HomeMy WebLinkAbout31317-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-31299
THIS CERTIFIES that the building ADDITION
Date: 11/22/05
Location of Property: 600 MARRATOOKA LA MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 115 Block 3 Lot 14
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
Building Permit No. 31317-Z
JULY 28, 2005 pursuant to which
dated JULY 29, 2005
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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER
CONDITIONS OF ZBA #5728 DATED 070705.
The certificate is issued to EDWARD & BEATRICE SAWICKI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2074337 11/03/05
PLUMBERS CERTIFICATION DATED
Rev. 1/81
11/19/05 CUTCHOGUE EAST PLUMB&HEAT
uthorized Signature
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. 31317 Z Date JULY 29, 2005
Permission is hereby granted to:
E SAWICKI & WF.
PO BOX 411
MATTITUCK,NY 11952
for :
ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
PER ZBA DECISION #5728
at premises located at 600 MARRATOOKA LA MATTITUCK
County Tax Map No. 473889 Section 115 Block 0003 Lot No. 014
pursuant to application dated JULY 28, 2005 and approved by the
Building Inspector to expire on JANUARY 29, 2007.
Fee $ 150.00
7 Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
2 I „ TOWN OF SOUTHOLD
BVI DING 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:
I . 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 I% 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 linea, 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..90,
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 j
4. Updated Certificate of Occupancy - $5,aA0
5. Temporary Certificate of Occupancy -!Residential $15.00, Commercial $15.00
Date. I I —a -A
New Construction: 1`// ��yyQ--�� Old or Pre-existing Building: (check one)
Location of Property: (oQfn A VqV(Yb to Lj" j fy\ P -tT ITVcj
House No. StreetHamlet
Owner or Owners of Property: �� fl W 1 u�p®® ` ,{
Suffolk County Tax Map No 1000, Section _ Cj Block O CO I of Q 1 `!—
Subdivision Filed Map. Lot:
Permit No;� 6 13 I —7 Date of Permit. 7 —;g — U Applicant it I2�' GYM S A 0J\GILV
Health Dept. Approval: J Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
, �-ta9315
00-;2- 3►)9a
Final Certificate:_ (/check one)
v
A ficant Signature
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
SJ O'CONNOR ELEC. CONTRACTING
TOM SAWICKI
1195 SHIPS DRIVE
600 MARATOOKA LANE
SOUTHOLD, NY 11971
MATTITUCK, NY 11952
Located at 600 MARATOOKA LANE MATTITUCK, NY
11952
Application Number: 2074337
Certificate Number: 2074337
Section: Block: Lot:
Building Permit:31317 BDC: ns11
Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, bath room,
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 Day of
3rd November, 2005.
Name
QTY Rate
Ratine Circuit
Type
Wiring and Devices
Outlet
4 0
Fixture
Fixture
4 0
Incandescent
Outlet
3 0
General Purpose
Switch
5 0
General Purpose
Heat, Light, Vent
1 0
Receptacle
1 0
20 amp
Laundry
Receptacle
1 0
30 amp
Dryer
Receptacle
1 0
GFCI
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
Southold, New Yonc 11971
,O2
Fax (516) 765.1623
Telephone (516) 765.1602
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
Building Permit No. 31NI_
Owner: 4--,:k1.JiCK,k
(please print)
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/14 of 1% lead.
Sworn to before me this
9 day of /�! 0�/ , 7l3 BOJ ANkTILSnWART
MtA1YP(1KJ SiweofNewYwk
Notary Public, County No,52-ft33433
00MnA ' b� �+ae'rt X Mo C i
C
APPEALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard P. Goehringer
Vincent Orlando
James Dinizio, Jr.
Michael A. Simon
http://southoldtown,northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
Southold Town Hall
53095 Main Road • P.O. Box 1179
Southold, NY 11971-0959
Office Location:
Town Annex /First Floor, North Fork Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
Tel. (631) 765-1809 • Fax (631) 765-9064
S, DELIBERATIONS AND DETERMINATION
MEETING OF JULY 7, 2005
ZB Ref. 5728 — EDWARD and BEATRICE SAWICKI
Property Location: 600 Marratooka Lane, Mattituck CTM 115-3-14
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this
application and determines that this review falls under the Type II category of the State's List of Actions,
without an adverse effect on the environment if the project is implemented as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's 24,000 sq. ft. parcel has 120 feet along
Marratooka Lane, and is improved with a one-story residence with garage and accessory shed, as
shown on the January 3, 2005 survey prepared by Stanley J. Isaksen, Jr.
BASIS OF APPLICATION: Building Department's February 9, 2005 Notice of Disapproval, citing
Sections 100-242A and 100-244 in its denial of an application for a building permit to construct a
proposed addition with alterations to the existing dwelling. The reason stated for disapproving the
application is that a new nonconformance will be created with a proposed setback at less than 50
feet from the rear property line.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on July 7, 2005 at which time
written and oral evidence were presented. Based upon all testimony, documentation, personal
inspection of the property, and other evidence, the Zoning Board finds the following facts to be true
and relevant:
AREA VARIANCE RELIEF REQUESTED: The applicants wish to construct an 8' by 12' bathroom
addition at the rear (north yard) of their home, at 21.1 feet from the rear lot line.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and
personal inspections, the Board makes the following findings:
1. Grant of the variance will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties. The property has frontage along three streets.
The 96 sq. ft. addition is necessary and is for the purpose of providing handicap at the rear of the
dwelling. The small addition will not be visible, located between the existing shed and the rear of the
house. The purpose of the bathroom is to provide wheelchair access and handicap facilities.
Page 2 — July 7, 2005
ZB Ref. CTM 115-3-14
ZB File No. 5728 — E. and B. Sawicki
2. The relief granted is not substantial, allowing a 96 sq. ft. addition to the dwelling in the rear yard.
3. The difficulty has not been self-created. The dwelling is nonconforming with a 29.3 ft. rear yard
setback.
4. No evidence has been submitted to suggest that this variance will have an adverse impact on the
physical or environmental conditions in the residential neighborhood.
5. Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of an addition, while preserving and protecting the character of the
neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing
test under New York Town Law 267-B, motion was offered by Member Goehringer, seconded by
Member Dinizio, and duly carried, to
GRANT the variance as applied for, as shown on the January 3, 2005 survey prepared by
Stanley J. Isaksen, Jr. and construction diagram prepared by Donald G. Feiler, Architect
date-stamped June 20, 2005.
This action does not authorize or condone any current or future use, setback or other feature of the
subject property that may violate the Zoning Code, other than such uses, setbacks and other
features as are expressly addressed in this action.
Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer, Orlando, Dinizio, and Simon.
This Resolution was duly adopted (5-0 .
C�% � ,IXJZftl.ce.
Ruth D. Oliva, Chairwoman 76lL105
Approved for Filing
3131721
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING/ STRAPPING FINAL
[ ] FIREPLACE A CHIMNEY [ FIRE SAFETY INSPECTION
REMARKS:
DATE ) l � d�
v INSPECTOR
33�7Z
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [INSULATION
[ ]
FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
L4 69
DATE /0 - ` _ bS INSPECTOR /
3/317 �Z-
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST ['x[ ROUGH PLBG.
[ ] FOUNDATION 2ND [� ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
Let-�a< . J
/a -//-off
2
L
INSPECTOR ��
31317z
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[FRAMING / STRAPPING [ ] FINAL
[ J FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
PaIrmt
L! - �
10 11
c�� fig., a ,.
DATE ` / INSPECTOR ��
30/7.
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
FOUNDATION IST [
✓m -FOUNDATION 2ND [
[ ]
FRAMING/ STRAPPING [
[ ] FIREPLACE & CHIMNEY [
REMARKS:
DATE
9-.2-/- ";!-5-
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
-' f
INSPECTOR
JUL 2 8 2005
PT
�T1A� `. 511'�'Wlln
REScheck Compliance Certificate
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release 1
Data filename: Untitled.rck
TITL9 SAWICKI RESIDENCE
COUNTY: Suffolk
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non -Electric
DATE: 07/26/05
DATE OF PLANS: 7/26/05
COMPANY INFORMATION:
Donald G. Feller - Architect
COMPLIANCE: Passes
Maximum UA = 40
Your Home UA = 31
22.5% Better Than Code (UA)
Permit Number
Checked By/Date
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R -Value R -Value U -Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 96 21.0 0.0 5
Wall 1: Wood Frame, 16" o.c. 245 13.0 0.0 20
Window 1: Wood Frame:Double Pane with Low -E 7 0.320 2
Floor 1: Ali -Wood Joist/Truss:Over Unconditioned Space 96 21.0 0.0 4
COMPLIANCE STATEMENT: The proposed building represented in this document is consistentwith 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 l est of his/her knowledge, belief, and professional judgment, such plans or
specifications i omplian %th 's Cods G
Builder/Designer / Date �� �J
0
D INS14CTION REPORT DATE COMMENTS 2-14w
FOUNDATION (1ST)
--------------------------------
FOUNDATION
------------------------- FOUNDATION (2ND)
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/ PERMIT NO. 31 ,317
Examined_' , 20_t�
Approved � ,20Or
Disapproved a/c
Expiration, 297_
S
BUILDING PERMIT APPLICATION CHECKLIST
'Wicllldin Vspector
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans_
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D,E.C.
Contact:
Mail to:
APPLICATION FOR BUILDING PERMIT
Date 20 or
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
seaccurate 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
ares, 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 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 shall 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 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 app icant or name, if a corporation)
07
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
�..Gv7i�h
Name of owner of premises�dWAR� l4 ASD W� �P rr Q.rG SA141
(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 which nronosed work will be
House Number Street
County Tax Map No. 1000 Section �+`i 7 U �t� Block W)
Subdivision Filed Map N
(Name)
Hamlet
Lot
o. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ,,2 /iyyVL41t V-.wut- i1 t� - 9 6W4WttV-.
b. Intended use and occupancy
11-11 i'w ti(; s ,'
U U
Nature of work (check which applicable): New Building Addition / Alteration
Repair Removal Demolition Other Work
4. Estimated Cost D , pOD Fee
5
If dwelling, number of dwelling
If garage, number of cars _
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front (13 cZ Rear 3 oZ Depth `f J7
Height IT Number of Stories mui
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height n Number of Stories L �- L
9. Size of lot: Front o�fl' Rearq1 -V Depth
10. Date of Purchase Our �7 , 95 me-evF Its
ame Foxing Owner
MOM nlq� cul br�tWtn h6u�c�
11. Zone or use district in hich19*premes are situated
12. Does proposed construction violate an zoning law, ordinance or regulation? YES NO
)X 1? –0 atiek 40 hawac -AP b��9� P `t' — —
13. Will lot be re -graded? YES_ NO Will excess fill be emoved from premises? YES_ NO
ye Z36>«//
14. Names of Owner of premises Fdwa,{dWif/Address i Phone No. A9
Name of Architect 1 r Address //V5-4pjx, � . Phone No A
Name of Contractor Address Phone No. /
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. 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)
!! Jo
COUNTY OF )
/i p
hrl L c O w l Q, I being duly swom, deposes and says that (s)he is the applicant
(Name 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.
Sworn to before me this "
7 day of Cjk- 20 OSS
aYbVl (�
Notfry Public
LGAME V. BRONBI
Wary PACe BW dYwr Nrat
OnN4e n Bt" WNY
owmbsba e0m Od.19, d vv5
jam— /ignature of Applicant
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND CW HIS BEHALF TO WE
TITLE COMPANY, GOVERNMENTAL AGENCY,
LENDING INSTITUTION, IF LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS
UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIDLARON OF SECTION 7209 OF
THE NEW YORK STATE £DUCA PON LAW
COPIES OF NIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
COPY 1. 29 JAN 05 SHOW PROPOSED ADDITION NORTH SIDE OF RES.
SURVEY OF
DESCRIBED PROPERTY
SITUATE
MATTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: EDWARD B. SAWICKI
BEATRICE A. SAWICKI
TMS 1000-115-03-014
GUARANTEED TO:
EDWARD B. SAWICKI
BEATRICE A. SAWICKI
SURVEYED: 3 JANUARY 2005
SCALE 1"= 30'
AREA = 24,000 S.F.
OR
0.55 ACRES
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SUFFOLK. N.Y. 11956
631-73 —5835
L ENS YOR
YS Lic. o. 4927 04R137BR1
KING'S HIGHWAY (MAIN
ROAD) NYS RT 25
Lo
CONI
FENCES
88'37'40"E
;° N/F GRATHWOHL
200'00'
MON
N 0.7
- 2 -RAIL FENCE
END FENCE
CONIC
^O
N
0 4'
ON LINE
MON
LD
0.4' PROPOSED
RAM ADDITION
J
2 -RAIL
O
aiN SHED
N
CORNER
FENCE
1 12. CELLAR
ENTR
N
NO
O
1.2'
N
8.3'
v ONE-STORY
ro
n RESIDENCE
y
N
4'
04
1n
SLATE STOOP
L
C�
16.6
& STEP
In 22'
May
W
2 4"
✓�'
u1
n
W
n
7.6'
n
co
� Y
:v
n 20.3'
m
N
O
N
`TM'
N
_N
J
ONC
N
M
MON
CONC
N 88-3740 W
MON
200.00
SUNSET
AVENUE
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND CW HIS BEHALF TO WE
TITLE COMPANY, GOVERNMENTAL AGENCY,
LENDING INSTITUTION, IF LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS
UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIDLARON OF SECTION 7209 OF
THE NEW YORK STATE £DUCA PON LAW
COPIES OF NIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
COPY 1. 29 JAN 05 SHOW PROPOSED ADDITION NORTH SIDE OF RES.
SURVEY OF
DESCRIBED PROPERTY
SITUATE
MATTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: EDWARD B. SAWICKI
BEATRICE A. SAWICKI
TMS 1000-115-03-014
GUARANTEED TO:
EDWARD B. SAWICKI
BEATRICE A. SAWICKI
SURVEYED: 3 JANUARY 2005
SCALE 1"= 30'
AREA = 24,000 S.F.
OR
0.55 ACRES
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SUFFOLK. N.Y. 11956
631-73 —5835
L ENS YOR
YS Lic. o. 4927 04R137BR1
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FI�,I
LUMBER CERTIFICATION
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\, SOLDER USED IN WATER
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NAILING & CONNECTIONS
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"THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
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APPROVEf C `10TED
DATE: D �.,W:..?.tl '31,317-'?_'
FEE: 1'0 B
NOTIFY SUILDiiia FEPk 'TIENT AT
7654802 8AM TC 'PM FOR THE
FOLLOWING 16,P%CTIONS:
1. FOUNDATIO TWO PEQUIRED
FOR POURL CONCRFTE
2. ROUGH - FRAMII,3 & PLUMBING
3. INSULATION
4. FINAL - CONSTR' ]TION MUST
BE COMPLETE F i C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
OCCUPAI CY OR
USE IS JUNWFUL
WITHOUT ERTIFICATE
OF OCCUPANCY
UNDERWRRERS CERTIFICATE
PEWIRED
1 ,I
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