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Home My WebLink About29324-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29693 Date: 09/09/03 THIS CERTIFIES that the building ADDITION Location of Property: 1725 HOBART RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 64 Block 2 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 22, 2003 pursuant to which Building Permit No. 29324-Z dated APRIL 23, 2003 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 LINDA A FISCHETTI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Sig 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. 29324 Z Date APRIL 23 , 2003 Permission is hereby granted to : LINDA A FISCHETTI 1725 HOBART RD SOUTHOLD,NY 11971 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1725 HOBART RD SOUTHOLD County Tax Map No. 473889 Section 064 Block 0002 Lot No. 014 pursuant to application dated APRIL 22 , 2003 and approved by the Building Inspector to expire on OCTOBER 23 , 2004 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 - TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 - LL—'r APPLICATION FOR CERTIFICATE OF OCCUPANCT 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, Alterations 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. �Z��6 3 New Construction: Old or Pre-existing Building: (check one) Location of Property: 17Zs sx-H4P House No. Street Hamlet Owner or Owners of Property: L M A& {7 CSC,4(7 Suffolk County Tax Map No 1000, Section Block Lot I Subdivision N S n Filed Map. �� Lot: g d Permit No. Z 93 Z g Date of Permit. Applicant: / #/ Health Dept. Approval: 64- Underwriters Approval: Planning Board Approval: 'A;/fIIII//fk Request for: Temporary Certificate Final Certificate: (chec on Fee Submitted: $ 2 t ��a3ir�q�3� Ap is tSi ree PROFESSIONAL ENGINEER 1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631-765-2954 • FAX 631-614-3516 • e-mail: joseph@fEchehi.com Date: June 27, 2003 Reference: Permit#29324 Building Inspector Southold Town Main Road Southold,NY 11971 Dear Sir, Please be advised that the deck noted on the above references building permit has been completed in accordance with all applicable New York State Building Codes. OF NEHr�, Fisc �9f • 2 m�cP�Op 0. 0502 OFESS\ONP Joseph Fischetti, PE MEMFORME.Mc PROFESSIONAL ENGINEER 1725 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971 _ LV TEL 631-765-2954 • FAX 631-614-3516 • e-mail: joseph@fscheHi.com Date: September 2, 2003 Reference: Permit#29324Z (Fischetti) Southold Building Dept. Main Road Southold,NY 11971 Dear Sir, With regard to the footings for the deck for the above referenced permit, I certify that the footings have been installed to support the loads as required by the New York State Building Code. of NEw ya y �41SCy 9 w O ¢ LU 4,0• 0525,0 AOFESS%ON� Joseph Fischetti, P.E. B TAT- Applicant/ f� f• Date Owners Name: Reviewed: a 03 Architect _ Date Engineer:: U ' �a-r.E� � Submitted SCTM N: � � Distrix 1 000 — Section. - - BlockLol. Project / �� Subdivision 1_ocation. �7a� y�.� � d�'b.. — — Name: Sinvle & separate Required certification: (Yes /No) Req. ,[� Req, /ovine D'Smo 11,01 size. 6V� Aaael L l 1Lot eoveragc I4uposc�� Rcq. i (,� Req. 11�rom Yard '///y' Proposed�J [S Side idc Yard Proposed•�� J [Rear Yard 'AD I'ropo..ed T� �9 r , ' Project Description: 4QLdL L�l�(�-_- ( /OjU Z.) AGENC=ERMITS Permit REQUIRED FOR REVIEW N A. ISO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes;. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 SOLATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS ! - d DATE 7////l 5 INSPECTO a � 3 94 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU FLOG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK DATE 3 INSPECT FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) -------------------------------------- FOUNDATION ----------------------------------FOUNDATION (2ND) _ z J C V ROUGH FRAMING& - - fS' PLUMBING - - /v INSULATION PER N.Y. = l H �J STATE ENERGY CODE FINAL - - - ADDITIONAL COMMENTS N n o - — - z - - - m - X y O z x d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECIFLIST 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: 765-1802 ``�� Survey PERMIT NO. ��l T Check Septic Form N.Y.S.D.E.C._ Trustees Examined 2003 Contact Approved ,243 Madre: SG Ae Disapproved a/c 1po Rix XX Phone: 6S - 2!95 Build i i APPLICATION FOR BUILDING PERMIT L 2nd Date April 22 12003 INSTRUCTIONS E` a.This application mpletely filled in by typewriter or in ink and submitted to the Building Inspector with 3 `scts'a'Fplans 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. Q.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 a Certificate of Occupancy is issued by the Building htspector. APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Lone 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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or.builder Owner/ Engineer Name of owner of premises Linda Fischetti (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. p f. Lp�aii54o, bartRoaq roposed work will be done: Southold Hlousse Number Street Hamlet County Tax Maip No. 1000 Section 64 Block 02 Lot 14 Subdivision Founders Estated Filed Map No. 34 Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Dwelling b. Intended use and occupancy Dwelling 3. Nature of work(check which applicable):New Building Addition Alteration X Repair Removal Demolition Other Work (Description) 4. Estimated Cost 2000 Fee (to be paid on filing this application) S. 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: 13.Will lot be re-graded Will excess fill be removed from premises: YES NO 14.Names of Owner of premises Fischetti Address Phone No. Name of Architect Fischetti Address Phone No Name of Contractor ISC e I Address Phone No, 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES,SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 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 ) Joseph Fischetti being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, S)He is the Owner (Contractor,Agent,Corporate Officer,etc.) �f said owner or owners,and is duly authorized to perform ocl ve performed the said w and file this application; :hat all statements contained in this application are true to the est f his lmowledge belief;and that the k will be xrformed in the manner set forth in the application filed there ith. 3wom to before me thin. ,4-r4---day of I —Notary P blic Signature of A licant LINDA J.COOPER Notary Public,State of New York No.4e22563,Suffolk Ccunty Term Expires December S9, N SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y, 1000-64-02-14 0 vol �a gyp�1 Pad \ JANUARY 22,' 2003 4� E \NN vol 3 F� •5 rn o \� t Z �o� 19 + / oo to, 32 LOT NUMBERS REFER TO"FOUNDERS ESTATES" FILED IN THE SUFFOLK COUNTY 4 / 0 95�•/�3 pz \ CLERKS OFFICE ON MAY 10, 1927 AS FILE NO. 834. N m 3� O { Z o 1� CERTIFIED TO. �o JOSEPH FISCHET17 LINDA FISCHET7I `Z. $ VP 7HE SUFFOLK COUNTY NA77ONAL BANK �A��OF Nf{y y 004 S. LIC. NO. 49618 ANY ALTERA77ON OR ADDITION TO THIS SURVEY IS A WOLATION NICp YO S, P.C. AREA=22,499 S.F. OF SEC77ON 7209OF THE NEW YORK STATE EDUCATION LAW. 7' 20 (631) 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICA710NS �i•. ro m P. ■ =MONUMENT HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES YEAR THE IMPRESSED SEAL OF THE SURVEYOR 12 -A E BEET 03-10 g WOSE SIGNATURE APPEARS HEREON. SOUTH 11971 U n. ,. -, .arh.-�-.` ' .m^�? n�-'4�'�'P�S=>.�rfs•�'-''"�P""'tT' Tx:. r_ : � 'e .. �.... 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