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Home My WebLink About34523-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No:'Z-33620 Date: 03/25/09 THIS C~KTIFIEM that the building ADDITION Location of Property: 49450 CR 48 (HOUSE NO.) County Tax Map NO. 473889 Section 55 Subdivision Filed Map No. SOUTHOLD (STREET) (HAMLET) Block 3 Lot 5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 18, 2009 purs,,~nt to which Building Permit No. 34523-Z dated MARCH 24, 2009 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARIANNE SAWICKI ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROV~J~ ELECTRIC~J~ C~KTIFICATE NO. PLIghtErS c~KTIFICATION DA'r~u N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD 765-1802 IlE r This application must be filled in by typewriter or ink and submitted to the Building Depa~ent w~-~~~. / IOWN oF SOUT;~OLD A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, street~, and unusual natural or topographic featm~. 2. Final Approval from Health Dapt. 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 le~s than 2/10 of 1% lead. 5. Commeroinl building, indnstfial 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' 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. Ce~iflcate 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 ofOccupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: Ho~e No. Street ' ' (check one) Hamlet Owner or Owners of Property: f~ .Iq.//~! Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. ApproVal: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date of Permit. Filed Map. Applicant: Undenvriters Approval: Final Certificate: (check one) Applicant Signature Form No. 6 , TOWN OF SOUTHOLD . · BUILDING DEPARTMENT I~ ,~ ~ -- IIn/ application must ~ fill~ in by t~ewfiter or ~ ~d ~ub~ to the Buil~ng Dep~nt~ ~or new bnfl~ng or new n~e: 1. F~ ~eY of prop~ wi~ a~mte l~fion of all buil~ngs, prepay lin~, s~ets, ~d ~usml m~ or to~p~c fmc. 2. F~ Approval ~m Heal~ D~t. of water supply ~d s~emge~sposal (8-9 fora). 3. APpm~ of elecffi~ ~htion ~m Bo~ of Fi~ Unde~fitem 4. Sworn s~t~ent ~m plm~r ceffi~g ~t ~e mlder ~ in sy,tem ~n~ l~s ~ ~10 of 1~ lind. 5. Co~i~ b~l~ng, ~dmffi~ b~l~, m~tiple ~siden~s ~d ~il~ buildings ~d insulations, a ee~ificate of~da Compli~ ~m mhit~t or ~r ~pomible for ~e bulling. 6. Sub~t Pl~g Bo~ Appmml of complet~ ,ire pl~ r~m~ts. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Aeeurate 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 Oeeupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate ofOeeupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Aeeessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Oeeupancy 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 Construction: Location of Property: Old or Pre-existing Building: Hohse No. ' Street ' ' (check one) Hamlet Owner or Ownem of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ C.O Block Filed Map. Date of Permit. Applicant: Unden~riters Approval: Final Certificate: (check one) Applicant Signature FOPuM 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. 34523 Z Date MARCH 24, 2009 Permission is hereby granted to: HOWARD & MARIANNE SAWICKI PO BOX 672 SOUTHOLD,NY 11971 for : "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 49450 CR 48 County Tax Map NO. 473889 Section 055 pursuant to application dated MARCH Building Inspector to expire on SEPTEMBER 24, SOUTHOLD Block 0003 Lot NO. 005 18, 2009 and approved by the 2010. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c ,20 : iUAR 1 8 20O0 BtDG. DEPI IOWN OF SOUIHO.I.D PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST 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. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS Phone: a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 ora 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 promises and in buil.ding for necessary inspections. .- (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer (As on the tax roll {~r l~test deed) (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Locatio. r/of land on which proposed work will be done: ~ . House Number Street / County Tax Map No. 1000 Section ~ Block Subdivision Hamlet ,~ Lot Filed Map No. Lot 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 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars -- Addition ,-'" Alteration Other Work Fee (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. ~ Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Number of Stor~os.. Rear .Depth Dimensions o¢ same structure with alterations or additions: Front Depth. Height. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front Rear 10. Date of Purchase ;,~OO~ Name of Former Owner #Ot.~ah ~ /q'/~/'~.~ ~< .~.t.~/0/(-4 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation'? YES NO J 13. Will lot be re-graded? YES NO · 14. Names of Owner of premises fflflRl~/¢[ o°tlm,~5.ddress Name of Architect Address Phone No Name of Contractor Address Phone No. l 5 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO 6,~ · IF YES, PROVIDE A COPY. STATE OF NEW Y_~/RK) SS: J0/]/q///-t ~PT/'/~ ~6OI'C/F4 being duly swom, deposesand (Name of individual signing contract) above named, says that (s)he is the applicant (S)He is the 0 co p d./C (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 day of Notary Public TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE -~ ~'~'--~ ~ INSPECTOR FOUNDATION (1ST) --- -4~~ '~ FOUNDATION (2ND) ~ ~ PLUMBING _ ~ INSULATION PER N.Y. ~ ~ ~ STATE ENERGY CODE ....... F~ ~DITION~ CO~ENTS .~-~ ~,"f~ ~ ~ ~,--' To: Pat Page 2 of 2 200g-03~24 13:10:12 (GMT) 631-614-3516 From: Joseph Fischeffi. PE PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 TEL:631.765.2954, FAX:631.614.3516, e-mail:joseph~fischetti.com Southold Building Dept PO Box 1179 Southold, NY 11971 Date: Reference: March 24, 2009 Sawicld / 49450 Norl~h Road Dear Mr. 'Vedty, I have inspected the as built wood fTamed decks. I certify to the best of my knowledge that the decks have-been cons~ucted in accordance with New York State Building Codes and reflect the as build plans submitted to ~e Town. Joseph Fischeffi, PE Tow____? of $outhold Erosion, sedimentation & storm-water Run-off ASSESSMENT FORM PROPERTY LOCATION: e.C.T.M.~ THE FOLLOWING ACTIONS MAy REQUIRE THE SUE"~;_~ON OF A $TORM-WATEI~ GRADING; DRAINAGE AND EROSION CONTROL PI.AH CERTIFIED BY A DESIGN PRO~.;~=i~HAL IN THE STATE OF NEW YOSK. Item Number: (NOTE: A Check Mark (~) for each Quest(da is Required for a Complets Applicatiou) Yes No Will this Project Retain Alt Storm-Water RumOff Generatsd by a Two (2") inch Rainfall on Site? (This Item will include all run-off created by site cteedng and/or construction activities as well as all Site Improvements and the permanent creation of lmpen, lous sudaces.) Does the Site Plan end/or Suwey Show NI Proposed Drainage Structures Indicating Size & Location? This Item shall thc~lude alt Proposed Grade Changes and Slopes Cor~trolting Surface Wated=low! Will this Project Require any Leed Fit(lng, Greding or Excavatioa where them is a change to the Natural Existing Grade Involving mere than 200 Cubic Yards of Mate~al within any Parcel? Will this ApplicatJ~ Reqube Land Dtsturblng Acitvities Encompassing an Area in Excess of Five Thousand [5,000) Square Feet of Ground Sudace? Is there a Natund Water Coume Running through the Site? r'~ is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a We ar~ or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15)feet of Vertical Rise to r~ One Hundred I100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Sudaces be Sloped 1o Direct Storm-Water Run-Off into and/or in the direction of a Town ~ght-of-way? Will this Project Require the Placement of Material; Removal of Vegetation and/or the Constmction of r'~ any Item Within the Town Right-of-Way or Road Shoulder Area? {This item will NOT Include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm.Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Protect? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requl~edl -- ~t I .................................................. ~,.~.~:.Z..(./~.. ~ duly sworn, de~s~ ~d says ~t h~she ~s ~e app~t for P~IL . O~cr ~or mpr~cn=av¢ & ~ Owner of O~&s, ~d is duly au~o~¢d to pc~om) or haw p¢~o~cd ~= s~d wo~ ~d m m~e ~d file t~s appli~fion; ~at ~l satemen~ ~n~ned in ~is appli~fion am ~e to ~e best of his ~owled~ ~d be~ef; ~d · at ~e work will be performed in ~e m~ner set fo~ in ~e application filed here~. Swo~ to ~fore me ~s; ~ ~o. 01106190696 (Signature of~l~) FO RM - O 6/07 m,ss,0. July 28, 2~ / ' , ~ OCCUPANCY OR i r, xzor ~ USE IS UNLAWFUl ~ \ \ ' WITHOUT CERTIFICATE ~,..,~,,.~ '- OF OCCUPANCY ~ ~' ~ ~°° ¢O ~o< o ,~ APPROVED AS ''" ~ 3. INSU~TION ~ 4. FINAL CONSTRUCTION MUST ~E COMPLETE FOR C,O. ALL CONSTRUCTION SHALL ME~ THE REQUIR~ENTS OF THE ~ STATE CONSTRU~ION & ENERGY CODES, N~ RESPONSlB~ FOR .. DESIGN OR C~UC~ON ERRORS OHN & BONACCI, P.C. 2 REAR ELEVATION SCALE: 1/4": 1'-0" LEFT ELEVATION SCALE: 1/4" = 1'-0" RETAIN STONM WATER FIUNOFF PURSUANT TO GHA?TEFI 236 OF THE TOWN 0ODE. ALL GONSTRUOT[ON SHALL MEET THE REQUIRE~,'IENT$ OF THE OODES OF NEW YO[~K STATE, CERTIFICA I IC)N ~)[ NAILING & CONNECTIUI',IF, /~I ¢¢e REQUIRED. OC:,r'''" ~'" ! ',C'," OR i,, UNLAWFUL WITHOUT CERTIF!C,,')-:~r w/WASHERS/NUTS £ONC. FTG. Eiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii_-iiii .... ] ~.S...o~"~ SECTIO,~ ~-A .... ~d~ -- oiO~o fl_ DRAWN BY: II/NH SHEET NO: , c , EXISTING '" , ~ , -- ~. ~' ~o~ 0 '-- : ',~', [~I~] - I m (2) ~10 GIRDER I (2) ~10 aRD/R m I m tX~ POST w/ rxrxr cone. I I ,_~: .... , .... ':: ' :": ~i~ ' ' :~,- ~ ~ 112) ~XlO ~mD~r I 12) 2x~ ~ZRDE~ - '1 , ~.~,o.. ' ~' ~" " ~'-~" ' ~'-~" ' FOUNDATION P~N '~ =' ,' S~LE: 1/4" = 1'-0' . . LOWER DECK UPPER DECK TO D~WN BY: ~F/HH ~ ~~ March 18, 2009 -- ~ ~ ~ 3~LE: 1/4" = 1'-0" ........................................... .............. FkOOR ........................................... ~ ~ SHrifT ~0: ........................................... S~kE: 1/4"= 1'-0'