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
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Rev. 1/81
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.
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(
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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.
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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.
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Authorized Signature
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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.
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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
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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.
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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
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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 ~~
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tf- ~ -~ cV2.fL
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DATE ~-- ?2.. -0 1 INSPECTOR ~ p-
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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
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FIELD IN:SPECTION REPORT DATE
COMMENTS
FO~ATION(lST)
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FO~ATION (2ND)
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ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
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ADDmONAL COMMENTS / '"
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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
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ACR.
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TYPE OF BUILDING
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OWNER
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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'
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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
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BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502'
www, Dorthfor~DeWoutholdl
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Examined
Approved
Disapproved ale
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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;
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1~(j.OS
Phone:
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!DI' [t;~. L'~"n"IJ!l
in!i SEP I 82006 "
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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, .
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e of appliClU'lt or name, if a colp<lJ'lltion)
M~ t2&. ('#.11" ~L-P
, (Mailing addrel: of applicant) .
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State whether applicant is owner,lessee, agent, architect, engineer, general contractor, eiectrician, plumber or builder
'~6-ee-t
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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)
,.
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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
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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
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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 , . ^,,}
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: NotarY~li: " ." , ~nuclA RICHARDS '
.14_" PuflUo,Stalll'of New York
No. 01 RI6042467
, Quallfl.d In Suffolk County
CommiSSion Exptres May 30,~ ~
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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
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-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 ,
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