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Home My WebLink About27865-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28051 Date: 11/05/01 THIS CERTIFIES that the building ALTERATION Location of Property: 505 HOLBROOK LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 113 Block 6 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 5, 2001 pursuant to which Building Permit No. 27865-Z dated NOVEMBER 5, 2001 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 INTERIOR ALTERATION "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANNE ARGENTIERI & ORS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ut rized Signature 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. 27865 Z Date NOVEMBER 5, 2001 Permission is hereby granted to: ANNE ARGENTIERI & ORS 105 PAQUATUCK AVE E MORICHES,NY 11940 for CONSTRUCT INTERIOR ALTERATION IN THE BASEMENT OF AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" at premises located at 505 HOLBROOK LA MATTITUCK County Tax Map No. 473889 Section 113 Block 0006 Lot No. 006 pursuant to application dated NOVEMBER 5, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Aut iz d Si nature ORIGINAL Rev. 2/19/98 P3Tmdiei PROFESSIONAL ENGINEER 1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631-765-2954 • FAX 631-614-3516 • e-mail: joseph@fischetti.com Date: October 10, 2001 Reference: Argentieri Southold Building Dept. Main Road Southold,NY 11971 Dear Sir, Please find enclosed plans for the existing finished basement. I have inspected the boathouse and find the structure in sound condition. The fiberglass roof over the patio has been removed so as to make the structure a trellis. As such the trellis structure is satisfactory. °F NE Joseph Fischetti, PE Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 11pre-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 a 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 Buildiniz - $100.00 3. Copy of Certificate of Occupancy - I .2 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . Old Or Pre-ex'sting Building. . . . . . . . . . . . . . r Location of Property. . . . . . . . . . . . . . . . . .� . . .`.. . . . . . . . . . . . . . . . . . . . . . House No. Street. Hamlet P C Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . .Block. . . . . . . . . . . . . .Lot. . . . `:. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �:::: . . . . .Date Of Permit. l . C).I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: % � . . . . . . . . . . . . . . . . . . . . j r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . APPLICANT Oct 15 01 09: 39a Andrew Stype Realty, Inc. 631-298-5779 p. 2 STATE OF NEW YORK COUNTY OF SUFFOLK ANNE ARGENTIERt,being duly sworn, deposes and says; 1. That I am one of the daughters of Daniel and Anne Argentieri:;who Purchased the premises at 505 Holbrook Lane, Mattituck, New York in October of 1962. Both of my parents are now deceased,and along with my two sisters,Y am now one of the owners of the subject property, 2. That to my recollection, my parents had the basement renovation work done within the first year after they purchased the property. It would have been completed by the end of 1963 at the latest. Sworn to before me ANNE ARG TIERi this jgLday of Scp ber,2001 LEO P.04ws NOTAIY PUBM 3W o1 No Yak aa.SM15,Su& rp�a Tam ExWW 3/30 Zed 6G00 868 LES Od SI6Ua d 031 wwnb :nT Tnn� BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: /_/O1 .DATE SUBMITTED: / /01 APPLICANT NAME: —— SCTM# DISTRICT: 1,000 SECTION: BLOCK: LOT: STREET: CITY: SUBDIV.NAME: PROJECT DESCRIPTION: ARCHITECT/ENGINEER: FAST TRACK? SINGLE& SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 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 7/1/83) ZONING DISTRICT: CONFORMING? REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE REQ.REAR PROP. REAR WATER FRONT? DESCRIPTION: PANEL #: FLOOD ZONE: , AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE:—/—/ PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO SOUTHOLD TOWN TRUSTEES: YES or NO TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO TOWN HISTORICAL PRE (SPLIA): YES or NO NYS ENERGY: YES OR NO EGRESS (18 H min.? 4 sq total) VENT (SQ. FT. x 4%) LIGHT (SQ. FT.x 8%) BUILDING PERMITS OPEN/EXPIRED: 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 FLR : SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 'OT( SF)- (__SF)= SFX$ =$ +$ +$ _$ TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DPPARTMENT 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. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date �� , 20AL_ mWe 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 a Certificate of Occupancy is issued by the Building Inspector. 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 applica Laws,Ordinances or Regulations, for the construction of buildings, additions,or alterations or for re val or demolit' n herein described. The applicant agrees to comply with all applicable laws,ordinances,building code o sing code, qd re ations, and to admit authorized inspectors on premises and in building for necessary inspections. �igr&ture of ap ' ant or name,if a corporation) 172.r ,},6*r y- )�6,94 0 Sov f�lc�l. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or.builder Name of owner of premises 12Ni (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: n'15- 1 v(b,,00k L 4%.t Via-tit kdc House Number Street Hamlet / County Tax Map No. 1000 Section 3 Blocky Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and int ded yy a_nd occupancy of proposed construction: a. Existing use and occupancyllcp b. Intended use and occupancy LIG 3. Nature of work(check which applicable):New Building Addition Alteration !/ Repair Romoval Demolition Other Work (Description) 4. Estimated Cost s 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 + tear a 7 Depth Height Number of StoriO 8. Dimensions of entire new construction: Front. Rear e Dqpt t ..xt,. Height Number of Stories r. 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 /V Will excess fill be removed from premises: YES NO 14. Names of Qmmer of premises Address Phone No. Name of A Zti:w,-4eff1 Address bbb 44 Phone No Name of Contractor Address =007k4l Id 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 OFSo 5Sa wY7 being duly sworn, deposes and says that(s)he is the applicant (N of individual signing contract)above named, ;S)He is the (Contractor,Agent,Corporate Officer, etc.) :)f said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; :hat 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 therewi Sworn toore me may his— of 0 20 GZ2V-. / 1 Notary Public Signature of Applicant HELENE D.HORNE Notary Public,State of New York No.4951364 Qualified in Suffolk County Cnmmission Expires May 22, b�GO_.§ Bd -Bof LDG.DEPT - f Ll If M,F, ` Tr O t t - i - - i. 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