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HomeMy WebLinkAbout29160-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29688 Date: 09/05/03 T~IS CERTIFIES that the building ADDITION Location of Property: 195 AUGUST LA GREENPORT (HOUSE NO.) (STREET) (F_AMLET) Coua~ty Tax Map No. 473889 Section 53 Block 4 Lot 44.14 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 26, 2003 pursuant to which Building Permit No. 29160-Z dated FEBRUARY 26, 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 WITH SCREEN ENCLOSURE TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS M & KATHERINE A GADOMSKI (OWNER) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF /~L~LT~ APPROVAL N/A ELEC~fRICAL CERTIFICA~ NO. N/A PLUMBERS CERTIFICATION Rev. 1/81 N/A Authori z~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29160 Z Date FEBRUARY 26, 2003 Permission is hereby granted to: THOMAS M GADOMSKI 195 AUGUST LA GREENPORT,NY 11944 for : CONSTRUCTION OF A DECK ADDITION WITH SCREENED ENCLOSURE TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR T~is permit repiaces BP~26561. at premises located at County Tax Map No. 473889 Section 053 pursuant to application dated FEBRUARY Building Inspector to ex/~ire on AUGUST 195 AUGUST LA GREENPORT Block 0004 Lot No. 044.014 26, 2003 and approved by the 26, 2004. Fee $ 150.00 Authorized Signature Rev. 5/8/02 COPY 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. 26561 Z Date JUNE 9~ 2000 Permission is hereby granted to: THOMAS M GADOMSKI 195 AUGUST LA GREENPORT~NY 11944 for : CONSTRUCTION OF A DECK ADDITION WITH SCREENED ENCLOSURE TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 195 AUGUST LA GREENPORT County Tax Map No. 473889 Section 053 Block 0004 Lot No. 044.014 pursuant to application dated MAY 17~ 2000 and approved by the Building Inspector. Fee $ 75.00 Autho~d Signature COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY SEi - 3 2003 This application must be filled in by typewriter or ink and submitted to the Building Department 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. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property sho ~ving 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning 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 New' Constractiou: Location of Property: ] t~ ~' Date. Old or Pre-existing Building: Owner or Owners of Property: T/4o Suffolk County Tax Map No I000, Section Subdivision Permit No. okq I [, O Z Health Dept. Approval: Plamfing Board Approval Request for: Temporary Certificate Fee Subrrdtted: $ o~ ~. bO Cq lq (check one) House No. Street Hamlet Date of Permit. Block Filed Map. Applicant:_ Underwriters Approval: Final Certificate: / Lot qq. Iq Lot: (check one) Applicant Signature 7GS-].80Z BUILDING DEPT. INSPECTION [~/~/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ J FO~ATION2ND [ ] INSULATION [ ~I=RAMING [ ] FINAL [ ] FIREPLACE~?IMNE. Y ,~ _~ REMARKS: /~//~-~-~/-/~-~/~ DATE 7GS-ZSO2 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [/] INk'ION [ ] FRAMING [/-~FINAL [ ] FIREPLACE & CHIMNEY DATE~//~~SPE~ FIELD INSI~ECTION REPORT DATE. COMI'~NTS ROUGH F~ & fl INSUtATION PER N. Y. STATE ENERGY CODE ADDITIONAL COI{/ENTS: FOP~ NO. [ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUT6OLD, N.Y. 1197 I ~L~ 765-1802 BOARD OF tIEAI/I'tl .......... 3 SETS OF PLANS ........... SURVEY ....................... CHECK ......................... SEPTIC FORM ................... NOTI FY: M~AIL TO: .................. ,'' ~ APPLICATION FOR BUILDING PERMIT ~ INSTRUCTIONS a. '~ds a~li~t~ ~t ~ ~letely fill~ in by ~iter or in i~ a~ ~itt~ to the ~dldmg lns~cto 3 ~ts of pl~, ~ate plot pl~ ~ ~le. F~ ~i~ to ~le. b. Plot pl~ ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, ~latiom~ip to ~joiaing pr~i~s or ~lic struts or ~e~, ~ givi~ a ~1~ ~ripti~ of l~t of pro~ ~t ~ dr~ om the dia~ ~is a~li~ti~. c. ~ ~ ~ ~ ~is a~li~ti~ ~ ~t ~ ~ ~fore isle of ~ildi~ Pemit. d. ~ ~ of ~is ~li~ti~, ~ ~ildi~ ~tor ~11 is~ a ~ilding Pe~it to ~t ~11 ~ ~t ~ ~' ~s ~il~le ~r l~ti~ ~t t~ ~rk. e. ~ildi~ ~1 ~i~ in~le~in~ for ~~at~er ~til a ~rtificate of ~I~ IS ~Y ~ ~ ~ ~ildi~ ~t for ~ isle of a ~ilding Pe~it ~rs~t to the ~ildi~ ~ ~i~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo~, a~ other a~licahle ~lati~, for ~ ~t~ti~ of ~ildi~s, ~{ti~s or alteratiam, or for r~al or ~l ftion, as herefa ~ri~. ~ ~li~t ~s ~ ~ly ~ ~1 ~li~le 1~, ordi~es, ~ilding c~e, h~siag ~lati~s, ~ to ~{t ~ri~ i~tors ~ ~s ~ in ~ilding for ~ces~ ins~tior,s. (Signature of applicant, or r~ne, if ;* corp:>ratioa · (? 5...4 .q F..o .~f... ~.%.. ~ d...~.. ?.~..~. ,. ~.~ ..... (Mailing address of applicant) /]~U%/ State ~t~ther applicant is o~er, lessee, agent, architect, engineer, general co~tractor, electrician, phm,/×~r or N~ Of o~ner of pr~n~ses., .T~. ?..~?..~ ..... '..~..~.~.%~:1.~.. ~.'... ~4~.q~ ~.~.: .................................... (~ m ~ t~ roll or latest d~) If ~lic~t is a m~rati~, ~i~ of ~ly m~riM officer. (Nmm and title of ~orporate officer) Builders License No .......................... Pl~bers License No ...... Electricians License No .................. Other Trade's License No .................. ~. I~mation of land on which proposed ~a~nk will be done ........................................................... .................... g..~.q~z......~y... ....................................... Mouse Number Street County Tax Map No. 10OO Section g 3 Block S~v~ion .. ~ ?~.T...4~.~q~.. A ................ en~ ~ No ................ ,=t .... ?..z~ ..... (~) 2. State existing use and ecoapancy of premises and intended tree amd occuT~ney of proposed consln~cl ion: a. F2dst use and occupancy ........................................................................... b. Inter~l~d use and o~ . . ' 3. Y:~t,,re v£ ~ork (ct~k Milch applicable): ~ l~ilding .......... ~kiition .......... Alteration .......... ~i r ............ ~al ............. l~liti~ ............ OUmr ~ .................................. ~rip~i~) 4. Es~i,~l ~st ...... ,.~o~ . ~ f~ ..................... (to ~ ~id ~ ~ili~ this a~li~i~) 5. If ~lling, ~r of ~lli~ ~mits ............ ~r o~ ~lling t~ics ~ e~ fl~r ................ ]f aara~Ic., ~*~t~r of cars ...................................... 6. If I~si~zss, (x~umrclal or mi~ ~oJI~, S~ci~ ~ure ~ ~en~ o~ e~ ~ of ~ ...................... 7. I)i,~nsi~s of exisling stn~m~s, if any:~t ................ ~ 7 / ~ar .......................... ~'l/ ~pth ...~ ~ Ik~i~r ......................... ~r of Stories ..... / ................ ~ '7 t ....... l)in~nsi~s of ~ stn~mre ~ith alterati~s or ~itions: ~t .,.~7 ......... ~ar ..~ ..... ~pth ..... ~.~f. ........ [~i~t ................ ~... ~r or Stories .... ~ .......... a. ~i,,~,~i~,~ o~ ~i~ ~ ~t~ti~: ~t ..... ~.!.i ..... ~r ...~.~ ........ ~a .... !~ ....... [bl~t ......................... ~r of Stories ..................... 9. Si~ of tot: Frr~t .................... ~ar .................... ~pth .................... ,~.~,t~ o~ n,~,:h~ .. ~gg t k...(~L~... ~ or ~o~ ~ .... ~e~..~.~ .............. I 1. Z~ or u~ district in ~id~ pr~i~s a~ si~t~ .............................................................. 12. ~s pro~] ca~st~ti~ violate any ~i~ 1~, o~i~e or ~lati~: ...... ~.q .............. 13. ~ill lot l~ r~ra~ ...~.q ............. ~ill ~se fill ~ ~ ~ ~: ~ ~ ~ of Arddt~t .................................... ~ss .............................. ~ ~ ............... ~ of Cmtr~lor ................................... ~ress ............................... ~ ~ ............... 15. Is this p~rty ~ithin ~ f~t of a till ~tl~? * ~ .......... ~ .......... PI,OT DfAGRAH locate clearly and distinctly all L~ildings, drier, her existing or proposed, and indicate all set-back dirr~osions property lines. Give street and block nmi)er or description aecordlng to deed, and sho~ street nares ar~! indicate interior or corr/~r lot. ......................................................... being iI. ly s~m. deposes and ~ t~t ,~e ~, (C~trac~or, agent, cor~rate o[~icer, etc.) ,f ~aid (~r or ~rn, and is duly ~thori7~ to ~rfom or h~ ~rfo~ ~ ~id w~ ~ Lo m~ ~ file this ,~licati(~; Lhnt nil ~laLa~,ts c~ta{~ in this alsJicati~ are t~ to ~e ~st of his ~l~ hat the ~)rk will 1~ ~rfon~l it, tt~ r~n,~r ~t forth in ~e a~li~ti~ fil~ ~. ........ t ~ ....... d~ (,~ ...~.~.~ ........ ~t~ B~[ic ~...........~..: ............... ~... HELENE D. HORNE Notary Publi~, State of New Yoxk No. 4951364 Qualified In Suffolk County , (Signature of Applicant) L~NES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. ' .o, g.~..,,~ ./~,~~ATE: ¢'[IO J~l~ SCALE:  PHONE (516) 821 3442 z BILL OP MATERIALS --- LUMBER CUSTOMER: TOM GADOMSKI DATE: 04/~24/00 ~EF: 00114085.ZIP SALESMAN # COMPONENT SKU QUANTITY DESCRIPTION WOOD TYPE DECKING 354X06X12T 12 EA 5/4X6 12 DECKING 354X06X16T 40 EA 5/4X6 16 STAIR STRINGER 702X12X14 1 EA 2X12X14 STAIR TREAD 354X06X12T 4 EA 5/4X6 12 BEAiM$ 702X10X16 6 EA 2X10X16 BEAMS 702X10X08 1 EA 2X10X8 BEAMS 702X10X12 2 EA 2X10X12 JOISTS 702X10X10 8 EA 2X10X10 JOISTS 702X10X12 15 EA 2X10X12 FASCIA 62X10X12 3 EA 2X10X12 FASCIA 62X10X08 2 EA 2X10X8 LEDGER 702X10X16 2 EA 2X10X16 LEDGER ~ 702X10X12 4 EA 2X10X12 LEDGER 702X10X08 3 EA 2X10X8 LEDGER 702X10X10 1 EA 2X10X10 TREX TREX CCA TREX CCA CCA CCA CCA CCA CONST CEDAR CONST CEDAR CCA CCA CCA CCA GROUND POSTS 704X04X12 1 EA 4X4X12 CCA kILL OF MATERIALS --- OTHER MATERIALS CUSTOMER: TOM GADOMSKI . DATE: 04/~24/00 ~EF: 00114085.ZIP SALESMAN # JOIST HANGER,10IN JOIST HANGER NAILS 50275 4IN BEAM BRKT 40257A 2 IN NAILS 50045 3.5 IN NAILS 50055 2.5 IN NAILS 50049 6IN LAG SCREW 861260L 1/2IN WASHER 8612W TIE DOWN STRAP 40239 8IN BOLT 861280C 1/2IN NUT 8612N 4IN CAR PORT BRKT 40264 8IN SONG TUBE 22926 CONCRETE,80LS COMPONENT SKU QUANTITY DESCRIPTION 40244 40 EA JRSX 2X10-14 PIANGER 2 LBS 1-1/2 JOIST HANGER NAILS 10 EA PB44 4X4 POST BEAM CAP 2 LBS 6D GALV NAILS 1 LBS 16D GALV NAILS 1 LBS 8D GALV NAILS 28 EA 1/2"X6" LAG SCREW 52 EA 1/2" WASHER 51 EA RTl2 TY DOWN JR 12 EA 1/2"X8" CARP, AGE BOLT 12 EA 1/2" GALV NIIT 6 EA WA44 4X4 WET POST ANCHOR 2 EA 8"X48" BUILDERS TUBE 2223 8 BAGS 80 LB GRAVEL MIX STRESS ANALYSIS FQR LEVEL 1 CUSTOHER: TOM GADOMSKI DATE: 04/24/00 kEF: 00114085.ZIP SALESMAN # MEMBER STRESS FACTOR COMPOSITE TYPE SIZE FACTOR LOAD LOAD JOISTS 2X10 DEFLECTION 1009 PSF 16IN BENDING 411 PSF SHEAR 307 PSF COMPRESSION 340 PSF 307 PSF BEAMS 2 - 2Xi 0 BOLTS 1/2!N POSTS 4X4 DEFLECTION 219 PSF BENDING 94 PSF SHEAR 89 PSF COMPRESSION 332 PSF 89 PSF SHEAR 2222 PSF 2222 PSF STABILITY 445 PSF 445 PSF TOTAL LOAD 89 PSF DEAD LOAD 10 PSF LIVE LOAD 79 PSF ~TRESS ANALYSIS FOR LEVEL 2 CUSTOMER: TOM GADOMSKI DATE: 04/124/00 ~EF: 00114085.ZIP SALESMAN # MEMBER STRESS FACTOR COMPOSITE TYPE SIZE FACTOR LOAD LOAD JOISTS 2Xi0 DEFLECTION 323 PSF 16IN BENDING 190 PSF SHEAR 186 PSF COMPRESSION 231 PSF 186 PSF TOTAL LOAD 186 PSF DEAD LOAD 10 PSF LiVE LOAD 176 PSF PLAN VIEW FQ.R LEVEL CUSTOMER -- TOM GADOMSKI DATE 04/24/00 REF O0114085.ZIP RBSC ROUTE 25 GREENPORT, NY LOAD AND SUPPORT: Your deck will support a 78 PSF live load. Posts hove 36" below-ground post support. DECK AND POST HEIGHT: You selected a height of 24" from the top of decking to level ground. The top of the deck support posts will therefore be 13.25" r~bove ground level. Your salesperson can provide information for uneven er sloped ground, JOISTS: Set joists on top of beams. 16" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items, The suggested design is not a finished building plan. You are responsible for oil measurements being correct, for verifying that the design land any substitutions or modifications that you make) meets all local building codes and requirements. To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction sits, review the design with your architect. Also consult your architect for proper construction and use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. PLAN VIEW FOR LEVEL 2 CUSTOMER -- 'TOM GADOMSKI DATE 04/24/00 REF O0114085.ZIP RBSC ROUTE 25 GREENPORT, NY ]5' 3' SITE DESCRITPION: The decking is 10,25" above ground level, and has no supporting posts. The ground is assumed to be level. Your deck will support a 176 PSF live Iaea. Joists are to be placed on top of beams, 16" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items. The suggested design is no~ a finished building plan. You are responsible for all measurements being correct, for verifying that the design (and any substitutions or modifications that you maine) meets all local building codes and requirements. To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction site, review the design with your architect. Also consult your architect for proper construction and use of materials in the structure. Be sure to follow the deck construction detail available from your salesperson. OUTiLIST F.'~R LEVEL I CUSTOMER -- 'TOM GADOMSKI DATE 04/24/00 REF O01140BS,ZIP RB$C ROUTE 25 GREENPORT. NY FI LABEL LENGTH BEVELS LABEL LENGTH BEVELS D Jedgep E Casc~o E Jedge~ F Jedger ~.5' 9 5' 7 ]/4" 15' OUT, LIST FOR LEVEL I CUSTOMER -- ~OM GADOMSKI D~TE 04/2,4/00 REF O011.4085.ZIP RBSC ROUTE 25 GREENPORT, NY II LABEL LE[~a3,TN =,'7iq BEVELS LABEL Jedge~* ¢a~clo Jedger ]edger LENGTH BEVELS BEAN LAYOUT FOR LEVEL I CUS?©MER -- tOM GADOMSKI DATE 0~/2~/00 REF O0114085.ZIP RBSC ROUTE 25 GREENPORT, NY ri II BEAM BEAt,..': POST POST LAE~EL LgrqL-~TN COUNT SPACING A [5' ~¢ 3 B !5' 9' 3 Depth c4 cor,,'.rete f,:,,.',tc;rs --- 38 inches. 314" 3/4" BEAM L~ ~ :UT FOR LEVEL 2 CUS¥OMER -- TOM GADOMSKI DATE 04/2.4/00 REF O0114085.ZIP RBSC ROUTE :25 GREENPORT, NY 5' 3~ 5' 6# BEAM BE ~,t¢ ~:'OST LABEL L~bJGTN COUNT A 14" 9" 0 B 3' [ ~72" 0 C I1' ? 0 F'o.~t sp~%]l;¢ is r'¢,e~sured ,::erite~-[:o-¢er~l:er, Dep'~h o¢ ,:o~r~.~ fo~¢f~ --- 38 inches. POST SPAOING