HomeMy WebLinkAbout28799-Z Kell NO. a
1CM4 OF EOUTHOLD
BUILDING DEP'F.TMEIIT
Gffice of tha Euildirig inspector
Tann Hall
9oothc13, N.Y.
CERTIFIC=2 OF OCCUP11T
NO: 3 -30^.33 Date: 08!09/01
THIS CERTIFIES tbat the building ?"DPITION
Location of Property: 15iA P.FC )IEw F.9E OREENPORT
(HOUSE 1.10.1 (STREET) ifie:InLET
County Tax Map No 1%3989 Section s2 Blocks Lot 52
Subdivision Filed Map No. Lot No.
coafol= substantiall_r to rhe =-pplicaticn for Buildi::g Permit heretofore
filed in this office dated DCTOEEF. 1, 2002 pursuant to which
Building Permit No. 29%59 3 dated OCTOBER. 3, 1002
was issu_d, and conforms to all of the requiremso[s Cf the applicable
proaisione :.t the la:.. The occapsncy for --dhicl. this certificate is issued
is DECE 6 DITION 10 All E%ISIING COBE FYb1ILY D47ELLIPi3 'S APPLIED FOR.
The certificate is issued to RIC=n S � ja-ID4Z Id ROL9PIdG
-ONNER)
of the aforeeaid building.
SUFFOLK COUNTY DEPARTMENT OF REALM APPROVAL I•I;[:
HLECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 14'A
-:uthori�ed 5- - ture
J
Re.r. 1io1
FGF.Pd TIO.
TOVIIS OF SOUTHOLD
BUILDING DEPARTiAEPTT
Town Hall
SDLLC tu,la, N.Y.
BUILDING PERMIT
(THIS PER[•ITT KUST EE KEPT CN THE PREMISES UNTIL FULL
COMPLLTION OF THE WOE:K AIITHORI?ED)
PERMIT NO. 26799 Z Dace OCTOBER 3 , 2002
Permission is herebT granted [o:
RICI-LARD S FCbti STG
223 SCdJTHAGSN AVE
MEDFORD,RY 11763
for
COijSThUCTION OF A FP�CNT DECK /ff1DITICIT AS AFPLIED FOR
at premises located at _1500 EAAI✓IEW AVE OPEENFOFFI'
County Tax Map No. 47,3889 Section 052 Block 0005 Lot No. 052
pursuant to application dated OCTOBER 1, 2002 and approved by the
Building Inspector to expire on APRIL - 2004 .
Fee $
..uthoYF d Signet uzF
OP.IGINAL
Aev.
r -
i Form N..6 _ _
TOWN OF SOUTHOLD I
BUILDING DEPARTMENT
TORN HALL - 8
765-1802 _
_1PPLiC.aTION FOR CERTIFICATE OF OCC'UPAINC'Y = _
This application nmst be filled in b}t}Pewriter or ink and submitted to the BUildiug Department It ith the followin¢:
A. For nen'building or new use:
1. Final xnr cy of propert}with accurate location of all buildings,property lines,streets,and unnMual mn.urnl or
topomaphic features.
2. Final Approxal from Health Dept. of water supply and se"eraee-disposal l S-9 fonul.
-. Appro.;,[of clxlrical installation font Board of Fire Underanters.
4. Sworn statement front plumber certif}ine that the solder used in s}srcm coulains lees than '-'10 of 190 lead.
_. Connuereral bulldme,industrial building.multiple m<idumcs and similar buildin_¢s and installations, a certificate
of Code Compliance frem.uchio:ct or cm_ine r responsible for the buildutz.
6. Submit Planning Board 4ppincal of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-couforming rues,or buildings and-pre-easting' land uses:
1. -accurate sone,of properly short iug all property lines, sweets,building and unusual natural or topographic
fan LIFO,
_. A propedp connpleted application acrd consent to hspect signed by thr applicmn. If a Certificate ot'Occupancy is
denied.the Building Inspector shall sore the masons there& in writing to the applicant.
C. Fees
1. Certificate of Occupancy-Nru d"cllbtg 325.00. Additions to dwellhrg S'-15.00,.AltentLioni to dwelline$25.00,
Swimming pool S25.00'
2i00, Accessory buildinz $'25.(dl. .Additions to accassory buildinz%_,.Oil,Businesses S50.00-
1. Ccrrificateof Occupancyon Pre-existhtg Builduz- 5100.00
3. Copy of Certificate of Occupancy-5.25
4. Updated Certificate of Occupancy- 550.00
_. Teuporan Culifreale of Occupancy-Re..sidential $L IJV, Conmtercial 515,00
Date.
L �
New Consuuction: Old or Pre-ecist0nq Building: ✓_ (check ouc) Ad
I ocation of Property: '-!J
141_Jr;'
IIouse No. Swccl Harder
Owner or Owners of Property: G/dlfd/G� _J, Tt'4r�'Nt /A 6�UL/nF.�D
Suffolk Comuy l az Nlap No 1000. Section c[��3 u�`j _ Block _0005 Lol Gid
Subli,isiou Filed Dlap. Lor
Pertoir No. .42 'yG Date of Pennit. iG 3 oz Applicant. ,�';esh::_a J. ,�0/✓rn✓
Hcahh Dept. Approval: Undencnters Approval _
Planning Board Approvah
Request for. l eonporary Certificate Final Certificate _- (check owe)
Fee Submitted: $
Ll mod
Applicatrt'Siggrnatme
7E
New York State Department of Environmental Conservation
Division of Environmental Permits
Rm 121, Building 40-SUNY
Stony Brook, New York 11790-2356
Telephone(631)444-0365 -
Facsimile (631)444-0360
Erin M.Crotty
Corrmi�
Letter of Non-Jurisdiction
Mr. Richard Romano
223 Southaven Avenue
Medford NY 11763
June 14, 2002
Re: 1-4738-03038/00001
Romano Property
1500 Bayview Avenue
Southold NY
SCTM # 1000-52-552
Dear Mr. Romano:
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that:
The referenced parcel, as viewed on tidal wetland aerial photo map #'s 716-550 and 718-550, is
located landward of Bayview Avenue to the south, a roadway greater than 100 feet in length and
paved prior to 8/20/77. The parcel is located greater than 300 feet from regulated tidal wetlands to
the southeast and east and greater than 100 feet from regulated freshwater wetlands. Therefore,
the parcel is beyond the jurisdiction of Article 25 (Tidal Wetlands) and Article 24 (Freshwater
Wetlands)
In accordance with the current regulations (6 NYCRR Part 661 and Part 663) no permit is required
under the Tidal Wetlands Act or Freshwater 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 around surface or vegetation within Tidal Wetlands jurisdiction which may result
from your project. tuch precautions may include maintaining adequate work area between the
tidal wetland jurisdictional boundary and your project (i.e. a g5' to 20' 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.
Verytrul yours,
/ ohn A. Leland
Deputy Regional Permit Administrator
CC: BMHP
BOH
File
TOWN OF SOUTHOLD PROPERTY RECORD CARD
pyOWNER ,, STREET VILLAGE DISTRICT SUB. LOT
�iC ur KUreru a d1y1114"110 e9"Vr IJ
! FO MER"OWNER Vey / .H' Lely �1 E ACREAGE [_
1. 0e`, -o^4.
S W TYPE OF BUILDIN
37y-- G.I_a
l
RES., j C SEAS. VL. FARM COMM. IND. CE. MISC.
LAND IMP, TOTAL DATE REMARKSe-
0 G to to s B q b-. /1 4a v _
a?�;,, a' �'7_ f_
Q d zc o 0 0 D J 7%
ice la oao --- -
I
AGE BUILDING CONDITION (,
NEW NORMAL BELOW ABOVE X 1 �(
Form Acre Value Per Acre Value
Tillable 7
Tilloble 2_- -
Tillable 3
Woodland
Swampland
Brushland
_ House Ploh
Total
I
h c`
^ N
V 0
c,
1 i
3 � i I � a
Ji m L9 i% a
vs
.. yn
T
W W
DEPARTMENT OF THE ARMY
I NEW YORK DISTRICT,CORPS OF ENGINEERS
JACOB K.JAVITS FEDERAL BUILDING
NEWYORK,N.Y. 70M] 090
a=ten July 18, 2002
+i*v+nox of
Eastern permits Section
SUBJECT: Joint Application with New York State Department of
Environmental Conaervation
Richard J. Romano
223 Southaven Ave
Bedford, NY 11763
Dear Br. Romano_
We have recently r=.eired a copy of the Joint Application
for permit You filed. with the New York State Department of
Environmental Conservation (NYSDEC) .
Please be advised we have reviewed the copy of the Joint
Applicaticr sent to this office by NYSDE-C. Eased solely upon the
information provided, it appears that a Department of the Army
permit is not required for your proposal .
The ^epartment of the Army regulates- constructicn activities
in navigable waterways and discharges of dredged or fill material
into waters of the United States, including inland and coastal
wetlands . If your proposal would involve such work, and has "not
been portrayed as such in your Joint Application, you should
ccntact this office immediately so that a project-specific
determination can be made as to whether a Department of the Army
permit will be required.
Any inquiries can be directed to this office at (212) 264-
3912, 391.3, 6730, or 6731.
S iincere/lv,,
Marc Helman
-- - ' -Acting Chief, Eastern Permits Section
30 May 2002
Duty Analyst
NYS DEC
Stony Brook,NY
Ref. Jurisdictional determination
To whom it may concern;
1 would hike to construct a wooden deck, 12:Y22' (264 sqft)on the front of my house
located at 1500 Bayview Avenue, Southold. The only disturbanc=e to the property are the
R footings, three foot deep(see attached documents).
Please provide a jurisdictional determination so I may proceed with my application
before the Town of Southold.
Thank you in advance.
r--
Ric J. Romano
1500 Bav view Ave.
Southold,NY
631-299-0063
Enc: Current Survey
.Aerial Map
Cons--uuctiou Plans
Pictures
BUILDING PERMIT EX4NITNER CUFCK LIST
DAIE REY•IE 1\ED: I() . Z %lb1
APPLICANT
��hiC+4r",�Za1 +.._�r�; - DATE SLBh11TTED: �c ; t i0�
' SCTDI#DISTRICT: 1l OGG, SECTION: ✓? . BLOCK: S-. LOT: _ �
STREET ADDRESS: 1 jo a e cITY: ? SLBT� IRTSTON�I��e.::gsd
PROJECT DESCRIPTION:
ESTTYTYTED PROJECT COST: ac aRCHLTEC'1:t.NGINEER: F,,/rAST TR?.CI{ On
SINGLE K SEPARATE CERTIFTCATION-REQUIRED? WE NOTES:
[ATS 4-0-ASF-!0!1'4 L,,a .,i,r. (,-RF=. .D hem,lure'.0.1921 •[ 4DER'LED LOTS FRJ:•t J. 199' t0! urz,7 i
ZONING DISTRICT: G CONFORMING.' 96
REQ. LOT SIZF:/4o,-oc ACT. LOT SIZE:I3�REQ. LOT COY'. _ .2v- ACL. LOT CO:'.
REQ. FRONT 35 PROP. FRONT >-/ _ ID SLDE lq ACT. SIDE J
REQ. REAR ,�9 PROP. REAR REQ. HEIGHT _PROP. HELUHI
& 5
WATERFRONT' �°`Js DF.SCRTPTICIN: -___-
PANEL #: `,5 — FLOOD ZONE:
1
APPROVALS REQUIRED
SUFFOLK COUlNTY"HEALTHf��� )PT: YES or(D(BED#): _ DTE:-i-,— PFRRTIT#:R I U-
TOWN SEPTIC RECEIPT: Y oit �!��
NEW YORK STATE DEC: PRE-DEC 9nns `\fir NO
SOUTHOLD TOWN TRUSTEES: YES ory,�ILF^I. �t:rt5r(1N.a,n +-c�CY1K-S .C(3"R
TOWN ZONING BOARD APPROVAL: YES o.110
TOWN PLAN. BOARD APPROVAL: r
TOWN HISTORICAL PRE (SPLTA): IT,S o O _
NYS ENERGY: YES OR
EGRESS (18 H min.? 4 sq al) N' /t} VENT(SQ. FT.x 4%) LIGHT(SQ. FT.x 8%) N/',
BUILDING PERMITS OPENTXPRRED: BP -Z/C/o Z-
HAVE PRE CO'S : Y OR N BP -Z/Cio Z- ,
NOTES:
:FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: ,`,Lr,A SF FEE FEE FEE
1. ( _SF)-(__SF)- SF S$_$ +$ +S -$ o5o
2. (_SF)-( SF)= SF X$ _$ +$ +$_ _ $
765-1802
BUILDING DEPT.
1 PECTION
[ ] F DATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMAR
r
D TE INSPECTO C
e
1
765-1602
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: / � f ter✓ �� Com.
i✓ - _ � �3,-,a � SYS G t✓��T� ��o'.v
DATES INSPECT
7
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROU G LBG.
[ ] FOUNDATION 2ND [ ] INRULATION
[ ] FRAMING FINAL
[ ] FIREPLACE 8: IWINEY [ ] FI"SAFErK INSPECTION
REMARKS:
DATE o t / INSPECTO
/ /r
f
J
F=INSPECTION REPORT DA COMMENTS
FOUNDATION(1ST)
FOUND. TTON(2N-D)
- O
U
ROUGH FRAbIING&
PLUMBING /
- �� �� . c •ate
- '2y�r=— /1.��6i e •°sem
1LNSULATION PER N.Y. � / -• �-'
STATE ENERGY CODE
n
FINAL
ADDTITONAL COMMENTS 1
a
m
0
.y
__ H
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDINGDEPARTMIEN-T D¢you have or need dtz followrittg,before applying?
TORN HLA1.L Board of Health
SOUTHOLD, NP 11971 —3 sets of Building Plans
TEL: (631) 765-1803 Planning Board approi-.d
FAX: (631) 765-9502 ���� —S 31
PERMIT NO. -) ,
Septic Fornt
N.Y.S.D.E.C.
Trustees
F',un nedp�—20 02 Contact:
`.pp ..ed 20 c2 Mail W:
Di,apponod ,
�Itnue: 1031-ak4- QOln3--
E:pirndo¢ ,204 ,
Building Inspector
E
12CO2 APPLICATION FOR BUILDING PERMIT_� i
Date 1u/y .moi 3 , 20 n2
INSTRUCTIONS
a. Thi, appl iean,an NRTST he 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,relationsbip to adjoining premises orpublic streets or
areas, and natetwa�s.
c. The Werk covered by this application may not be commenced before issuance of Building Permit.
d.Up�ai appro�a] ni this application.the Building Inspector will issue a Building Permit to the applicant. Such a permit
>Y all be kept on the premises siailable for inspection throughout the work.
C. Nu buildinif shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
i„-ues a Certificate of Oacupanc'):
f Every building permit shall expire if the work authorized has not commenced within 12 mombs after the date of
i,,oaacc or has nor born completed within 13 months from such date. If no zoning amendments or other regulariom affecting the
preperr, have becrr enacted in the interim,the Building Inspector may authorize,in writing,the extension of the pensr Te,an
addition six cnndis. Thereafter,a new permit shall be required.
APPLICATION IS HEREBY NLADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance,t£the Town of Southold,Suffolk County,New York, and other applimble Laws,Ordinances or
Re6nilariom, for the construction of buildings,addition,,or alterations or for removal or demolition as herein described.The
applicant sat e to corupl-, a ith all applicable laws,ordinances,building code,housing code,and regulations,and to adroit
authonzed inspectors on premises and in building for necessary impections.
(SLdd=of applicant or name,if a corporanon)
/SGO ,ct4Yv�G�'A��
(Mailing address of applicau,
State whether applicaur is owner, lessee, agent, architect,engineer, general contractor, electrician,plumber or btuldta
Name of owner of premises ✓� '.'/lG -A/ /rNA /-�, 'vtc; T /iie:�Np
(As on the tax roll or latest deed)
If applicant is a aotporarioa, signature of duly authorized officer
i
(Name 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:
/Sao B//Yyiaw lftl Soria/ram
House Number Street Hamlet a
County Ta_x Nlap No. 1000 Section-0 aat Block 5 Lot J 1 1' /.�
Subditision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and interc�ed use and occupancy of roposed construction:
a. Existing use and occupancy --F-t�p`Mt',�,t,�
b. Intended we and occupancy ho �-
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal _Demolition Other Work �'-0>;Sr/UCC� AF!c
(Dexripuoo)
4. Estimated Cost �a, 0oo Fee
(To he paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each tloor
If garage, number of cars
6. If business,commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures,if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear_ Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10.Date of purchase Name of Former Owner
11.Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES_NO-
1 3. W ill lot be re-_graded^YES_NO _Will excess fill he removed from premises?YES NO
14. Names of Owner of premises_ _Address_ Phone No.
Name of Architect Address Phone No -- - - ---_- _
Name of Contractor Address Phumme No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X_
* IF YES, SOUTIIOLD TOWN TRUSTEES &D.E.C.PERMITS NLkY BE REQUIRED.
h. Is this property within 300 feet of a tidal wetland? *YES X No—
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. s 6;&- 1-E-77,-,t or= i 16ti-J2'n_rsd,
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'am{ane{s sq{ ui slDna{ew jc
asn pun uolz.nigsum eadoed ioj {aa}Iq-m moA ;lnsuoa os[g }5a{igim incA q{i.s Olsap aq{ mmal
-alis uoq{ nU{suoa aq{ In suoi{IpUm q{ie: Jua{sisuaa Si •suogUO14[paw w sucl{n{gsgns Am puo
'u6isep pa{saBBns aql ley{ AJUar, o1 'sluewuimbei pon sapco uu,nimq In+al Ilo s{aaw lagow not {nql
9Ua1{mlJlpow io euol{nlgsgns Auo puol udlsap aql lcgl BuiAlpaA joj 'I:eiim Bulaq s{uawamsoaw po
joj algisuodsaJ aJo nu;, uold Bwplinq pegsguj a lou sl Wisep pa{saBBns aq1 -swali Amsse�vu aql
sapnlaul lag sluuaaew nwA avior uae M.les BulBpuq pun sA_mq aauq allntai Aow u&sep aU 9161q
la{uaa o{ ealua; „gl 'smcaq ¢c do{ uo a{swr laSS1SIOp
punmH pedals m uanaun aoJ uoiluweojui apinaad uoe
uosiadsalos mo,1 larval punoib anogo „gI aq aiojajagl flim, slscd lioddns ryaap eq{ to do{ aq1
punoiB lana; c{ Bulgoap ;c dol ay{ woil ,;�E ¢o lq&ay u palaalas no.,, :JHE-d3H LSOd CINv NO9O
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52"d IrCkcl rd-132
5URVEY OF LOT 118, IN g 4 120 N
MAP OF 5UMMERHAYEN
FILED _ULY 5, 1953, FILE No. 133
! 511UATE: NEAR 5MTHOLI? / W-� E
TOM- 5OUTHOLD
! 5UFFOLK COUNTY, NY s
1 SURVEYED Ob-10-01 _
SU=FOLK CJ.INTY TAX N 165.91'
1000-52-5 52
CERTIFIED TO: - N'►�'S� 3 $' - � -
GRICHARO J OMAN O O
1 FIDELIS M ROMANO - -
FIDELITYEA.TIONAL TITLE -„
INSURANCE COMPANY NEN YORK (iP151905) I -
ISLAND FEDERAL CREDIDI T UNION
I n
N9
0
NOTES.
MONUMENT FOUND
G PIPE FOUND \
AREA =15,987 S= OR 0.32 ACRES \ AA A�1f', 7 y v I, N.� ",:7`1�U �'�" '•L
6 EAST MAIN STREET N.Y.S.LIL'.NO. 502o2
GRAPHIC SCALE "- 2Ci'
- - ---- RIVERHEAD, N.Y, 17901. i
169-3285 Fax ifi9-5287 REF.-\\Hp smerVi\PROS\OI-21D.pro
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30233 Date: 06/08/04
THIS CERTIFIES that the building ADDITION
Location of Property: 1500 BAYVIEW AVE GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 52 Block 5 Lot 52
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 1, 2002 pursuant to which
Building Permit No. 28799-Z dated OCTOBER 3, 2002
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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to RICHARD J & JEANNE M ROMANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Authorize Si ture
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. 28799 Z Date OCTOBER 3 , 2002
Permission is hereby granted to:
RICHARD J ROMANO
223 SOUTHAVEN AVE
MEDFORD,NY 11763
for
CONSTRUCTION OF A FRONT DECK ADDITION AS APPLIED FOR
at premises located at 1500 BAYVIEW AVE GREENPORT
County Tax Map No. 473889 Section 052 Block 0005 Lot No. 052
pursuant to application dated OCTOBER 1, 2002 and approved by the
Building Inspector to expire on APRIL 3 , 2004 .
Fee $ 150 . 00
4_,,�Kutho Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 8 2M
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 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 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$25.00,Altep�tions 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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: ✓ (check one)
Q GRee�ie°o�T
Location of Property: 1!0 0 13AyV/6—W
House No. Street Hamlet
Owner or Owners of Property: 'e l6'l�/¢2�� Z a,-d I kF)WN6�- /0, POINA1,0
Suffolk County Tax Map No 1000, Section y73 88`J Block 006 S Lot 0 Sa
Subdivision Filed Map. Lot:
Permit No. o,�R 770 a Date of Permit. 10L3 a Z Applicant: T legA ,, • , 44,4.✓
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 02_�_—
C�� Applica Signature
R -8S1
y//d�
New York State Department of Environmental Conservation
Division of Environmental Permits
Rm 121, Building 40-SUNY AM
Stony Brook, New York 11790-2356
Telephone(631)444-0365 -
Facsimile (631) 444-0360
Erin M. Crotty
Omwnissioner
Letter of Non-Jurisdiction
Mr. Richard Romano
223 Southaven Avenue
Medford NY 11763
June 14, 2002
Re: 1-4738-03038/00001
Romano Property
1500 Bayview Avenue
Southold NY
SCTM # 1000-52-5-52
Dear Mr. Romano:
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that:
The referenced parcel, as viewed on tidal wetland aerial photo map #'s 716-550 and 718-550, is
located landward of Bayview Avenue to the south, a roadway greater than 100 feet in length and
paved prior to 8/20/77. The parcel is located greater than 300 feet from regulated tidal wetlands to
the southeast and east and greater than 100 feet from regulated freshwater wetlands. Therefore,
the parcel is beyond the jurisdiction of Article 25 (Tidal Wetlands) and Article 24 (Freshwater
Wetlands)
In accordance with the current regulations (6 NYCRR Part 661 and Part 663) no permit is required
under the Tidal Wetlands Act or Freshwater 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 20' 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.
,fiery trul yours,
ohn A. ieland
Deputy Regional Permit Administrator
CC: BMHP
BOH
File
DEPARTMENT OF THE ARMY
NEW YORK DISTRICT,CORPS OF ENGINEERS
JACOB K.JAVITS FEDERAL BUILDING
NEW YORK,N.Y. 10278._0090
REPLY TO
M'T "01I 1 OF
Eastern Permits Section July 18, 2002
.SUBJECT: Joint Application with New York Stat
Environmental Conservation e Department of
Richard J. Romano
223 Southaven Ave
Medford, Ny 11763
Dear Mr. Romano:
We have recently
for permit you filed with ived a the PY of the Joint Application
the Newc�
Environmental Conservation York State
(NYSDEC) , Department of
Please be advised we
have Application sent to this office reviewed the co
information y NYSDEC, copy ?f the Joint
Permit is not required
it appears that a De aBased solely upon the
quired for your proposal . p rtment of the Army I
in navigable Department
waterways O the Army
into waters of the United States,discharges regulates construction
dredged or fill material
wetlands. If your p es, including inland and material
been y pro ?sal would involve such work coastal
portra ed as such in your Joint
contact this office and has 'not
determination can be immediately so thatttalicati?n, you should
permit will be re made as to whether a o�ect-specific
quired. Department of the Army
3912. Any s office inquiries can be directed to this
6730, or 6731 . at (212
264-
Sincerely,
_. Mara Helman
Acting Chief, Eastern Permits Section
30 May 2002
Duty cyst
NYS DEC
Stony Brook,NY
Ref: Jurisdictional determination
To whom it may concern;
I would like to construct a wooden deck, 12'x22' (264 sgft)on the front of my house
located at 1500 Bayview Avenue, Southold. The only disturbance to the property are the
8 footings,three foot deep(see attached documents).
Please provide a jurisdictional determination so I may proceed with my application
before the Town of Southold.
Thank you in advance,
Ric d J. Romano
1500 Bayview Ave.
Southold,NY
631-289-0063
Enc: Current Survey
Aerial Map
Construction Plans
Pictures
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: 10 / 2. /0a
APPLICANT ] 1�� � � DATE SUBMITTED: 10 / r /0a
SCTM#DISTRICT: 1,000, SECTION: , BLOCK: , LOT: �2
CITY:
Gule4
STREET ADDRESS: ' o SUBDIVISION:
e
PROJECT DESCRIPTION:
ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: FAST TRACK? ,
SINGLE & SEPARATE CERTIFICATION-REQUIRED? Wo NOTES:
LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS
FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1
ZONING DISTRICT: ( Ao CONFORMING? Iv o
REQ. LOT SIZE: o,o )o ACT. LOT SIZE:16,284 REQ. LOT COV. c,20*�, ACT. LOT COV.
REQ. FRONT 35 PROP. FRONTSIDE SIDE )o e ACT. SIDE J
REQ. REAR 3 5 PROP. REAR 5 REQ. HEIGHT PROP. HEIGHT
��� Se�� c
WATER FRONT?
NO DESCRIPTION: ocs
PANEL #: FLOOD ZONE: ,
` APPROVALS REQUIRED
SUFFOLK COUNTY HEALTHPT: YES or 0 (BED#): DTE:_/_/_ PERMIT#:R10-
TOWN SEPTIC RECEIPT: Y OV
NEW YORK STATE DEC: PRE-DEC 9/1/75�E br NO
SOUTHOLD TOWN TRUSTEES: YES o , alc
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES o O
NYS ENERGY: YES OR
EGRESS (18 H min.?4 sq ) v, VENT(SQ. FT. x 4%) h'14 LIGHT (SQ. FT. x 8%) N�
BUILDING PERMITS OPEN/EXP D: BP -Z/C/0 Z- ,
HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- ,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: Sm SF FEE FEE FEE
1. ( Q 89_SF)-(_ SF)— SFX$ =$ +$ +$ =$ 5 O
2. ( SF)-(_SF)= SFX$ =$ +$ +$ =$
765-1802
BUILDING DEPT.
1 PECTION
[ ] F DATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY i
REMAR
r-�
D iTE IN8PECT0
�2zp7i�lp #
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY [ ) FIRE SAFETY INSPECTION
REMARKS:
O i ldccG'�ac�
67
AgeT
DATE 0 INSPECT
T
7
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUG LBG.
[ ] FOUNDATION 2ND [ ] INCATION
[ ] FRAMING FINAL
[ ] FIREPLACE 8 11 NEY [ ] FI ' SAFE INSPECTION �I
REMARKS:
DATE � � INSPECTO
1 1 1 r I I
-------- --- - --- -----
FOUNDATION(IST) WA 02
IMVII
Mo-
ROUGHFRAMu 9FORM 1
PLUMING
M IIIIIIII
INSULATION PER N.Y.
- -
STATE ENERGY
O1 r
WA VIM FAM' MANIA Me fflm,,Ij
�:moo
O '
1
COMWENTS
M
TOWN OF SOVTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 —3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 —Survey
PERMIT NO.,-;-) Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined1;�,20 02 Contact:
Approved 1 20 Mail to:
Disapproved a/c
Expiration 20_4_
Building Inspector
IRI
2002 i! APPLICATION FOR BUILDING PERMIT
Date 3L/_,Z a3 , 20 C Z
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 streets or
areas, and waterways.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be required.
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 inspections.
(Sigdafm of applicant or name,if a corporation)
//97/
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
O W A1E,-
Name of owner of premises Avb T, �fj .wwo
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name 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:
/SUo '31fY111 cd
House Number Street Hemet
County Tax Map No. 1000 Section 0,s-21 Block 5 Lot
Subdivision Filed Map No. Lot
(Name)
t
2. State existing use and occupancy of premises and intendAd use^and occupancy o roposed construction:
a. Existing use and occupancy VMU
b. Intended use and occupancy. _1--v Ck— k ek A(j 4),
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work Co1j,s71t1vcr DeCK.
(Description)
4. Estimated Cost a , UO a Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures,if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law,ordinance or regulation?YES NOS
13. Will lot be re-graded?YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Address__ Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES X NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. s&-&- ,q rr-. � ,c& of=•laA./-Td2Isd.1c nd.✓ G�y�A.
16. Provide survey,to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the 4 6LIAI,&-7
(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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of .u-Q.t 20gZ�
-Nbtary Public Signature of Applicant
44"R99N MULDOON.
NOTARY P"kjC,State of New YOM
Na,4645M2
qt%W t4 it ftnu countt .
commis*% f 2-31-45
5URVEY OF LOT 118, IN 120
MAP OF 5UMMERHAVEN N
FILED JULY 5, IG33, FILE No. 1133 --—
511U T NEAR 5MTHOLD ®
TOM: 5OUTHOLD (010�
5UFFOLK COUNTY, NY -
i SURVEYED 06-18-01 _
SUFFOLK COUNTY TAX # �� 165•11'
1000-52-5-52 fJ�y
0%) 30
CERTIFIED TO: O
RICHARD J ROMANO c��� �j O
SEANNE M ROMANO / O P
FIDELITY NATIONAL TITLE / sF
INSURANCE
ISLAND FEDERAL CREDIT UNION
ORK (SPI5�G05)
O
•
S
ky
NOTES:
MONUMENT FOUND / J
O PIPE FOUND
AREA =13,a8-I SF OR 0.32 ACRES JOHN C. EHLERS LAND SURVEYOR
GRAPHIC SCALE 1"= 20' 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.—\\Hp server\d\PROS\01-210.pro
Wkt
Y-_-m VIEW APPROVED AS NOTED
CUS C 4ER -- GENERIC CUSTOMER i/ ATE.10�3�� B.P.,�f�`��1�
/Oi/02 REE Geck02274 �/
—By.
OTIFY BUILDING DEPARTMENT AT
65-1802 8 AM TO 4 PM FOR THE
OLLOWING INSPECTIONS:
- FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
ROUGH - FRAMING & PLUMBING
ULATION
CONSTRUCTION MUST
OR C.O.
j I
SHALL MEET
I
HE N.Y.
ERGY
I
E FOR
RRORS
CUPANCY OR
IS UNLAWFUL
�! OUT CERTIFICATE
�� cll� III'II OF OCCUPANCY
�I i
�
Jill
I ;G�� I I
d�q \
RES
ROUTE 25
GREENFORT NY
63'-477-'!038
1
PLAN VIEW RBS
CUSTOMER -- GENERIC CUSTOMER ROUTE 25
DATE 10/01/02 REF Deck02274 GREENPORT NY
631-477-1438
24'
3'
cu
LOAD AND SUPPORT: Your deck will support a 66 PSF live load. Posts have 36" below-ground
post support.
DECK AND POST HEIGHT: You selected a height of 36" from the top of decking to level ground.
The top of the deck support posts will therefore be 29" above ground level. Your salesperson
can provide information for uneven or sloped ground.
JOISTS: Set joists on top of beams, 16" center to center.
NOTE: The design may require knee braces and bridging between joists. Your materials list includes
the necessary items. The suggested design is not a finished building plan. You are responsible for
all measurements being correct, for verifying that the design (and any substitutions or modifications
that you make) meets all local building codes and requirements. To verify that the suggested design,
and any substitutions or modifications, is consistent with conditions at the construction site.
review the design with your architect. Also consult your architect for proper construction and use
of materials in the structure.
Be sure to follow the deck construction detail available from your store salesperson.
r •
BEAM LAYOUT RBS
CUSTOMER -- GENERIC CUSTOMER ROUTE 25
DATE 10/01/02 REF Deck02274 GREENPORT NY
631-477-1038
5111 112"
A
�' 112"
LL�
B
1'
BEAM BEAM POST POST
LABEL LENGTH COUNT SPACING
A 23' 9" 4 7' 10°1
13 23' 9" 4 7' IQ°'
Post spacing is measwed center-to-center.
Depth of post-in-concQete tootem --- 36 inches.