HomeMy WebLinkAbout49440-Z �suFEoi�
��o �cpGy Town of Southold 12/21/2023
a P.O.Box 1179
H 53095 Main Rd
�'j., �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44838 Date: 12/21/2023
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 2750 Minnehaha Blvd, Southold
SCTM#: 473889 See/Block/Lot: 87.-3-44.1
Subdivision: Filed Map,No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/30/2023 pursuant to which Building Permit No. 49440 dated 6/29/2023
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:
outdoor shower as applied for.
The certificate is issued to Cassaro,Mary Jane&David
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Auth tz(JdSignature .
�SUFFo�c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
y
• � . 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) t
Permit#: 49440 Date: 6/29/2023
Permission is hereby granted to:
Cassaro, Mary Jane
73 Pine St
Garden City, NY 11630
To: construct outdoor shower as applied for per Trustees approval.
At premises Located at:
2750 Minnehaha Blvd, Southold
SCTM #473889
Sec/Block/Lot# 87.-3-44.1
Pursuant to application dated 5/30/2023 and approved by the Building Inspector.
To expire on 12/2812024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $250.00
Building Inspector
pF SOUIyOIo
qq TOWN OF SOUTHOLD BUILDING DEPT.
coum, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [,/FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O. [ ] RENTAL
REMARKS: en/17
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
t�
FOUNDATION (1ST) `�►=
�H
------------------------------------
�C
FOUNDATION (2ND)
z
� o
J
y
ROUGH FRAMING& 1
PLUMBING H
c
r
INSULATION PER N.Y. 3
STATE ENERGY CODE
3o a � C
FINAL
ADDITIONAL COMMENTS
uv
IQ 1;10 lR 3 T-?uJA-e O
�z
rn
1 �
b
0
C
b
H
600Fkt��o TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631) 765-9502 biips://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only --'
PERMIT NO. Building Inspector: MAY 3 0 2023 '
Applications and forms must be filled out in their entirety.Incomplete'
applications will not be accepted. Where the.Applicant is not the owner,an �! '`,TVC
Owner's Authorization form.(Page 2)shall be completed. Tr?
Date:
OWNER(S)OF PROPERTY:
Name: SCTM#1000-
Project Address:
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name:
Mailing Address:
--- --- - ---- --
Phone#: ,_ ® Email:
DESIGN PROFESSIONAL INFORMATION:. '
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
CRT- - --
Mailing Address: I �v
t
Phone# - � . Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition XAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes Flo Will excess fill be removed from premises? ❑Yes �lo
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
R 40 this property? Eyes BNo IF YES, PROVIDE A COPY.
B Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 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 Laws,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 210.45 of the New York State Penal Law.
Jerry Cibulski
Application Submitted By(pr' name): BAuthorized Agent ❑Owner
J _
Signature of Applicant: Date: 5-31-2023
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
No.01BU6185050
SS: Qualified in Suffolk County
COUNTY OF ) Commission Expires April 14,2 OW
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
Agent
(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 knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
31 day of ,20 �j `�)��°
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the,owner)
Dave, Mary Jane Cassaro 2750 Minnehaha Blvd. Southold
I, residing at
Jerry.Cibulski
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Ow, s ignature Date
Dave, M y e Cassar ��
�� Pr t Owner's Name
2
=aaAS�FF o�y� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy • � �' Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownngov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector:
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:05-30-2023
OWNER(S)OF PROPERTY:
Name:Dave & Mary Jane Cassaro SCTM# i000-87-3-44.1
Project Address:2750 Minnehaha Blvd, Southold NY 11971
Phone#:73 Pine St, Garden City NY 11530 Email:
Mailing Address:
CONTACT PERSON:
Name:Jerry Cibulski
Mailing Address:PO Box 598, Southold NY 11971
Phone#:631-404-2507 —Fmaii-JerryCibulski@gmaii.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:J Grano Contracting
Mailing Address:850 Lincoln Ave, Suite 10 Bohemia NY 11716
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
1
Glenn Goldsmith,President ®F s®u�� Town Hall Annex
A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold, New York 11971
Liz Gillooly Q Telephone(631) 765-1892
Elizabeth Peeples ® Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 10367A
Date of Receipt of Application: May 5, 2023
Applicant: David & Mary Jane Cassaro '
SCTM#: 1000-87-3-44.1
Project Location: 2750 Minnehaha Blvd., Southold
Date of Resolution/Issuance: May 17, 2023
Date of Expiration: May 17, 2025
Reviewed by: Elizabeth Peeples, Trustee
Project Description: Install a 5.6'x8' outdoor shower with fieldstone floor with
installation of a drywell.
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
Jerry Cibulski, received on May 5, 2023, and stamped approved on May 17, 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.
Glenn Goldsmith, President
Board of Trustees
1
'4 91114q0
Glegin,P Colds-fhItfl,'-President fif 0 Town Hall Annex
54375 Route 25
c.elPresident
P.O. Box 1179
Eric Sepenoski,' Southold,New York 11971
Lillooly
Telephone(631) 765-1892
? Aiza &Peeples
Fax(631) 765-6641
100M
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
2111C Date: December 20, 2023
THIS CERTIFIES that the installation of a 5.6'x8' outdoor shower with fieldstone floor with
installation of a dDmell;
At 2750 Minnehaha Blvd., Southold
Suffolk County Tax Map#1000-87-3-44.1
Conforms to the application for a Trustees Permit heretofore fled in this
office Dated May 5, 2023 pursuant to which Trustees Administrative Permit#103 67A
Dated May 17,2023.was issued and conforms to all
the requirements and conditions of the applicable provisions of law. The project for which
this certificate is being issued is for installation of a 5.6'x8' outdoor shower with fieldstone floor with
installation of a do well.
The certificate is issued to David&Mary Jane Cassaro owners of the
aforesaid property.
Authorized Signature
5'-`'IBOL EGEND
-
I
:R .y��.•fiF•
18
ZI
-59
� o ,g,Jd• f,:
_ v .1 1 v _ ll' 41 •.'' J7
Co
Fi c��2 '� G �a�uic'ar�sotrvs. e s* !m:,`W .:• �� 1 m
Qj
1 b
O
,
OPECHEE
=o'er \�` as e`•r eF'`'J -�rn
AVENUE Ufa
°� VED o
(33' WIDE) � fan•
TOWN OF SOUTHOLD
GRAPHIC SCALE DATE LOT AREA
3a a is 30 "'vJ 26,773.85 S.F.
0.61 AC.
( GUARANTEED T
IN FEET ) - - -- - OAVID GAAN
SSARO AND MARY JANE CASSARO
1 inch = 30 fL ALL STATE ABSTRACT CORP.
STEWART TITLE INSURANCE COMPANY
SCALICE
SURVEY OF PROPERTY
SITUATE AT
' l a n d S iu ry ey I n G SCIJTHCLC, TOWN CF SCUTNCLC'
ms!andsurve .ccm — SCFFCL'K CCUNTY, NEW YCRK
T
y F.631 G..7-24CG
�T 0503- CR.:MC CREW..JM SCALE: 1" = 3C' TAX MAP NC.
CATE SLIR14EYEC:C3/2C/2021 JCB No.S21-075- 1CCG—C87.00—CJ.CC-044.001
No-r CD ve--Le
,i
I�
AP R VED AS NOTED COMPLY WITH ALL CODES OF
DATE: B.P:# NEW YORK STATE & TOWN CODES
FEE:- BY: f x AS REQUIRED AND CONDITIONS OF
NOTIFY 'BUILDING DEPARTME T S0 rrHnl n MWN B
765-1802 8 AM TO 4 PM FOR.THE
FOLLOWING INSPECTIONS. ARD
1. FOUNDATION = TWO REQUIRED SOUTHOLD TOWN TRUSTEES
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING N.YS-3EL-
3. INSULATION
4. FINAL - CONSTRUCTION MUST A
BE COMPLETE =�= C 0. J�CUPANQY OR
ALL CONSTRUCTION SHALL MEET THE ���cc - 1►�1`�A,'��,
REQUIREMENTS OF THE CODES OF NEW J;SE 1S UNLAWFUL REMAIN STORM WATER
YORK STATE. NOT RESPONSIBLE FOR _ /+ RUNOFF
DESIGN OR CONSTRUCTION ERRORS. NITMOUT�CEA�'SC� PURSUANT TO CHAPTER 236
-�F`f0CUPA NCv OF THE TOWN CODE,