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44802-Z
FF011-reo Town of Southold 5/4/2024 G y� P.O.Box 1179 0 o ` 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45167 Date: 5/4/2024 THIS CERTIFIES that the building SHED Location of Property: Private Rd.,Fishers Island SCTM#: 473889 Sec/Block/Lot: 10.-5-5.8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/28/1991 pursuant to which Building Permit No. 44802 dated 3/16/2020 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: accy shed as applied for. The certificate is issued to Mastroianni,Shaun&Mastroianni,Antonio of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 04 Aut zed Sign e �o�S11Ff�Q TOWN OF SOUTHOLD �y BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy . 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#: 44802 Date: 3/16/2020 Permission is hereby granted to: Rokita, Alix 115 Jaffee Ter Colchester, CT 06415 To: Accessory Shed as applied for. Replaces BP# 19941 At premises located at: Private Rd., Fishers Island SCTM #473889 Sec/Block/Lot# 10.-5-5.8 Pursuant to application dated 3/16/2020 and approved by the Building Inspector. To expire on 9/15/2021. Fees: NEWAL $37.50 T $37.50 Building Inspector FORM NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLDN. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) W 19941 Z Date .... ......... ........ Permission is hereby granted to: zr..rs.............. ......................... to ........... .............4.......... ................. ..... .. ................... .......... ............... .............................................. . . . ..... . ............ .............. ............... . :�. ........... .................................... at premises located at .............P.. o ....... . ....... . ...........................0......0............1..... . .. .. . . ........... ...... .......... ... ..... ...................................... ...................................................... Lrq(ef--.V..... o.................................................. County Tax Map No. 1000 Section ...... ........ Block ............. Lot No. 9.......... pursuant to application dated ........ La............... 19.1"7.1, and approved by the Building Inspector. Fee S.A.. f-.e- Building Inspector Rev. 6/30/80 QUO �o����lyO6 V # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I LATION/CAULKING �[ ] FRAMING/'STRAPPING [ FINAL { ] FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE hLj INSPECTOR ' f # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATIOWCAULKING [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE &!CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL-(ROUGH) [ ] ELECTRICAL (FINAL) ( ] CODE VIOLATION [ ] PRE C/O REMARKS: ekz �•v . DATE �S�� �'/. INSPECTOR IlL)A E . DEL �:.�: ::..:_�;: _—� �U;iMENT �'. - -•� FOUNDATIO:J ( 1st ) c FOUNDATION ( 2nd ) ti — m 2. � z ROUGH FRAME & c Z1 -PLUMBING CA INSULATION PER N. Y. m STATE ENERGY CODE I �� ---�In FINAL D4 ADDITIONAL COMMENTS : x i a rAAAQ., sd e , so ru ' - x . • . ,�� ram� ^� • Hl��vll i i m a rn -o 7 N '; Un r?` BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY " " " MAY 281991 TOWN OFSOUTHOLD CHECK . . . . . . . . . . . . . . . . . : : I I ` I BUILDING DEPARTMENT • • • • ' ' ' ' �LLJ SEPTIC FORM " -�- TOWN HALL 13�®G. ®E'pT:� � . . . TOWN OF SOR.J WQ1 n S—_OUTE 1L�,L\Lyo 1.19 1. T ��gg�� L.: 765-1802 CALL . . . . . . . . Examined . . . . . . . . . . . 19 . . . MAIL TO • • • . ApprovedG/�� 197ZPcrmit No. . .�, . P. .�J iL. . . . . . . . . . . . . . . . . . . . . . Disapproveda/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. UN 10 1991 (Building Inspector) _ ri APPLICATION FOR BUILDING PERMIT Bate . . "�.. . , a:3= INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with sets of.pLans,.accurate plot plan to-scale. Fee accorrting to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli cation. e. The work covered by this application may not be commenced before issuance of Building Permit. A. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permi 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 whatever until a Certificate of Occupanc} shall have been granted 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 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) . . . . . . . . . . 23 ' 5ACF� Z •FPI_ C©LcHes-re R. .1. (Mailing address of applicant) CT p 641�;- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . • Name of owner of premises . . . .�. \iJ D• •Ai,_tY, • C�OI<ITA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . AA . . . . . . . (Name and title of corporate officer)- Builder's License No_ R__ ... . . . . . . . . . . . Plumber's License No. . .�j¢�, , , , , , • , , , , • . . Electrician's License No. P IN Other Trade's License No. 1. Location of land on which proposed work will be done; c����c . . . . . . . . . . . . . . . . .MAIN 5T. ��sr`E� s t, iN4 Ch 6 House N . . . . . . . . . . . . . . . . . . . . . . . .�1-Ru. . . . . . . . . • , , 3`�0 umber , Street. Hamlet County Tax Afap No. 1000 Section . �0. . . . . . . . . . . . . . BlOck .5 . .. . . . . . . . . . . . . . . . . Lot . . . . . ` Subdivision TAX.::i`'�'AQ •hjv't��t2 too —5 —5.$ . . . . . . . . . . „ .. `. .. . . . . . . . . . . . Filed Map No. . . . . (Namcj . . . . . . . . . . Lot . . . . . . . . . . . . . . . 2. State existing rise and occupancy of-•prcmiscs and intended use and Occupancy p ncY of proposed constriction: A. )existing use an&ocw-pancy. . . ... . . . . . . . . . . . w - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. Intended'dse and 'o'ccupancy. . .5.«.'RC. . ( U P We 0-G r10 .Q C Cu$A NC . •� . . . . . .„ • 1• . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . • • • • . Alteration . . . . . . . . . '. . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . .Swi:nning pool.; . . . .•. . ... Tennis Court . . . . . . . . . Accessory Building. . . X . . . . .Fence . . . . . . .Other'-•Wdtrlc . . . . . . . . . . . . va . � 2.5,00 4. Estimated Cost..-.-. -Z.�.o o b . . . . . . ... . . . . . . . : . . . . . .'. Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [t_0 be paid on filing this application) S. If dwelling,number of dwelling units . . .N1A . . . . . . . . Number of dwelling units on each floor. . N(,A. . . . . . . . . . . If garage, number of cars . N.� " " " ' • • • • • • • • • • • • ' 6. If business, commercial or mixed occupancy, specify nature and extent of each..type•of use,. . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front .Na N . ... . . . . . Rear . ... . .�: . . . . . : . .`Depth . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . Dimensions of same structure with alterations or additions: Front . . • ..a. . c. . . . . . . . . . Rear . . . . . . . .. . . . . . .. . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . .I�KT: . . . . Rear . . . . . . . . Depth . . . . . . . . .. Hei;lit . . . . . . . .Number of Stories ... 1. . . . . . . . . . . . . . . . . . . . . . . . . . . � 9. Size of lot: Front �13 FT: . .`Rear Rear . .. . . .�.`1 6•.�.� . T.•. . . . Depth . 1.q`.V 11 .VT. . . . . .. .. . 10. Date of Purchase .N oV:?-a}v�` . . . . . . . . . Name of Former Owner • . • ..• •. .• . • • • • • . . . i i. ''Lone-v^r uS�.'district r, which prCITlises are situated . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . .N. W 1:.. . .. . . . . . . . . . . . . . . .. . .. 13. Will lot be regraded . . . . ... . �?d. .. . . . . . .Will excess fill be removed from premises_ Yes NoX 14. Name of Owner of premises .1~D W is Rb ..Ro k'�'I A.Address �3. �!�s :R C° I Tone No. a 3.33`T 333r. Name of Architect . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . ..... . . Name of Contractor . . . . . . . . 0.0 �. . . . .. . . • . . . .Address . Phone No. .. . . . . . • . . 15_Ls this property located within 30Q feet of a .tidal •wetland? *YES. . . .NO. �. . *If yes , Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. _ N 0° �l 43 5 t=aST - A c-ce ssorz'{ l3ueLoi NG • � )Z STATE OF NE\ YOR S.S bcing duly sworn deposes anal says that he.is thP_appi_icant (Name of individual signing contract) above named. Heis tile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . (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 thi! 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. . . . . . . . , 19 - NotaryPublic, . . . . . . . . . . • . . . • . . .County �JCPLd lowta1 -P No'S2 to of 5•w VOW . . . . . (Signature of applicant Qualified inkn INSPECTORS (516) 765-1802 hr0�' �Gy SCOTT L.HARRIS,Supervisor VICTOR LESSARD, Principal CURTIS HORTON, Senior y z Southold Town Hall VINCENT R.WIECZOREK,Ordinance - • P.O.Box 1179,53095 Main Road ip ROBERT FISHER,Assistant Fire Southold, New York 11971 $ Building Inspectors Fax(516) 765-1823 THOMAS FISHER Telephone (516) 765-1800 GARY FISH J OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD n �" May 30, 1991 �' c� CD �. �m�, �—: _ Cf� ��l Mr. Edward Rokita 23 Jaffe Terr. Colchester, Ct. 06415 Re: Premises: Private Road, Fishers Island, N.Y. Suff. Co. Tax Map #1000-10-5-5.8 Dear Mr. Rokita: We return herewith your building permit application for an accessory storage shed. Please note that the accessory building must be in the rear yard as noted in red on your survey. If this is acceptable to you, please resubmit your application along with a check in the amount of $25.00 made payable to the Town of Southold. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Curtis W. Horton, Senior Building Inspector CWH:gar encl. del- .RQ B-U01 . O o PA Ail LII JUN - 199 i D �t;. gT. TUWN OF SOU t I-40LD NOTE -Coordinate drstonces ore m d fr Ensureom k�'�i`µ M��•�— U.S. Coast and Geodetic Survey TOP OF 4ROt.PIPE Trion lation Station"NIN" iron i Dol.,r,-"PFo�x.M-SL � pipe \ s ,4 c r:__ LI:l��s 91,13 s St } /�oCk 40 CaT ° �\.pt3 �. - ,\ .._ - -- �\ \�. �� _� � �'•�✓ . t pGf q6 43' 51 0 / �! 1 E o 169. y3 �r 3' V12 N 36°.51 50 �N�4'0 Q 6B' `��t P Ro Pos.r-fl N 5'L p0 ACCss 0Y 2. l LOT 14 AREA 1.30}Acres a - : \ 1 .a `-`� -•� / _ .. `: - :7Y ;L•TH SE„ j•Lt.v l 6' 1 ~I • �0 hti' -a'( LIS V 2 The water suppl a Z y and \ �� system for this res"— a0PER7 Y PLAN P�oO r z% k rs V� 6 form to the standard o. r� County Department o3 i 'ALE= I° = 1OO ft. lTE PLAN' _- SCALE: I°= 20 ft. NOTE - C_ ,rdinate disYonces are measured from US. Coast and' Geodef is Survey Triangulation Statiota"NIRl��__.- r P 0 o� CO rn etoc/( 40 COT A VO( 4' a0 S Tq o34 ` o �be b20 /69 9/ S a3�' a3 2 60 g0„ 80,68 $ W ° S 1410,06 N-66 3l N w 4 S�772.13 �� 5�'OO BLOCK 40 RQd 4 _W LOT 14 642.07 AREA = 1,301Acrec o� �N u CO, C 2° a 0 �0 N� can 0 0 O l i \a = z o`P RO` M �4p hti �- PLAN OF PROPERTY TOBECORIVEYED BY FISHERS. 18LAND DEVELORMOTCOEP A Guaranteed to- T_VL TVT GU/aCz,�NTEE COMRAtytir EDWA,RD rl®_ LC ROKITA, Eduard Rokif® in accordance WOh the 81ock,40 Lot 14 Fishers Islond,�l w Y1 minimum standards for Idly surveys of the New York State Land TitleAsiociation .Scdfe•: I"=100ft. + CHANDLER, RALMER &KING NorwichCon NOVEMBER 1976 I HENRY L/FURGUSON E E J E MUSEUM 19 6 g,. DEC - 4 2023 �E ' N/F HENRY L FURGUSON MUSEUM O �6dISTIN HED AS-BUILTINT OR Permittingfor As-Built Renovations and Two Decks at the BASEM�Ft BUILD-OUT ---- P�YP EXISTING DRIVEWAY � --"--__ � Mastroianni Residello%lce TWO-STORY I / FRAME RESIDENCE ��\ i� � A ILT DECKS ��--- 2168 East Main Road , Fishers Island , NY tiJ / 0o 00. / 123.01 Section 010 -- Block 5 -- Lot 5. 8 � oe A� o Fitzgerald Architect, P/ Y Sam Fit gera d c test, C �2�• � ''" 15 E. Putnam Ave.,#234 O a OS Do's?, \ / Greenwich, CT 06830 860.287.3808 infoOsamfitzgeraldarchitects.com SCOPE OF WORK PROJECT DIRECTORY DRAWING REVISIONS N S8. 54•SO. 1. As-built interior basement build-out. 1 4/4/23 PERMIT RESUBMISSION s4.00• w ' 2. Two(2)as-built decks OWNER: ARCHITECT: R� Zt. 03" �' Shaun&Antonio Mastroianni Samuel Fitzgerald 2 12/1/23 PERMIT REVISION µ 69' 3. Gut renovation of master 2168 East Main Rd Sam Fitzgerald Architect, PC PRC 31.3S bathroom and closet. Fishers Island, NY 06390 15 E. Putnam Avenue Greenwich, CT 06830 (860)287-3808 CONTRACTOR: ENGINEER: c/o Owner DRAWING ISSUE SHEET INDEX � u A-0.0 SITE PLAN; PROJECT INFO I herep 'cart ,that these p an w�e�QprTared under my direction and to the best of m �d and biel4ef confoJrrr to the applicable Building Codes and Ordinances. A-1.0 AS-BUILT BASEMENT PLANS b of x A-1.1 AS-BUILT FIRST FLOOR PLANS Q nA A-1.2 AS-BUILT SECOND FLOOR PLANS ' I Samuel i [alde " y `" Date As-Built Conditions A-2.0 AS-BUILT DECK PLANS AND ELEVATIONS NY License, lUF 1� ; MASTROIANNI RESIDENCE 2168 East Main Road, Fishers Island, NY Sheet Title SITE PAN SITE PLAN & PROJECT INFO SCALE: 1" =L 30' Date 4/4/23 Project A0e0 60-000 Scale AS NOTED q'o OCCUPANCY - OR USE � � • E IS UNLAWFUL WITHOUT CERTIFICATE. OF OCCUppNCY APPROVED AS NOTED DATE: 46vm A B.P.# FFE: BY: ff NOTIFY BUILDING DEPARTMENT AT 765-1802..9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: r. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING S. iMuLATION - 4. FINAL -. CONSTRUCTION MUST 8E COMPLETE-FOR C-O- ALL •CO,NSTRUCTION SHALL .MEET �E'E REnUIREMfN FS ,OF THE N.Y., irf STATE CONSTRUCTION & ENERGY" CODES. NOT RESPONtike F,OR= DESIGN .OR ;;CONSTRUCTION ERRORS. LE JUN 1 01991 BLDG. DEPT. TOWN OF c',Ou-jl-;'OLD —ell it xe 1100.!Sf FS1,eets 7; A O-r- W, -Al A -t�2 X%4. 'asrAg, T. 10 "Voy Qv&w I., L Cq y S, - mod;�llix Siolsi-L-r.� ' �� CIOOf Q\AVM C6)@ bor�'�71oe l7i rc P.C.St'P 7XCo J o\\tS{ J'\l�$ e\ I I � j , ► - i - �- rb -- Gab 111 ' t 1 t � t � 1 v i i I I j l j I �c•8•i j l l i + i i ' 9i