EXP uMlrs _.. _.
OCCURRENCE $ 1 000 000 ....,
/2022 23 EACH li o
CLAIM$,.MAOL .,w...� I5� S IES r p.Ar o " .... .. . _.1 b0
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AUTOMOBILE LIABILITY LOC I /2 22 .lL�a aeccide $ 1 000 OOO
B 3101 C5114 2/21 0
ANY AUTO BODILY INJURY(Per person) $
OWNED '...X SCHEDULED BODIL...I ..7__ .. .., .,.,.
AUTOS ONLY AUTOS Y INJURY(Per accident) $
X..I HIRED X... NON OWNED Pd"'D' 'II 'W A�'tLa .. $ .....
AUTOS ONLY AUTOS ONLY
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BRELLA LIAB OCCUR L EACH OC"CUrdREk+BCE.,,,
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AND EMPLOYERS'LIABILITY NIA
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ANY 4 f OPrdWE O�R/6 Aft"PAYE&dL' F'C PM` g DISEASE EAC 6PtCb $ .....1,000,000
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v 'p E L EACH ACCIDENT $ 1,000,000
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C NYS-DBL D547521 12/20/2018 CONTINUOUS STATUTORY
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if mores ace is ~~ .. w..
p required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
TOWN OF SOUTHOLD BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
TOWN HALL ANNEX 54375 MAIN ROAD ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. BOX 1179
SOUTHOLD, NY 11971 AUTHORIZED REPRESENTATNE
1988-2016 TUOR5 MRPOVATRW Ail rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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LIST
LIST OF DRAWINGS
SURVEY OF v
PROPERTY
SI TUA TE
MATTITUCK, TOWN OF SOUTHOLD PLOT PLAN Cl
SUFFOLK COUNTY, NEW YORK
TAX No. 1000-12300-0300-007000
SCALE 1"=30'
EXISTING LOWER LEVEL, Al
NOVEMBER 7, 2022
EXISTING FIRST FLOOR PLAN,
AREA = 23,784 Sq. ft.
0.546 ac. EXISTING SECOND FLOOR PLAN
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CONCRETE DRIVEWAY �- clu UTILITY POLE
5
0 MANHOLE
EM ELEC. METER
So \ \ COMA AERIAL LAND SURVEYING, D.P.C.
NOTE: LOCATIONS AND EXISTENCE OF ANY
53 PROBST DRIVE SUBSURFACE UDUTIES AND/OR STRUCTURES NOT
/V6/-,.
� , READILY VISIBLE,ARE NOT CERTIFIED. THE
�V//'1 FQGe / SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE.
/L"/� >o OF p �� PHONE: 833-787-8393
y / E—MAIL: SURVEYS AERIALLANDSURVEYING.COM
_�Nn`�1�Ad A AgeMr T.� O WEBSITE: WWW.AERIALLANDSURVEYING.COM THIS
O RVEY SUBJECTTo ANY EASEMENT HT RECORDAND Nr OTHER
PERTINENTENT FACTS-ICH TITLE SEARCHMIGHT DISCLOSE
0 DISTRICTA 000 LOT:007.000 BLOCK:03.00 SECTION:123.00 'UNAUTHORIZED ALTERATION OR ADDITION TO A SVRTEY MAP BEARING A
\ UCENSED LAND SURYEYOWS SEAL IS A Nd,ATION OF ARTICLE 1M,
\ On MAP/FILE NO.: N/A SECTR1N 7ms,SUBDIVISION 2 of THE NEW YORK STATE EDUCATION LAW"
\ \ 'Copia•from m•I, not of III,wry y map Sot-AW 10,m a Iod
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\ cam9"IX p.Nrnm.ntd agenry and MIwMy M•tlluthvl. CeHiflaptwn.an
MAP FILED DATE' N/A nm L an.r.oN•a oadnwnd n.om w.a we..R99.t a.n.:
N COUNTY TAX MAP ID: 1000-12300-0300-007000
SITUATED AT: MATTITCK, TOWN OF SOUTHOLD
SUBDIVISION MAP LOT&BLOCK 'S: NIA
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L) Intracoastal Abstracto Inc. a
L�O COPYRIGHT 2022 RALPH HER,
F w lFirstAmerican title insurance C=arT4 AERIAL LAND SURVEYING,D.P.C.
Q: Barbara Green Lstate Management JOB NO.: 22-18 50
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V DATE: NOVEMBER 7, 2022 1
SITE PLAN
Scale: I " — 30' - 0"
DISTRICT: _ 1000.00 INFORMATION RECEIVED FROM SURVEY
SECTION: 123.00 PREPARED BY:
BLOCK: 03.00 AERIAL LAND SURVEYING, D.P.C.
LOT: 007.000 58 PROBST DRIVE
SHIRLEY, NY 11967
833-787-8393
5-g 23 EXISTING CONDITIONS T.M.M.
# : D E: REVISION DESCRIPTION: BY:
BEAN RESIDENCE
AA 505 BUNGALOW LANE MATTITUCK, NEW YORK
3 JAMES DE LUCA ARCHITECT
29 MAIN STREET COLD SPRING HARBOR NEW YORK 11724
TEL: (631) 367-7011
DATE: PROJECT: DRAWN BY:
COPYRIGHT DE LUCA DESIGNS, INC. ALL RIGHTS RESERVED.
THE DUPLICATION, REPRODUCTION, COPYING, SALE, RENTAL, LICENSING, OR ANY OTHER DISTRIBUTION OR
USE OF THESE DRAWINGS, ANY PORTION THEREOF, OR THE PLANS DEPICTED HEREON IS STRICTLY
PROHIBITED UNLESS EXPRESSLY AUTHORIZED IN WRITING BY JAMES DE LUCA ARCHITECT.
FILE NAME: bean mattituck as built 5 9 23_recover.dwg PLOT DATE: Thursday, May 18, 2023
/5-74 �����
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CASED REF FR PAN.
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Walk-in
15'-0" 7'-8" 11'-1"
T
Bat
FL Bedroom
N — Foyer
V1
Garage
EXISTING FIRST FLOOR PLAN EXISTING SECOND FLOOR PLAN
I
Scale: 1 /4 = 1 ' — O" Scale: 1 /4 = 1 ' — O"
Li ROOF VENT ROOF VENT
— ( J
ATTIC SPACE
-T I � M BATH
2" I I I I �
Bedroom ( WASHER I LAVS
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SECOND
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Family Room a � I BATH — -�KITCHEN-
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HwH Mech / Laundry w PLUMBING RISER DIAGRAM
Scale: n.t.s.
° Bath 5-8-23 EXISTING CONDITIONS T.M.M.
# : ATE: REVISION DESCRIPTION: BY:
0
BEAN RESIDENCE
OIL 505 BUNGALOW LANE MATTITUCK, NEW YORK
JAMES DE LUCA ARCHITECT
29 MAIN STREET COLD SPRING HARBOR NEW YORK 11724
TEL: (631) 367-7011
DATE: PROJECT: DRAWN BY:
EXISTING LOWER LEVEL PLAN
70
COPYRIGHT DE LUCA DESIGNS, INC. ALL RIGHTS RESERVED.
DUPLICAT REPRODUCTION, COPYING, SALE, RENTAL, LICENSING, OR ANY OTHER DISTRIBUTION OR
Scale: 1 /4" — 1 — O US E DRAWINGS, ANY PORTION THEREOF, OR THE PLANS DEPICTED HEREON IS STRICTLY
PROHIBITED UNLESS EXPRESSLY AUTHORIZED IN WRITING BY JAMES DE LUCA ARCHITECT.
FILE NAME: bean mattituck as built 5 9 23_recover.dwg PLOT DATE: Thursday, May 18, 2023