HomeMy WebLinkAbout37140-ZTown of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37663 Date:
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 4050 CAMP MINEOLA ROAD MATTITUCK
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 123.-5-20
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
8/29/2008 pursuant to which Building Permit No.
7/16/2015
7/16/2015
Lot No.
filed in this office dated
37140 dated 4/13/2012
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:
WINDOW REPLACEMENT, DECK ADDITION AND DECK REPAIR TO A ONE FAMILY DWELLING PER
ZBA DECISION 6241 DATED 01-22-2009, AS APPLIED FOR
The certificate is issued to ROBERT J. BERGAMINI
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
r \
Auth ' d Si ature
goFFot�r
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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 #: 37140 Date: 4/13/2012
Permission is hereby granted to:
ROBERT J. BERGAMINI
1351- 72 STREET
BROOKLYN, NY 11228
To: ALTERATION TO CHANGE WINDOWS AS APPLIED FOR. ADDITION TO DECK AND
DECK REPAIR AS PER ZBA GRANT#6241 AS APPLIED FOR TO EXISTING SFD.
REPLACES EXPIRED B.P. # 34139
At premises located at:
4050 CAMP MINEOLA ROAD MATTITUCK
SCTM # 473889
Sec/Block/Lot # 123.-5-20
Pursuant to application dated
To expire on
Fees:
10/13/2013.
8/29/2008
and approved by the Building Inspector.
PERMIT RENEWAL $230.00
Total: $230.00
`;;: Building Inspector
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. 34139 Z Date SEPTEMBER 5, 2008
Permission is hereby granted to:
ROBERT J BERGAMINI
1351-72 ST
BROOKLYN,NY 11228
for :
ALTERATION TO CHANGE WINDOWS AS APPLIED FOR. ADDITION TO DECK AND
DECK REPAIR AS PER ZBA GRANT#6241 AS APPLIED FOR TO EXISTING SFD.
at premises located at 4050 CAMP MINEOLA RD MATTITUCK
County Tax Map No. 473889 Section 123 Block 0005 Lot No. 020
pursuant to application dated AUGUST 29, 2008 and approved by the
Building Inspector to expire on MARCH 5, 2010_
Fee $
Rev. 5/8/02
200.00
COPY
Authorized Signature
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 cerfi`fying 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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
New Construction:
Location of Property:
Owner or Owners of Property:
Old or Pre-existing Building:
U-CavlLn � ; R e
No. Street
Date. ) — /3 .— ��
(check one)
Suffolk County Tax Map No 1000, Section � 23 Block -5 Lot
Subdivision
Filed Map.
Permit No. Ll b Date of Permit; Applicant:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Underwriters Approval:
Lot:
Final Certificate: V (check one)
Apgicant Signature
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BY THIS CERTIFICATE OF COMPLIANCE THE
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NEW YORK BOARD OF FIRE UNDERWRITERS
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BUREAU OF ELECTRICITY
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S40
FULTON STREET — NEW YORK, NY 10038
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CERTIFIES THAT
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Upon the application of upon premises owned by
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PUMILLO ELEC. ROBERT BERGAMINI
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210 PAT LN 4050 INEOLA
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MATTITUCK, NY 11952-1354, MATTITUCK NY 1D1952
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Located at 4050 MINEOLA RD MATTITUCK, NY 11952
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Application Number: Certificate Number: 4032823
PP 4032823
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Section: Block: Lot: Building Permit: BDC:
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34139 ns11
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Residential
Described as a occupancy, wherein the premises electrical system consisting of
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electrical devices and wiring, described below, located in/on the premises at:
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First Floor, Outside,
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Avis �
visual Inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
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promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
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authority having jurisdiction, and found to be in compliance therewith on the7th Day of August, 2009.
Name OTY Rate RatinE Circuits Tvoe
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Miscellaneous
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replace meter pan and main circut panel
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only
Service
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Service Disconnect: 1 200 cb
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ServicelPnase3W Service
Rating200Amperes
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This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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-71 �O��OF SO(/T�olo
TOWN OF SOUTHOLD BUILDING -DEPT..
765-1502
INSPECTION.—
[ ]FOUNDATION IST [ ] ROUGH P BG.
[ ]FOUNDATION 2ND [ ] IN ATION.
[
FRAMING/ STRAPPING [ INAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT,
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net PERMIT NO.
Examined , 20
Approved , 20 b
Disapproved a/c
BUILDING PERMIT APPLICATION CHECKLIST
3q(39
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm -Water Assessment Form
Contact:
Mail to:
Phone: -2 / d
Expiration , 20 8 3 3 CLU.
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date T / , 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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, Ordinanees 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.
9
OCCUPANCY0"N"
U8 �A 19 �U (Signature of appy ant or name, if a corporation)
WITHOUT CERTIFICATE /3S/ 7,2 -sr 6klyn Ny 11 2 -
(Mailing address of applicant)
0 IF OCCUPANCY
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
N nnMr%1e17n A 0 61Rdi'i M _
Name of owner of premises
If applicant is a corporation, signature of duly authorized officer 765-1802 8 AM TO 4 PM FOR THE
FOLLOWING...INSPECTIONS: 1
(Name and title of corporate officer)
1. FOUNDATION - TWl6 REQUIRED
FOR POURED CONCRETE
2.
3
Builders License No. (p �. I — t- f ROUGH :- FRAMING .& PLUMBING
3. INSULATION
Plumbers License No. 4. FINAL - CONSTRUCTION MUST
Electricians License No. ALL CONSTRUCTION SHALL BE COMPLETE FOR C.O.
Other Trade's License No. MEET THE REQUIREMENTS OF THE ALL CONSTRUCTION SHALL MEET THE
CODES OF NEW YORK STATE. REQUIREMENTS OF THE CODES OF NEW
1. Location of land on which proposed work will be one: YOR STATE. NPT RESPONSIBLE FOR
'-M5-0 0��' jd h ��,4:i�,4 te-D i �R� 2O TRUCTION ERRORS.
House Number Street
County Tax Map No.' 1000
Subdivision
Hamlet
Section i ' r121 )3-twkaiAH A Lot
My
.paa
Lot
dbl hu.�q cvr06DV2S
2. State existing use and occupancy of
a. Existing use and occupancy
3
b. Intended use and occupancy
ind intended use and occupancy of proposed construction:
0Me
en
Nature of work (check which applicable): New Building Addition
Repair Removal Demolition Other Work
4. Estimated Cost �, ®p Fee
T
44erSdh'/0U )erg -PS
Alteration AV) q d 0 �f
(Description)
(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: Front6 D Rear a Depth
Height ( Number of Stories.
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front I Rear 17, �l Depth % 0
Rear
10. Date of Purchase �&A )m ytt Pr I % OName of Fonner Owner C ��---- � V1 4e
11. Zone or use district in which premises are situated key de .(.( 4
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re -graded? YES NO Will excess fill be removed from premises? YES_
14. Names of Owner of premises6bei'l & ilvh i' t9Address�zST 6 k p 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 _
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_ NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
NO
17. If elevation at any point on property is at 10 feet or below; must ptovide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO__)(
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual sAiing contract) above named,
(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 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 20 U g
P. RANDOLP
Notary is NTARY C. &aaof o w va Sign at r of Applicant
1�0.01AAd/4�p,
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: October 17, 2008
TO: Robert J. Bergamini
135172 nd Street
Brooklyn, NY 11228
Please take notice that your application dated October 7, 2008
For permit to construct a front deck addition to an existing single family dwelling at:
Location of property: 4050 Camp Mineola Road, Mattituck
County Tax Map No. 1000 - Section 123 Block 5 Lot 20
Is returned herewith and disapproved on the following grounds:
The proposed front deck addition to this existing single family dwelling on a non-
conforming 0.31 acre lot in the Residential R-40 District is not permitted pursuant to
Article XXIII Section 280-124 non -conforming lots, measuring less than 20,000 square
feet in total size require a front yard setback of 35 feet and lot coverage of 20%.
The proposed addition shows a front yard set back of 16 +/- feet and lot coverage of
22%+/-.
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application, may
require further review by the Southold Town Building Department.
CC: file, Z.B.A.
K..f APPEALS BOARD MEMBERS
pF SO�Tyo
Gerard P. Goehringer,,:Chairman
\ Ruth D..Oliva
James Dinizio; ,Jr. _ G • Q
Michael A. Simon
Leslie Kanes Weisman �yCOUNTI
ECEO�IC
JAN 3 0
BLDG. DEPL: ..
TOWN OF SOUTHOL � S
http://southoldtown.northfork.net
Mailing Address:
Southold Town Hall
53095 Main Road - P.O. Box 1179
Southold; NY 11971-0959
Office Location:
Town Annex /First Floor, North Fork Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 - Fax (631) 765-9064
DELIBERATIONS,. AND DETERMINATION
MEETING DATE: JANUARY 22,. 2009
ZBA FILE # 6241 - Robert J. and Margaret Bergamini, Applicants
PROPERTY, LOCATION: 4050 Camp Mineola Road,.Mattituck CTM ' 123-5-20
SEQRRA' DETERMINATION: The Zoning Board of Appeals has visited the property
under consideration in this application and determines that this review falls under
the Type II- category of the State's List of Actions, without further steps under
SEQRA.
PROPERTY. FACTS/DESCRIPTION: The subject property is a 13,631 square foot
parcel measuring 117.12 feet along.Camp Mineola Road to the south, 103.45 along.
the eastern boundary, 117.51 feet along the northern boundary, and 126.77 feet
along the western boundary, and is improved with a single-family house as shown
on the, August 17, 1971 survey prepared by Young, & Young, "and September -6, 2009
plan prepared by Joseph Fischetti, P.E.
BASIS -OFAPPLICATION: Request for a: Variance under Section 280-124, based on
the Building Inspector's October 17, 2008. Notice of Disapproval concerning an
addition to an:; existing front yard deck at less than the required minimum front
yard setback of 35 feet and a lot coverage exceeding the code limitation of 20%.
FINDINGS OF FACT
The Zoning Board. of Appeals held a public hearing on this application on January 8,
2009 at which time written and oral evidence were presented.
RELIEF REQUESTED: The applicant proposes to construct an addition to a front
deck with a front -yard setback of 16 feet and resulting in lot coverage. of 21.8%.
REASONS FOR BOARD ACTION: On.,the basis of testimony presented, materials
submitted and.personal inspections, the Board makes the following findings:
Page 2 — January 22, 2009
ZBA # 6241— R. and M. Bergamini
CTM 123-5-20
1. Town Law 267-b(3)(b)(1).. Grant of the variance will not I`"rd� cH a�'ucib
change -in. the character of the neighborhood or a detrimen o ear yip per- =,.
The .proposed deck addition is 75 square feet. It is designed egress from
the rear bedroom. It will not decrease the setback from Cam Uineol(a Boa%e a
2. Town Law 267-b(3)(b)(2). The benefit of safety egress f om the fro]iedr oo m
cannot be achieved b some method feasible for the lican
Y pp
an area variance.
3. Town Law 267-b(3)(b)(3). The proposed variance is not substantial. The area of
the addition is, only 75 feet, and requires a variance for lot coverage of less than
10%.
4. Town Law 267-b(3)(b)(5). The difficulty was created when the deck and house
were constructed with a nonconforming'front yard setback that did not permit a
safety exit from a front bedroom..
5. Town Law. '267-b(3)(b)(4). No evidence has been submitted to suggest that a
variance in this residential community will have an adverse impact -on the physical
or environmental conditions in.the neighborhood. .
6.. Town-Law'267-b. Grant of the requested relief is the minimum action necessary
and adequate to enable the applicant to enjoy the benefit of an additional egress
and slightly enlarged deck, while preserving and protecting the neighborhood .and
the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and
applying the balancing test under New York Town Law 267-13, a motion was offered
by Member Simon, seconded by Member Weisman, and duly carried, to
GRANT the variances as applied for, as shown on the October .21, 2008 site
diagram and shown on the September 6, 2009 diagram prepared by Joseph
Fischetti, P.E.
Any deviation from the variance given .such as extensions, or demolitions which are not
shown on the applicant's diagrams or survey site maps, are not authorized under this
application when involving nonconformities under the zoning code. This action does not
authorize or condone .any current or future use, setback or other feature of the subject
Page 3 - January 22, 2009
ZBA # 6241— R. and M. Bergamini
CTM 123-5-20 '
property that may violate the Zoning Code, other than such uses, setbacks and other
features as ate expressly addressed in this action.
The Board reserves the right to substitute a similar design that is de minimis in nature for
an alteration that does not increase the degree of nonconformity.
Vote of the Board: Ayes: Members Goehringer (Chairman), Oliva, Dinizio, Simon and
Weisman. This Resolution was duly adopted (5-0).
RUTH D. OLIVA, VICE CHAIRWOMAN 1/,t? /2009
Approved for Filing
U
TOWN OF SOUTHOLD, NEW YORK DATE ..7j...24/.8.0
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 2715 Dated June 29, 1980
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
To Richard F. Lark, Esq. Appellant
Mr. and Mrs. Patrick Hannon
at a meeting of the Zoning Board of Appeals on July 24, 1980, the appeal
was considered and the action indicated below was taken on your
( ) Request for variance due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
(X) Request for a variance to the Zoning Ordinance Art. III, Section 100-31
I. it was determined that a special exception ( ) be
granted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph
.................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be
confirmed because 7:45 Application of Patrick and Maryann Hannon, 4050 Camp
Mineola Road, Mattituck, New York for a Variance to the Zoning Ordi-
nance, Article III, Section 100-31 for permission to construct deck
to existing dwelling with an insufficient frontyard setback. Location
of property: 4050 Camp Mineola Road, Mattituck; bounded north by
Allen, east by Murphy, south by Howell Avenue, west.by-Griffin.
County Tax Map Item No. 1000-123-5-20.
(SEE REVERSE SIDE)
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary
hardship because
(SEE REVERSE SIDE)
(b) The hardship created (is) (Is not) unique and (would) (would not) be shared by all properties
alike In the immediate vicinity of this property and in the same use district because
(SEE REVERSE SIDE)
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not)
change the character of the district because
(SEE REVERSE SIDE)
and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and
that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed.
ZONING BOARD OF APPEALS
FORM ZB4
After investigation and personal inspection, the Board finds
that applicants are requesting permission to construct a 12' x
23'9" wooden deck onto the existing dwelling leaving a frontyard
setback at the nearest point of approximately 13' Upon viewing
neighboring properties,.the Board finds that the dwelling to the
west of the subject parcel has an existing deck in the frontyard
with a setback of less than that proposed herein. The Board
agrees with the reasoning of the applicants.
The Board finds the circumstances present in this case are
unique, and that strict application of the ordinance would pro-
duce practical difficulties or unnecessary hardship. The Board
believes that the granting of a variance in this case will not
change the character of the neighborhood and will observe the
spirit of the ordinance.
On motion by Mr. Tuthill, seconded by Mr. Douglass, it was
RESOLVED, that PATRICK and MARYANN HANNON, 4050 Camp Mineola
Road, Mattituck, New York be granted a Variance to the Zoning
Ordinance, as applied for in Appeal No. 2715 and provided that
the deck proposed herein shall be -only an."open "deck and is.
not be permitted to be screened or enclosed.
Location of property: 4050 Camp Mineola Road, Mattituck;
bounded north by Allen, east by Murphy, south by Howell Avenue,
west by Griffin; County Tax Map Item No. 1000-123-5-20.
Vote of the Board: Ayes: Messrs. Grigonis, Doyen, Tuthill,
Douglass and Goehringer.
RECEIVED AND FILE $D Y
THE SOUMOLD TOWN CLERK
=TEX,'a..
Town Clerk, ' v
To of Southold
APPROVED
4noal 8Chairmrd Appeal
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C. E. Allen
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,Z.
YOUNG 3 YOUNG
,�PR6POSED DECK SHOWN HEREON_
400 OSTRANOER AVENUE, RIVERHEAD, NEW YORK
FOR PATRICK B. HANNON
'
JUNE 3,1980
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F\OFCNIONAL [NGSNIODO AND LAX' {tu.V.T..
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LAND SURVEYOR. N.T.G. LIC. NO. 1-11 N. 1.G. LIC. XO. AGF\]
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REVISIONS
YOUNG 3 YOUNG
,�PR6POSED DECK SHOWN HEREON_
400 OSTRANOER AVENUE, RIVERHEAD, NEW YORK
FOR PATRICK B. HANNON
'
JUNE 3,1980
ALOFN W. YOUNG HOWARD W. YOUN� j
F\OFCNIONAL [NGSNIODO AND LAX' {tu.V.T..
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Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
September 11, 2012
Robert Bergamini
1351 72nd Street
Brooklyn, NY 11228
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Re: 4050 Camp Mineola Rd, Mattituek
TO WHOM IT MAY CONCERN:
The Foil Ing Items Are Needed To Complete Your Certificate of Occupancy:
'//Application for Certificate of Occupancy. (Enclosed)
_ Electrical Underwriters Certificate. (contact your electrician)
/A fee of $50.00.
Final Health Department Approval.
Telephone (631) 765-1802
Fax(631)765-9502
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) —
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 37140 — Addition/Alteration
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
December 18, 2014
Robert Bergamini
1351 72nd St
Brooklyn NY 11228
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Re: 4050 Camp Mineola Rd, Mattituck
TO WHOM IT MAY CONCERN:
Telephone (631) 765-1802
Fax (631) 765-9502
The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy:
✓ Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 37140 — Addition/Alteration
■ Complete Items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
I. Article Addressed to: 1j Lt 139
% 42
J. -96,a&A" i AJ l
A. Sig � re
X 13 Agent
❑ Addressee
B. Received by (Prin d Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
,(J ❑ Certified Mail 13 Express Mail
/ � t�2Z ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number �7
(fransferfiomservlcela6el) 7010 0,2--?oODDo� 2264 512$%
Ps'Form 381,1 „February 2004 i e i Domestic{Return Receipt 102595-02-M-1 540
t... :.,1. t .
�s,`%i1Ef0( Southold Town Building Department
7�o`pS �C°Gyp 54375 Matin Road Permit #: 34139
Southold, New Fork 11971 Permit Date: 9/5/2008
o (631) 765-1802
Expiration Date: 3/5/2010
j Parcel ID: 123.-5-20
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 10/25/2011
.Applicant: ROBERT J BERGAMINI
Location: 4050 CAMP MINEOLA RD MATTITUCK
Work Description: RESIDENTIAL ALTERATION
ALTERATION TO CHANGE WINDOWS AS APPLIED FOR. ADDITION TO DECK
AND DECK REPAIR AS PER ZBA GRANT#6241 AS APPLIED FOR TO EXISTING
SFD.
A FEE OF $230.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: ROBERT J BERGAMINI
Address: 1351- 72 STREET
BROOKLYN, N.Y. 11228
The permit listed above has expired. Please contact our office as soon as possible to begin
the renewal process. All work on the project must stop on the expiration date.
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THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
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TOWN OF SOUTHOLD PROPERTY RECORD* CARD' T
//I n o /n_� S� .fin �
OWNER
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REMARKS
TYPE OF BUILDING
Ise "�.
RES.
GOBELOW 3/2-
Value Per Acre
VL.
FARM
COMM.
IND.
I CB. 4 MISC.
I�
—
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— IMP.
TOTAL
DATE
REMARKS
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NEW NORMAL
GOBELOW 3/2-
Value Per Acre
ABOVE((
Value
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—
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Ri�Nt REVISIONS
YOUNG
& YOUNG
�,�
Y S 76-38'50
.PROPOSED DECK SHOWN HEREON_ JUNE 3, 1980
FOR PATRICK B. HANNON
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
r�
ALDEN W. YOUNG
HOWARD W. YOUNG
PROFESSIONAL ENGINEER AND
LAND SURVEYOR
LAND SURVEYOR, N.Y.S. LIC. NO. 12845
N.Y.S. LIC. NO_ 45893
UNA rHORFZED ALTERATION OR ACORION
SURVEY FOR:
•
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
OF NFy,
EDUCATION LAW.
R/ TA YOUNG
k' jCr
COPIES OF THIS SURVEY MAP NOT BEARING
O`�PRD
YC •r
• _
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CON,IUERFD
�yt
T �• .. G
1 2
1
' 1
70 BE A VALID r UE COPY.
GUARANTEES INDICATED HER!On SHALL ::N
AT MA TTI TUCK
T/TL G RA CO
ONLY To THc fFSON FOR WHOM TH. SU.YEY
IB FREFAELD, A..D O. HIS EFHALF TO (tit
GOVLRNNINIAL AGeNC'f AND
TOWN of SOUTHOLD
MOR
EAST N ED �?• .• lNGS 6 AN
ASSU Tf rV� vAYJ�/LL ,
'
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(•
TIME COMPANY,
LENDING INSTITUTION L'SILDH_:.tON. A:.D
TO THE ASSIGNEES OF I%E L=IG INSTI•
1,r
( N.Y.
SUFFOLK CO., . Y_
C ,T� 9
' // �. F
BYT�/� ` •5 ;
TUITION. GUARANTEES ARE NOf TIANSFERABLE
•
,I TO ADDITIONAL DESEIIUIIONS OR SWSEQUR/E
OW141M
SCALE: 11 = 1 IAT':- NO.
/ 30 AUG. /7, /97/ / -399
0
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2'X:a'X _--F7TINc1
FPAM i N�P L-A►�
OR
AWFUL
CERTIFICATE
COl PLY V,; Fh- ALL CODES OF
NEW Y017. f< ST.A i � & TOYYIV COD{
REQUIREDAND GOiND71ONS
^ �. T
- .....Q-._ 1. �® Pql.Y.S. DEC
.Is f.P LA-C,:F-.- -E Tq- E0ASIZ 05
O a
Q UIREP.,
- RETAIN STORM WATER RUNOFF
-PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
E�I
}coo C A-
_
r'
�SE PTE P 0O� 2.400
GuiNSTRUCTION SHALL
ME I= . fHE REQUIREMENTS OF THE
iODES OF NEVV YORK STATE,
i
APPROVED AS NOTED
DATE:
—L4� B.P. #hl��
FEE: Z�.., U (9c G W, BY:..--��
NOTIFY BUILDING PARTMENT AT
765-1802 8 AM T0. 4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
ROUGH - FRAMING & PLUMBING
INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
JOSEPH FiSOHE i I I, PE
PROFESSIONAL ENGINEER
1725 HOBART RD / PO BOX 616
SOUTHOLD, NY 11971
631-765-2954