Loading...
HomeMy WebLinkAbout32382-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 12/18/07 Ro: Z-32794 THIS CBRTIFIBS that tbe building ADDITIONS/ALTERATIONS Location of Property: 650 (HOUSE NO.) COUnty Tax Map Roo 473889 Section 86 SPRING LA (STREET) Block 5 PECONIC (HAMLET) Lot 6 Subdivision Filed Map Roo Lot Roo conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 2006 pursuant to which Building Permit Roo 32382-Z dated SEPTEMBER 21, 2006 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VINCENT A & BARBARA FISCHETTI (OWNER) of the aforesaid building. N/A SUFFOLK UJUJlI"~ x DBPARDIBIII'r OF RBAL'ftI APPROVAL BLBCTRICAL CBRTIFICATB ROo 3023380 08/14/07 PI.UMBBRS CBRTIFICATXOIII DATED 06/25/07 PECONIC PLUMB. & HEATING ~.~-- Rev. 1/81 ~.._....'''.~ . . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1rG) ~ JJ Wi IL~ "iG f 4 2007 m APPLICATION FOR CERTIFICATE OF OCCUPANCY i ! Bd)\.i. DEPT. This application must be filled in by typewriter or ink and submitted to the Building DepartmeJ'It~~~J}._= A. For Dew building or Dew 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 &ani of Fire Underwriters. 4. Sworn "'~ 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 installatiollll, a cenificatc of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site pian requirements. B. For eDIting buDdiDgs (prior to April 9, 1957) Don-c:oDformiDg uses, or .buDdiDgs aDd "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and. unusual natural or topographic ~m=. . 2. A properly completed application and collllent to inspect signed by the applicant. If a Certificate of Ocl;upancy is denied, the Building Inspector shall state the reasollll therefor in writing to the applicant. C. Fees .1. Certificate of Occupancy - New dwelling $25.00, AdditiOllll to dwelling $25.00, AlteratiOllll to dwelling $25.00, Swimmirog pool $25.00, Accessory building $25.00, Additiollll 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. ~.U4-r New Construction: Old or Pre-existing Building: / (check one) Location of Property: ~6D J r('~"'(J lu..^,,-- f-1.1'ml\.u.:. House No. Street Owner or Owners of Property: V I n C-U\ t "'^ d..- Yc3o..do o.ro... FL J e.ht.-ff-: Suffolk County Tax Map No 1000, Section Iro Block ~ !'l.>, ,;),()o? Hamlet Lot " Subdivision Filed Map. Lot: DateofPermit.~Applicant: :JOllA r'3e.rInn', v'?l\.UI,/u' ~ Underwriters Approval: V Permit No. 3 l ~ n t:- Health Dept. Approval: -. Planuing Board Approval: Request for: Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ /). {, (/V rY.'''A'''-- ~, I)(J L 1~~licant Signature ' ~.'7 35 3<{ Cn.c ~~1~L( _2. .. _ _~..___~.__"__ ,..",--_...~,..,_,,_..:,._~""_l"",",,; 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. 32382 Z Date SEPTEMBER 21, 2006 Permission is hereby granted to: VINCENT & BARBARA FISCHETTI 650 SPRING LANE PECONIC,NY 11958 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC AND TRUSTEE APPROVALS at premises located at 650 SPRING LA PECONIC County Tax Map No. 473889 Section 086 Block 0005 Lot No. 006 pursuant to application dated SEPTEMBER 19, 2006 and approved by the Building Inspector to expire on MARCH 21, 2008. Fee $ 942.90 J.gnature ORIGINAL Rev. 5/8/02 "'~, BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by G & S ELECTRICAL CONTR. P.O. BOX 215 SOUTHOLD, NY 11971, JOHN FISCHETTI 650 SPRING LANE PECONIC, NY 11958 Located at 650 SPRING LANE PECONIC, NY 11958 ApplicatiOn Number: 3023380 Certificate Number: 3023380 Block: Lot: Building Permit: 32382 BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inIon the premises at: Basement, First Floor, Second Floor, Outside, Attic, A 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 andlor standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 14th Day of August, 2007. ~ OTY ~ Rmin& Circuit ~ Miscellaneous I-heat pump Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide AppUances and Accessories CookingOeck I 0 30 Amps Exhaust Fan 2 0 F.H.P. Dish Washer I 0 1.2 KW Oven I 0 3.6 .KW Hydro MaSsage Tub (Therapeutic) I 0 Water Heater I 0 4.5 KW Wiring and Devices botlet 42 0 Fixture Fixture 42 0 Incandescent Outlet 69 0 General Purpose Receptacle 38 0 General Purpose Switch 47 0 General Purpose seal Receptacle I 0 30a Laundry Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. >r"",!7;I.~"<".~""'. "".......-''t:~--:";,~?:'~'- ~"",~.! ,.',> ,.-.,'.; . . BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by SWEET HOLLOW ENT. 100 SWEET HOLLOW RD HUNTINGTON, NY 11743, ALISON ISNER 335 VILLAGE LANE ORIENT, NY 11971 Located at 335 VILLAGE LANE ORIENT, NY 11971 Application Number: 3041461 Certificate Number: 3041461 Section: Block: Lot: Building Permit: BDC: n511 Described aS,a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, PooVSpa, A 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 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 14th Day of Ausust, 2007. ~ QIY ~ RAlin& QrgIil ~ Appllancu and Accessories Time Clock/Switch I 0 Pool Heater I 0 PooV Spa Bonding I 0 Panels I 40 3 Wlrlnlll.d Devices Receptacle 2 0 20a PooV Spa Fixture I 0 PooV Spa Receptacle I 0 GFCI (Swimming Pool): This certificate covers compliance at the date ofinspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person.' seal I of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall, 53095 Main Road P.O. Box 1179 Soulhold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ~f\t..- ~C. 2.001_ ,--. Building Permit No. 3 -z. ?, ~ 2.. C Owner: \l \~U\-\-- CU\ c..- f6 Dr\o~ f'\d C.-he..:T\"'~ (please print) Plumber: ru.~ Plv...rlVl)\('O ....- lie<--+-ng ~-+" LL-C-- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1 % lead. Sworn to before me this ;).5' ~ day of 'J'LLiU- , 20~ t)~x': ~cfo~ NalalJa&- Qullifiedln~,. CommissianEJpns~ 0 Notary Public, ~()\ 'C..county __,~-"""~~._c___ . . James F. King, President Jill M. Doherty, Vice-President Psggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 58095 Route 25 P.O. Boz 1179 Southolei, New York 11971.0959 Telephone (681) 7615-1892 Fu: (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0250C Date: SeotP.mhcr 17. 2Q97 THIS CERTIFIES that the renovation and addition of a second story to the cxilltitillllinllle story dwellinl! At 650 SDrin2 Lane. Peconic. New York " Suffolk County Tax Map # 86-5-6 Conforms to the application for a Trustees Permit heretofore med In thts omee Dated 04/12106 pursuant to which Trustees Permit # 6366 Dated 05/17106. Was issued, and conforms to all of the requirements and conditions of the .ppOcable provisions ofIaw. The project for which this certificate is being issued is for the renovation and addition of a second story to the cxistinl! single story dy"lIine;. The certificate is issued to VINCE FISCHETTI owner of the aforesaid property. rr><~ Authorized Signature _~ ..--'-.....__.~.__~_'"_.."".id;,;;""~"i.:..t.~.._~.~,._ -----~ r;.1 [\ (C f"\ 0 ~n ~ i;.\, n I S ~n [f) u " _':~_. I ~ 1,- 1 \ t r--"--"------ , '; 1 j 1"/.' ,1:.1 ' '\:. c.1 I r i: NOV -~ 2006 I,,~)\ U~ , 1 ~-':~'C,,:-,,___I I r',')'", " 1 I iO'A1' Of- SO~,_\"i: t~Y..2---J Date: November 6, 2006 To: Town of Southold JAMES]. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Re: FIrSt & Second Foundation Inspections Fischetti 650 Spring La. SouthoId, NY Pennit# 32382z To Whom It May Concern: 1bis letter certifies that first & second foundation inspections were preformed on the above mentioned property and was all done correctly and meet all state and local building codes. Any questions please feel free to call. ."""_~""i;,~~,,,~~oi.,;;~:,,,,~,",;.f_'Jii&,,,, /i, JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of South old Building Dept. 00 Jtl 3 20r' Date: July 2, 2007 8i..DG.DEPT. T. WN F ~CUT.HOLD I ---- Re: Insulation Inspection Fischetti 650 Spring La. Peconic, NY Permit #32382 To Whom It May Concern: After an Insulation inspection and fire caulking inspection was performed on the above property, it is deemed that all Insulation and fire caulk was installed correctly, and meets all building codes. Any other questions please call. ~. --..-,,,"'-' '::--,~-~ JAMES J. DEERKOSKl, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: February 25, 2007 To: Town of Southold Building Dept. Re: Strapping Inspection Fischetti 650 Spring La. Peconic, NY 11958 Permit #32382 .----;;-, f : ':-\\\ \ rtB 1. 6 '.j " \ ", ... _'",,1)~ \ i......-.--....--,:,. .',~,~ \~~~>-- To Whom It May Concern: After a Strapping inspection was preformed on the above property, it is deemed that all work performed was completed to plans and meets all state and local codes. Any other questions please call. e~\J. t\' koski \ \ \\ ~ \ 0' I (~: r: '-:;'7"-7;'-'.'(0"i'7 I I FEB 2 6 200]7 , I I I I ..;,.(:;:t~~i~~~\"';;~.;;~--~,i,;,4_i.., r-.---------:-~ - . -32-3>fZz -- ----- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 I..: .......TION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIE RESISTANT [ ] ROUGH PLBG. [ ]I~ [4IN~ ~" [ ] FIRE [ ] FIRE RESISTANT PENE'IRATION -- DATE ~.- INSPECTOR .-,.,,_.-~~-,.,~:,;"-- -~~ .: .,<.~' '-," ~. ~ .~.....,,,,~.- ...-.~._- 3<7L3 r;-:z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST rP{ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~FRAMING/~NG [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INlfEtTION [ ] FlRERESlSTANT~ [ ] FlRERUlSTANT~:-~;;~1ION. REMARKS: ~ ~ A ~~ .E. . tf- ~ -~ cV2.fL , DATE ~-- ?2.. -0 1 INSPECTOR ~ p- -~, ~-"---:::"':i,"'-.:_C .t:., _ __..____~-----""--"-.~____...2.~~..'__':......~.~._:;.~..;t,"""'-" .~. ",,,-,.ti:~ .d""""""...~ :t'f "'.,...~..~-~'< . . ,~._-.~._~~---~-.,.",. -.-..' -,.,.. ~. ~~'~'.~~7. 3~?i;LZ- TOWN OF SOUTH OLD BUILDING DEPT. 765-1802 IN8MCTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING J>{ FINAL [ ] RREPLACE & CHIMNEY [] ARE SAFETY INlrBCl'ION [ ] FIlE RESISTANT cans UklCI10N [ ] FIRE .IIITANT ......nAlIDN DATE 7.- ~ ~() 7 ~;;;'\--~~-6-:'h__ ~-'-~-,.......~.._~. _.~...__.. ---- .~~'" ".,,~'-:.~""" ."~'" ~ .> FIELD IN:SPECTION REPORT DATE COMMENTS FO~ATION(lST) (4l~ /.:. -~.. .... ~ .V _.. FO~ATION (2ND) \ ( _"p P.J..f _ _\ -- /' 1~::1-aXk. '.. --!-J.-.he.. M...j~;J. /..... ~E . ~!.' ,7 . "....,.,1 .7 ":.:i,L.;';" ~IA ~. ~4N/ tJic ~ -17-' , ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE .. . ~I ~.. V t-<:) ~ ~~ I\. \? 21 ~ ~ ~tn ~ l"'l ~~ ""i - . C~ 1~ l"'l ~ '1,,~"1r ..lL .V -r. fJ ;..n"" ~ .. WA ~~.." --f1::.J~ (6\J ~"' oj "\i,-Jf.j~ , :,<<.. ~. U.JII V J.... _ .,j ~ IDA;t J..~:'hr WO.ll A" ~~~ I;. D. '3 .l ...r.' 1. .. ">-IJL~ n.'" ~/. ~'1d- -. 1'".;:hA D.>J.. . .v~ A..t-;; .J.. ~a-.uri.k. ('\ .)..u.. .O.J.h. __ J...n. I.l dl1-if:."'. ~ {" 0, IJ--hr /4 7 ~ d (yJ · V . u . ...., ...... l' .#~ L~~."'7.. A. ...; J'X~ ~~ r.. J. {/ l --Y/ " ADDmONAL COMMENTS / '" FINAL A {u\ IL II-b.,fJ,b i!IM1:'.4-J_<.JF Ii I 7~H h:l.n ~ '/, Of( ~. Y" _-'-, f).-~r-D1". II ,. I, ~.,..,. ~, ': ,1--' L!?/' // \ I' 7_"-tJ"'~:~n.tt: f~',J V..... /7710 ....H;:'"r , , 1--. t--. . ~ t ~Z .ell n_ r (.J!l"'l ~~ A..~ ~o 21 ~ I;l l"'l ~ SUFFOLK (JOUNTY WATER AUTHORITY 4060 Sunrise Highway, PO Box 38, Oakdale, New York 11769 June 13, 2007 Suffolk County Department of Health 360 Yaphank Ave., Suite 2C Yaphank, NY 11980 To Whom It May Concern: This is to certify that the Suffolk County Water Authority has installed Public Water Service at the following location: 780 Private Rd #17, Southold Water service was installed on January 30, 2006. Very truly yours, ~~Om~ S. Romano Regional Manager SR/ab E10\TapLelter Revised 6/03, PRINTED ON RECYCLED PAPER '\ . ,J /.-'" " e. e c '1 7 ACR. 1./ TYPE OF BUILDING /, I o 00 - rf" - 4- ~ OWNER d\c.W TOWN OF SOUTHOLD PROPERTY, RECORD CARD STREET VILLAGE ./ DIST. SUB. LOT ~~/o LAND SEAS. VL .~ I!~ J./a.'e ,... K FARM COMM. CB. MISC. Mkt. Value Tillable 1 Tillable 2 nllable 3 Noadland ~6a.s~ iwamplond FRONTAGE ON WATER 00 0(/ ..--- ;>. lrushland FRONTAGE ON ROAD ;ause Plot DEPTH BULKHEAD r~- DOCK IMP. TOTAL DATE REMARKS --1' ,-J c. e L" I o I.J:-'-.OO I (,0--0 {''VI, ~~ Ls /)V\ I ~ /'/-.-;17 ("I . / c2600 .600 GED . / / .,1/' .' - ~ ~ p ~. ~ , . . , fIf " ~ i , '-, ,- I- i:- . , '. , COLOR I. II), ~ I. .., " . i 66 . I 'd c,. "A I' . i " ~' I '" ~ , I ..-"'" ' ' I " .~, -} D " , .. i TRI~a ~ I I... I- ~ .. ~ r"j . ~ i II, Il, Lt)l .r D , L I", ~, 2.. 5- " o" I , ... 'I. ,., Ir " . I... ~ J , L , M. Bldg. '<;.. )( i{/ ~ 606 3.7S" 2. 2.-.)0 Foundation ~ Bath I Dinette Extension 1,00 666 Basement 'PoAt Floors /. <'J K. I ( x: 2.-0 - 2- :;z...o I, /.. f... - , \ 1>\ Co ~~. 1'2-)( 1(" = \q 2.- &/12 Ext. Walls 1j~A t. c.. .'1- Interior Finish ~ n~'^..~ LR. $Ion Z.,i;"(, ';;'A; I~A .. Extension Fire Place 'lJ ... D Heat IH~("~R. Type Roof Co cJw. Rooms 1 st Floor BR. Parch Recreation Raon Rooms 2nd Floo FIN. B., Parch Dormer J- ....bf'\ / ';-;"411 ~~,..... I l".....~/l Breezeway Driveway Garage ~ ".-2-"3- - #t.O L,dO 9~' Patio ~ .. O. B. Total ' -'4s'o'i- . Board Of Southold'Town Trustees So.UTHo.LD, NEW YORK PERMIT NO. ..~.~.~ ...... DATE: ...~a.y.. P,.....?Q.Q6 ISSUED TO. .._._.-....._y.:.~9..~....~~~.~~~!!!.......................... ....................-........ ............. 1\ut4nrii!utinn Pursuant to the provisions of Chapter 615 of the laws of the State of New York, 1893: and Chapter 404 of the laws of the . State of New York 1952: and the Southold Town o.rdinance en- tJtled."REGUlATlNGANDlHE,PLAClbtG OFOBSTRUCIlONS IN AND ON TOWN WATERS AND PUBLIC LANDS and".the REMo.VAL OF SAND, GRAVEL. OR o.THER MATERIALS...f..8.0M LANDS UNDER TOWNWATERS;t~. and in accordance with .the Resolution of The Board adopted at a meeting held on ~.L.!.Z.;~._..... 2006. d . 'd t' f th f $ 250 OQ .' 'd' b . ............. an In c:~nsl era Ion 0 e sum 0 ................... .... .... pal y Vince Fischetti .. ..-. ..........~.._......._......... ....-.---... ................... .... ..... .....~....... .... ...................... .._........._.........._.~..-..... of .._...._......._.:.:.:.~.~~~_.._.............:........:.................... N. Y. and. subject to the Terms and Conditions hsted on the reverse side hereof, of Southold Town' Trustees authorixes and permits the foHowing: Wetland Permit to renovate and add d . ing single family dwellig vith the ~o~~i~~ons~~ra to i~e exist~ g~~}~~:~g~i~ri~~;~~:;~~:~!!f~~:~~~i~~idO~~.~~:k~~:~;~~!~~:ed aU in accordance with t~e 1et~ spec:HlCllfions as presented in . the originating apprlC8tion. IN WITNESS WHEREOf. The said Board of Trustees here- by c:auses its Corporate Seal to be affixed, and these. presents to be sul:isc:n"bed .by . :. majority of tha sai~ Board .as of .this dat.. PERMIT NUMBER -4738-02693100003 FACILlTYIf'ROGRAM NUMBER(S) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION TYPE OF PERMIT. New o PERMIT Under the Environmental Coneervatfol'! Law o Renewal 0 Modiflcation . Permit to Construct EFFECTIVE DATE Sa tember 7 2006 EXPIRATION DATE(S) September 7, 2011 o Article 15, Tille 5: Protection of Waters o Article 17, Titles 7,8: SPDES o Article 19: Air Pollution Control o Permn to Operate o Article 27, Title 9; 6NYCRR 373: Hazardoua Waste Management o Article 34: Coastal Erosion Management o Article 38: Floodplain Management o Article 15, Tille 15: Water Supply o Article 15, Tille 15: Water Transport o Article 15, Tille 15: Long Island Wells o Article 15, Tltie 27: Wild, Scenic and Recreational Rivers o Article 23, Title 27: Mined Land Reclamation o Article 24: Freshwater Wetlands . Article 25: Tidal Wetlands o Articles 1, 3,17,19, 27,37; 6NYCRR 380: Radlallon Control o 6NYCRR 608: Water Quality Certifica- o Article 27, Tille 7; 6NYCRR 360: lion Solid Waste Manaaement PERMIT ISSUED TO TELEPHONE NUMBER Vincent Fischetti (212) 327-8166 ADDRESS OF PERMITTEE 448 Joan Court West Hempstead NY 11552 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Suffolk Environmental Consultina, P.O. Box 2003 BridaehamDton, NY 11932-2003 (631) 537-5160 NAME AND ADDRESS OF PROJECT/FACILITY Fischetti property, 650 Strina Lane-,Peconic SCTM # 1000-86-05-06 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Richmond Creek . DESCRIPTION OF AUTHORIZED ACTIVITY: Construct 1st and 2nd st?ry additions to existing single family dwelling, remove existing patio, stoop, steps and walk, install new patio,steps and walk. All work must be done in accordance with the plan stamped NYSDEC approved on 9/7/06. . By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Mark Carrara CKW AUTHORIZED SIGNATURE, Region 1 Headquarters, Bldg. #40, SUNY, Stony Brook, NY 11790-2356 DATE Se tember 7 2006 Page 1 of 4 .-:. ':"'-:.'. ~~-~-.... ~Jt..la~V'~'" BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502' www, Dorthfor~DeWoutholdl ,. Examined Approved Disapproved ale ,-_.- ~ --:',~-'----"--"-~"""':' ~ 6U1LUlNU .t'~.KM1TAt'J:iLlcAnuN CH~CKLlS_ . Do you have or need the following, before applying: Board of HeaI1h 3 sets of Building Plans Planning Board approval Survey . Check Septic Form N,y.s,D,E.C, Trustees Contact: ( PERMIT NO, 52-~c:;r2-:::Z:;- 20~ 20..-.ftz. Expiration ,20_ Mail to; T;;;w- 1~(j.OS Phone: { nR(~f?n~n~r;;'I !DI' [t;~. L'~"n"IJ!l in!i SEP I 82006 " wUL.:. __r~' FLDG. C.::?T. T WN F SOUTH APPLICATION FOR BUILDING PERMIT Date , 2oCh-i INSTRUCTIONS a, This application MUST be completely filled in by typewriter or in ink and submitted to the BuildingJnspector 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 appliCailt. 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 sh3ll 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, Ordinances or Regulations, for the collstrUction 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, andre~ons, and to admit authorized inspectors on premises and in building for necessary inspections, . '.';; .t ,. ;'l' " e of appliClU'lt or name, if a colp<lJ'lltion) M~ t2&. ('#.11" ~L-P , (Mailing addrel: of applicant) . (Si ;/51.:;'0 State whether applicant is owner,lessee, agent, architect, engineer, general contractor, eiectrician, plumber or builder '~6-ee-t I . Name of owner of premises~,.f ~.I1P"Jl bliJj at-M/fti .' , , ..... (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) ,. i:-~ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No, 1. ro,Posed work will be done: Hamlet House Number County Tax Map No. 1000 Section Subdivision"'" (N am:e) xto Block oS Filed Map No. Lot Lot ()~ ...-.;;.( r /' .,~, ~... -- --,.~~-.-.-- r, - -~ ~ ~- ~,~- '1i:,'~'- -\ ;, <' . ...L - 12. Sta~. eX:::~:~~~c:~~:~c~premises;~ed~1 c.;uP~!a=~ co:struction: ) , t , b. Intended use and occupancy ~~ . . ~ '3. Nature of work (check which applicable): 'New Building' Repair Removal Demolition Addition V Other Work Alteration ,;' (Description) 4.3(P{cCO. Fee 4. Estimated Cost (To bcpaid on filing this application) 5. If dwelling, number of dwelling units DN!. Number of dwelling units on each floor ..- ~hM.g 2- If garage, number of cars /6. Ifbusiness, commercial or mixed occupancy, specify nature.ande~nt' of each type of use. ' ';..-' 7. Dimensions of existing structures, if any: Front ~c+. Co. \ Rear \ '1 , '3. I Depth Height 02(,(; I , Number of Stories=----VV 0 " I 3~.~' h I ' " r r 'Z.:3 Dimensions of sa~ st!'lJcture with alterations or additions: Front C1Lh (P ( Rear Depth ~f:f~ ' Height .B \ < . Number of Storie,&--=-fW 0 8. Dimensions ofelltire new construction: Front_l q ,'{1 , Rear~ q, 8 J Depth <6 I Height' 31 ',' Number of Stories 1-w b 9. Size oflot: Fron~ear wo. ~t.. c Depth ~ ( 10. Date of Purchase ' Name of Former Owner 11. Zone or use distriCt in which premises are situated ~ 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES~ NO if ' 13. Will lot be fc~graded? YES~ NO'; Will excess fill be removed from premises? YES~ NO / 14:,~=,~.." ",~ ~::::~, w ;~~-= Name of COli tractor "'.;" ~ 'Address~ Phone No. __~ _ ',. . . . .15 a. Is this property with;. 100 feet ofa tidal wetland or a freshwater wetland? "'YES' ~ 'NO----.:.... '" IF YES. SOtJTHOLOtoWN TRUSTEES & D.E.C. PERMIT~ MAYBE REQUIRED, b. Is thisptopel'fy Within 300 feet of a tidal wetland? '" YES L NO IF YES, D.E.C. PERMITS MAYBE REQUIRED. .16. Provide sUJ'vey, to scale, with accurate foundation plan and distances to property lines, ,7. If elevation at any point qn property is at 10 feet 9rbelow, must provide topographical data on survey. S)He is the lTATEOFNEWYORK) , SS: ;OUNTY OF~ ) "" (Na~~I~: =*ove naiD.ed,bcihgdulY swom;clep()scs ami says that (s)heis the applicant, ~;'ftd' (Contractor, Agent, Corporate Officer, etc.) ~saidowner or owners, and is duly authorized to perfonn or have performed the said work and to make and file this application; :at aU stliterneqts contained iJl this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. ",w()m,. fefore 1110 th!! : .r..L.... L , . ^,,} ..~ : NotarY~li: " ." , ~nuclA RICHARDS ' .14_" PuflUo,Stalll'of New York No. 01 RI6042467 , Quallfl.d In Suffolk County CommiSSion Exptres May 30,~ ~ ~'OfApP"" ~ ~,"-,~,,-. c; ,-;~~",'.!i.....~ ,,;;;~~ ~-"-'-, ~.,- -. Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Id Data filename: C:\Program FilesICheck\REScheckIFischetti.rck PROJECT TITLE: FISCHETTI RESIDENCE COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 08/01/06 DATE OF PLANS: 8/1/06 PROJECT DESCRIPTION: Renovations, additions and partial reconstruction of the Fischetti residence, located at 650 Spring Lane, in Peconic, New York. DESIGNER/CONTRACTOR: Samuels & Steelman Architects COMPLIANCE: Passes Maximum UA = 538 Your Home UA = 455 15.4% Better Than Code (VA) Ceiling I: Flat Ceiling or Scissor Truss Ceiling 2: Cathedral Ceiling (no attic) Ceiling 3: Cathedral Ceiling (no attic) Wall I: Wood Frame, 16" o.C. Window I: Wood Frame:Double Pane with Low-E Wall 2: Wood Frame, 16" o.C. Window 2: Wood Frame:Double Pane with Low-E Door I: Glass Wall 3: Wood Frame, 16" o.C. Window 3: Wood Frame:Double Pane with Low-E Wall 4: Wood Frame, 16" o.C. Window 4: Wood Frame:Double Pane with Low-E Door 2: Glass Door 3: Glass Wall 5: Wood Frame, 16" o.c. Floor I: All-Wood JoistlTruss:Over Unconditioned Space Floor 2: All-Wood Joist/Truss:Over Unconditioned Space Furnace I: Forced Hot Air, 78 AFUE Gross Area or Cavity Perimeter R-Value 991 298 221 837 93 500 66 21 683 81 1106 136 96 24 52 1246 476 Cont. R-Value 30.0 3.5 22.0 2.0 30.0 3.0 19.0 3.0 19.0 3.0 19.0 3.0 19.0 3.0 0.0 19.0 19.0 0.0 2.0 2.0 Glazing or Door U-Factor UA 31 13 7 40 0.330 31 22 0.330 22 0.340 7 33 0.330 27 46 0.330 45 0.340 33 0.500 12 12 54 20 .. -COMPLIANCE STATEMENT: The proposed building represented in this docwnent is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of hislher knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. BUilderlDeSigner~~. Date ~lll( 0 , .."