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HomeMy WebLinkAbout28577-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30766 Date: 02/14/05 THIS CERTIFIES that the building ADDITION Location of Property: 535 LIGHT HOUSE RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 54 Block 3 Lot 26.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 2002 pursuant to which Building Permit No. 28577-Z dated JULY 18, 2002 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 TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH SAWICKI JR. & MARYANN SAWICKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authori ed Signat re 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. 28577 Z Date JULY 18, 2002 Permission is hereby granted to: JOSEPH JR SAWICKI 4002 OLD NORTH RD SOUTHOLD,NY 11971 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR at premises located at 535 LIGHT HOUSE RD SOUTHOLD County Tax Map No. 473889 Section 054 Block 0003 Lot No. 026 . 010 pursuant to application dated JULY 17, 2002 and approved by the Building Inspector to expire on JANUARY 18, 2004 . Fee $ 150 . 00 ad=h- ?/ e,.. - Autho ized Sig ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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"pre-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 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 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. 44&f New Construction: Old or Pre-existing Building: X (check one)) Location of Property: 442 /'_Q� giMe 1 �Qr�o A !`9 7/ House No. Street Hamlet Owner or Owners of Property:_ ,� ShWIC -1 7/L 'f Afft4KW J/ V/Ge/ Suffolk County Tax Map No 1000, Section Block 40100.3 Lot a?G•Ole Subdivision Filed Map. Lot:: Permit No. o?d',Y77 Z Date of Permit. /� Y Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Sign ture .��. 30? � 765.,Soz BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: '��- �� ��-� /X-. D'E ,x r. 0. 61 DATE -INSPECTOR- FIELD INSPECTION REPORT DATE comumm8 9� b VQ J FOUNDATION(1ST) y C FOUNDATION(2ND) z O y . S � ROUGH FRAMING& -t' y PLUMBING INSULATION PER N.Y. STATE ENERGY CODE o. MNAL ADDITIONAL COADMUT'1`S '0(t (OcAy4k ' o z • m b r0 x ty� r d t� TOWN OF SOUTHO r-` ` - BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPAR 1111' jj Do you have or need the following,before applying? TOWN HALL 7 L �2 I Board of Health SOUTHOLD,NY 11911 3 sets of Building Plans TEL: 765-1802 s; :;. !. '? Survey Cheek Septic Form N.Y.S.D.E.C. Trustees Examined .20 Contact: Approved /q 20 , Mail to: Disapproved a/c Phone: `7 S= 3aa 3 Za Building pector APPLICATION FOR BUILDING PERbUT Date 07- 1 _,20 ea INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of pians,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of 1bt 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 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 inspecti ( ' ofapplicf en aor name,if a corporation) Z44A_egl�- &6 go- (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premisesJP, l�frt r (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 whichproposed work will be done- 5'-9-S- J . � 0WrhV1_,0 House Number Street LL!! Hamlet County Tax Map No. 1000 Section JET Block -3 Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy aeaz t—f 0 QreG `/L re' r o`f k0t/.r� 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost_ T� ''— Fee (to be paid on filing this application) 5. If dwelling,number of dwelling units 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 Stones Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth l Height Number of Stories 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 /4/jq Will excess fill be removed from premises: YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland?*YES NO X _ • 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) r SS: COUNTY OF J ic:: K .�/Ckt ' r— ' being duly sworn,deposes and says that(s)he is the applicant (N&e of individual signing contract)above named, (S)He is the (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 this 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. y Sworn to before me day of4 20t7 _ Notary c Si tore of Applicant VIRGINIA SCHOENFELDER NOTARY PUBLIC,State of New York No.4896087,Suffolk County Commission Expires Aupsk��aDas-- BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: /I$/0 APPLICANT: DATE SUBMITTED:a IL SCTM#DISTRICT: 1,000, SECTION: 5+ , BLOCK: , LOT: 24.10 STREET ADDRESS: 535 L #A — CITY: ��ov CPO- SUBDIVISION: N/4 PROJECT DESCRIPTION: Jc QnnT�o,,, ESTIMATED PROJECT COST: _ARCHITECT/ENGINEER: d/M FAST TRACK?/46 SINGLE & SEPARATE CERTIFICATION-REQUIRED? NO NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/: ZONING DISTRICT: �- CONFORMING? Ye-5 REQ. LOT SIZE: e6ppo ACT. LOT SIZE:Q3y,Us REQ. LOT COV, a)%_ACT. LOT COV. .� REQ. FRONT Go PROP. FRONT REQ SIDE x/45- ACT. SIDE I/REQ. REAR 95 PROP. REAR ,i REQ. HEIGHT _ PROP. HEIGHT — WATER FRONT? "o DESCRIPTION: PANEL #: I� FLOODZONE:_ _---- APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or fD(BED #): DTE:_/_/_ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y oro NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or(g) SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or ID TOWN PLAN. BOARD APPROVAL: YES or O TOWN HISTORICAL PRE (SPLIA): YES o O NYS ENERGY: YES OR NO : u/A / EGRESS (18 H min.? 4 sq total)L, A VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) -> A 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: Q40 SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: _ 1{6 SF FEE FE - E I. ( 6NO SF)- ( SF)= SFX $ =$ +$ +$ = $ 2. ( SF)- (SF)= SFX $ =$ +$ +$ = $ SURVEY OF MINOR SUBDIVISION FOIA 4 31 ry LIGHTHOUSE ROAD 26, LIMITED LIABILIfVP1WAW S1 TUA TE01 1 ER hjwi SOU THOLD, TOWN OF S006� 4 �L'P A\ SUFFOLK COUNTY, N. Y. SURVEYED FOR LIGHTHOUSE ROAD 26, LIMITED LIABILITY COMPANY "vJOSEPH & MARYANN SAWICKI, Jr. Q) foo TIC TANK TM 1000-054-03-026.1 33' ZONE AC CESS 0 SURVEYED 24 APRIL, 2001 30' SCALE DETAIL SCALE 1"--150' AREA = 2J4,265.05 SF OR 5.378 ACRES ELEVATIONS SHOWN OBTAINED FROM SUFFOLK COUNTY DEPT. OF PUBLIC WORKS HIGHWAYS DIVISION EAST END TOPOGRAPHICAL MAP MADE FOR TOO BEE REALTY CORP. AT SOUTHOLD FILE# 9396 FILED 8111193 f/E 50 IV lk-V it, /V ro Ln LO I T I L. 46 31 NIF ENOSKI m "3 7_ 4 50 LOT 2 4 Z7) \ eeK ULT 40 --2C 6 0 2 STORY U) WOOD FRAME EL. 53.5 Y, RESIDENCE00 L�T i - QT\ 32 AL A O1 io 0 ELS 50 F0 40 NIF SEPENOSKI 40 00 EL.. 3 41 Q kv �,T NIF CALLAHAN COUNTY 41"iENT OF 1- TEA, ?f SERVICES OF CONSTR UCTUT;�J,'r,R 1,_'s"r,OR P. INC-LE FA N1 'y N/F SEPENOSKI Thr scw;,�_eis, ,),;, ;a,and water supp!y X-I&OT certified by ois E;sire been be satisfactory Fo,-,',' A7tI Um orfour d to St henn A.Co!c,__l_-;_TT­--- GUARANTEES INDICATED HERE ON SHALL RUN Office Of Water and WzS?CIVLI" ONLY TO THE PERSON FOR WHOM THE SURVEY �!ment IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY, I HEREBY CERTIFY THAT THE ABOVE SURVEY LENDING INSTITUTION, IF LISTED HEREON, AND WAS COMPLETED BY ME TO THE ASSIGNEES OF THE LENDING INSTITUTION. STANLEY J. ISAKSEN, JR. AND MONUMENTS SHOWN THUS 0 HAVE GUARANTEES ARE NOT TRANSFERABLE TO P.0. BOX OLKBEEN SET AS SHOWN. ADDITIONAL INSTITU77ONS OR SUBSEOUENT OWNERS. NEW SUFF , NY 11956 UNAUTHORIZED ALTERATION OR A00117ON TO THIS 631-7,34-58,35 63 7-14 8 SURVEY IS A WOLA 77ON OF SEC 77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW COPIES Or THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL IC NOT BE CONSIDERED TO BE A VALID TRUE ICEN� LAND SLI YOR COPY N YS C NO. 49 GUARANTEED TO to NYS LIGHTHOUSE ROAD 26, LIMITED LIABILITY COMPANY JOSEPH & MARYANN SAWICKI, Jr. NOTE: 1. 27 AUGUST, 2001 LOCATE POURED CONCRETE FOUNDATION. PECONIC ABSTRACT, INC. FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK 2. 10 MAY, 2002 FINAL SURVEY 01C1037_ 1 0-4Xrs- �► faN :' 0 0 a Z•tmpmm!'�nZNC� c0co f CUSTOM VIEW Z OOZ30' rSm0vZNW— CUSTOMER -- JOE SAWICKI C Z c co� • C a o m c DATE 07/17/02 REF Deck02198 0.4 N m m�n � m O zwm.comZZ > Ozv � Z N C lmcm - "nM CO , n -40ao os c cv -4--40m o zo -ld v:� a 30. N Z 7o O is m V! AiZz0ca R, miow -v Z ocam XJ O mzx '- z c © Orn mm3c 3 m c xZ O'''xZm c -1 -4 txc):< M 4cD t7 mDi Off " fi � --i 'O r� C.), s� S RBS v 1093 PULASKI STREET RIVERHEAD, NY (631) 727 7713 f PLAN VIEW RBS CUSTOMER -- JOE SAWICKI 1093 PULASKI STREET DATE 07/17/02 REF Deck02198 RIVERHEAD, NY (631) 727 7713 20' =ILI LOAD AND SUPPORT: Your deck will support a 69 PSF live load. Posts have 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 15.25" above ground level. Your salesperson can provide information for uneven or 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 all measurements being correct, for verifying that the design (and 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 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 store salesperson. r STEAM LAYOUT RBS CUSTOMER -- JOE SAWICKI 1093 PULASKI STREET DATE 07/I7/02 REF Deck02198 RIVERHEAD. NV (631) 727 7783 _FT 11 1' 6" A 8' 11 1/2" 1' 6" SEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 19' 901 4 6' 601 B19' 901 4 6' 601 Post spacing is measured center-to-center. Depth of post-in-concrete footers --- 36 inches. CUT LIST RBS CUSTOMER -- JOE SAWICKI 1093 PULASKI STREET DATE 07/17/02 REF Deck02198 RIVERHEAD, NY (63I) 727 7713 E A A A A A A A A A A A A A A B D C LABEL LENGTH BEVELS LABEL LENGTH BEVELS A `joist (14) 11' 6" C ledger 19' 9" B fascia 12' F45 S45 D fascia 12' F45 S45 B ledger 1116, D ledger 11' 6" C fascia 20' F45 S45 E fascia 20' F45 S45 E 1 edger 19' 9" STRESS ANALYSIS CUSTOMER: JOE SAWICKI DATE: 07/17/02 REF: SALESMAN # ------------------------------------------------------- MEMBER STRESS FACTOR COMPOSITE TYPE SIZE FACTOR LOAD LOAD ------------------------------------------------------- JOISTS 2X8 DEFLECTION 152 PSF 16IN BENDING 128 PSF SHEAR 136 PSF COMPRESSION 227 PSF 128 PSF BEAMS 2-2X8 DEFLECTION 185 PSF BENDING 95 PSF SHEAR 80 PSF COMPRESSION 332 PSF 80 PSF BOLTS 1/2IN SHEAR 2079 PSF 2079 PSF POSTS 4X4 STABILITY 533 PSF 533 PSF ----------------------------------- TOTAL LOAD 80 PSF DEAD LOAD 10 PSF LIVE LOAD 70 PSF -------------------------------------------------------