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Home My WebLink About35306-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34200 Date: 02/17/10 THIS c~TIFIES t~at the building BASEMENT ALTERATION Location of Property: 854 BRIDLE LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 102 Block 4 Lot 5.5 Subdivision Filed [4ap No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 28, 2009 pursuant to which Building Permit No. 35306-Z dated JANUARY 19, 2010 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 "AS BUILT" BASEMENT ALTERATION TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY & LOIS BENNARDO (OWNER) of the aforesaid building. SuF~OLKCO~Wl"fDEPARq~4E~TOF~EALTHAPPRO~q%L N/A ELECTRICAL c~TIFICATE NO. 131829 10/17/09 PLIERS U~-rIFICATION DA'r~3 12/01/09 MICHAEL SIRICO ~~horize~e Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therelbr in writing to the applicant. C. Fees 1. Certi~cate ~f ~ccupancy - New dwe~ling $25.~~~ Additi~ns t~ dwel~ing $25.~~~ Alterati~ns t~ dwel~ing $25.~~~ 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. Old or Pre-existing Building: d New Construction: Location of Property: (check one) House No. Street Owner or Owners of Property: )~'-gl~q 0 ~O y q-- Suffolk County Tax Map No 1000, Section /~o~ Subdivision Permit No. ~ ~.~ Date of Permit. Hamlet Filed Map. Applicant: Lot Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ c~x.~", ~ ~t2--~q~ (check one) Applicant ~gmture LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. 670 MIDDLE COUNTRY ROAD ST. JAMES, NEW YORK 11786 (631) 265-3075 Fax (631) 265-6057 Application No.: 131829 Permit Number: Block: Lot: Section Agent: Address: Owner: Bennardo Residence Address: 854 Bridal Lane Municipality: Cutchogue NY License#: )wnerPhone Agent: Triple Phase Electric PO BOX 492 Saint James NY 31518-ME tdple 11780 No. ITEM SIZE No. ITEM SIZE No. ITEM 17 Switches: 0 SubFeeds: 0 PooleAbvBIo: 27 Receptacles: 0 Timers: 0 PoolslnGround: 1 GFCl Devices: 0 Transformers: 0 Pools Filter: 0 Dimmers: 0 ACEqulpmentCentral: 0 Pools Lights: 6 MedlumBaseFIxturss: 0 ACEqulpmentWlndow 1 CO Detectors: 14 FluroescentFIxturas: 0 MotorsbyHP: 0 Disposal: 0 HID: 0 Generators: 0 Metal Halide Lamps: 0 RangeOvenCookTop: 0 WhlrlpoolHotTub: 0 RefrlgUnlte: 0 DryerElect~lc: 0 Microwave: 0 WalklnBox: 1 ExhaustFans: 0 WaterHeaterElectric: 0 ExhaustUnit: 0 CellingFans: 1 SmokeDctectors: 0 SteamShower: 0 DW: 0 TrackLIghtlngStrlp: 0 BrsadWarmers: 0 Laundry: 0 ElectrlcHeat: 0 GarbageDIsp: 0 HeatlngEqulpMotors: 0 PumpMotor: 0 CentrslVac: 0 ExltSlgns: 0 Disconnects: 0 Chandelle~t. lfts: 0 EmergencySlgns: 0 FuturaOutlete: 0 ElevatorLIfts: LOCATION OF WORK: ~ Basemen L~ FirstFIoor [] SecondFIoo Comments Prior Built Finished basement with bath 9/16/09 Rivera / Additions SIZE Outside [] Addition ~ Survey [] New Const, Temporary Li OH LJ UG ~ Amp: Phase: I Volts: WireType: (~l.,J Conductor # Meters: MemberI.A.E.I. Electrical Certificate Ce. . ate No. LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. Certificate Issued on: 10/17/2009 issued to Bennardo Residence Address: 854 Bridal Lane Cutchogue NY Triple Phase Electric PO BOX 492 Saint James NY 131829 11780 THIS CERTIFIES THAT OUR LOCAL DISTRICT INSPECTOR CONDUCTED AN INSPECTION OF THE VISIBLE PORTION OF THE ELECTRICAL INSTALLATION DESCRIBED HEREIN AND iS COMPLIANT WITH THE CURRENT NATIONAL ELECTRICAL CODE. CERTIFICATION Date: Building .ermitNo. '¢ 55 ~ (Please print) Plumber: i~ii~ 5 t ~, ~ (Please print) I certit~ that the solder used in the water supply system contains less than 2/10 of I% lead. Sworn to before me this O day of'~J).~f.~, 20 Notary Public, ~./'~.~/C County D~ORAH H. ~ ~ ~k C~mis~on ~ A~123, 2012 (Plum e~ Signature) 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. 35306 Z Date J~2qUARY 19, 2010 Permission is hereby granted to: ANTHONY & LOIS BENNARDO PO BOX 1073 CUTCHOGUE,NY 11935 for : "AS BUILT" ALTERATION TO AN EXISTING BASEMENT AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 102 pursuant to application dated DECEMBER Building Inspector to expire on JULY 854 BRIDLE LA CUTCHOGUE Block 0004 Lot No. 005.005 28, 2009 and approved by the 19, 2011. Fee $ 400.00 Authorized Signature Rev. 5/8/02 ORIGINAL 35-3 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [~FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE / ~- ~/~ / o INSPECTOR ~,,~ (lST) FOUNDATION ~O~A~ON (2~) , ROUGH ~G & pL~G , STA~ E~ CODE , , ~D~ION TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ///~'. 20 /0 Approved ¢ ~, 20/~_ Disapproved a/c , PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need thc following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form NYS,DEC Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: " Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS B[~g~vlication MUST be ~mpletely filled in by Wpe~i~r or in i~ ~d submi~ed to the Building lns~ctor with 4 se~~ ~1~, ?~ .... ~cale. Fee according to b. Plot pl~ showing locmion of lot ~d of build~gs on premises, relmionship to adjoining premises or public s~eeB or c. The work covered by ~is application may not be ~mmen~d before issum~ of Bulldog Pe~it. d, Upon approv~ of this application, the Building Ins~ctor will issue a Building Pemfit to the applicant. Such a pe~it sh~l be kept on ~e premises av~lable for inspection throu~out ~e work. e. No building shall be o~upied ar used in whole or in p~ for ~y p~o~ what so ever umil the Building lns~ctor issues a Ce~ificate of Occup~cy. t Eve~ building pe~it sh~l expire if the wo~ authorized hm not commenced within 12 mom~ after ~e da~ of issu~ or h~ not b~n ~mpleted wi~in 18 monks from such date. lfno zoning ~endments or o~er regulations affecting the pro~ have ~en enacted in the inte~ ~e Building ~spe~or may au~ofi~, in w~ting, ~e exte~ion of the ~it for m addition six momhs. Therea~er, a new p~fl sh~l be requ~ed. APPLICATION IS ~REBY MADE to the Building Dep~ment for the issu~ce ora Building Pe~it pursuit to the Building Zone Ordin~ce of~e To~ of Sou~old, Suffolk CounW, New Yor~ ~d o~er applicable Laws, ~dinances or Re~latiom, for the construction of buildings, additions, or alterations or for remov~ or demolifon m herein described. The applicmt ~ees to comply wi~ ~l ~pli~ble laws, ordin~ces, building code, housing code, ~d regulations, ~d to admit autho~zed impectors on p~mises ~d in building for necess~ inspectiom. (Y~ ~, ~ ~ ~-~ (Sign~u~ of ~p~t o{ n~e, if a cowomtion) (Mailing add~ of applicant) ~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises t._O,.~ 4- ~,~,,k~c,~xI k.~e~/-vx~c'~o (As on tile 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. 3 5'q%'5- ~4 I. Location of land on which~orop, osed work will be done: House Number Street Haml~t County Tax Map No. 1000 Section I,O~ Block Oq. Lot ~'- 3'"' Subdivision t4i~t,k~xb, £ ~¥c~t,% Filed Map No. 6'X_':V"I Lot 2. State existing use and occupancy of premises and intended use and occupancy o f proposed construedon: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cam Addition Alteration Demolition Other Work (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor -× 6. If business, ~ommercial or mixed occupancy, specify nature and extent of each type of use. '10 7. Dimensions of existing stractures, if any: Front 11 (o, bt. Rear ~ q ). _Depth Height 3 '~ Number of Stories ~. Dimensions of sa_me_structure with alterations or additions: Front ~ {:. ~. J Rear Depth bl~3. t) ' Height ~.. Number of Stodes ~1. 8. Dimensions of entire new construction: Front Rear _Depth Height Number of Stories 9. Size of lot: Front Rear t0. DateofPurchase BJ;),-t,/c ~ NameofFormerOwner Depth 11. Zone or use district in which premises are situated 12. Does proposed constraction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES 14. NamesofOwnerofpremises ~¢~Pr~.~'~O AddressCb'~ ~h'"~lL~..v~ PhoneNo. Name of Architect [JC,~,~ki~,3~/~ ii o *,c~ ~,v~ Address ~4.3d ~ ~ e {-~ ~-~ n Phone No NameofContractor ~n,~.~.*~I ~;..~t.O Address ~Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES__ NO x/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. __NO ~ NO 16. Provide survey, to scale, with accurate lbundation 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO 3 STATE OF NEW YORK) SS: COUNTY OF__ ) C'qh k'dr*e-,~.~ '~' ~ { ,'~ i ~ O being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Connractor, 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. mmissi0fl Expires N~i128, 2012 Sign aturL~'tlApplicant CERTIFIED TO: LOIS BERNARDO ANTHONY BERNARDO COUNTRY1MDE MORTGAGE SAFE HARBOR TITLE AGENCY :HANDS ON SURVEYING ~ 46 NORTH ROAD HAMPTON BAYS, N~VYORK 11048 TEL / FAX: (631)-723-1954 MARTIN D HAND L.S suRVEFO F-- LOT3 MAP OF RICHARD REINHARD T SITUATE A T 25 13 0 CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NE'W YORK S.C.T,M. DIST. 1000 SEC. 102 BLK. 04 LOT 5,5 25 50 75 100. _1~5.___~_~1~0__. 1_75 SCALE: 1" = 50' DATE: SEPTEMBER 8, 2001 ~ I 200 225 LOT AREA: TOTAL- 83,837 SQ.FT. 1.924 ACRES BULK- 80,190 SQ.FT. JOB NO. 2001-327 MAP NO. 10325 FILED: AUGUST 18, 1999 REVISIONS: FINAL: 11/27/02 POOL FINAL,REV.CERTS 10/30/2003 105.6' GHASE ~ ~ 2x4 FoP RI~iI~R EXI~ i~L tts~ ro 5L~ ~2" 2X4 T~ CERTIRG/' = OF OO,CLIPANCY ~¢" , 9~0" ,' ~"~ ,' SUPPLY4 :TEMCANNOT 00~ EXOEED 2/,, OF 1% LEAD. W/~. TESTING .EFORE CCVEBING A¢TSEILI~ ~v ~o~ ~ UNBERWR~RSCE~FIOA~ ='~'='~ ~;'$':'~ hALL TYPE 3 ~ ~ nC.'U J J .,SEQUINED 7~s-~02 8 A~ TO 4 PM FOR TNE CERTIF~CA~O~ ~ 1. FOIJNDATION - "lV,'r [-:cQU,RED i / ¢~ ~P NAILING & cONNE~TJ~N~ FOR POUHED COIWPETE c.c. I, ~ % ~ Rr REQUIRED, 2. ROUGH- FRAMING & PLUMBING 4. FINAL- CONSTRUCTJON MUST ALL CO~TM-i, .,..,] ~H~I L YORK STATE. NOT RESPONSIBLE FOR MEET TIi: OE THE DESIGN OR CONSTRUCTION ERRORS. CODES Or ~. -,J ,,,,,lATE, DA~ DE~T~ & ~ALL T~ , RETAIN STORM WATER RUNOFF c~ Fi~ NA~ ~ PURSUANT TO CHAPTER 236 1540_P~ Nemschick Silverman Architects P.o. ~ ~~~~~ ~ ~ ~ ~ ~~ BER~ARDO BA~MEm 1~9 09-1540 , ~ CUTCMOGUE, ~X 430 Green Way, Cutchogue, New York 11935 ~ ~ - Phone: 631-734J007 Fax: 631-734-7~7 ~~ DISTBCT: ~CTION: BL~K: LOT: D~WN BY: